One o'clock at noon.

In the operating room.

At this moment, the girl Miao Miao was already lying on the operating table, the anesthesiologist was preparing anesthesia, and the instrument nurse was also preparing surgical instruments.

This operation was performed by Huang Jincheng, director of cardiac surgery, Lin Yi, the attending doctor of cardiac surgery, Xiao Song, a resident doctor, and Xiao Huang, a resident doctor, as a third assistant.

Zhao Sheng and Li Mujia, as well as the itinerant nurse Li Ranran, worked as a temporary small team to complete the very difficult task of cardiopulmonary bypass.

"Xiao Zhao, this Gao'an arteritis, I encountered it once a few years ago, and it took a long time to be finally diagnosed, and you, as the first doctor, can be diagnosed in such a short time, which is very good."

Director of Cardiac Surgery, Jin Jincheng looked at Zhao Sheng with great appreciation and said.

Seeing the director's appreciative eyes looking at Zhao Sheng, to be honest, even Lin Yi was a little jealous.

Director, look at me too, I also contributed, and I am also very good!

Lin Yi couldn't help but think in his heart.

"It was at that point that I suddenly thought of it."

Zhao Sheng said without credit.

"A flash of inspiration also requires enough accumulation at ordinary times, Xiaolin, as a doctor of cardiac surgery, you didn't find out that the cause of the patient's heart failure was Gao'an arteritis at the first time, professionally, there is still a long way to go!"

Huang Jincheng praised Zhao Sheng, and began to beat Lin Yi again.

In the hospital department, as long as you don't become the director for a day, you have to be beaten, and you will get used to it after a long time.

Moreover, even if you become the director, there are still people who can beat you.

For example, in a medical university, there will be a famous scene of a 50-year-old professor standing obediently like a primary school student, being disciplined by a 90-year-old professor.

"Okay, Director."

When Lin Yi heard Huang Jincheng say this, he could only nod and said very obediently.

If you can become a director, then you don't have a good temper, not to mention, in clinical practice, many times, once you make a mistake, it will cause serious consequences, and in the most serious case, it will be fatal.

Today's doctors have one foot in the hospital and one foot in the courthouse, and this is not just talking.

On the one hand, it is necessary to let the doctors under him cultivate the ability and self-confidence to take charge of themselves; On the other hand, it is necessary to ensure that the doctors under him are confident and not arrogant, and can always maintain a cautious and cautious style.

The road of a doctor can be said to be really long, so long that it will take a lifetime to complete.

Next, Huang Jincheng and Lin Yi took two resident doctors to prepare the valves and related instruments needed for aortic replacement.

Because anesthesia has been prepared, Zhao Sheng and Li Mujia, a small team formed temporarily, are ready to start cardiopulmonary bypass.

"Dr. Lee, shall we begin?"

Zhao Sheng asked Li Mujia, who was standing opposite him.

This Li Mujia, among all the doctors in the ICU, is a very special one.

This kind of special thing is that Li Mujia has a very strong thing, which makes people feel that this person's psychological quality is very good when they see her, and their hearts are also extremely strong.

Although it is said that in the hospital, the psychological quality is strong, which is a quality that doctors must have, but Li Mujia can still stand among these female doctors, which fully shows that she is not an ordinary person.

"Okay."

Li Mujia nodded, she felt very good about working with Zhao Sheng, not only had a tacit understanding, but also had a sense of security that was difficult to produce in other doctors.

This strong sense of security from Zhao Sheng makes people feel that they can overcome any difficulties and obstacles.

During cardiopulmonary bypass, venous blood is introduced into the artificial lung through the superior and inferior vena cava for oxygenation and carbon dioxide discharge, and the oxygenated blood is pumped into the arterial system in the body through the artificial heart to maintain a certain pressure, so as to ensure the quiet and clear surgical field during the operation, and ensure the blood supply to other important organs other than the heart, which is an important guarantee measure for the development of cardiac and large vessel surgery.

In other words, in fact, the basis of this operation is cardiopulmonary bypass, if cardiopulmonary bypass is not done well, this operation is equivalent to a failure before it starts, so the pressure faced by Zhao Sheng and Li Mujia at this moment is conceivable.

Next, what Zhao Sheng and Li Mujia have to do is first of all open-heart surgery for cardiopulmonary bypass.

In this step, the longitudinal sternal approach is generally adopted, the longitudinal incision of the heart pack is used to expose the heart, heparin 2~3mg/kg is injected from the heart, and after the blood is not coagulated, the aortic perfusion tube and the inferior vena cava and the superior vena cava drainage tube are inserted sequentially, and the corresponding pipes of the artificial heart-lung machine that have been prefilled are connected respectively, and the external circulation can be started.

To describe the procedure simply, the sternum is split to expose the heart, and then the large blood vessels of the heart are connected to the corresponding tubes of the artificial heart-lung machine.

The difficulty in this operation is that the movement must be opened and closed, after all, the sternum must be opened to directly expose the heart.

But at the same time, the surgical operation must be extremely delicate, and the heart blood vessels, nerves and valves must not be damaged in the slightest, which is very demanding for the operator.

Generally speaking, in terms of operation, there are very few people who can open and close at the same time and be extremely fine and detail-oriented.

Therefore, in the field of ultra-difficult surgery, the cultivation of talents has always been the biggest problem restricting the development of the industry.

At the beginning of the operation, Zhao Sheng's bizarre feeling of controlling the overall situation appeared again, and wherever his right hand touched, whether it was blood vessels, muscles, tissues, nerves, or valves, the three-dimensional position information of these parts was transmitted to Zhao Sheng's mind, forming an incomparably detailed three-dimensional imaging modeling.

This feeling,It's like playing a game.,It's like opening the whole picture hanging.,It's just a dimensionality reduction blow.。

Zhao Sheng is so easy, as if he is following the map, he is very smooth, every bit of strength is used just right, and it looks like there is an artistic beauty.

Such a pleasing operation even attracted the attention of instrument nurses, anesthesiologists, and Huang Jincheng.

Huang Jincheng, who was preparing to replace the valve, saw Zhao Sheng operating like this, and said to Lin Yi: "Take a look, Xiao Zhao is a doctor in the emergency department, and he has this level of proficiency in cardiac surgery and cardiopulmonary bypass operation, I am not wrong, Xiaolin, you still need to improve a lot." ”

"Yes, Director, I'll try."

Lin Yi, who was inexplicably lying down and was shot once, could only nod silently and said.

Looking at Zhao Sheng's operation, Lin Yi had a feeling that he had been swept up for the first time.

Very nice book.

(End of chapter)