Chapter 1046: Heart Stopping Surgery
Guo Xiang and Xing Ming discussed how to do this surgery.
"The child is too small, and the operation is difficult." Xing Ming said, "You have to use an extracorporeal bypass machine to stop the heart, otherwise it will be too difficult to make such a small heart." ”
Guo Xiang frowned, "It's because the child is small, I think it is even more impossible to stop the heart, and the operation is carried out in the state of non-stop beating of the heart under cardiopulmonary bypass, so as to avoid myocardial ischemia, reduce the impact on cardiac function, and also be more conducive to the recovery of cardiac function after surgery." ”
"But it's difficult, the heart is so small, how do you do surgery while beating?" Xing Ming said.
In many cases, heart surgery is done when the heart is stopped, such as heart bypass grafting for coronary heart disease, which is originally a more delicate organ, more complex, and has various static arteries, which is more difficult to do.
I used to do it with my heart beating non-stop, but it was too difficult. Later, with the cardiopulmonary bypass system, it was easy to have surgery when the heart stopped.
However, cardiac arrest surgery is prone to complications, and there are cases where the operation stops beating and does not beat again, which is also dangerous, not to mention such a small baby.
"But the child is so young, cardiac arrest surgery has a great impact on her postoperative cardiopulmonary recovery." Guo Xiang shook his head.
"You're going to do it with your heart pounding? It's too difficult to operate, and this operation is not easy in the first place, and it is even more difficult. Xing Ming frowned, "The heart is so small, the slightest mistake in the child may die!" ”
"But we must do a good job in the prognosis, so as not to bring any worries to the child and affect the child's life." Guo Xiang said, "I will have another meeting to make a plan, and I, you, Xu Wei, anesthesiologists and other relevant medical staff will have a meeting together to discuss it." ”
After that, Guo Xiang spent two more days discussing the operation with everyone, which places should be paid attention to and which places should be careful.
After all, the child is still too young, and it is the first time they have had surgery on such a small baby.
"The tube for vena cava return in cardiopulmonary bypass was changed from 7 mm in diameter to 2 mm in diameter." "This can effectively reduce circulating blood volume, increase hematocrit, reduce lung damage, and improve heart function." ”
Everything has to be done for small babies.
After making a plan, Guo Xiang called the child's parents over and told them some matters about the operation.
As for the pros and cons of cardiac arrest surgery and non-stop beating surgery, I also told them and listened to their opinions.
But where did the two know this, the doctor said they would do whatever they wanted.
"There are still risks associated with surgery, and if there is an accident during the operation, the child may not be able to get off the operating table." Guo Xiang said that he showed the parents of the child the information about the operation.
"Then ......" The couple glanced at each other, but they didn't expect that there was a possibility of death after surgery?
"No doctor can guarantee that the surgery will be 100% successful, and there will be some surprises. We only check with the help of instruments, and in some cases the instruments cannot see clearly, and the actual situation may be worse than what is checked, which may not be true. Guo Xiang explained.
The child's father gritted his teeth, "It's better to do it, if you don't do it, you will die." ”
Besides, people do it for free, and if they ask for anything, they won't deliberately mess up the operation, they don't have to.
"Okay, do it!" The child's mother nodded.
After signing, Guo Xiang began to prepare for the operation.
The operation began the next day, and the operation was well prepared, Guo Xiang was the chief surgeon, Xing Ming was the first assistant, Xu Wei was the second assistant, and there were more than a dozen other medical staff, and everyone was very nervous.
This is the first case of pulmonary valve stenosis correction and atrial defect repair surgery under cardiopulmonary bypass since the establishment of the hospital, and the medical level of the hospital can be further improved if the operation is successful.
But once it fails, it still has an impact on the reputation of the hospital.
The child's parents waited anxiously outside the operating room.
Xing Ming's open chest, the child is too small, and his heart is even smaller, like an egg, trembling and beating slightly.
"Let's get started!" Guo Xiang said a word, and the operation began.
Tang Le also ran over, knowing that Guo Xiang was going to operate on this child, he was also very concerned, these children were all taken from him, and he also hoped that every child could be cured and return without leaving a little regret.
At the beginning of the operation, everyone stared at Guo Xiang's hand.
The scalpel fell, and it was cut down on the little heart, and the heart was still beating, and everyone's heart was lifted.
However, Guo Xiang's expression was very calm, his hands were steady, and he was not panicked at all.
Everyone admires it, Dean Guo's medical skills are really not covered, I admire it too much.
The operation lasted for more than two hours, the pulmonary artery correction and atrial defect repair were completed, and the baby's signs were still stable, and everyone was very excited.
Xing Ming did the finishing touches later.
When Guo Xiang came out, the child's parents hurriedly greeted him, "Doctor, how is it?" ”
"The operation was a success!" Guo Xiang took off his mask and smiled.
"Thank you, thank you so much!" The couple held Guo Xiang's hand with tears in their eyes, it's great, it's really good.
Guo Xiang explained some precautions behind his hands, and the couple nodded in response.
Guo Xiang returned to the outpatient clinic and felt very tired, the operation was highly concentrated, and the whole person felt so tired when he relaxed.
"Sister, hard work!" Tang Le poured Guo Xiang a cup of tea, "Sister, you are the only person I admire the most in this life, no matter what aspice." ”
That's why he is willing to do things for her, not to work assigned by the state, not only to repay his kindness, but also because he can learn things that can't be learned elsewhere by her side, whether it is being a person or doing things.
"You still have a long life in this life, don't jump to conclusions." Guo Xiang smiled.
In fact, the main reason is that I came from the later generations, knew a lot of opportunities, and got a lot of medical skills that were only available in later generations, in fact, in the later generations, there are many people who are better than themselves.
"Are there any other surgeries requested?" Guo Xiang asked.
"Yes, but some cases are still being verified. There are also applications for cleft lip and palate this year, are you still doing it? Tang Le asked.
"Yes, these can be distributed to other doctors, I don't do it myself, I mainly do serious illnesses or some complicated surgeries, if there is this, bring it to me." Guo Xiang said.
"Okay!" Tang Le nodded.
"Sister......" Tang Le wanted to speak and stopped.
"What's wrong? Something? Guo Xiang took a sip of tea and asked.
Tang Le's face flushed, and he plucked up his courage, "I want to marry Guo'er!" ”
"Now?" Guo Xiang was stunned, "It can't be a human life, right?" ”
"No, no!" Tang Le waved his hand hurriedly, his face flushed, "I just want to marry her as soon as possible and ...... together as soon as possible."
Guo Xiang sneered, "Can't wait like this?" Guo'er will graduate in just one year, so in a hurry? Are you still afraid that she won't be able to escape? ”
Tang Le smiled embarrassedly, "Well, I love her very much, I just want to be with her and see her every day!" ”
Guo Xiang smiled, "My mother-in-law may not agree, and your brother-in-law may not agree, don't be in a hurry at this time, wait another year!" ”
Tang Le pursed his lips, well, in fact, he was also mentally prepared, but he still wanted to try, as expected.
It's just that he and Guo'er have already secretly eaten the forbidden fruit, and they are afraid that their families will find out and criticize them, so they want to get married as soon as possible, so they can be together openly.