Chapter 463: Lung Transplantation by the Doctor's Benevolence (2)
War epidemic demons, poverty demons, anti-piracy, support genuine reading.
After repeated research and deliberation, Ning Zigui and the members of the expert group sorted out a "XINGUAN lung transplant evaluation requirements" through instrument values, medical records and preliminary judgments, and proposed to do lung transplantation for the patient surnamed Luan, and the expert group also submitted a feasibility report to the superior department, and within a few days, the superior department agreed and began to lead the work.
For lung transplantation, there must be a set of quite harsh conditions, the heart, liver and kidney function of the patient surnamed Luan is basically normal, the coagulation function is normal, the bacterial infection is controlled, and the nasopharyngeal swab, anal swab, bronchoalveolar lavage fluid and other nucleic acid tests continue to be negative.
In order to fully respect the patient's independent choice of the right to life, it can only be carried out after the patient surnamed Luan is nervously conscious.
Ning Zigui hurriedly put on a protective suit and followed him to the ICU ward, where he carefully looked through all the patient's information to understand his infection status and nutritional status.
The values monitored from the ventilator showed that the compliance of the patient's lungs was only 12 centimeters of water and could not be inhaled and ventilated like a ball.
Expert Li nodded at Ning Zigui, he decided to perform lung transplant surgery with Ning Zigui for the patient, for these benevolent doctors, they all have a common principle of practicing medicine in their hearts, and they have to let the patient die slowly if they do nothing, and they are sorry for their profession of medicine; If they have put in all their efforts and still returned to heaven, they will not regret it.
What's more, the state has proposed to collect and treat all the virus patients, and the state has given them the opportunity to have no distractions, regardless of the economy, to eliminate all unfavorable factors, to simply consider medical problems, to use the best way to save patients, and even require doctors to have the courage to take risks and explore the treatment path that others have not taken.
Ning Zigui and Li began to prepare for lung transplantation, began to replace the ECMO line for the patient, and a week later, the physiological indicators of the patient surnamed Luan met the conditions for lung transplantation.
Specialist Li made the first cut in the patient's chest, and the subcutaneous and muscle layers were cut with an electric knife, and Ning Zigui saw that the patient's lungs were black in the gray, basically bloodless, and the lung tissue was highly fibrotic, atrophied and smaller.
This is the first time Ning Zigui has seen the lungs of virus patients, which are no longer human lungs, but a breeding ground for viruses.
Although Specialist Li was wearing a three-layer operation, he was unusually calm and calm, and he controlled every cutting, suturing, and free movement. Ning Zi gave the patient ligation of the intramammary blood vessels in the chest to prevent bleeding from the incision.
Immediately afterwards, Dr. Li performed a fourth intercostal transsection of the sternum with a chainsaw, which is one of the classic cutters for thoracotomy in lung transplant surgery.
Ning Zigui blocked the patient's left pulmonary artery, and other doctors began to trim the donor lung of the organ donor, all in a stressful and methodical environment......
The operation, which lasted nearly 9 hours, finally ended, and the patient's circulatory and respiratory systems returned to normal, and VAECMO was completely withdrawn.
Ning Zigui and Li were soaking wet, and all members of the treatment team consisting of 5 top experts and 21 people were almost collapsed.
This operation made Ning Zigui once again realize the "centralized treatment" required by the state, and the most serious virus patients should concentrate on the conditions with the highest level of medical skills, the most ability, and the best conditions.
This viral lung transplant is a scientific exploration for Ning Zigui, which she will never forget, and the medical career is still a long, rugged, and even dangerous journey, but for the sake of the patient, she and her colleagues have long been prepared.
For the world, 2020 can be called a "magical" year, the most difficult year, the global virus epidemic has not subsided, Australia wildfires, Amazon forest fires, volcanic eruptions in the Philippines, Spanish blizzards, Canada's "bomb cyclone" extreme climate, East African locust plague, South American kicking fever epidemic, domestic southern floods, Mexico earthquake......
As some netizens said, I have never been so in awe of nature, and I have never been so eager for national peace and security, because everyone has found that in the face of disasters, human beings are like panicked children.
Mankind has never been so eager to develop a vaccine for the virus, and as medical workers, both Ning Zigui and Lulu feel that medical exploration is endless.
Ancient poems "the west wind in August south geese fly", these days a flock of pairs of geese lined up in a zigzag or herringbone shape flapping their wings "cancellably" chirping, through the sky above the small courtyard to the south.
For August in the northwest of the motherland, the poem "August is cold and early" can more appropriately describe the climate of the orchard at the foot of Wusun Mountain.
Although the wind in August is not so gentle, with wordless irritability, it still can't hide the fiery red and enthusiastic unrestrained August, and the orchard is full of youthful breath with the arrival of Hangul and Xin'er.
In the autumn of August, the day is still hot and scary, the fresh grass in the field begins to be golden yellow, the corn cob of dense corn is also growing stronger, the color of August is like the sun shining on the happiness of life in the field, stirring the tender green rice field, black and green wide corn leaves rising between the heaven and earth.
Overhead, there are white clouds floating in the clear blue and clean sky, and the busy figure of the croppers is reflected in the green crop fields.
Mrs. Yi accompanied her daughter to feed the chickens, ducks and geese, and the dogs, and then the two of them leisurely picked fresh vegetables in the vegetable field.
Lulu went into her computer room to concentrate on online classes, and Xin'er, who had no online classes today, was pulled by Han Wen to accompany him to prepare for the exam with Miao Miao.
The day of the public examination is approaching, Miao Miao and Hangul have a sense of urgency, and concentrating on preparing for the exam in the remaining days is the top priority.
The day after tomorrow is the time for Miao Miao and Han Wen to rush to the examination room, the family of young and old serves these two candidates, and everything makes way for them.
Xin'er made a mistake in a current affairs and political exercise in Korean, and was chasing Hangul who was careless all over the yard with a copy of materials.
When she was playing, she heard her mobile phone ringing, Xin'er stopped chasing, shrugged her nose and ordered Hanwen: "Hurry up, make another mistake, there will be no food for you at noon." ”
Seeing that it was Bai Yi's call jumping on the screen, Xin'er didn't think much about it, and said hello in a crisp voice, "Hello, Bai Yi, how are you doing lately?" "Playful and witty.
Han Wen walked up to Xin'er, and saw that Xin'er's face slowly began to become solemn from relaxation, until she ended the call, and asked curiously: "Bai Yi, male and female, what did you say, make your little face like this." ”