Chapter 84: A drink and a peck, it is not predetermined

The cause has been found, then now it's time for treatment.

"The patient currently has severe aortic regurgitation with heart failure, the response to medical therapy is very limited, and the hemodynamic instability is also unstable, and only emergency aortic valve replacement can be performed."

Dr. Lin Yi, the attending doctor of cardiac surgery, is very experienced and immediately gave the best treatment plan at the moment.

"Yes, it has to be operated on right away."

Zhao Sheng and Li Mujia also nodded, there is no need to question Lin Yi's professional judgment.

Aortic valve replacement, even in the cardiac surgery of a hospital, is a major surgery that cannot be taken lightly, let alone an emergency surgery.

"Aortic valve replacement, if you want to do it urgently, it is very difficult."

"Doctor Lin, is Director Huang here today?"

Zhao Sheng thought for a moment and asked Lin Yi.

Huang Jincheng, director of cardiac surgery, is a master in the field of cardiac surgery, and if he is in charge of this operation, he will have a greater certainty.

"The director is here today, wait for me to ask."

Lin Yi thought for a while and said.

"That's great."

Hearing the exciting news of Huang Jincheng today, Zhao Sheng and Li Mujia were very happy.

"However, the manpower may be a little insufficient, the director went to the meeting today, and he should be back later, but we also know outside the heart that the operation has always been full, and if you suddenly have to do a major operation such as aortic valve replacement in an emergency, the manpower may be poor."

Lin Yi said to Zhao Sheng and Li Mujia again.

"What's the difference in manpower?"

Zhao Sheng asked.

"If you are the chief surgeon, it should be enough to have me and the director, the main thing is that no one does cardiopulmonary bypass, and now there are still resident doctors in Corey who can't do cardiopulmonary bypass independently."

Lin Yi said with some embarrassment.

Cardiopulmonary bypass is a life support technology that uses a series of special artificial devices to drain cardiac venous blood to the outside of the body, and then transfuses it back into the arterial system after gas exchange, temperature adjustment and filtration by artificial methods.

This is a very difficult clinical support technique, and the most important thing is that aortic valve replacement surgery, in order not to damage the patient's brain, avoid cognitive impairment, and protect the tissues and organs of the whole body, the operation needs to be performed under deep and low temperature circulation.

Hypothermia, commonly understood, is the tolerance limit of lowering the patient's body temperature below 20 degrees Celsius.

Body temperature control is an ultra-difficult cardiopulmonary bypass technique, which is not as simple as our usual body temperature measurement, but requires the cardiopulmonary bypass specialist to monitor the temperature in many parts of the body during the operation, all of which must be below 20 degrees Celsius.

In order to ensure that the patient's body temperature can be lowered, even the air conditioning temperature in the operating room must be controlled at about 17 degrees Celsius.

In order to better protect the patient's nervous system, the cardiopulmonary bypasser also controls the speed of temperature change in the human body with precision.

Venous blood temperature, arterial blood temperature, nasopharyngeal temperature, bladder temperature, and anal temperature should be monitored.

"If you want cardiopulmonary bypass, why don't you do it with Dr. Zhao."

When Li Mujia heard this, he looked at Zhao Sheng who was standing aside, and suddenly spoke.

"Yes, you see, I forgot, this ECMO is the most used in the ICU and emergency department."

When Lin Yi heard Li Mujia say this, he immediately nodded with bright eyes.

ECM, or Cardiopulmonary Bypass Machine, ECMO can help patients support breathing and circulation, giving assistance in case of severe respiratory failure and heart failure.

In the hospital, it is indeed the most used in the ICU and emergency department, so in terms of cardiopulmonary bypass, as a senior attending doctor in the ICU, Li Mujia is an expert.

And Zhao Sheng, with many years of emergency experience, is not a problem to do cardiopulmonary bypass.

"Yes, no problem."

Zhao Sheng was suddenly cued by Li Mujia, a little stunned, but he still nodded in response.

After the examination, it was also confirmed, and the girl Miao Miao was transferred back to the ICU.

At the door of the ICU, Li Mujia and Zhao Sheng, as well as Lin Yi, were explaining the condition of the girl Miao Miao to the couple.

Although the child's condition was diagnosed, which was a good thing, as soon as they heard that they were going to have surgery, and it was such a risky operation, the couple's hearts rose again.

Today, the couple can't stand this heart, they lift it up and fall down, and if they toss it a few times, I'm afraid they will have a heart attack.

"Doctor, let's operate on Miao Miao!"

Before the girl's father could speak, the girl's mother suddenly said very resolutely.

The decision to come to Zhongdu to buy a school district house and bring the child to school in Zhongdu was made by the mother, so in fact, in this family, the mother is more able to make decisions than the father.

"Yes, doctor, let's have surgery!"

The girl's father also nodded and said.

In order to bring their children to school, the couple sold the big house in their hometown, but the couple did not regret it at all, and the expected situation that the child was not suitable for the middle school, it can be said that the child is much better than they imagined.

Even the teacher said that he had never seen a student so sensible and with such good study habits as Miao Miao.

I have seen too many children and parents torturing each other, you are not happy and I am not happy, the parents are angry with cerebral hemorrhage, and the children are also unable to see their parents, and they directly hate these situations, and the couple cherish the very benign parent-child relationship with the children now.

Such a good child, for the couple, is simply an angel, for this child, the couple can be said to love to the bones.

The child is good, the relationship between the husband and wife is becoming more and more harmonious, the father has also found a job in Zhongdu, seeing that the whole family is thriving and moving in the best direction that everyone dreams, but the child suddenly fell ill, and the illness is so bad, how can the couple accept it?

Maybe this is the old saying that love is not long, and wisdom will be hurt?

"In this operation, Director Huang Jincheng will personally perform the operation, and in the field of cardiac surgery, Director Huang Jincheng can be said to be the top in the country."

Seeing the decisive appearance of the couple, Zhao Sheng couldn't help but comfort the two and said.

At this time, this can only be used to give the couple a little confidence.

"Okay, okay, thank you, doctor, thank you."

The couple nodded again and again and said very gratefully.

The couple knew how difficult it was to invite a director-level doctor to perform surgery in a metropolis like Zhongdu and in a top tertiary hospital like the First Hospital.

Thinking of this, the girl's mother had a strange thought, she was thinking, maybe it was the right time to bring her child to Zhongdu.

Otherwise, if the child gets sick in his hometown, he may not be able to meet such a good doctor, and he may be able to diagnose such a rare disease so quickly, and even if he is diagnosed, he may not be able to find the country's top cardiac director like Huang Jincheng for surgery.

This can be said to be a drink and a peck, so it must be predetermined.

Nice book

Ke Jie is so sorry, she almost returned to the land fairy realm, and my veins exploded when I saw it!

(End of chapter)