Chapter 175: What can be solved with technology is not called a problem

As the child's cry sounded, there was an excited applause in the operating room.

Only Xu Menghua looked at Li Xiyang with a shocked expression.

Because the child came out of her hand and was examined by herself, she knew better than anyone what was going on with the baby.

The baby's lungs are underdeveloped and the airway is blocked.

The intubation didn't have the slightest effect, and this person really saved the person by chest compressions!

It's outrageous!

"The tube is useless, pull it out!"

"Huh?"

It wasn't until Li Xiyang opened his mouth that Xu Menghua came back to his senses.

Li Xiyang motioned for the nurse to bring a blanket over, and then said to Xu Menghua, "Director Xu, change the ventilator!"

"Oooh!"

Xu Menghua quickly pulled out the trachea and replaced it with a simple ventilator for the baby.

The baby's lungs are not fully developed, and they can only rely on a simple ventilator to maintain their breathing.

Li Xiyang carefully wrapped the baby in a blanket and took measures to keep the baby warm.

Then he handed it to the little nurse and instructed, "Send the child to the neonatal intensive care unit and pay attention to monitoring at all times."

The baby is less than 7 months old, and the limbs are well developed, but the internal organs are obviously immature.

In particular, oxygen supply is expensive in the mother and fetus, which makes the baby's cardiopulmonary development the most imperfect.

After that, the organ will gradually improve itself,

However, during this process, it is very likely that breathing difficulties and cardiac arrest will occur, so you must pay close attention.

The little nurse nodded, then carefully took the baby.

At this moment,

"Oh no, the patient's small circulation arterial pressure has risen again!" The anesthesiologist stood on the operating table and shouted anxiously.

Li Xiyang and Xu Menghua glanced at each other and quickly walked to the operating table.

I saw that the patient's small and large circulation arterial pressures were almost equal.

And Dong Lin has just completed the treatment of the maternal placenta, and she has not had time to close her abdomen.

Everyone was even more surprised to find that the patient actually opened his eyes and regained consciousness.

At this moment, she turned around vigorously, not caring about her split belly.

"Patient, don't move!"

Dong Lin was stupid, the gauze in the patient's uterine cavity had not been taken out yet.

What kind of fuss is this!

In the next second, I saw the pregnant woman stretching out her palm tremblingly in the direction of the door of the operating room, "Child... Child, my... Child!"

Hearing the woman's words clearly, everyone was moved.

The little nurse had already walked to the door with the child in her arms, and she paused suddenly.

At this moment, everyone was moved by the great mother's love.

"Child... Child... I... children..."

Ignoring the wounds on her body, the woman dragged her half-numbed body and called out for her child over and over again.

The little nurse looked back at Xu Menghua,

Seeing Xu Menghua nodding, he hurriedly walked onto the operating table with the baby in his arms.

"Child... Child..."

The patient looked at the baby in the swaddling clothes, and tears fell from his eyes.

At this moment, it was as if her mission was accomplished.

She knows better than anyone about her physical condition, and pregnancy is hastening her death.

But she hopes to leave something for her family.

Let this child continue to live in his place.

Perhaps because of the last obsession, the woman's fingers gently touched the baby's cheek, and then she collapsed on the operating table with a smile.

"It's not good, the small circulatory arterial pressure is about to break the critical point!"

Li Xiyang's face changed, and he quickly snatched the needle pliers in Dong Lin's hand.

Dong Lin was stunned, "Li Xiyang, what are you doing?"

Li Xiyang buried his head in dealing with the woman's wound without any explanation.

Dong Lin couldn't help but be a little annoyed, and then Xu Menghua came over and said, "Let him do it!"

"Director..."

Xu Menghua explained, "In a patient with pulmonary hypertension crisis, every suture now has the possibility of stimulating the patient's body, and once the pulmonary artery pressure body circulates, the lungs will start to be ischemic and respiratory activities will stop."

Dong Lin nodded, "Director, I know, but..."

Why can he sew?

Xu Menghua didn't speak, but pointed to the front.

Dong Lin looked at it puzzled, and suddenly her eyes were about to jump out.

This... Fake it!

I saw that the needle forceps were in Li Xiyang's hands, as if he had come to life.

The man's dexterity was dizzying.

In fact, Li Xiyang is not easy, as Xu Menghua said, every time the needle is dropped, it may stimulate the patient's arterial hypertension.

Therefore, almost every time Li Xiyang drops a needle, he has to raise his head to confirm the patient's pulmonary hypertension.

It's just that his hand speed is so fast that many people don't notice this detail.

Fortunately, when the sutures were completed, the patient survived the pulmonary hypertension.

Call~

Li Xiyang secretly breathed a sigh of relief.

The people next to him stared at the patient's belly and looked carefully, but they could only faintly see a shallow trace.

This suture...

Dong Lin looked ashamed and sighed to herself.

Xu Menghua's heart was also greatly touched, but she was even more relieved that Renhe was finally about to usher in the dawn after experiencing great ups and downs.

"Patient, congratulations on giving birth to a beautiful baby, think about it in the future, you will be very happy as a family."

Li Xiyang's voice seemed to have magical power, and the patient's pulmonary hypertension miraculously dropped.

Although the pressure is still high, it is lower than the large circulation arterial pressure again.

And Dong Lin on the side was blushing, she had said that she was a good psychological counselor before, but she actually forgot about this stubble!

At this time, the patient raised his eyes, and his gaze fell on Li Xiyang's face.

After a short period of disorientation, there was a light in focus.

"You... Rooftop..."

The woman trembled and spoke excitedly.

Li Xiyang smiled and nodded, "It's me!"

Knowing that the latter recognized himself.

"Thanks... Thank you... You..."

The woman is grateful.

She knew very well that if it wasn't for the other party who saved her, her child would not have been born safely.

This is her benefactor!

Seeing that the latter's emotions were a little excited, Li Xiyang hurriedly said, "You don't have to think about anything now, leave it to me, and I will definitely reunite your mother and daughter!"

Li Xiyang's words were calm, but powerful.

A heavy blow to the woman's heart.

At this moment, she had never felt the same idea of having to live.

To appease the woman, Li Xiyang said to Xu Menghua, "Now do pacemaker placement!"

Although the patient's pulmonary artery pressure persists, the pressure in her heart decreases greatly after the fetus is removed, and it is the best time to place a pacemaker.

Cardiac pacemaker is an electronic therapy device implanted in the body, through the pulse generator to send out the electrical pulse provided by the battery, through the conduction of the lead electrode, stimulate the myocardium in contact with the electrode, so that the heart is excited and contracted, so as to achieve the purpose of treating cardiac dysfunction caused by some arrhythmias.

The pacemaker has a sleek titanium case, the size of a men's watch, and weighs about twenty grams.

What people usually refer to as a pacemaker actually refers to a pacing system, which is composed of a pacemaker and electrode wires.

The battery inside the pacemaker ensures that the pacemaker can safely and unmistakably send low-energy electrical impulses to contract the heart as needed before the battery is depleted.

The pacemaker also contains integrated circuits, like tiny computers that control the delivery of impulses and respond to the heart's electrical activity.

Although patients with heart failure should be treated with drugs in the mainstream perception of society and academia, for patients with advanced stages, pacemakers are the only option.

"Anesthesia ready!"

This is followed by thoracotomy, which requires general anesthesia.

Soon, the woman slowly fell asleep.

Xu Menghua also replaced Dong Lin and stood in the position of one assistant.

She has no self-contained identity, and at this moment she just wants to cooperate with Li Xiyang to complete this impossible operation.

She expects a miracle to happen.

"Pacemaker sterilization!"

"Yes!"

Because the pacemaker is buried in the patient's body, the equipment must be strictly sterilized.

Often infection, one of the common complications of pacemaker placement.

Once infected, not only the therapeutic effect of the pacemaker will be affected, but in severe cases, sepsis and other symptoms may be endangered, which can endanger the patient's life.

What's more, the pregnant woman's heart itself is not optimistic, and coupled with the infection, it is equivalent to a direct death sentence.

Soon, the pacemaker was sterilized.

Xu Menghua couldn't help asking, "Xiao Li, which vein puncture are you going to choose?"

Generally speaking, the first step in pacemaker placement involves puncturing a human vein, implanting a vascular sheath, and then inserting electrodes into the heart through the vascular sheath.

Although Xu Menghua is not an expert in chest surgery, he also knows that in order to successfully implant a pacemaker into the myocardium, there are only three veins in the human body to choose from.

1. Cephalic vein.

2. Subclavian vein.

3. Internal and external jugular veins.

Li Xiyang didn't speak, but stared at the patient's monitor for a moment.

Only then did he turn around and ask, "Director Xu, what do you think?"

Xu Menghua smiled and shook his head, "I'm not an expert in chest surgery."

But

If I had to choose, I would probably choose the cephalic vein.

The reason is very simple, because more than 90% of pacemaker placement in China choose the cephalic vein as the puncture channel.

In fact, countless clinical experiences have confirmed that cephalic vein puncture surgery is the safest operation with few complications.

What's more, there is no need to worry about the long-term wire breakage.

However, as soon as Xu Menghua's voice fell, he saw Li Xiyang directly cut the patient's subclavian vein.

"Why?"

Dong Lin asked this question for Xu Menghua.

She didn't know how to place a pacemaker, but what Director Xu said just now was so clear.

More than 90% of the placement operations in China will choose the cephalic vein, and the operation is safe and there are almost no complications.

Dong Lin really doesn't understand why Li Xiyang chose the subclavian vein?

Do you want to show off your operations in front of people?

Hui added, "Subclavian vein puncture requires very skilled technique, otherwise the wire can easily break."

Li Xiyang smiled and nodded, "Director Xu is right, the difficulty of subclavian vein puncture is much more difficult than cephalic vein puncture, which is one of the main reasons why most people choose cephalic vein."

When Dong Lin heard this, he was anxious.

"And you're messing around?"

Li Xiyang shrugged his shoulders, "The surgeon can't decide which surgery to use because of which surgery method is simple, but according to the actual situation of the patient!"

Dong Lin frowned, "What do you mean?"

Li Xiyang pointed to the bedside monitoring system and said, "Take a closer look, although the patient's pulmonary hypertension is temporarily stable, the heart rate has dropped to 40, and at this time, the cerebral veins are arterial, I'm afraid the systemic circulation will collapse first!"

As for what Director Xu just said, in subclavian vein puncture, the lead of the pacemaker is easy to break, and that is just a technical problem."

Speaking of this, Li Xiyang raised a confident smile on his face,

"In my opinion, any problem that can be solved by technology is not called a problem."

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Chapter 175 What can be solved with technology is not called a problemFree Reading.