Chapter 495: Tokyo Night (6)

At this time, Professor Liang was also nervous, and he was already very confident in the operation.

But the current ECG waveform clearly indicates that he is about to stop, and in his experience, he can't last more than three minutes.

"Oh no, you see, the patient is dying?"

Professor Liang immediately told Professor Su and Professor Qin his judgment.

Professor Su was even more nervous, grabbed his mineral water, unscrewed the cap of the bottle, and took a sip indiscriminately, suppressing the shock.

"Being able to do this step has already pushed the level of this type of surgery to a few steps!" Professor Su said.

Su Nanchen and Song Yun, these young doctors, were completely immersed in the smooth operation of the operation, and the sudden changes woke them up like a dream.

"What's wrong?"

Huang Jiacai is not a doctor, but in the atmosphere of the venue at this time, he also understands what is happening.

"Fujiwara's dad is afraid that he won't be able to do it."

Lao Cheng was frightened by the sudden change in his heart.

Several professors at the University of Tokyo also breathed a sigh of relief at this time.

"Looks like the model is right?"

"There's definitely something wrong with the model, and our simulations don't go this far at all, and the patient can't do it."

"But the ending is the same!"

"With the continuous improvement of the model, the optimization of the algorithm, and the improvement of the data, there has never been a simulation failure in the past five years."

In between, Daisuke Komori and Mitsui didn't shout.

Fujiwara Masao had already stood up, he looked at the screen, and then at his uncle who was covered by a sterile sheet, the ECG was so erratic, I was afraid that it was the last insistence, after his eyes met Miyuki's eyes, the two approached the operating table at the same time, keeping a safe distance of one meter.

Sometimes things in clinical practice evolve slowly, sometimes suddenly.

Fujiwara Masao is also used to it, and they have to accompany their uncle on his last journey.

"What's wrong?" Miyuki asked in a low voice.

Fujiwara Masao grabbed Miyuki's outstretched hand and remained silent.

Judging from experience, this sudden change has no hope of surviving the surgery.

I'm afraid - that's the end of it!

"Professor Fujiwara!"

Komori and Matsui came behind Fujiwara, and Professor Fujiwara waved his hand.

Let it be, in this case, any rescue will not help.

At this point, the compensatory capacity of the heart and medulla oblongata has been exhausted, and resuscitation is futile.

And the surgeon is still immersed in the operation, so let it be.

Suddenly, the heart rate, which had fallen to more than a dozen times, rose and soared rapidly to nearly two hundred beats per minute.

Everyone's heart rate rose to the throat, and then, after less than two seconds, the heart rate fell off a cliff.

Finally, as everyone expected.

It's like an elevator falling out of control, and after falling, it's calm.

All the waveforms of the ECG disappear and appear in a straight line.

The entire heart stops electrical activity and mechanical contractile activity, the P wave and QRS complex on the ECG disappear, and a straight line appears, the heart pumps outward and the blood supply to all organs is interrupted.

It's like a city with a power outage that instantly plunges into pitch black.

Rescue?

Pointless!

Everyone knew that the patient was about to run out, but they didn't expect it to be so fast.

Miyuki's head leaned on Professor Fujiwara's shoulder, biting her lip, and Fujiwara patted her on the back: "Be strong, what should come will always come!" ”

Everyone felt that something should be done at this time, but Yang Ping's hand did not stop.

Song Zimo and Xu Zhi had no distractions and followed Yang Ping's rhythm attentively.

Fujiwara Masao looked at Yang Ping silently, impressed by this concentration, this is also a respect for life, and he really goes all out.

Komori wanted to tell Yang Ping that --- patient had no signs of life.

Fujiwara Masao blocked Komori, shook his head, and signaled, "Don't disturb him!" ”

At this time, keeping quiet is the greatest respect for the master knife and the greatest respect for the main knife's efforts.

The entire operating room fell silent.

But the doctors and nurses on the operating table are still focused on the operation.

The instruments were handed over one by one, as if the patient were still alive.

Liang Fatzi stared at the straight line, and just wanted to speak.

Yang Ping spoke: "Calm down! ”

"Hmmm! Stabilization! ”

Liang Fatzi sat down, habitually cocked Erlang's legs, and tidied up the pipes of the anesthesia machine a little.

The exposed ankles make the Japanese wash clothes feel like cropped pants.

The hanging liquid has stopped dripping, and the flow can no longer be seen in the pipe of the infusion set, Zhou Can looked at Liang Fatzi.

The fat man only said, "Calm down! ”

"Calm down!"

Zhang Lin told Komori, Matsui and the others to keep them quiet.

Except for the word calm, Yang Ping never spoke again.

Minutes and seconds passed.

One minute, two minutes, three minutes---

By the time eight minutes had passed and the heart had stopped beating for ten minutes, everyone seemed calm.

The ending is decided!

Death can be declared!

Whether he is the president of a generation of foundations or a beggar on the street, he cannot escape the law of life in the end.

---

"Ten minutes! Death can be declared. ”

Ito let out a long sigh.

"It's been very successful, maybe in a few years, this case, he'll be able to succeed."

Ikeda felt sorry for it.

"What a persistent young man."

Ito sighed.

"A car accident patient rescue surgery, the injured died due to hemorrhagic shock during the operation, I knew that he was dead, but his hands couldn't stop, he was still stopping the bleeding, he was stitching, I remember the director shouting at me---Ikeda, enough, stop, she's dead, she's been dead for a long time, you're a doctor, you should keep your professional calm and objective, stop, there are more people waiting for you to save, but I can't hear it, I can't hear it at all, I can't stand the daughter who cries the wounded, The heart-rending sound of the little girl in the emergency department echoed in my head, and I had only one thought in my mind: I want to save her, I want to save her, I want to save her! ---At that time, I should have been thirty years old! ”

Ikeda looked at Yang Ping, who was still persistent on the screen, and recalled his experience as a young man, and couldn't help but burst into tears, as if it had happened yesterday.

"Wipe away your tears, the young man in the back is looking at us."

Sai Ito gives Ikeda a tissue.

"As a doctor, everywhere you go, you are respected, no matter who you are, when you see me, you will bow and call sir, for decades, I have saved many patients, but there are also many patients who have slipped away from the knife and left this world forever, some are the helplessness of human medicine, some are the helplessness of self-medical skills, and some are completely errors in my judgment, I often think, if I were asked to do it again, some people could survive." Ikeda pinched the tissue and did not wipe away his tears.

Ito shook his head: "This is the helplessness of all doctors, human medicine is insufficient, doctors' medical skills are flawed, and even doctors will make mistakes, as long as we are full of sincerity in our hearts, we don't have to blame ourselves." Just like Dr. Yang, he has gone all out and has not changed the outcome, but he has made progress, medicine is like this, little by little accumulation, after a few years, maybe it is him, maybe someone else, will definitely succeed. ”

"Do you want to announce the results?" Ito remembered that now that the patient had died, he looked back at the silent venue.

Ikeda shook his head, "Wait, keep quiet and let Dr. Yang finish the operation." ”

The entire venue was silent.

It's been ten minutes, and death can be pronounced at all.

Brain cells have died, and cells in various vital organs have begun to disintegrate.

---

The tumor was dug out from the medulla oblongata and the upper cervical medulla, one large, with two small ones, one dragging two, gently placed in the curved plate.

"Good work!"

Fujiwara Masao bowed deeply.

"Again microscope to check for bleeding, rinse, close!"

Yang Ping stood up and handed over the follow-up work to Song Zimo and Xu Zhiliang.

He turned to look at the straight line of the electrocardiogram on the screen, staring at it all the time.

"Dr. Yang?"

Fujiwara Masao was grateful and reminded Yang Ping.

Yang Ping still looked at the screen: "The operation was successful!" ”

Very successful?

The patient's heart stopped beating for 12 minutes!

"There are still thirty seconds, the heartbeat will be restored, and once the heartbeat is restored, the medication will be taken according to the principle of advanced cardiopulmonary resuscitation, and after recovery, there will be no neurological sequelae." Yang Ping said calmly.

This is a strange event with a very low probability that it will simulate countless times in the system space--- Lazarus syndrome!

This sick person will "rise from the dead"!

Since its inception in 1982, there have been just over 50 reported cases worldwide.

Lazarus syndrome, after the failure of cardiopulmonary resuscitation, all rescue measures are stopped, including stopping chest compressions, ventilator-assisted breathing, stopping infusions, stopping the application of rescue drugs, and recovering spontaneous circulation without cause, so it is also called delayed spontaneous circulation recovery.

In layman's terms, "back from the dead"!

There was once a patient who had been pronounced dead, was dragged to the morgue, and finally came back to life, crawled out of the morgue, and ate at a restaurant near the hospital, and happened to be seen by the doctor in charge, thinking that it was really a hell.

However, the probability of this "resurrection from the dead" is extremely low.

Although this patient did not perform CPR and other rescue for various reasons, and stopped for 12 minutes and resumed spontaneous breathing, it can also be classified as Lazarus syndrome.

Although they knew that Yang Ping's words were ridiculous, everyone was very heavy at this time.

Every doctor wants what he says to be true.

Thirty seconds!

Liang Fatzi stared at the monitoring screen, and prepared the resuscitation medication and was ready to be used at any time.

When the thirty seconds arrived, really, really!

The lifeless straight line began to move, a few times, and then began to fluctuate.

Finally, clear P-waves and QRS appear!

Resurrection, resurrection indeed!

Fujiwara Masao looked at Yang Ping as if in a dream.

No measures were done, and the patient on the operating table was revived.