"What about arterial blood gas divergence?"

"Between 50 and 40, fortunately it hasn't decreased."

"Inject another milliliter of *** and *** sodium"

"Won't it be enough?"

"It should last thirty minutes."

"It's time to go."

"Give me a scalpel......

……

Taking the scalpel handed over by Zhai Lingxiao, Song Che cut it down very simply and decisively along the skin on the chest of the child who was pulled tightly by Xu Qiaoen!

Not to mention compared to adults, but compared to young children, this kind of child who is less than half a month old, just opening the chest is a big problem!

There is no meat on the chest, the skeleton is pitifully small, and the selection and cutting of the blade must be accurate to every millimeter.

"Tsk! Not even blood! ”

Everyone in the observation room above was amazed when they saw this scene!

Even Xue Yukun, who had prejudices against Song Che, took a deep breath when he saw this, and muttered: "This kid is more sophisticated than the one in the school!" ”

Although Qiao Biyun is a layman, he probably understands that Song Che has initially shown his strength, so he asked Xiang Maolin casually: "Dean Xiang, about this Dr. Song Che, he was also studying at the School of Medicine of Dongjiang University, and you are also the vice president of the School of Medicine, can you reveal some of Dr. Song Che's resume in school?" ”

"This kid has too much resume, and all I can say is that he is indeed a genius."

Xiang Maolin sighed: "A few years ago, when the students of the same class were still experimenting with mice, he was already able to operate on the heart of the mouse independently. ”

"The heart of a guinea pig? That's how small! ”

"It's probably that small."

Xiang Maolin used his thumb and index finger to compare the volume comparable to a grain of rice, but the corners of his mouth couldn't help but show a wry smile.

As for the follow-up story, he didn't say.

At that time, Song Che practiced this skill, not thinking about continuing to work hard, but immediately opened a veterinary shop outside the school!

It is also said to have made a lot of money.

According to Song Che's original words back then, the living expenses given by the family were too small, and if it weren't for his lack of qualifications, he would have gone out to do private work a long time ago.

At that time, Xiang Maolin knew that this kid was talented, but his heart was not stable enough.

And now, seeing Song Che's calm and steady sword, Xiang Maolin knows that nearly a year of training in Yunzhou has made Song Che complete his transformation!

At the same time, the blade on the operating table is still swinging.

Cut the skin, cut the sternum, place the sternal opener, layer by layer, in one go.

The amount of bleeding is very small, and the visual inspection of the on-site directors is only 5-10ml.

The blood-stained gauze was only a little red, like red flowers blooming in the snow.

But the unexpected happened!

"How so!"

But when they saw that tiny heart, everyone was stunned.

Zhai Lingxiao directly lost his voice and said: "I can't find it before!" ”

Xu Qiaoen also frowned and said, "It should be a ruptured coronary artery that bleeds, causing cardiac tamponade." ”

The so-called pericardium is a thin film wrapped around the heart, and there is serous fluid in the space between the pericardium and the heart wall, which can lubricate the myocardium so that the heart will not be injured by friction with the chest cavity when it is active.

In view of the child's heart malformation, there is a severe stenosis or atresia somewhere in the left heart circulation, resulting in increased pressure in the left atrium, so there is indeed a considerable risk of rupture of the coronary artery of the heart, which is the main blood supply!

And now, looking at the degree of swelling of the pericardium, there is still a lot of bleeding!

Song Chejing looked at it for a while and said, "It should have just cracked." ”

"Oh, it's really a house leak that happened to rain overnight, this ...... There's no way to save it! ”

Zhai Lingxiao said with a bitter face.

Generally, cardiac hemorrhage and cardiac tamponade are extremely dangerous fatal injuries.

Now, the fatal wound has appeared in a newborn born with a severely malformed heart......

To say an unlucky analogy, the Grim Reaper closed the door to the patient's life, but he was still not at ease, so he added another lock!

Everyone looked at each other, and someone said tentatively, "Why don't you stop and wait for Professor Kuroda next to you?" ”

In fact, including Zhai Lingxiao, they have already had the idea of giving up in advance.

Maybe even Akira Kuroda is standing here, and he has to decide that there is no need to continue this operation!

If the original chance of success was one percent, then now, it may not even be half a percent!

"Little junior brother, it's still ...... Never mind? Zhai Lingxiao asked very lightly and weakly.

In his impression, the little junior brother, who seemed to be comfortable with any incurable disease, showed such a solemn and deep expression for the first time...... In the depths of his eyes, there was a faint hesitation.

However, this hesitation is only fleeting.

The next moment, Song Che's eyes became clear and clear again!

"Dr. Song, phone."

The patrol nurse suddenly reminded and shook the hang-up in the operating room.

Song Che first looked up at the observation area where the petitioner was visited.

Xiang Maolin was holding the phone, and with a stern expression, he motioned to Song Che to answer the phone quickly!

In fact, there is no need to pick up, Song Che also knows that Xiang Maolin wants to give up!

Everyone in the operating room can see that the experts who are watching the whole process above are aware of it at the same time.

This sudden accident has basically pronounced the death of the child in advance!

Not only Xiang Maolin, but even those experts couldn't help shaking their heads, and even a few people were shaking their hands at Song Che, hoping that he wouldn't insist anymore.

Song Che glanced at it, retracted his gaze, pondered for a moment, turned back directly, and said:

"Change the surgical plan, first cut the pericardium, find the coronary artery bleeding in the shortest possible time and suture it, and then perform aortic archplasty."

Song Che immediately made a decision, ignoring the eagerness of Xiang Maolin and the others.

"No, it's too dangerous, the child can't bear such a huge operation!" Xu Qiaoen also immediately dissuaded.

"The heart is right in front of us, can we sew it up directly now, what is the difference between this and the deserter who retreats?"

Although Song Che's tone was still calm, his words were non-negotiable.

He looked around at everyone and said, "When we stand in front of the operating table, it means that we have stepped into the battlefield, and the tools we hold in our hands now are weapons, no matter whether we advance or retreat, death is in front!" ”

He pointed the scalpel at the child's little heart, which was still beating, and said, "This child hasn't given up yet, we are just a little bluffed, are we going to disarm and surrender, and play a lament for her?" Please, show some grown-up guts! ”

Hearing this, Xu Qiaoen and the others suddenly fell silent.

Yes, it's all come to this point, and there's no room for turning back and going back.

Unless, in their hearts, they have accepted the death of this sick child!

"I've had more than a thousand heart surgeries, it's just cardiac tamponade, I can handle it."

Song Che tried to give them another reassurance.

"A thousand times, that's that?" Zhai Lingxiao wondered.

You must know that he is in his thirties, and he has only participated in hundreds of heart surgeries when he has worked as the deputy chief physician.

Song Che blinked and said, "This thousand times is not limited to human beings. ”

“……”

Zhai Lingxiao, Xu Qiaoen and others all had black lines on their foreheads.

This thousand times, I don't know how many innocent little actions have been disemboweled.

Not allowing them to slander, Song Che asked the anesthesiologist: "Body temperature?" ”

"Eighteen degrees."

"Get ready for dopamine and isoproterenol injections! Remember, this time we are given time, it may only be a minute! ”

Maybe there was no room for everyone to hesitate, as soon as Song Che's voice fell, he raised the knife again, and soon opened a small opening on the pericardium very slightly!

At this moment, including the observation area, there was silence, and everyone's hearts and livers were lifted up, holding their breath.

Sure enough, beware of the heart bag being cut open, and a large amount of blood gushed out!

"Establish cardiopulmonary bypass...... Suck! ”

Zhai Lingxiao took a tiny metal catheter and put it into his chest, and after the usual sound of sucking yogurt passed, there was already a lot of blood in the storage tank that had not yet coagulated.

However, at the same time, the blood in the chest cavity continued to spill out rapidly!

"The bleeding is so bad that it can't be stopped!" Xu Qiaoen said.

Obviously, the bleeding opening of the coronary artery of the heart is not small!

"Speed up the extraction!" Zhai Lingxiao shouted.

"No, such a young child can't bear it!"

"Then hurry up and replenish the plasma!"

……

In the operating room, it was a mess in an instant!

Xiang Maolin's face was dead and gray, and he said, "It's over!" This kid is so reckless! ”

"Dean, in my opinion, this kid is purely slapping a swollen face and pretending to be fat, in order to save his so-called face, he actually disregards the life of the child, which is no different from the life of the grasshopper! It must be punished severely! Xue Yukun said viciously.

Xue Yuanxian secretly took out his mobile phone, put the camera angle to the maximum, and filmed the scene, with a sinister and cold smile on the corner of his mouth.

Knowing that there are tigers in the mountains, he prefers to go to the tiger mountains.

The surname is Song, I didn't dig a pit much, you rushed to bury yourself alive first!

It is foreseeable that once this operation is disclosed, Song Che does not need to wait for the accountability of the health department, just the spitting stars of public opinion is enough to drown him!

Although Qiao Biyun, the "girl outside the door", was a little unconscious, she noticed that Song Che was always calm and calm, and somehow, she felt that the child still had a chance to be saved......

When Zhai Lingxiao and the others were already at a loss, only Song Che's eyes were still calm, he silently looked at the blood surging in the pericardium for a while, and suddenly said, "Give me a needle and surgical forceps." ”

Xu Qiaoen also seemed to have a habitual trust in Song Che and immediately complied, but when he saw Song Che poking his heart with the surgical forceps, he couldn't help but exclaim.

I can't even see the heart wall, this guy actually wants to stitch it up directly?!

Even everyone in the observation area was dumbfounded!

Such an illogical way!

Is it to break the jar and break it?

Time passed second by second, except for Song Che, all people and things seemed to be frozen.

The suction device is still suctioning, but with the suturing of the bleeding opening, the blood gushing is slowing down rapidly, and in the blink of an eye, the heart wall is gradually exposed!

The bleeding has really stopped!