Chapter 1058： Find Ling Ran

"Infuse cardioplegia."

"Stop jumping."

The physician doing the extracorporeal circulation whispered the situation, staring at the equipment with meticulous attention.

太多 Too many people are watching today. For the doctors of cardiac surgery, it is more or less stressful.

In comparison, Lu Wenbin and Yu Yuan brought by Ling Ran were ignorant and bold.

They can only do some side-effect hospital-like small tasks besides, but the operation involves Ling Ran, and the two of them only show excitement when facing cardiac surgery.

As for the onlookers around, Lu Wenbin and Yu Yuan have long been used to it.

If you are in the operating room 1 of the emergency center every day, there will be more doctors watching.

"Closer." Ling Ran's voice remained the same.

Director Ji Kang skillfully pulled the screen closer.

In this way, what Ling Ran sees is no longer a panoramic view of the heart, but in this way, it is more conducive to his operation.

Director Kang Kang doesn't have much to do. When he has time, he looks at Ling Ran turning his right hand, turning his left hand, swiping his right hand, swiping his left hand ...

Left hand?

The corner of Director Ji Kang's eyes was raised, so skillful with his left hand? You really haven't practiced that much.

Wu Weiqing and several other doctors who saw the operation also noticed Ling Ran's left hand.

凌 When Ling Ran was doing laparoscopy, he mainly used the right hand, so the operation of the left hand was not so obvious.

However, the scope of operation of the thoracoscope is too narrow. Sometimes, if the right hand is the main body, the operator must rotate the body position. Therefore, if the left hand operation is equally skilled, it can save a lot of time.

Today's surgery is a complete demonstration of Ling Ran's left-hand skills.

"Little girl has good luck." Old Xu of Gastroenterology praised.

Qi Guang was the hand operation exposed by Ling Ran, which reduced the extracorporeal circulation time by about a quarter of an hour, which is probably okay. The entire operation time may be reduced by 30 minutes.

这 This is obviously a good thing for patients lying on the operating table.

Ling Ran recalled the scene of the virtual man he had just seen, and then recalled the ECG and other inspection reports that he had seen before the operation, saying: "It can't be considered as good. If the atrial septal defect is smaller, the risk of intervention will be smaller."

Compared with atrial septal defect occlusion, thoracoscopy is more harmful.

普通 For ordinary patients, the memory of one extracorporeal circulation is enough to talk about 30 wineries.

"The risk of access is small, but her defect is large and she can successfully complete the operation, which is also good luck." Lao Xu indirectly complimented and said, "Director Kang, our domestic operation time for similar operations, How long is it usually? "

He didn't ask just now, because he was afraid that Ling Ran's operation was unskilled, so that he got a reverse answer.

Looking at Ling Ran's operation now, Lao Xu is quite relieved.

Director Kang Kang glanced at Lao Xu and said, "Similar surgery is a thoracoscopy repair of the atrial defect. It can be done for three or four hours. For extracorporeal circulation, it is one and a half hours, mostly two hours."

"It's been this long." Lao Xu didn't know the exact time. As soon as he heard the figures from Director Kang, he knew that Ling Ran's plan had a huge gap. He couldn't help groaning for a few seconds, and said, "One and a half hours of extracorporeal circulation, and 50 minutes. The extracorporeal circulation inside will still be very different. "

For an operation, there must be "speak, learn, tease, sing". The doctor of the knife is unwilling to speak. The following people are very beautiful if they support the scene, and they are easily appreciated by the knife.

Director Kang Kang hesitated for a few seconds and said, "The average doctor may do it for an hour and a half. In 50 minutes, it must be a master."

"It has a great impact on patients." Lao Xu pretended to be a good student.

"Look what's going on." Director Kang smiled and said, "Isn't the extracorporeal circulation time of thoracoscopy 30 minutes longer than the extracorporeal circulation time of thoracotomy? It must also consider the injury comprehensively."

所以 "So, if you complete the thoracoscopy operation in 50 minutes, you will minimize the damage in all aspects." Lao Xu asked the question on the surface, and said in his mouth what Ling Ran loved to hear.

Director Ji Kang had a lot of experience in this, looked at the host of the thoracoscope, and said, "You don't have to saw the sternum, it will naturally be easier to recover after surgery."

"The postoperative inflammatory response of thoracoscopy is earlier and may be more severe." Ling Ran said at this time, but it was aimed at postoperative recovery.

Director Kang thought for a while and said, "It should be because the patient ’s heart is more stimulated. The relatively long cardiopulmonary bypass time and the aortic occlusion time of the thoracoscope should increase the serum inflammatory factors in the early postoperative period. ... however, this is better than splitting the sternum, and the incision recovers faster. "

Ling Ran nodded lightly. The operation he is doing is arguably the most minimally invasive operation that requires extracorporeal circulation.

Ling Ran gently cut open the right atrium of the patient. After investigating the size of the atrial defect, a 4-0 pulllin suture was required, and the patient's atrial defect was repaired after a continuous suture.

Director Ji Kang didn't speak again, looking at the stitching made by Ling Ran, his expression was calm.

Suture is the basic operation in the basic operation, but if you think about it from another angle, three or four hours of surgery time, the heart stops for an hour or even longer, the purpose is to sew such a few stitches.

Then, it seems to make sense to regard suture as the core of this operation.

Cardiologists have tried their best to make the best possible suture.

缝合 Suture from low to high, knotting the exhaust of the last needle, whether to use a slip knot or a square knot when knotting, but also to check the tightness of the lungs ...

Director Kang Kang looked at Ling Ran, and the various thoughts that had been in the operation like a famous old man had gradually disappeared.

Regardless of where Ling Ran learned the extra-mind technology, this technology really makes people unable to fight against it, and it can really help people. If you are suddenly blasted into the ventricle, your last words should be "Ling Ran".

Director Ji Kang looked up at the host of the thoracoscope and sighed inwardly.

十几 A dozen years ago, he had the heart to buy a thoracoscope for surgery.

若 If it was performed in that year, Yunyi Cardiac Surgery may still not be able to perform any major surgery. The small surgery that can be performed with thoracoscopy can also support the department.

Unfortunately, the purchase requests in the past several times have not been approved. Of course, it was because he didn't make a strong push. After so long delays, he was preempted by the emergency center.

If Ling Ran's surgery is bad, Director Kang can still comfort himself, but Ling Ran's surgery is done so ... perfect ...

Director Ji Kang looked at the clock in the operating room again, and saw that the electronic timing had only reached 35 minutes, and Ling Ran had already begun to suture the right atrium.

Director Ji Kang hissed and said, "Preparing protamine."

Surgery is done here in only 40 minutes, which is equivalent to saying that Ling Ran completely used the technology to make up for the defects of the thoracoscopy.

Director Ji Kang couldn't help thinking at this moment, if Ling Ran had a happy operation, he didn't know how much time could be shortened.

特点 The characteristics of cardiac surgery, doomed to the doctors of cardiac surgery is the most sophisticated technology.

Director Ji Kang looked at Ling Ran at this time, and he was no longer able to raise a bit of confrontation.

He thinks more, but the patient in front of him. This level of thoracoscope is made, I don't know at what level it will recover.

Thinking of this, Director Kang proactively said: "Dr. Ling, after the operation is over, I will take care of the patient."

Just as Zuo Cidian wanted to oppose, Ling Ran had responded: "Okay."

After the operation outside the heart, it still cannot be taken lightly, and often requires a doctor's long-term care to determine the patient's coagulation status, incision status, pleural fluid quality, and so on.

Director Yi Kang's ability to complete these tasks is naturally no problem.

Zuo Cidian thought more, but Ling Ran agreed, and he didn't hesitate anymore. Big deal, we will send another resident to accompany.

Outside the door.

The family members of the patient are already anxious and exhausted.

The patient's parents, grandparents, grandparents, two pairs of uncles and aunts, a pair of uncles and sisters-in-law, a single uncle, a single aunt, and several cousins ​​and cousins ​​were scattered in every corner of the waiting room Like dandelion seeds, floating around.

The operation time of the hospital starts from the patient's anesthesia.

For the patient's family, the moment when the patient was pushed away from the ward ~ www.novelhall.com ~ anxiety and nervousness began to breed.

Not to mention, it's chilling heart surgery.

"You said, should we treat it conservatively?" The patient's mother murmured in her husband's ear, not knowing the number of times.

She is almost subconscious, not really seeking answers.

She also knows, and responds in a low voice: "You don't regret making a decision."

"We can't regret it, what can I do about regret?" The emotion of motherhood broke out this time: "She doesn't want to regret now, if surgery ... if surgery ..."

She was talking and she was already stunned.

"Don't say these frustrated words. The operation is still being done, what are you crying for?" The grandmother walked over in two steps and took away the right to speak.

"It's all my fault that I didn't raise my baby properly when I was pregnant. I should resign at that time." When the mother's mood was beyond control, tears could not help flowing down.

"You took the graduation class at that time, not what you said, the students are not easy to read, it will not be good to change while in battle." The husband comforted softly.

But the mother was crying louder and shook her head, speechless.

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