Chapter 533: Beasts

\09Dense and noisy footsteps sounded outside the operating room, Li Canghai walked in the front, panicked and came in without even bringing a hat and mask, and only put on the mask and hat when he arrived outside the operating room, he stretched out his foot and stepped on the pedal on the left side of the door, and the door of the operating room opened immediately, and when he looked inside, he found that the anesthesiologist Yang Chao was rubbing his eyes while stretching his neck to look at the operating table, and the same was true of the recovery nurse next to him. Li Canghai walked inside, and at the same time shouted in his mouth: "Mi Zixuan, you live ...... for me" Before he finished speaking, Mi Zixuan's calm voice came: "Start extracorporeal bypass and transfer, wait for the temperature to cool down to 30 °C, I will block the aorta, and then start intracardiac operation." ”

\09The nurse turned on the cardiopulmonary circulator without thinking about it, and a buzzing sound sounded.

\09 Li Canghai also came closer, and he was immediately dumbfounded when he saw it.

\09The surgical procedure of Tetralogy of Fallot orthopedics is to make an incision in the middle of the chest, open the sternum longitudinally, remove the thymus, and stop the bleeding tightly. Biased to the right side of the pericardium, leaving more pericardium for right ventricular outflow tract mesh or single valve. Leave superior vena cava and coronary artery malformations are explored to determine left ventricular and pulmonary artery development. A ascending aortic perfusion tube is inserted close to the innominate artery, a right-angled tube is inserted directly into the superior and inferior vena cava, and a left cardiac decompression tube is directly inserted through the right superior pulmonary vein. When the right pulmonary artery is explored between the superior vena cava and the ascending aorta, a large bronchial collateral circulation vessel is sutured, ligated, and severed. After doing this, you need extracorporeal bypass to cool down to 30°C!

\09The above surgical steps are simple, but they are quite difficult to do, especially the incision of the pericardium, which is reserved for right ventricular outflow tract mesh or single valve. This is quite a test of the surgeon's skills and experience, it is said to retain more pericardium, but not as much as possible, tetralogy of Fallot to put it bluntly and simply, that is, the heart development malformation, the pericardium is retained too much, postoperative malformations still exist, if you want to completely correct the malformation, the pericardium can not be retained, but not too little, otherwise there is no way to do right ventricular outflow tract mesh or single valve backup.

\09This degree is quite difficult to master, only experienced and skilled doctors can master this degree, judging from the situation in the surgical field, Mi Zixuan is obviously this kind of experienced, skilled doctor, and the retention of the pericardium is quite good.

\09This is not the main reason for Li Canghai's dumbfounded, the most important thing is that Mi Zixuan cut the pericardium in just a few minutes, and has completed the insertion of the ascending aortic perfusion tube near the innominate artery, directly inserted into the upper and inferior vena cava right-angled tubes, directly inserted into the left cardiac decompression tube through the right superior pulmonary vein, and sutured, ligated and cut the coarse bronchial collateral circulation vessels when exploring the right pulmonary artery between the superior vena cava and the ascending aorta.

\09 These delicate and complex operations, Mi Zixuan completed in no more than five minutes, this speed is simply terrifying, if it were Li Canghai, he would never be able to do it.

\09 This speed is so fast that there is no one, Li Canghai looked at Mi Zixuan dumbfounded, feeling that this guy in front of him was not a person at all, he was simply a monster, he actually completed such a precise and complex operation in less than five minutes, your uncle, are you human? Is it human? In the end, Li Canghai, the old professor, directly burst into foul language in his heart.

\09 Gong Haozhong, Pi Yifeng and others were also dumbfounded, the first to react was Pi Yifeng, he smiled bitterly and said: "Little junior brother, you are really not human." ”

\09 Mi Zixuan didn't look up, stared at the temperature display on the extracorporeal circulator and said: "Okay, whether I'm a human or not, let's talk about it in the future, since I'm here, let's help, two surgeries must be completed within half an hour, senior brother, you are responsible for opening the abdomen, I will continue the operation in the heart, be fast." ”

\09 Pi Yifeng's face was solemn and turned around to go out to brush his hands, Li Canghai was suddenly very lost, he felt that he was really old, his expression was very lonely, looking at Mi Zixuan and shaking his head helplessly, Gong Haozhong saw that something was wrong with the teacher, and quickly hugged him and said with concern: "Teacher, are you okay?" ”

\09 Li Canghai shook his head with a haggard face and said, "It's okay, go and help, he can complete this operation in half an hour." ”

\09 Today, Li Canghai was stimulated too much, and the operation that he thought was impossible to complete has now become possible, because the person in charge of the surgery is called Mi Zixuan.

\09 Gong Haozhong looked at Mi Zixuan with a complicated face, and went out to brush his hands without saying anything.

\09At this time, the body temperature had dropped to 30°, and Mi Zixuan exhaled and said, "Start the intracardiac operation." ”

\09 There was a crisp sound of "pop", and Mi Zixuan had an extra scalpel on the bloodstained gloves on his hands.

\09 Mi Zixuan carefully made a longitudinal incision from the proximal end of the pulmonary artery trunk to the right ventricle, the incision fully exposed the pulmonary valve when passing through the pulmonary valve annulus, and cut at the junction of the two or three leaflets.

\09 Yang Chao is not sleepy, nor does he feel sleepy, he is radiant at this time, in his opinion, Mi Zixuan's surgical operation is not boring at all, but gives people a sense of pleasing to the eye, so smooth that it is not like words, watching him do the operation will give people a hearty and refreshing feeling, and there will definitely be no grievance and irritability.

\09 At this time, Mi Zixuan's operation became faster and faster, and his two hands moved around under the shadowless lamp, making it impossible to see his operation clearly, and it was extremely fast.

\09 Xiang Qixuan was dazzled, and he couldn't help at all, so he could only get as close to Mi Zixuan as possible, so that he could rub the sweat on his forehead on his shoulders, and it was impossible for the surgeon to wipe his sweat with his hands during the operation, either to find the nurse, or to rub it on the shoulders of the assistant next to him.

\09 Gong Haozhong saw that Mi Zixuan rubbed the sweat on his head on Xiang Qixuan's fragrant shoulders from time to time, he was so jealous in his heart that he was very dissatisfied, but he didn't dare to say anything, who would dare to disturb Mi Zixuan for surgery at this time? If something goes wrong, no one can afford to take responsibility.

\09 After such a while, Mi Zixuan actually began to cut the PTFE patch into a circle, but there were many steps to do before, but Mi Zixuan completed it in just a few minutes, this speed is simply terrifying, Gong Haozhong is jealous of Mi Zixuan, and now he has to shout to serve, as far as Mi Zixuan's skilled surgical skills are concerned, let alone Gong Haozhong, even if he calls the top international extracardiac experts, he has to say that he is convinced.

\09 Gong Haozhong watched Mi Zixuan continue the operation with envy and jealousy, he couldn't believe that Mi Zixuan had this skill at this age, he was really not a human, he was a monster, looking at Qi Xuan's eyes at Mi Zixuan, in addition to admiration, there was also admiration, which made Gong Haozhong's heart even more sour, Xiang Qixuan wouldn't like him, right? This......

\09 Gong Haozhong was still a little confident in front of Mi Zixuan, he was a big doctor in the provincial hospital, less than thirty years old, he was already the deputy chief physician, the next director of the oncology department, and Mi Zixuan was a village doctor in a small county hospital.

\09 But now Gong Haozhong has no confidence at all in front of Mi Zixuan, and even has some inferiority, it is really Mi Zixuan who is too dazzling, the youngest chief physician in Huaxia, the closed disciple of Yun Xinheng of the First Affiliated Hospital of Beijing Medical University, and his surgical skills are like this, can he still be confident in front of Mi Zixuan?

\09 Just when Gong Haozhong was so inferior that he couldn't do it, he listened to Mi Zixuan: "Cardiopulmonary bypass assists shutdown, intravenous nitroprusside is given 50μg per minute after cardiac relapse, and blood is replenished after shutdown until hematocrit reaches 0.35, and then plasma or albumin is supplemented." After the blood pressure is stable, the right ventricle, left ventricle, and pulmonary artery pressures are measured, and if there is no problem, the patient is given a small dose of dopamine to support myocardial contractility. ”

\09 Mi Zixuan This is a verbal postoperative doctor's order, what does this mean? It meant that the tetralogy of Fallot orthopedic surgery was done in 14 minutes.

\09 Gong Haozhong turned his head to look at the timer, the time was frozen in 13 minutes and 44 seconds, and he completed such a big and difficult operation in less than 14 minutes? He...... He...... Jinnyima is not a human, she is simply a beast, a monster.

\09 Such a big operation, not to mention him Gong Haozhong, even if the best cardiac surgeon in the world is found, it is absolutely impossible to complete it in fourteen minutes, saying that Mi Zixuan is a beast and a monster, there is nothing wrong at all, this is not something that people can do.

\09 The operating room was immediately quiet with a few words from Mi Zixuan, and everyone looked at Mi Zixuan like a monster, and there was a sentence in their hearts, he was not a human.

\09 Mi Zixuan didn't have time to take into account their feelings, and came to the opposite position of Pi Yifeng to start radical gastrectomy, the operation has been half completed, the most difficult orthopedic surgery for tetralogy of Fallot has been completed, and the remaining radical gastric cancer surgery is not difficult for Mi Zixuan, and the success of this operation is certain.

\09 Pi Yifeng watched Mi Zixuan bow his head and operate, and said with a wry smile: "Little junior brother, do you say that you are human?" You can complete such a big operation for tetralogy of Fallot in less than fourteen minutes, if this spreads, let alone the provincial hospital, the heart experts in the whole country and the world will have no way to live, you are going to let them die of shame. ”

\09 Mi Zixuan smiled and didn't look up and said, "I don't know if they have a way to live, but I know that Xing Bin can live." ”

\09The timer in the operating room was finally fixed at twenty-six minutes and fourteen seconds, Mi Zixuan completed the operation that Li Canghai and others thought was impossible, and at this time the operating room became very quiet again, and the eyes of the instrument nurse and the itinerant nurse and the look at Mi Zixuan to Qi Xuan could be described as fanatical worship.

\09 And Yang Chao, Gong Haozhong, Li Canghai, Pi Yifeng and others looked at Mi Zixuan with the same gaze as if they were looking at a monster, he really completed this impossible operation, Zhen Nima is either a human being, or a beast.