Chapter 474: Fatal Surgery
Provincial Affiliated Hospital.
The ninth operating room of the operating department.
The shadowless lights are on.
Under the lamp, the nurses are busy preparing for the pre-operation work, preparing skin, disinfecting, and laying towels...... Wait a minute!
Time waits for no one, Toraf doesn't have much time left, Gu Feng, Yan Xinyue and the others are washing their hands in the isolation room.
At this time, the door of the isolation room was rudely pushed open, and Dean Zhou and Assistant Lin, who were wearing hand washing clothes, rushed in.
Dean Zhou pointed at Gu Feng and shouted, "Doctor Gu, before you make a mistake, I order you to stop this operation immediately!" ”
His voice was so stern that everyone was stunned, and the work of washing their hands stopped!
Only Gu Feng turned a deaf ear, and his hands that were washing did not stop, but his voice was sonorous and powerful: "No! ”
Dean Zhou was angry, "Doctor Gu, you actually want to do non-stop coronary artery bypass surgery on a patient with malignant high fever, aren't you whimsical?" ”
Gu Feng was unmoved, and said in a calm voice: "Dean, I personally don't think so. ”
Dean Zhou was so angry that he couldn't do it, "You still don't think so? What about anesthesia? Anesthesia is a big problem, how do you operate on a patient without anesthesia. You're just messing around! ”
Gu Feng replied calmly: "I will naturally find a way to deal with this." ”
Dean Zhou almost roared like thunder: "Do you want to find a way? What do you want to do? I've never heard of anyone who could anesthetize a patient with malignant hyperthermia. ”
Gu Feng didn't have the heart to explain to him, "If I say there is a way, there is a way!" ”
Dean Zhou was almost so angry that he vomited blood, "Okay, even if you can anesthetize him, have you considered it, this non-stop heart bypass surgery is not mature for our hospital, and even Vice President Pang does not dare to carry it out easily, do you really think that you are better than him?" ”
Gu Feng didn't answer, just continued his washing, washing.
Lin Zixuan couldn't help it, and opened his mouth to persuade politely: "Doctor Gu, you know how risky this operation is, why do you insist on it?" You don't think about yourself, you have to think about the reputation of the hospital! In doing so, you not only put yourself on the fire to roast, but you even pushed the entire affiliated doctor into the fire! ”
Gu Feng looked up at the time, "I don't have time to explain to you now, but if you are worried about the risk, you can regard this matter as my personal behavior, anyway, I am still studying abroad, if something goes wrong, you will say that I quietly sneaked back with a patient to carry out the operation privately, and the hospital did not know in advance." Otherwise, you can say that I am a temporary worker, anyway, what responsibilities do I have, I will bear it alone, so it will always work, right? ”
The dean was so angry that he couldn't cry or laugh, "Doctor Gu, why are you so troubled!" ”
Gu Feng looked at him with fixed eyes, "Dean, I know that you are thinking about me, but I have to do this operation, this person is injured because of me, I must not see death without saving." ”
The dean finally couldn't help but start a fire and shouted, "You are not allowed to go!" ”
Gu Feng said louder: "I have to go!" ”
Seeing that he couldn't stop him, the dean yelled at the others who were lined up with Gu Feng: "This operation, no one is allowed to do this operation without my permission, whoever wants to mess around with Gu Feng, I will fire him!" ”
Gu Fengli ignored it, washed his hands, turned off the water tap with his elbow, and then opened the door of the isolation room with his butt and entered the operating room.
Yan Xinyue pondered for a moment, then raised her hands that had been poisoned, and followed Gu Feng into the operating room.
Du Leixin doesn't need to ask, what's the big deal about the dismissal, anyway, she's just an intern, not a regular employee, as soon as Yan Xinyue entered, she also went in.
They are not afraid, Liu Shiya is even more fearless, anyway, she was fired by the provincial affiliated doctor, and she just went back to the city people's doctor!
Seeing that these two people regarded their words as wind in their ears, Dean Zhou was so angry that he yelled, "It's against you!" ”
Yang Wei and Hou Bigu saw that the dean was furious, and saw Yan Xinyue and others following in one by one, and they were in a dilemma for a while, looking at the small ones with big eyes.
"If you two dare to go in, you won't have to go to work tomorrow!" Dean Zhou pointed at the two of them and yelled, this is about to rush into the operating room.
Lin Zixuan hurriedly stopped: "Dean, it's already sterile inside, you can't go in!" ”
Dean Zhou was furious, but there was no place to get angry, and he almost roared: "Okay, okay, you wolf-hearted things, when this is over, see how I clean you up." ”
With that, he walked away coldly.
Lin Zishi was relieved to see that the dean was gone, and found Yang Wei and Hou Bigu, who were still stunned in front of the washstand, and couldn't help asking: "You two can't get in!" ”
Yang Wei and Hou Bigu remembered what the dean said in anger just now, and quickly shook their heads.
Lin Zixuan despised the two fiercely, "Spineless!" ”
At this time, Bao Xinhui and Wei Songliang hurriedly walked in from outside, and began to wash their hands without saying a word.
Hou Bigu said: "Doctor Bao, Doctor Wei, don't go in, the dean said, whoever goes in will be fired?" ”
Bao Xinhui and Wei Songliang glanced at each other, didn't say anything, continued to wash their hands, and went straight into the operating room after finishing, as if they hadn't heard Hou Bigu's words at all.
Under the shadowless light, the operation officially began.
Gu Feng glanced at the clock on the wall, it was exactly twelve o'clock at noon.
With a two-pronged approach of replenishing blood and giving heart medication, Toralf's vital signs were low-risk, but his heartbeat was preserved.
Before the operation began, Yan Xinyue couldn't help but ask worriedly: "Gu Feng, are you sure you really want to use the non-stop jumping bridge?" My advice is to be on the safe side and establish cardiopulmonary bypass! ”
Gu Feng nodded without thinking, "His coronary artery stenosis is hereditary, the heart muscle is originally ischemia, if it stops beating, the ischemia will be more serious, even if the operation is successful, it will inevitably have such and such complications in the future." And you also saw during the examination just now, in addition to coronary artery stenosis, there are no septal perforations, valve lesions, or malformations and other lesions, which is the most favorable condition for non-stop skip bypass surgery, so we either don't do it, or do it in a state of non-stop jumping. Teacher, don't worry, we haven't done this kind of surgery before. ”
Yan Xinyue was not as optimistic as him, she kept beating heart bypass surgery, just like that aortic dissection aneurysm surgery, she and Gu Feng did it, and not more than once or twice, but it was never done on living people, but on those animals.
Needless to say, everyone knows the difference between humans and animals.
"Okay, even if this is barely a try, what about his anesthesia? Malignant hyperthermia is completely uncontrollable, because once there is a high fever, even dantrolene may not be able to control it, not to mention that you don't have that kind of medicine now. ”
This problem is the key to the key, if there is no way to anesthesia, no matter how exquisite surgical skills are, it will be in vain.
However, this problem, which entangled everyone, was not a problem at all in Gu Feng's opinion.
I saw him raise his hand, and several silver needles were already shining under the shadowless lamp.
"Anesthesia does not have to use anesthetics, my Chinese medical skills are broad and profound, if the acupuncture is used cleverly and moderately, it can also play a role in anesthesia, but there is a time limit, and it is precisely because this time is very precious, so I decided to use the method of non-stop jumping to shorten the operation time, because if the establishment of cardiopulmonary bypass, the operation time will be extended, and the anesthetic effect of the silver needle will definitely not be able to delay the whole operation, so I hope that the brothers and sisters standing in front of the stage today can remember a little, after I gave him anesthesia, We have to race to complete this operation without any problems. Do you have faith? ”
Yan Xinyue looked at Gu Feng's firm eyes, although she still felt a little hung in her heart, she couldn't help his terrifying eyes, and nodded faintly in response.
Du Leixin, Bao Xinhui, Wei Songliang and others also responded.
"Yes!"
"I can't hear you!"
"Yes!"
"I still can't hear you!"
"Yes!"
The loud response made the entire closed operating room buzz, and Gu Feng nodded with satisfaction, and the silver needles in his hand kept stopping, slowly piercing into the body of Dragaf one after another.
As soon as the silver needle was pierced, after a few seconds of pause, Gu Feng said in a deep voice: "Open your chest!" ”
As soon as her hand was stretched, Liu Shiya handed over a scalpel neatly.
Gu Feng took the knife and slashed it on Toraf's chest without hesitation......
Although non-stop heart bypass surgery avoids the blow of cardiopulmonary bypass, in addition to the technical difficulty in the operation, there are still great risks, such as sudden cessation of heart beating during surgery, massive bleeding, ventricular fibrillation, infection, perioperative myocardial infarction and so on!
Of course, if the huge risk is paid successfully, the result is gratifying, the postoperative patient's recovery is very ideal, angina, myocardial ischemia symptoms can disappear immediately, there will be no chest tightness and shortness of breath and other manifestations, and the long-term effect is very good.
Generally speaking, after heart bypass surgery, patients generally recover quickly, and can be moved into a general ward in one or two days after surgery, walked on the ground in three or four days, and can be discharged in a week.
If the operation is successful, the effect is of course miraculous, but if the operation fails, as Toraf is in now, it is absolutely certain death.
So now, Gu Feng is competing with the god of death again.
The chest cavity was opened layer by layer, and when he saw the heart, Wei Songliang, who was paying close attention to the vital signs, lost his voice and said: "Doctor Gu, it's not good, the patient's blood pressure is unstable, and it has dropped rapidly!" ”