Chapter 456: Child

"Rinse, Hyo-kaede! I told you to rinse it! What are you thinking? Yang Zixi's voice brought Li Xiaofeng back to his senses, and he hurriedly raised the irrigator in his hand and began to inject irrigation solution into the wounds of the two children on the operating table.

As soon as he raised his eyes, he saw Chen Yuqing lip syncing at him, and said something about: It's better to let me do it or something.

Li Xiaofeng cleaned up his mood and tried to focus on the operation.

The condition of the two children is fine, and the main organs in the body are independent, but because there is a large artery connected to the back, the operation still has certain risks. Especially when there is only one chief surgeon, Yang Zixi.

The operation had been going on for some time, and Yang Zixi slipped open the interconnected backs of the two, revealing the common tissues in their bodies.

"I'm going to cut down from here, keep my brother's arteries and make sure at least one child is safe, and as for my brother, it's up to us to speed." Yang Zixi pointed to the arterial junction and explained to the apprentices, "Han Ye, you and Yu Qing are responsible for suturing your brother's wound, Xiao Shi and Xiao Feng followed me to continue to operate on my brother, Xiao Feng, is your state okay?" Do you want to change ......?"

She arranged for Ji Wushuang to come to the hospital for a prenatal checkup, and deliberately chose the time when Li Xiaofeng was away. Early this morning, she sent Li Xiaofeng to the river to fetch water and send it to the Grange. It stands to reason that he will be delayed by Yang Yi and the others on the Grange until he returns in the afternoon.

But he didn't expect such a coincidence, Xiaofeng was able to pick up a conjoined baby by the river!

The two children were not doing well, the two little ones had not been fed for some time due to abandonment, and hunger made them instinctively struggle to survive. The parts that connect the body are also stretched, and the tissue is unstable. Therefore, Yang Zixi could only decide to perform the operation immediately.

But when Li Xiaofeng stood on the operating table and was too empty, she understood. Xiao Feng must have met and recognized Ji Wushuang.

He knows everything!

Fortunately, these two conjoined babies tied his attention, so Li Xiaofeng didn't kill Yu Wangfu and stab the matter, right?

"I can do it, I don't need to be replaced!" Li Xiaofeng shook his teeth and said.

Yang Zixi glanced at him deeply, and said in a deep voice: "I hope so!" These two children were picked up by you, and I hope you will hold their lives again. ”

After saying that, she fell cleanly.

The little brothers were each lying on an operating table, and after Yang Zixi separated the two, he quickly clamped his brother's relatively complete arterial vessels with a hemostat, and the elder brother was quickly pushed to the side. Han Ye and Chen Yuqing began to stitch up the wound for him.

In order to preserve his brother's blood vessels, Yang Zixi disconnected his younger brother's blood vessels from the bypass when separating, and after separation, it was equivalent to one less section. Therefore, the younger brother is not only a matter of blood vessel suture, but also needs to do a vascular graft.

Yang Zixi chose to intercept a small section of venous blood vessels from the base of the child's thigh and transplant it to the broken artery blood vessels, which are quite difficult to suture because the child's blood vessels are very thin. The speed is also difficult to improve.

And the baby does not have much blood in his body, even if he is transfused, the small blood vessels do not enter much, and it is difficult to catch up with the speed of his blood loss. Therefore, the time requirements are very demanding.

Yang Zixi was carrying a medical microscope, his hands were moving quickly, and Xiao Shi was responsible for timing and paying attention to the monitor. Li Xiaofeng helped fix the wound.

They had to complete all the surgeries in an hour.

Suddenly, the number on the monitoring instrument jumped, and Wang Xiaoshi saw it. I couldn't help but blink and proofread it a few times.

"His blood potassium concentration was elevated. It's over 5.5! Wang Xiaoshi looked at the number on the instrument and shouted, "Little Master! Something is wrong! ”

Li Xiaofeng panicked and hurriedly asked, "What's the matter?" ”

"Don't worry, let me see." Yang Zixi's voice replied calmly.

She checked the number and then put her fingers inside the baby and touched his organs.

"What the hell is going on?" Li Xiaofeng's anxious forehead was sweating.

Yang Zixi touched a certain place, and then his face changed, and said, "Acute kidney failure, there are complications." ”

"What? He's fine! Li Xiaofeng only felt that his eyes were hot, as if something was about to pour out.

"Maybe we had arterial spasm during the blood transfusion." Yang Zixi pulled his fingers back, carefully adjusted the baby's position, and pressed again, "The baby's arteries are too fragile, and his left kidney is inactivated!" ”

"We've got to figure it out! Little Master, you must have a way, right? Li Xiaofeng shouted almost roaringly, he had lost too much today, and he couldn't afford to lose anything more.

"His blood pressure is going up." Wang Xiaoshi interjected and prompted, "You have to solve it as much as possible!" Babies don't detoxify very well! ”

Li Xiaofeng said: "What about cleaning up blood clots? Maybe it's just a jam there. He was still holding out hope, "Is it caused by the blood vessels we have sutured?" ”

"The blood vessels are very smooth, and we use valgus blood vessels to suture, so there is no blockage." Chen Yuqing said, "Checking blood vessels can only be a waste of time. Conjoined separation surgery is predisposed to cause organ failure, which is a common risk during surgery. ”

Li Xiaofeng's mind was racing rapidly, and he desperately recalled the contents of the medical books he had read.

"Is it okay to bypass transplant?" He suddenly shouted.

Yang Zixi paused for a moment and said, "Kidney transplantation, you can do kidney transplantation." His left kidney has completely lost its vitality, and his right side has only partially retained its function to support his future development, and now there is a high probability of survival with a transplant, and there is a suitable donor there. ”

"You mean his brother?" Li Xiaofeng exclaimed in surprise.

"Yes," Yang Zixi nodded, "The two children are conjoined, and they used to share a common circulatory system in the body, so there will be no rejection reaction." The only problem is that my brother has to take a little risk. Trying to save two? Or do you want to keep one first? Xiaofeng, the child was picked up by you, and you make the decision! ”

"Me?" Li Xiaofeng instantly felt that he was stiff, "I...... I...... I can't ......."

"He's running out of time." Yang Zixi stared at him and said in a deep voice.

Li Xiaofeng's heart was in turmoil. I just feel that the air has become thinner. He gasped twice, closed his eyes suddenly, and said, "Transplant!" ”

"Han Ye! Yuqing! Once you've both stitched up your arteries, stop. We perform transplant surgery! Yang Zixi shouted at the two people on the side.

"But then I need another group of people to do the surgery." Yang Zixi looked at a few apprentices in the room and said, "I'm in charge of a younger brother's transplantation, which of you thinks you have the ability to sew your brother?" ”

This question instantly stunned several busy people.

Stitching surgery for kidney donors is not complicated and can be said to be a minor operation. It is only necessary to distal ligation and suture the blood vessels that have been cut off the kidney, and then do another drainage, but it is not simple for the apprentices, this is an independent operation without the little master by his side!

Li Xiaofeng opened his mouth, but he couldn't open his mouth after all. He didn't know if he had made a mistake in the operation, causing the death of his brother, who was supposed to be alive and well, or some other illness. Can he forgive himself.

Chen Yuqing's excited eyes flashed, but there was an inexplicable fear in her heart, can you really do it? She asked herself, and then she was unsure.

Wang Xiaoshi never thought that he could!

In the end, Han Ye spoke: "Little Master, do you think I will succeed?" ”

"It's up to you whether it works or not." Yang Zixi said, "There is always a first time." Yu Qing, Xiao Shi and Xiao Feng, you all go to assist your senior brother, and I will do my surgery myself. ”

There is only decision in the operation, and there is no hesitation......

Remove a part and stitch a part; Removal of necrotic ones. Left intact. No matter how big or small, surgery comes with risks.

The surgeries that Yang Zixi has experienced were all completed under the most difficult and rudimentary conditions. There is no shadowless operating room with bright and clean windows, and there is no complete monitoring instrument and testing equipment. There are no groups of doctors on call from different departments who cooperate with each other.

Sometimes a wrong decision can cost someone's life, but even this time it's wrong. Don't be afraid to make choices next time.

Because the doctor is the final decision-maker.

Yang Zixi performed surgery on his brother to remove a single kidney. The transplanted kidney was placed in my brother's abdominal cavity.

"You're blocking my view, little rock!"

"What about the sponge? Sponge! ”

"Get the sutures! Right! That's it! ”

"Damn! You're pulling the needle in the wrong direction. The book says that it should be flat-pulled! ”

Yang Zixi was busy with the work in his hands, and the smile on the corner of his mouth expanded little by little. A bunch of young kids! Their argument reminded her of her hectic energy when she had surgery for the first time!

I still remember that it was a tonsillectomy operation, she was so busy that she couldn't even grasp the tonsillar forceps, and at that time Yu Hai was standing in the position of the deputy knife opposite her, and she also blamed herself for not following the operation in the book...... But now, he's gone.

Yang Zixi shook his head, put aside the memories of the past, and quickly removed the surgical forceps.

Urine flowed quickly into the ureters and the operation was successful.

In the evening, Yang Zixi and his apprentices finished the operation, and the two boys were placed in the nursery box. Li Xiaoshun carefully observed the child through the glass of the nursery box, and couldn't tell what kind of feelings he felt in his heart.

Yang Zixi took off the surgical cap, threw it into the laundry basket, paced behind Li Xiaofeng, and patted him on the shoulder.

"It's cute, you say?" She smiled.

The two boys are not bad-looking, although they are a little yellow and thin, but the small appearance that comes out of a mold is very likable.

"Yes, it's cute." Li Xiaofeng looked at the child intently, if he took these two little lives back to the hospital at the beginning, he was only excited because he found a rare case, but after he experienced the operation with his own hands at the moment, he no longer regarded the two little guys as patients.

Yang Zixi nodded, and slapped him on the shoulder twice: "Just treat them as your sons given by God, and you will be responsible for them in the future." ”

"Me?" Li Xiaofeng turned his head in surprise.

"Isn't it who you are? Do you want me to take care of the baby for you? Yang Zixi deliberately raised his eyebrows, and smiled after speaking.

Li Xiaofeng turned his head in despair and looked at the child in the glass box.

His children?

A lost child? (To be continued......)