Chapter 3

Yang Feng picked up the paper money on the table, quickly wrote down what he had just said, and then signed his name at the end.

Yang Feng quickly handed the paper to Li Jianquan: "as long as the red seal of the hospital is stamped below, my agreement just now will have legal effect."

Holding the paper, Li Jianquan suddenly respected Yang Feng: "good, good. Thank you for your great sacrifice for our whole hospital, which I Li Jianquan will remember all my life. What do you need? I'll cooperate fully! "

A large group of experts and doctors next to Mai Qiuyan were also in a good mood. Someone echoed: "director Han said very well. As long as Yang Feng enters the operating room, then we can completely blame Yang Feng for Ye's death, and with this agreement, we can push it clean. "

Han Shiwei was very proud: "originally, I was afraid of being severely punished by the superior leaders, worried about our reputation and being cut off. Now we can rest assured that we have this second Leng. "

At this time, a young doctor said, "director Han, if this boy really cures Ye Lao. Such a great credit belongs to him alone. It has nothing to do with our hospital. "

Han Shiwei snorted coldly, "impossible. You all know ye Lao's condition. Unless an immortal is alive, it can't be cured. How can he, a fledgling boy, do things that we can't even do? "

Everyone nodded in agreement.

……

Skin disinfection, put on surgical clothes, Yang Feng and Li Jianquan and Mai Qiuyan just entered the operating room, they saw five operating room nurses running around in a hurry.

The head nurse said coldly, "how did you get here now? Old Ye has multiple organ failure and is about to die!"

Then the head nurse with a mask glanced at the three of Yang Feng, and finally looked at Li Jianquan: "it's best for you to take the knife in person, Dean. What shall we do now? "

The head nurse worked in the hospital for many years. Although Li Jianquan wore a mask, she still recognized it at a glance.

Li Jianquan pointed to Yang Feng next to him: "Lin Yun, I'm not the surgeon. Yang Feng around me is the surgeon and is fully responsible for the next operation."

Head nurse Lin Yun looked at Yang Feng in surprise. He probably thought Yang Feng was too young. However, she didn't ask much, but directly asked: "Dr. Yang, ye Lao has multiple organ failure, heart rate of 35, and atrial failure is serious. I think ye Lao is going to die... When his heart stops beating, it will take half an hour... "

Lin Yun has worked in the hospital for ten years. According to her judgment, old Ye obviously can't.

Yang Feng quickly went to the operating table and observed Ye Lao's body: "please don't make any judgment based on your past experience. Next, follow my instructions. Lin Yun, you are the head nurse. I hope you can set an example! "

Lin Yun was very surprised. Listening to Yang Feng's tone, she seemed to want to save Ye Lao?

How is this possible?

Li Jianquan said, "Dr. Yang Feng has excellent medical skills. He is here to cure old Ye. Lin Yun, you are the head nurse. You should understand your work! "

Lin Yun suddenly breathtaking: "OK, I will fully cooperate with Dr. Yang."

"Cardiotonic needle, intravenous injection of 2 mg." Yang Feng first gave an instruction: "prepare the chest opening instrument. When the heart rate is stable for 60, open the chest twice immediately!"

Lin Yun admires Yang Feng's boldness. The dose of intravenous injection of 1 mg dopamine is already the maximum! Yang Feng's mouth is 2 mg! Ordinary doctors dare not take such a big risk.

After all, dopamine is a stimulant. Excessive dosage will directly lead to arrhythmia and even vascular necrosis and gangrene!

Although Lin Yun was surprised, she knew what she should do at this time and completed the intravenous injection as soon as possible.

After five minutes, the heart rate increased and stabilized at 60.

"Mai Qiuyan, Dean, get ready for chest opening!" Yang Feng carefully stroked the huge sutured wound on Ye Lao's abdomen, as if he were feeling the activities of organs in Ye Lao's body through his skin.

Mai Qiuyan said at this time: "Yang Feng, a few hours ago, ye Lao just had a thoracotomy, and the thoracotomy incision is very large. If you open the chest twice, it is difficult to find a suitable other position for incision."

Yang Feng said, "then cut it again along the original incision."

Mai Qiuyan was surprised: "if you cut again along the original incision, it means that you have to cut and sew multiple arterial tubes again. What if you can't stop the blood?"

Thoracotomy is not only to cut the skin, but also to cut multiple arterial tubes in the chest. The arterial tube is very fragile. After suture, it is cut again along the original wound. It is difficult to stop bleeding!

Yang Feng quickly said, "I just ask you, can you do it?"

Mai Qiuyan said simply, "I have no problem, but what should I do after opening my chest? If there is no way to solve the heart defect, we can only sew it again in the end... In the current situation of Ye Lao, I'm afraid we may not be able to hold it until we sew it again. "

Mai Qiuyan doesn't want to repeat the mistakes of the last time.

Lin Yun was also afraid: "Dr. Mai was right. The last time he opened the chest, he was forced to suture because the heart problem could not be solved... If Dr. Mai didn't have a high level at that time, he was afraid that ye Lao would have gone before the suture was completed."

Yang Feng's hand still stroked Ye Lao's abdomen slowly and swam away: "I'll solve this. Just do what I say! Mai Qiuyan, get ready to open your chest! "

Mai Qiuyan picked up 22 blades to cut the skin, but hesitated several times.

The last time she had a thoracotomy, she clearly remembered that as soon as the thoracotomy was completed, ye Lao's atrium collapsed rapidly, and we had to suture quickly

This time, Mai Qiuyan was afraid of the same situation and didn't dare to start.

"What are you waiting for? Do it! Open your chest as fast as you can. " Yang Feng scolded.

As soon as Mai Qiuyan gnawed his teeth, his hand fell with a knife. The blade cuts the skin stably and smoothly, showing an ultra-high surgical level.

Give the blade to the nurse nearby. Mai Qiuyan stretched out his right hand: "right angle pliers."

Then, Mai Qiuyan quickly separated the clavicular ligament, pleura and loose connective tissue above the sternal handle with right angle forceps.

The action is still accurate and fast.

Then Mai Qiuyan cut the sternum longitudinally with a sternum saw, and then opened the chest with a chest brace.

Finally, open the pericardium with an electric knife and suspend the pericardium with 7x17 round needle and 4 silk thread.

All the actions flow until the whole chest is completely opened and the viscera are clearly presented in front of everyone.

"Heparin dosage 3mg / kg, central vein push. Ready to put on the blocking band, block the venous tube, block the arterial tube... "Mai Qiuyan took a deep breath:" OK, the thoracotomy is completed. "

Yang Feng nodded admiringly, "it's done in ten minutes. It's done well. What's your heart rate? "

Lin Yun said anxiously: "30, rapid decline... 26, 24... 10... 0! The heart stopped beating! Stop jumping for two seconds! Stop jumping for three seconds! "

Lin Yun was a little flustered: "do you want to defibrillate with electric shock?"

Cardiac arrest means that ye Lao is standing at the gate of death again.

The heart stops beating for about 4 seconds. If you stand, you may get black in front of you. If it increases to about 10 seconds, you are likely to have syncope. If it lasts for about 15 seconds, it will be accompanied by convulsions.

If the heart stops beating for more than 30 seconds, the breathing stops, and the pupil enlarges after 1 ~ 2 minutes. If the rescue is not timely, it can cause death. Brain irreversible damage after stopping for more than 7 minutes is what we usually call brain death.

Time passed second by second, but Yang Feng, as the chief surgeon, delayed making a decision, and everyone in the operating room was in a panic!

Yang Feng was not in a hurry: "no motor defibrillation, continue to use cardiotonic, change to intracardiac injection, hit the left ventricle, 2 mg, sterilized normal saline diluted ten times."

2 mg intracardiac injection, still more than double the maximum! But Lin Yun didn't hesitate and finished the injection soon.

Everyone stared at the monitor and waited for a miracle.

But to everyone's disappointment, the ECG is still a straight line.

Lin Yun cried anxiously, "the heart rate has not recovered! Dr. Yang, what should I do? "

Everyone's heart is dead.

Yang Feng's expression was unprecedentedly serious, but his eyes remained calm as the sea.

Just this leisurely spirit made Mai Qiuyan several people admire.

Yang Feng's hand kept touching Ye Lao's body. A moment later, he said, "continue to inject cardiotonic into the heart, hit the right ventricle, 3mg, diluted ten times with sterilized normal saline!"

Intracardiac injection of cardiotonic, 1 mg is the maximum amount in medicine!

Yang Feng needs to inject more than three times the maximum cardiotonic.

Lin Yun was stunned and didn't dare to start with a syringe.

"Don't be afraid. I'm the chief surgeon. I'll be responsible for any problems. Just do it, hurry! " Yang Feng urged.

Lin Yun gritted her teeth and began to inject!

Soon, the straight line on the display fluctuated and the heart rate rose!

Stable at 40!

"Hoo!"

The whole audience was relieved, and even the nurse jumped up.

Yang Feng also breathed a sigh of relief: "Ye Lao's body is much stronger than ordinary peers, otherwise it's really troublesome. Qiu Yan, Dean, you are going to remove the lung tumor! Be quick! "

Mai Qiuyan hesitated: "Yang Feng, ye Lao's heart rate is only 40, and his pulse is very weak. More than three times the maximum cardiotonic maintenance time is limited and unstable, and accidents may occur at any time! This condition does not meet the surgical conditions. Otherwise, if we move a knife, old Ye's heart will stop beating again! "

Li Jianquan also has the same concern: "yes, Xiao Yang, the operation to remove lung tumors is not too difficult. The difficulty is that ye Lao's heart can't support!"

"Don't waste time, I will repair Ye Lao's heart! Let's go! " Yang Feng's voice is still so leisurely, giving people strong confidence.

Mai Qiuyan was still worried: "tell me first what you can do to repair Ye's heart? Otherwise I don't trust you! "

Yang Feng glared at Mai Qiuyan: "do you mean that I should spend an hour explaining my operation principle to you now? I have no problem, but can ye hold on? What a big chest... "

Yang Fengqiang refrained from saying the word "no brain".

Mai Qiuyan blushed and had nothing to say. The operation will begin soon.

Sure enough, they did it.

Lin Yun's voice sounded again: "the heart stops beating again!"

Once again, everyone was at a loss.

"Don't look at me. I didn't let you stop. Just do your own work!" Yang Feng was calm and held out his hand to the nurse: "knife 11, heart forceps. I'm going to cut my heart! "

Hiss!

Everyone was stunned!

The heart stopped beating twice! You don't want to rescue and recover your heart rate, but you have to cut someone's heart... Isn't this trying to die?