Chapter 226: Superior vena cava

Faced with Xu Huasheng's invitation, Li Xiyang was also stunned.

At this time, Dou Wenhua on the side patted Li Xiyang on the shoulder and said with a smile, "Go ahead!" ”

Li Xiyang nodded and left the room with Xu Huasheng.

At this time, the patient's parents also rushed to the hospital and learned that the child was going to have surgery and that there was a lot of risk.

The woman burst into tears and cried, "Doctor, you must save my daughter, she's only in the fourth grade!" ”

The man was anxious and afraid, "How... How can this be, who did it! ”

Xu Huasheng explained, "It's a falling object from a height, and the police are investigating if the person responsible!" ”

The man glanced at the daughter in his hand, and his face was distressed and guilty.

Today, because of some trivial things, I delayed the time to pick up my daughter from school, and it turned out to be this incident.

"Jiajia, it's all Dad's fault, it's Dad who didn't protect you!"

"Family, the child is in a very bad condition now, let's operate on her immediately!"

"Doctor, we are this one daughter, please tell me the truth, can the child be saved?"

Xu Huasheng was silent for a moment, "This... It's hard to guarantee! ”

"The child's trauma was not fatal, but the shards of glass flowed down the blood vessels in the neck to the vicinity of the heart, and the exact location of the glass is still uncertain, so..."

"What?!"

The faces of the two were pale.

Glass shards flowed into the heart!

The two of them don't know medicine, but they also know that the heart is the most important organ of a person, and there are broken glass skin flowing into it...

"Daughter!"

The mother suddenly shouted and fainted.

"Wife!"

The man hurriedly reached out and hugged it.

At the same time, he asked in a trembling voice, "Doctor, that... Is my daughter still saved? ”

Xu Huasheng sighed, "I can't give you an answer yet, everything depends on the operation!" ”

"Okay, I got it!"

The man trembled, and his heart was terrified to the extreme.

But at the same time, he also knows that he is the pillar of the family, and now that his wife is like this, he can't fall down again no matter what.

So he took a deep breath, gritted his teeth and said, "Doctor, I'll leave everything to you!" ”

Xu Huasheng understood the man's mood and nodded, "Don't worry too much, we will do our best." ”

Li Xiyang has been standing on the side, watching silently.

In the face of family concerns, Li Xiyang can also understand that every child is the heart of their parents, and at such a young age, he has to cut a knife on his heart.

Ay.

Li Xiyang was also a little unbearable.

……

in the operating room.

Xu Huasheng and Li Xiyang have quickly put on isolation clothes and surgical coats.

At the same time, the little girl on the operating table was ready for general anesthesia.

At this moment, the little girl's eyes are closed, and the baby's fat little face is very cute.

It's just that the color of the face is not as ruddy as the other children, but so white that there is no trace of blood in sight.

This is also due to heavy blood loss.

"Debridement ready!"

The assistant doctor applied iodophor disinfectant to a large area of the little girl's neck and the wound on the right lower abdomen, and then rinsed it with normal saline.

Then spread a layer of isolation pad to fully expose the surgical field.

Patient's heart rate, 110 beats per minute...

Breathe 18 per minute...

Blood pressure 97/53mmHg.

Vital signs are weak!

Xu Huasheng finally confirmed the patient's condition, and quickly said to his assistant Xiao Wang, "Xiao Wang, you are responsible for suturing the wound on the right lower abdomen, and you must pay attention to it when suturing to see if there is any missing glass ballast in the wound." ”

Dr. Wang nodded, "Okay!" ”

After that, Xu Huasheng looked at Li Xiyang again, "Doctor Li, you will follow me to cut the blood vessels of the heart and find a small piece of glass ballast." ”

"Good!"

"But it's still unclear which blood vessel is the problem!"

Li Xiyang thought for a while and said, "The glass ballast should enter from the patient's carotid artery, and the blood vessel closest to the heart is the superior vena cava, and the superior vena cava is connected to the right atrium, so the most suspicious thing now is the superior vena cava." ”

Therefore, Li Xiyang suggested starting with the superior vena cava.

Xu Huasheng felt that what Li Xiyang said was very reasonable, so he said to the little nurse, "Go and push the perspective machine over!" ”

"Hmm!"

The little nurse on the side hurriedly pushed the fluoroscopy machine.

Fluoroscopy machine, also known as X-ray fluoroscopy machine and portable X-ray fluoroscopy machine, is an instrument that uses X-rays to see through objects and items.

The principle of the perspective machine is to see through different objects to obtain images: for example, to see through the plastic in the ceramic, because the density of the two media is different, so the picture can be seen through.

Ceramic and plastic objects are represented in different shades of color, and generally the denser the area, the darker the color.

The main machine is composed of a transmitter and a receiver, the transmitter emits X-ray rays, and after penetrating the object, the receiver receives X-rays and processes them into an image, which is the principle of perspective objects.

Soon, the perspective machine was pushed over,

However, after the first irradiation, the image displayed on the display was not noticeable.

After repeating it several times, everyone noticed a surging shadow in the right atrium.

Looks like that's where the bleeding is!

"But why didn't you find the ballast?"

Xu Huasheng thought of a possibility, "Could it come out of the crack in the blood vessel?" ”

Li Xiyang shook his head, "Considering the diameter of the blood vessel and the blood flow rate of the superior vena cava, it is unlikely that it will be flushed out of the blood vessel crack, and it is most likely blocked somewhere in the blood vessel." ”

As he spoke, Li Xiyang's finger clicked on a position.

Xu Huasheng's eyes narrowed slightly, and there was three centimeters above the patient's right atrium.

At first glance, there was nothing unusual about it, but after staring at it for a while, I could see that the color seemed to be darker.

This indicates that there is a greater density there than the surrounding tissue.

"Dr. Li, you mean the ballast is stuck there?"

Li Xiyang nodded, "The amount of bleeding in the patient's chest cavity is not large enough, which means that the glass ballast should be really small, so it will be difficult to be found. ”

Xu Huasheng nodded, he also felt that the longer he stared there, the more problematic it was.

"Alright, the operation has officially begun."

Xu Huasheng took the scalpel and gently cut a small three centimeter-long incision at the position marked by Li Xiyang.

The length of this incision is very short.

First, considering the young age of the patient, the incision is too large and unsightly.

Second, if the incision is too large, it is not conducive to postoperative recovery for children who have just lost blood, and it is easy to cause other infections.

"Doctor Li, wipe the blood!"

"Good!"

Li Xiyang clamped the gauze with pliers and wiped the blood coming out of the incision.

Because the superior vena cava of the human body is at the upper end of the right atrium, that is, between the second and third ribs.

So after cutting the skin, the second and third ribs are directly exposed.

Through the space between the ribs, the patient's heart is about the size of his own fist.

Because the patient is still young, the heart is naturally not as well developed as an adult, so through the interribal space, the whole picture of the heart can already be seen.

However, to Xu Huasheng's surprise, he did not see the expected pericardial effusion in the field, and even the bleeding point was not within the scope of direct vision.

Not to mention finding a very tiny piece of glass ballast!

Ay!

Xu Huasheng sighed, "It seems that I can only open my chest." ”

At this moment, Li Xiyang suddenly said, "Wait a minute! ”