Chapter 133

Chapter 133 upgrading three levels in a row

Little girl Lina's heart surgery was performed in the first Department of Cardiology, not in the comprehensive operating room of the emergency center. The surgical equipment of each department in the hospital looks similar, but in fact, it is far from the same. But if there are many machines and excellent equipment, of course, the heart and brain departments are the first.

This is also the first time for Chen Qun to enter the building of a department outside the heart of Xiangyun hospital as a student. Although this old building with some history is far less grand and spacious than the newly built emergency center, just looking at the decoration equipment inside, the emergency center immediately falls short of several grades, far less low-key and luxurious than here.

Professor Yang Xiaoqun, academician of Engineering Medical College, is one of the most famous cardiac surgery experts in China. The old professor is about 70 years old and in good spirits. He took two students to guide his student, Dr. Gu Ning, in the command equipment room outside the operating room to install a heart bypass machine for patients with minor diseases.

When Huang Haitao passed with some little hens.

The hale and hearty Yang Xiaoquan glanced at him and asked with a smile, "Xiao Huang, you've been hiding from me for two years. How come you're up again today? Don't think that if you send a tetralogy of Fallot patient here, you want to bribe me and let bygones be bygones. "

Huang Haitao, an approachable gentleman, bent down to please him“ Mr. Yang is right. I can run away. The monk can't run to the temple. You can clean up whenever you want. A few days ago, didn't you dare to be interested in my students? I sent them to you together. You always help me beat. "

Finish saying, while answering the phone, ran away.

Yang Xiaoquan turned his eyes, glanced at several students and said faintly, "you are watching the operation in the back. I have to ask questions at any time. It doesn't matter if the answer is wrong. I just want to see what you little guys think all day long. Even Huang Shiren is hiding away. "

Qi Hong couldn't help laughing. He thought of something and quickly covered his mouth.

In front of the operating room, a clear voice with a trace of hoarse, is introducing the situation.

"Today's operation is to repair the stenosis of the right ventricular outflow tract. Please observe the process of my incision from the carotid artery notch to the sword cartilage, because the patient's heart position slightly deviated, so my incision position also slightly moved two centimeters to the left. It's a small distance, but it's critical. Scalpel

Chen Qun knew very well at this time that this operation was specially prepared for him. Otherwise, for Qi Hong, a pathologist with the weakest surgical ability, it would be very difficult to learn this kind of heart bypass surgery, with almost no effect.

Does Mr. Huang think that he can learn the operation by looking at it once?

Chen Qun had this question in his mind. Before he could think more, Yang Xiaoquan's voice rang out in his ear, "who can tell me why I don't have stent surgery and have to carry out bypass repair?"

The female Xueba immediately returns to the past with sharp teeth. Chen Qun stares back at the scalpel on the big screen, watching the doctor who is the chief surgeon open the patient's chest cleanly and quickly use the extracorporeal bypass machine to establish extracorporeal circulation instead of the heart. At the same time to maintain the beating of the heart, began to carefully for the group of beating red heart surgery.

After witnessing the rapid use of all kinds of special equipment in heart surgery, Chen Qun was in a trance for a while. He realized that he had given first aid several times and tried his best to avoid touching the heart. In fact, he was absolutely right.

Heart surgery is not so much the progress of surgical techniques as the development and progress of medical instruments. With the combined use of various technologies, if there was no simplest electric pump to replace the patient's heart, heart surgery would not have developed to today's level. Even the simplest heart repair work is extremely difficult.

Now all the blood vessels on the patient's heart have been connected to the bypass machine for hypothermic cardiopulmonary bypass. The stripped heart was fixed to the chest with a small metal device to repair the right ventricle.

I don't know why, as soon as Chen Qun Cai saw that some irregular heart had just been cut open, a mass of blood red flesh flap appeared inside. When the heart muscle came out, he felt a lump in his heart.

"Stop first, give the patient an injection of heparin, continue to maintain hypothermic cardiopulmonary bypass, pay attention to keep the patient warm!"

In the operating room after the guidance of Yang Xiaoquan immediately stood up, issued a series of loud instructions, just to the operating room is still a little at a loss Gu Ning asked.

"The patient's ventricular muscle hyperplasia, first sampling for in vivo pathological examination, check whether there is tumor and inflammation in the myocardium, and then repair. By the way, you new comers have a scalpel that is better than a robotic arm. Wash your hands and disinfect immediately and go into the operating room to help complete the operation in the back! "Before Chen Qun could answer, he was pushed out by Tiejun and Zhoulin.

Yang Xiaoquan stared at his eyes and asked, "do you have any confidence to let you go down at this time and cut and repair the patient's heart in the operating room? It's a matter of life and death. If you're not ready, I'm not reluctant. If you can reach your usual level, I'll let you go. Do you know what I want you to do? "

Chen Qun didn't even think about it. He nodded and answered calmly and forcefully.

"I know that Dr. Gu's hand trembled a little when parallel cutting. Now we need to expand the space in the left ventricle, cut some extra muscle, and complete the outflow tract volume increase. But the patient's heart is narrow, and Dr. Gu's hand is wide. He doesn't have enough cutting space and is difficult to operate. He needs a pair of more flexible palms to complete the operation. "

Yang Koizumi was stunned for a moment. In a twinkling of an eye, he laughed and patted him on the shoulder, giving him a great encouragement“ Go ahead, young man. I've seen your operation. There's no problem at all. Think of it as an emergency

The old academician had a clear mind. He knew that he could see that Gu Ning's parallel cutting was wrong, and his level was really not very high. As Lao Liu said, he was a natural doctor.

In the twinkling of an eye, the pathological examination results showed that the patient's heart was only enlarged, and there was no other situation. It's a great relief to the doctors in the operating room.

A few minutes later, Chen Qun appeared in the operating table, slowly lifted the surgical scissors, and in the loud and powerful voice of Yang Xiaoquan, slowly carried out a small cosmetic repair of the patient's right ventricular wall cavity, hollowed out a circle, and opened up a larger ventricle.

Although it sounds very simple, Chen qunjing took more than 40 minutes to complete the repair of the myocardial wall. All the bleeding points of the myocardial wall were treated in advance by Chen Qun's master level hemostasis technology.

At this time, Chen Qun realized why he was only a real master, and he had not yet entered the real grand master level, because he knew it and didn't know why.

Although Yang Xiaoquan didn't know why the hospital gave him a special greeting and asked Chen Qun to go on the stage to learn something. At first, he was a little reluctant, for fear that he would be messed up by the novice, but there was a special situation, so he thought of his more flexible cutting technique than the manipulator. Let him have a try.

Even if he has done something wrong, he can still replace it with an artificial heart for the last time. But it seems that the basic skills of this young man's operation are far beyond anyone's imagination, so there is no need for artificial heart.