Chapter 1 Combined Cardiopulmonary Surgery
The black sea, a huge steel island drifting on the raging waves, the high alloy city wall flashed red fire under the scorching sun, accompanied by rolling waves, like a thick tongue of fire erupted, however, this terrible high temperature is not the island itself, but by the heat radiated by the two huge suns in the sky for a long time, it emits such a miraculous phenomenon.
At this time, if someone tests it a little with a heat source, they can find that there is a high temperature of four or five hundred degrees outside the huge island surrounded by an alloy wall and a clear crystal, and at this temperature, not to mention people, even glass can be melted away.
However, with the barrier, the interior of the island is very cool, only about 212 degrees, which is cool and pleasant, without the slightest feeling of stuffiness.
The dazzling midday sun was shining, and a young man wearing a white lab coat with a tired face dragged his sturdy body to appear on the platform at the top of a tall building.
I don't know how long it took, the double sun in the sky has already turned from white to yellow, incandescent fall, dim as a curtain, on the other side of the sky, a round of bewitching purple moon suddenly appeared, countless cord-like purple gas even through the long starry sky, can be clearly reflected in the sky, the silk curls around the purple moon, like breathing, condensed and dissipated.
Under the sunset, the man's figure was elongated, just motionless, speechless, standing like a sculpture, in the stairs behind the platform, two men, a fat and a thin, walked out, carrying a bag of canned drinks in their hands, talking and laughing all the way, and walked quickly towards the man.
"Chenyuan, I've been looking for you for a long time, what's the matter, I'm hiding on the top floor of the hospital alone. Among the two, a big fat man with a body like a ball tilted his head slightly and yelled at the man with his back to them.
The fat man's voice is rough, with a bright smile on his face, a pair of small eyes are covered by horizontal meat, difficult to see, the pace is heavy and solid, between the steps, the fat protrusion around the body can't help shaking, giving the fat man a hint of naivety, weakening a little roughness, recklessness.
Hearing someone shouting behind him, the sturdy young man standing on the wall pier slowly turned around, and after recognizing the two of them, the young man's face that originally had no emotion also hung a faint smile, and he didn't answer, turned around and jumped down from the three-meter-high wall, and walked quickly towards the two.
When the three of them approached, the fat man grinned stupidly, and a pair of fleshy hands touched into the bag, rummaged up and down, took out a glass jar filled with green transparent liquid from it, and handed it to the smiling young man.
"Well, then, your favorite plant-like drink, pay your salary today, second brother invites you. The fat man patted the former's broad and stocky shoulder, with a kind face, and then said: "I heard from the people in your operating room that you performed cardiopulmonary surgery on the clone today, and it seems that both of them failed, what's the matter, stinky boy, you have been hit?"
"Well, it is true that they all failed, and none of them survived. Taking the drink, Chen Yuan's face darkened, and he said in a depressed mood.
Just this morning, Chen Yuan accepted the semi-monthly exam sent by the tutor, and when he got the exam questions, Chen Yuan was immediately dumbfounded, and the topic turned out to be cardiopulmonary catheter closure and dissociation, this kind of difficult surgery is not to mention that he is a resident doctor, and even some attending doctors may not be able to complete it 100%.
The ending can be imagined, Chen Yuan had two surgeries, was declared dead twice, and his exam results were naturally failing, and he was also taught a lesson by his strict tutor.
"Oh, cardiopulmonary linkage, this is not a minor operation, tell me, what is wrong with you, big brother will help you with the staff. Seeing Chen Yuan's gloomy and depressed face, the thin middle-aged man grabbed the former's arm, sat on the ground, and took advantage of the situation to pull Chen Yuan to sit on the ground, and then asked with a concerned face.
"That's it, you say, I'll show you too. ”
Chen Yuan looked at the two of them gratefully, seeing that both of them had a straight face, without the slightest pretentiousness, and a warm current in his heart swam all over his body, and the low mood earlier was also slightly relieved, he cleared his throat, and said word by word: "The first clone died halfway through the operation, and the deceased had been stable and normal before the operation, without any other adverse diseases, and was a healthy clone." When I was undergoing thoracotomy, cardiac arteriovenous line clamping, active venous tube clamping, and pulmonary arteriovenous tube clamping, the deceased suddenly had a heart rebeat, the heart rate rose and fell sharply, showing a galloping rate, followed by rapid heart failure, asystole, and still unable to re-beat after 20 minutes, and was declared brain dead. ”
"After you opened the chest cavity and cut the heart capsule, didn't you immediately perform effective cardiac cryoarrest?"
Hearing the thin man's inquiry, Chen Yuan looked helpless, shook his head and said: "Big brother, how could it not be, I can't make such a low-level mistake, after cutting the heart bag, I waited for the heart to cool down to 0 degrees Celsius, and it was constant, and then I started the arteriovenous clamping." ”
"That's not right, it stands to reason that it is impossible for the heart to re-beat on its own after cold and warm treatment, what is the problem?" For Chen Yuan's work, the thin man still knows a lot about things, he is serious and down-to-earth, not impetuous, he said no, then there must be no low-level mistakes like this, then there must be none, but apart from this reason, the man really can't think of anything else that can cause this special situation to happen.
"Wait!" After pondering for a while, the fat man suddenly seemed to think of something, and asked eagerly: "Third child, let me ask you, when this person performs preoperative anesthesia, is the anesthetic the general adult supply, and is it exceeded?"
"This ......" Chen Yuan was stunned by the fat man's question, he hadn't paid attention to the amount of anesthetic used at all, his brows were furrowed, and he thought bitterly.
After a while, Chen Yuan seemed to remember something, and slowly replied: "I remember, this person is performing intravenous combined anesthesia, that is, general anesthesia, and the dosage seems to be more than normal, as for how much more, I can't remember clearly, but it should be more than fifteen percent." ”
The fat man nodded and said, "Then I know why." ”
"What is it? Second brother, tell me quickly!"
"Second, do you know what it is?"
Hearing that the boss was called the second child, the fat man's face twitched, his brows jumped with anger, and he roared angrily: "Didn't you say it, don't you call me the second child!"
Syllable!
"Oops, it hurts!"
The middle-aged man raised his hand and slapped it, directly on the fat man's bulging head, a crisp sound sounded, and the strong pain made the fat man exhale in pain, holding his head and rolling aside.
Ignoring the fat man's miserable scream, the middle-aged man raised his foot and kicked it directly, only to hear a dull loud noise, the fat man's mountain-like body flew in response, and directly moved three or four meters on the ground, I really can't imagine how the middle-aged man's thin body can have such terrifying strength, completely surpassing normal people.
"What the hell, looking for death, you!" said the middle-aged man.
"Big brother, I was wrong, I was wrong. After receiving such a terrifying blow, the fat man patted the dust on his body as if he was fine, slowly stood up from the ground, did not suffer the slightest injury, cried with a sad face, and muttered aggrievedly, "Do you need to work so hard?"
"Do you want to enjoy it?" said the middle-aged man.
Hearing the fat man's whispered muttering, the middle-aged man's expression was ruthless, his eyes narrowed, he stepped lightly on the ground with one foot, his body was like a ghost, and he appeared four meters away in an instant, and a deep voice sounded in the fat man's ears, making the fat man tremble.
"Let's get down to business, big brother, let's get down to business!"
The fat man was obviously bullied and scared by the middle-aged man, with a cheap smile on his face, and a flattering expression made the middle-aged man feel disgusted.
"Speak quickly!"
"I think that this person should be insensitive and insensitive to anesthetic receptors, so after this person used the stopper, after a two-hour operation, even if the half-life of the drug under the normal condition of the stopper drug was not reached, it still dropped to the concentration of the drug that could not inhibit the heartbeat, and the special situation encountered by Ah Chen would occur. No more fighting, the fat man returned to a serious look and said slowly.
"Second child, can you be sure?"
"Of course, I'm an attending anesthesiologist, and even though I don't have this person's blood gas analysis report, with my years of clinical experience, I'm still seventy percent sure. The fat man looked proud, only to say that on anesthesia-related issues, the fat man has always been this arrogant appearance, and has never changed.
It's not about the fat man's rebelliousness, but because he has a certain strength.
The fat man's original name was Zhuang Chu, graduated from Jundao Medical University, and was admitted to the first hospital of Jundao with the highest professional grades, at the age of twenty-five, he was a citizen of the ninth class of the Star Alliance, all thanks to his superhuman talent in anesthesiology.
In the Covenant, all inhabitants are divided into different classes, from bottom to top, moths, untouchables, and citizens.
Above the first rank of citizens, there are also 80% of noble titles that cannot be touched in a lifetime, and those titles can only be obtained after opening the genetic map and becoming a colonizer.
If you want to survive in the Star Alliance, time is the basic and most important thing, everyone has to hand over a certain amount of time to the Star Alliance every month, if you can't hand in the number of times, you will be directly wiped out by the supreme will of this world after the time point is consumed, and completely dissipated.
In addition to determining the time when a person should be handed in every month, the level of class also determines the treatment that this person can enjoy, and people who are below the first class of citizens, not to mention the benefits of the Star Alliance, are not even allowed to get married and have children.