Chapter 15: Emergencies!
Sitting beside Gao Jun, Zhao Heng watched Huang Jincheng and Song Chen operate together, and there were two resident doctors next to him.
Just now, the cardiac arrest and cardiopulmonary bypass have been completed, and the next step is to remove the saphenous vein from the leg, and then determine the location of the heart bypass, and between the proximal and distal end of the coronary artery stenosis, the transplanted saphenous vein is used to create a channel so that the blood bypasses the stenosis and reaches the distal end.
This step is the most critical in the entire heart bypass surgery, and it can be said that it determines the success or failure of the whole operation.
Especially under the current medical technology conditions, cardiac interventional surgery has actually been developed very well, and general thrombosis or atherosclerotic plaque shedding can be achieved by cardiac arterial intervention to achieve vascular recanalization.
Cardiac artery bypass grafting can be said to have become an option when interventional surgery is not possible.
At this time, Huang Jincheng's face suddenly froze, because he found that next to the blocked artery, the distal coronary artery that he was going to choose for bypass had a serious deformity.
"Director, this?"
Song Chen was also stunned when he saw the distal coronary artery of the deformity.
For heart bypass surgery, coronary angiography is generally done, and such a serious malformation must be seen during the imaging.
"It seems that it is a problem with the development, and the patient may have taken some kind of drug before being admitted to the hospital, which affected the development of the contrast agent."
Huang Jincheng thought for a moment and said.
Although this situation is very rare, he has seen it well-informed, and he has encountered it before.
However, if this happens, the surgery will inevitably be greatly affected.
"Xiao Song, the step of taking the saphenous vein depends on you alone."
After pondering for a moment, Huang Jincheng said solemnly.
Originally, the opening of the coronary artery and the removal of the saphenous vein were carried out at the same time, and in terms of manpower allocation, it was also completed by Huang Jincheng and Song Chen, one by one assistants.
But now the unexpected happened, there was a severe distortion of the distal coronary artery, which led to the fact that in order to repair the severely distorted blood vessels, at least two assistants were needed.
In this way, the pressure was instantly on Song Chen's side.
The operation that was supposed to be done by one person and two people together is now completed by one person, and the difficulty must be multiplied.
"I see, Director."
Song Chen also felt that his heart was heavy, and he replied with a solemn face.
This step is very important to repair the distorted blood vein, but it is also very important to remove the saphenous vein, if the blood vessel is removed and cannot be used, then the operation cannot be completed either.
In the current situation, the heart has completed arrest and cardiopulmonary bypass has also been done, and we must not give up halfway.
Therefore, the burden on Song Chen's body now is also very heavy.
All of a sudden, the atmosphere in the entire operating room suddenly became solemn and depressed.
The human body is very complex, and no one knows what kind of accidents will be encountered in the process of surgery.
Just when Song Chen stood at the lower end of the operating table, took a deep breath, and was about to start taking the saphenous vein.
Zhao Heng suddenly stood up and said to Song Chen, "Teacher Song, why don't I be your assistant?" ”
As soon as Zhao Heng's words came out, the eyes of everyone in the operating room looked at him.
Gao Jun also stood up and looked at Zhao Heng with some doubts, this is not at this time.
Moreover, he had not heard that Zhao Heng had cooperated with cardiac surgery before.
"Can you do it?"
Gao Jun whispered to Zhao Heng.
"I can, teacher."
Zhao Heng gave Gao Jun an affirmative look, nodded and said.
"Xiao Zhao, right, this is the operating table, no joke."
Seeing Zhao Heng standing up and taking the initiative to ask Ying to be Song Chen's assistant, Huang Jincheng said with a solemn face and a frown.
In the operating room, what he dislikes the most is the kind of young doctor who wants to perform.
It's not a bad thing for young doctors to beg for performance.
But what is the operating room?!
In this kind of operating room where the slightest mistake can kill people, the most taboo thing is to blindly confidently rush forward.
This is a big no-no!
Song Chen saw Zhao Heng stand up and take the initiative to ask for help, and for a while, she was also a little surprised, but she thought of Zhao Heng's familiarity with cardiac surgery just now, thought for a while, and said, "Director, let him go, I believe he can cooperate with me well." ”
"Xiao Song, are you sure?"
Seeing Song Chen supporting a nobody so strongly, Huang Jincheng asked with some uncertain doubts.
"Let Xiao Zhao go, director, I also believe that Xiao Zhao can also cooperate."
Seeing this scene, Gao Jun also continued.
If Huang Jincheng didn't let Zhao Heng go, then this time Zhao Heng took the initiative to ask for help, and it would be a joke.
Therefore, Gao Jun must stand up and speak for Zhao Heng.
Seeing that Song Chen and Gao Jun both spoke for Zhao Heng at the same time, Huang Jincheng felt a trace of surprise in his heart, Song Chen and Gao Jun, one was his confidant, and the other was a senior anesthesiologist, both of whom were people with eyes above the top.
These two recommend a person at the same time, which is also something that has never happened at all.
Thinking of this, Huang Jincheng nodded to Zhao Heng and said, "Young man, learn more and watch more, let's go." ”
The patient's condition was changing rapidly, and there was no time to think too much, but in a moment, the golden achievement made a decision.
However, he was also a little curious in his heart, and he wanted to see if the young man had two brushes.
You know, although it is only a cooperation, but now it is a heart bypass, and in all surgical operations, the difficulty is countable.
Therefore, even if it is to cooperate, the requirements for the assistant are extremely high.
Even the two resident assistants on the operating table have been trained for several years.
It will take at least five or even ten years to train a doctor who can perform heart bypass surgery on his own.
The training of excellent surgeons is so difficult and long.
"Thank you, Director."
Zhao Heng nodded.
Or Huang Jincheng insisted on not letting him go, and he couldn't do anything, in this operating room, Huang Jincheng had absolute authority.
With Huang Jincheng's approval, Zhao Heng didn't hesitate, changed into a surgical gown, and came to stand opposite Song Chen.
"Teacher Song, I'm ready."
Zhao Heng stood opposite Song Chen, looked at Song Chen and said.
To be honest, he still admired Song Chen a little.
In surgery, in fact, men still have a great advantage, whether it is physical strength or psychological quality, men have innate advantages.
If you think about it, it is very common for surgeries that last for hours, or even tens of hours, in the operating room.
Maintaining a high level of concentration for such a long period of time is very physically demanding.
Therefore, it is conceivable that Song Chen must have put in a lot of sweat and effort to be able to stand on this operating table and become the attending doctor of cardiac surgery that Huang Jincheng values the most!