Seeing this, the captain immediately slowed down the landing speed of the plane, but the plane can wait, but people can't wait, seeing the time passing minute by minute, the patient's vital signs are getting weaker and weaker, and everyone is anxious to heat the pot like ants, pinning their hopes on the captain.

The captain immediately reported the sudden situation to the tower, and after some understanding, he learned that the plane that suddenly landed was forced to land due to lack of fuel.

Worst of all, the plane that was forced to land was almost depleted of fuel, and it was almost impossible to leave the runway in a short time.

Even if you fill it with fuel now and let it fly away, it will take at least fifteen minutes, and there will be exactly fifteen minutes left for the patient!

Such a tricky situation makes the air scorch rapidly, do you really have to watch it fall short?

Just when everyone was on the verge of despair, the powerful Huaguo faith once again made a miracle happen!

I saw hundreds of staff rushing over from Jining Qufu Airport, bringing several aircraft tractors, connecting the tractors with the planes at the fastest speed, and then starting to use the most primitive methods to pull the planes away from the runway!

And the captain of that plane also tried all means to use excellent technology and tractor to implement the feat of fuel-free taxiing on the runway when the plane ran out of fuel!

With the joint efforts of the ground airport staff and the captain, it only took three minutes to drive this gas-dead behemoth off the runway! ap..

The last crisis has also been resolved!

Cheers and whistles erupted in the cabin, and excited people hugged each other. Xia Xingran also breathed a sigh of relief, she, Zhou Wei and others did the final sorting of the patient, just waiting for the plane to land and immediately send it to the hospital for surgery!

Two minutes later, the plane landed successfully, and the medical staff of the First People's Hospital of Jining City, who had been waiting at the airport, immediately climbed the gangway, carefully carried the patient down, and rushed to the nearest Jiaxiang County People's Hospital.

This relay of life, coordinated by multiple systems, has finally reached its most crucial moment!

In the ambulance, Xia Xingran, Bai Moyan and others, as well as experts from the First People's Hospital of Jining City, discussed the surgical plan while disinfecting and changing clothes, racing against time and never wasting a trace of time.

Mobile echocardiography showed that the patient's right ventricular outflow tract occupied a mass, and everyone suspected that it was the detached inferior vena cava filter and the tricuspid valve with moderate regurgitation.

After urgent judgment, everyone unanimously agreed that Xia Xingran's previous right lung central artery embolism and the presence of deep vein vein thrombosis in both lower limbs based on naked eye and palpation were completely correct.

Director Song Dong, who was born in Qilu Hospital, couldn't help but look at Xia Xingran twice, and began to be curious about this girl who looked very petite and weak.

The condition is critical and urgent.

Song Dong analyzed with others: "The patient's condition is that the foreign body in the right ventricle of the heart is made of metal, which can damage the myocardial tissue in the beating ventricle and may cause the heart to rupture at any time.

The second is large-scale pulmonary artery embolism, which may cause shock or sudden death due to pulmonary artery trunk obstruction, but there are still thrombuses in the deep veins of the lower limbs, and there is a possibility of secondary pulmonary embolism at any time when the thrombus falls off again;

Third, echocardiography shows moderate tricuspid regurgitation, and it is considered that there may be valve damage.

Therefore, pulmonary artery embolization evablation, right ventricular foreign body removal and tricuspid valvuloplasty are required according to the patient's condition."

After Song Dong finished speaking, the expressions of everyone in the car became solemn. These are three surgeries, and one of them alone is a fourth-degree surgeon! Now I have to do three of them together, so you can imagine the super difficulty of this operation!

Song Dong had long heard of the reputation of Xia Xingran and Bai Moyan, and when he saw the two of them so young today, he was a little unconvinced, so he wanted to explore the truth of the two, so he deliberately asked, "Do you two have any additional opinions?"

Bai Moyan pursed his lips and thought for a moment: "The risk of this operation is very high, firstly, under the condition that there is no sufficient blood supply in the Jiaxiang County People's Hospital, it is necessary to carry out such a complex and extracorporeal bypass

Unconventional combined heart-lung surgery with support is associated with a high risk of death;

Second, when the pulmonary artery is incised to remove the thrombus during surgery, it may be necessary to perform hypothermia and circulatory arrest, which may cause ischemic injury to important organs, which increases the difficulty of surgery and the risk of multi-organ failure;

Third, the coagulation mechanism is disordered after surgery, the bleeding is extensive and the wound is oozing, and it is difficult to stop bleeding without effective treatment;

In addition, the occurrence of postoperative hypoxemia leads to the inability to be ventilated and extubated, and respiratory tract infections and respiratory failure are life-threatening."

Bai Moyan's precise and methodical remarks made Song Dong, Zhou Wei and others nod frequently.

Xia Xingran had already simulated the dynamic operation model of surgery in his mind, and tacitly took corresponding measures to the questions raised by Bai Moyan one by one.

"To solve the above problems, we can solve the problem of insufficient blood preparation through various channels, and stop preoperative anticoagulant drugs in advance to reduce intraoperative blood loss as much as possible.

Secondly, the intraoperative operation should be as precise-fast-accurate as possible to overcome the occurrence of unclear surgical fields, so as to avoid the implementation of the cryogenic cycle arrest process.

Then, the hemostasis should be completely stopped during the operation, and the respiratory tract management should be strengthened after the operation to avoid hypoxemia and respiratory tract infection as much as possible."

The head nurse on the side heard Xia Xingran say this, and hurriedly showed a look of sudden realization: "No wonder Dr. Xia asked me to contact the local blood station as soon as he got on the bus, and I was not allowed to give anticoagulant drugs to the patient just now, it turned out that I had already prepared in advance."

Song Dong and Wang Ji immediately glanced up at Xia Xingran, their eyes full of shock.

This young girl was able to predict the many problems that such a complex operation would face in such a short period of time. The most rare thing is that she is bold and careful, and has already made the most secure solution in advance!

Zhou Wei and Zhang Shuyang were already surprised, lowered their heads with pride, and laughed lightly.

Bai Moyan hooked the corners of his lips, and stared straight at Xia Xingran with a pair of cold eyes from top to bottom.

Jiaxiang County People's Hospital.

Police cars cleared the way, ambulances sped all the way, and finally put the patient on the operating table that had been prepared at the last minute. Look at the book

In the operating room, Song Dong and Wang Ji, two experts from the cardiac surgery department of Qilu Hospital, put on their surgical gowns and said to Xia Xingran and Bai Moyan in front of them: "Xia Xingran, you do the first help, Bai Moyan, you do the second help."

The two of them pointed to themselves in surprise, and confirmed to Song Dong and Wang Ji again, "I, are we? But we have never done it, and we don't meet the rules to do such a combined four-level difficult operation, will it ......?"

"I just didn't do it before I let you go, hurry up, there's no time!" Song Dong and Wang Ji interrupted their words and urged.

Zhou Wei reminded in a low voice, "Director Song and Director Wang are the leading cardiac surgeons in China, and this is giving you the opportunity to learn, so don't go quickly!"

Xia Xingran and Bai Moyan woke up like a dream, and hurriedly followed, standing according to their positions.

The personnel, equipment and materials are all ready, the operating light is on, and the operation begins!

"Xia Xingran, open your chest now." Song Dong began to give the first order.

Xia Xingran took a scalpel and neatly cut open the patient's chest, with precise position and skillful movements, all in one go.

"Yes, like that." Song Dong and Wang Ji looked at each other and smiled, and joined Zhou Wei and Zhang Shuyang to watch the operation of the two on the side.

Xia Xingran lowered his head and focused on exploring the right ventricle from the right atrium through the tricuspid valve orifice, and saw that the inferior vena cava filter was embedded in the right ventricle, and then found that there were two holes in the tricuspid lobe.

"No wonder the heart ultrasound showed moderate tricuspid regurgitation." Xia Xingran and Bai Moyan talked.

It's just that the next operation made Xia Xingran and Bai Moyan a little difficult.

"Teachers, if you want to remove the foreign body next, the tricuspid mouth is the way to go, but the foreign body is significantly larger than the tricuspid annulus caliber, and there are barbs around the filter."

This situation is tantamount to adding a lot of difficulty to the surgical operation.

"If there is a slight mistake in the removal process, the damaged tricuspid valve will be re-absorbed

Serious injuries will bring lifelong regret to patients."

Xia Xingran's voice became smaller and quieter the more she spoke, and the fear rising from the soles of her feet haunted her whole body.

"Are you going to give up?" Song Dong and Wang Ji walked over and took the scalpel.

"Of course not! I will never!"

Xia Xingran, who had experienced giving up on the patient once, immediately raised his head and shook his head resolutely. "Even if I try my best, I will try to save it!"

Song Dong and Wang Ji showed a relieved look in their eyes, and began to teach Xia Xingran and Bai Moyan on the spot, how to completely remove the foreign body in the heart under such a complex and high-risk situation.

Under the hand-in-hand teaching of Song Dong and Wang Ji, Xia Xingran and Bai Moyan cooperated with them in an orderly manner, and completely removed the inferior vena cava filter that fell off in the right ventricle, and there was no secondary injury after exploration.

The first big stone in the hearts of all present fell to the ground.

"The next step is to repair the tricuspid valve hole."

With their previous learning and operation experience, Xia Xingran and Bai Moyan got started quickly this time, and under the guidance of Song Dong and Wang Ji, the overall repair surgery process of four hours was relatively smooth.

"The next step is to cut the pulmonary artery and remove the blood clot from the pulmonary artery." Song Dong and Wang Ji couldn't help but take a deep breath, looking like they were facing a great enemy.

Zhou Wei on the side also began to get nervous and muttered: "Pulmonary artery embolectomy is a surgery with a very high clinical mortality rate, and only a small number of patients' lives can be saved."

"What's more, this patient's condition is so special and dangerous, and under such rudimentary conditions." Zhang Shuyang couldn't help but sweat.