Seeing Song Che giving him a thumbs up, Xue Yukun was stunned again.

When he caught the cunning in Song Che's eyes, he suddenly felt his head again, and then he realized that he was afraid that he had fallen into this kid's plan again!

But as soon as the grief and indignation in his heart welled up, Song Che had already sat back in his position directly, and said, "Dean Xiang, then I won't delay everyone's precious time anymore, let's start quickly." ”

Xiang Maolin glared at this living treasure angrily and funny, seeing that the arrow was on the line, he could only take advantage of the situation and follow the development of the situation first......

"Let's show you the latest inspection report first."

As soon as he gave instructions to Maolin, an assistant turned on the projector.

On the projection screen, one on the left and one on the right, the color ultrasound films of the two hearts are presented.

It is worth mentioning that the heart of a normal person contracts and relaxes together with the left and right ventricles and atrium.

But the hearts of the twins have only one ventricle and atria that function normally.

This is undoubtedly a very rare and serious congenital heart disease!

In the case of common congenital cardiovascular malformations, only 1% is accounted for!

"There is a clear hypoplastic left heart syndrome, aortic atresia with aortic dysplasia, resulting in increased pressure in the left atrium, pulmonary veins, and pulmonary arteries, which must rely on the ductus arteriosus for temporary survival."

Xiang Maolin is worthy of being a surgical authority from a professional class, and he is very skillful and meticulous in his analysis: "A quarter of such children will die of pulmonary edema and heart failure within a week of birth, and most of them will not live for a month. Therefore, surgery must be done as early as possible in the neonatal period. ”

"As Professor Kuroda said just now, this surgery must be completed in a short period of time, and I estimate that the time is only about an hour......

At this time, Kuroda Akira raised his hand, indicating that he had something to say.

"One hour is still too optimistic, in my opinion, there is only 45 minutes at most to rescue time, if this time is not completed, it is a failure."

Hearing Kuroda's more rigorous judgment, everyone had no ambiguity.

After all, Kuroda Akira's conservatism has a solid basis.

"All of you here are senior doctors in cardiothoracic surgery, and you should all understand that there is only the Norwood series of surgical options that can save this pair of children."

Akira Kuroda finally showed the world's top strength, perhaps due to the limited level of Chinese, so that he spoke more concisely: "Generally speaking, to perform the Norwood series of surgeries on newborns, it is advocated that the sooner the better, but in view of the fact that the heart tissue of newborns has not yet developed, through my decades of experience, the survival rate of newborns who undergo Norwood series of surgeries within a week does not exceed 5%. ”

5%。

As soon as this figure came out, many experts couldn't help but be moved.

Note.

They are not shocked by this success rate, but "too high"!

To say that he exposed his family scandal, Norwood series of surgeries, in the land of China, there are no more than five successful cases!

Norwood surgery can be said to be one of the most difficult operations in the world's medical community, among heart surgery!

The principle of surgery is to perform thoracotomy under cardiopulmonary bypass, cryogenic arrest and cardiac arrest, which is extremely difficult to operate, and due to the poor congenital conditions of the newborn's heart, the heart rebeat is very, very difficult!

Not to mention in Tianzhou, even in the top hospitals in Yanjing and Shenghai, the successful precedents can be counted on one hand.

This is also the main reason why this group of experts who usually feel good about themselves are scrambling to quit just now!

It is important to know that there are only a handful of doctors who can perform this procedure independently even internationally.

Knowing that you will fail, you still have to take the knife, which is no different from killing yourself!

And Kuroda Akira can report the figure of 5%, or because his strength and the level of medical care he has access to, are the most high-end in the world.

"But if it takes a long time to wait for the newborn's heart to develop, the success rate will continue to fall, once it reaches about 30 days, it will be 1%!"

Akira Kuroda said in a deep voice, "Therefore, in my experience, the best time for surgery is the 10th day after birth. The day after tomorrow will be the tenth day of the birth of the twins, so the operation and plan will be determined tomorrow, and there is no room for error! ”

"Therefore, with a combination of time, energy and risk, I can only ensure the safety of one of the children at this time, and the other is beyond my control."

After speaking, Kuroda Zhang looked at Song Che.

Everyone also focused on the past.

Song Che looked at the projection screen from beginning to end, and it was not until this moment that he opened the conversation: "This operation is to construct a large artery for the child, and the artificial heart-lung machine must be stopped at that time, so the operation time, I think it has to be compressed again, half an hour, and it will be solved quickly!" ”

"Half an hour is too rushed, just the disconnection and suturing of the ductus arteriosus and the artificial vascular connection, it is conservatively estimated that it will take half an hour, even if I personally serve Professor Kuroda as an assistant, I will not be able to solve the battle in such a short time." Objections were raised to Maolin.

Song Che raised his finger and said, "No way, it's urgent, you see, there is a clear difference in the current state of the twins' hearts." The newborn on the left, her heart, compared to the one on the right, is significantly more severely enlarged, in other words, her heart could go into arrest at any time...... No, it should be another sudden arrest. ”

Hearing this, Xiang Maolin and the others were not moved again, but their faces were a little embarrassed.

The owner of the heart on the left is the baby girl who went into cardiac arrest that day.

This baby girl, compared to her twin sister, is undoubtedly in a much worse situation!

That is, the baby girl who is relatively mild in that problem can be allowed to complete the operation within 45 minutes.

But the baby girl, who was in danger and died at any time, only had thirty minutes to wander before the ghost gate closed!

Kuroda Akira was silent for a while, and suddenly said, "This child on the left, if she can survive until tomorrow, I am willing to take charge of her operation first...... As for the other one, you can come and be my assistant. ”

This time, everyone was finally greatly moved.

Unexpectedly, Kuroda Akira not only did not pick the fat and thin, but actually took the initiative to ask to be responsible for the baby girl with a slim survival rate!

Song Che smiled at him.

His perception of Akira Kuroda was not wrong at all.

Although his temper stinks, in the medical field, he is still very selfless.

"No need, first come, first come, you asked for surgery first, and you are the most qualified, there is no reason to change the plan for me, this is irresponsible for the patient."

Song Che also understood the righteousness, and when he saw that Kuroda Zhang still wanted to debate, he said: "There is a proverb in Huaxia called Tian Ji horse racing, I don't know if Mr. Kuroda has heard it?" ”

Kuroda Shoichi frowned, his eyes flashed, and finally looked at Song Che deeply, revealing a trace of respect, and at the same time nodded to show that he obeyed Song Che's proposal.

This scene made everyone confused, and they couldn't understand how the world's top authoritative experts "obeyed" this younger generation.

Xiang Maolin pondered for a while, and after thinking through it, he couldn't help but feel a lot of emotion.

The meaning of Tian Ji horse racing is well known to everyone.

Song Che compared these two surgeries, and the meaning is obvious:

It is necessary to hand over the children with the best hope of success to the doctors who are most sure!

"Since Mr. Kuroda said that he could save one, I hope that Mr. Kuroda will do what he says and not let me down."

Song Che said solemnly: "As for the remaining baby girl, she was rescued by me by accident before, and it can be regarded as a destined fate, so let me be responsible for it to the end." ”

The implication is that the most sure ones are left to you, and the ones that are not sure will be left to me.

Didn't you assume that this more serious baby girl had little hope of success?

Didn't you all shy away from this surgery?

Don't you all want to see me Song Che unlucky and even lose face?

Good!

I will fulfill you!

I'll be responsible for this more serious baby girl!

"I'll give you a dead horse as a live horse doctor."

Xue Yukun suddenly muttered angrily.

Originally, the atmosphere was quite harmonious and harmonious, and everyone was moved by Song Che and Kuroda Zhang's sympathy for each other, but Xue Yukun poured cold water coldly, which was really hateful and angry!

Xiang Maolin directly slapped the case, and said with a rare look of anger: "Director Xue, do you know what you're talking about?!" ”

Xue Yukun was stunned for a moment, and then realized his "slip of the tongue"!

In fact, he just held back his whimsy for too long, first was abused by Song Che in public, and then fell into Song Che's trick of retreating, who can swallow this bursting whim.

While everyone was immersed in the discussion of the surgical plan, his mind was filled with anger and resentment.

Therefore, seeing that Song Che jumped out and pretended to compare again, he was so angry that he wanted to squeeze a sentence without thinking.

But this is the run, which caused a great disaster and public anger!

"Dead horses? Is this the nature of the child in your mind? ”

Xiang Maolin shouted angrily: "If this is the case, Director Xue, I am too disappointed in you, for so many years, you have only cared about grades in medical school, and only focused on grades in the First Affiliated Medical School, I have always seen it in my eyes and reminded you, but not only did you not remember it in your heart, but you have intensified it, and gradually lost the morality of patient-oriented and doctor-oriented!" And now he even says such bastard words! ”

"Dean, I'...... I just talked nonsense, don't take it to heart, I was wrong, I apologize to you and everyone. ”

Xue Yukun said busily.

"Apologize to us? You are still too self-righteous and the people you should apologize to are the children and their families! Xiang Maolin said angrily: "Go back and write a review and give it to me, investigate the matter, and wait until the operation is over!" ”

“……”

Xue Yukun's heart suddenly cooled by half.

Where is this surgery seminar today?

It's clearly a criticism meeting for him who is ruined!