When Zhong Kunwei came out of the operating room of the emergency department...

He told Sun Jianguang's eldest daughter Sun Yulan in a grand manner that Sun Jianguang's rescue operation was very successful, and he had turned the corner and survived the sadness.

Sun Yulan was crying with joy when she learned that her father was out of danger of life, but she found that the admission and transfer notice handed by Director Zhong was different, because her father was injured by trauma, and since he was rescued, he should naturally be transferred to general surgery, but his face clearly said that he was transferred to the heart of the provincial affiliated hospital.

When Sun Yulan asked Zhong Kunwei, Zhong Kunwei did not tell her the truth directly, but Tang Sai said that during the operation, he found that Sun Jianguang's heart may have some problems, but as for what the problem is and how serious the problem is, it must be diagnosed by a cardiac surgery expert.

His words were very formal and ornate, but no matter how nice they were, they were only to cover up the fact that he was incompetent.

Sun Yulan had no choice but to send her father to cardiac surgery with the medical staff and police.

After being admitted to the Department of Cardiac Surgery, Director Pang of the Department of Cardiac Surgery had already come to take over as soon as possible and examined Sun Jianguang.

It's just that when Director Pang dropped the stethoscope into Sun Jianguang's left chest, he couldn't help but be startled.

The normal heart is usually on the left chest, and it stands to reason that a clear and loud beating sound can be heard here, but Sun Jianguang's chest heartbeat cannot be heard at all, and Director Pang, who has been engaged in cardiac surgery for decades, immediately realized the seriousness of the problem.

He hurriedly ordered the doctor to carry out a systematic examination of Sun Jianguang, and then when he returned to the office, he immediately called Zhong Kunwei, who presided over Sun Jianguang's trauma surgery.

To others, Zhong Kunwei may still be vague, but for Director Pang, he can only truthfully tell him that he sees the situation in Sun Jianguang's chest.

It's just that when he finished talking about this situation, he was ceremoniously despised by Director Pang, because it's not your fault that you're incompetent, but it's really a great crime to be incompetent and want to cover up this incompetence.

Zhong Kunwei's correct approach should be to notify the cardiac surgeon to come to the consultation as soon as he finds that the situation in the chest cavity is different, and perhaps, with the help of the cardiac surgeon, the tumor can be solved as soon as possible to avoid the patient's second operation. Even if it can't be solved on the spot, it can also allow the cardiac surgeon to understand the patient's condition more thoroughly, so as to better carry out the diagnosis and treatment, but now that it has been hastily repaired, you old bastard is alone, but it has caused great trouble to others.

Director Pang didn't listen to Zhong Kunwei's words, and after listening to the introduction of his condition, he hung up the phone without saying a word.

Although Zhong Kunwei sent him a big trouble, he didn't think about kicking this trouble to other doctors, because there was really no one to kick it.

Cardiac surgery is completely Sun Jianguang's terminus, whether he can leave alive or not, then he can only do his best to obey the fate of heaven.

With Zhong Kunwei's confession...... No, it should be said that it is a medical introduction, and the examination is not only systematic, but also targeted.

So it didn't take long for the results of various examinations to come out, and Director Pang's diagnosis of Sun Jianguang had already come to a conclusion: a huge tumor in the heart.

After X-rays, B-ultrasound, T, RI and other examinations, it was found that the heart that was originally on the left side of Sun Jianguang's chest cavity was gone, and was replaced by a sac the size of a football that could not beat, and it was preliminarily estimated that this mass was not less than ten kilograms, almost twice the size of a normal heart.

Under the display of the heart Doppler instrument, the spherical tumor is located in the original left atrial wall, about ten centimeters in diameter, with a slight tremor in the heartbeat, there is a possibility of falling off and breaking at any time, if this happens, Sun Jianguang will definitely die.

Director Pang immediately convened a meeting of the elite backbone of the whole department to study Sun Jianguang's treatment plan.

There is basically no doubt about this condition, and there is only one way to treat it, and that is surgery, which cuts out the huge tumor and repairs the damaged heart.

However, this kind of surgery must be carried out under the condition of establishing cardiopulmonary bypass, but now the heart does not know where it is squeezed by the tumor, although it is easy to find the heart, and then find the heart-lung large blood vessels from the heart to establish cardiopulmonary bypass after finding the heart that I don't know if it is damaged, it makes the operation extremely difficult. And this is only the first step, it can be regarded as a preoperative preparation.

Although the difficulty was very high, the experts in cardiac surgery were able to cope with it and barely carry out the operation, but at this time, another examination report came back from the laboratory department, and Sun Jianguang was severely heparin-resistant.

It is well known that cardiac surgery must be carried out after effective anticoagulation before cardiopulmonary bypass is established, and heparin is commonly used as a drug for anticoagulation, but the sensitivity of patients to heparin anticoagulation varies greatly, and a very small number of patients are even resistant to heparin.

If heparin is resistant, the blood cannot be anticoagulated, and insufficient anticoagulation can lead to depletion of coagulation factors, extensive thrombosis, and even post-cardiopulmonary bypass coagulopathy during cardiopulmonary bypass.

During the application of heparin, a very small number of patients will develop drug resistance, but unfortunately, Sun Jianguang's unlucky urging is one of them.

If heparin is seriously resistant, then anticoagulation is not guaranteed, and if anticoagulation is not guaranteed, then cardiopulmonary bypass cannot be established, and cardiopulmonary bypass cannot be established, then the difficulty of this operation is so high that it must be carried out in a state of non-stop heartbeat.

However, for this kind of surgery performed in a state where the heart is constantly beating, only Director Pang has similar experience in the entire cardiac surgery, and the number of times is pitiful!

Only once, with the help of the old professor who had returned from overseas, it was reluctantly completed.

Now, the old professor has passed away, and although Director Pang has the courage to perform this operation, he is sure of success...... He didn't dare to say anything to Ben!

This is a very typical case, such a large heart tumor can be said to be a rare occurrence in ten years, Director Pang is very willing to challenge this level of difficulty of surgery, but the problem is that it is difficult to support the beam alone, and it is not possible to rely on him alone, so in the end, he can only shake his head and sigh.

When Director Pang was distressed and entangled, the student he brought out with one hand and one foot, Dr. Zheng Jinan, reminded him in a low voice: "Director, have you forgotten that Dr. Gu in the Department of Traditional Chinese and Western Medicine has completed a case of heart bypass surgery. In addition, the non-stop heart beating surgery is being carried out as an important project in our hospital. ”

Director Pang couldn't help but smile bitterly when he heard this, how could he forget about this kid Gu Feng?

As soon as he learned that Sun Jianguang was heparin-resistant, he thought of heart non-stop surgery, and then thought of Gu Feng!

It's just that the impression given to him by this kid was originally just between good and bad, but after the operation of the Swedish prince Toralf, Director Pang's impression of Gu Feng has deteriorated a little.

However, the reason why he has an opinion about Gu Feng is not entirely because he completed the heart beating bypass surgery, nor because he has become the deputy leader of the key surgical project, but because Gu Feng has not taken the initiative to come to him whether he is doing the operation of Torav or in the research of the key surgical project led by Dean Zhou later.

Gu Feng's attitude made Director Pang think that this kid was arrogant and arrogant, and his eyes were above the top, and he didn't take him as the director of cardiac surgery in his eyes at all.

Now, let him pull down his old face and ask Gu Feng to assist him in carrying out the operation, he is really reluctant and embarrassed, and he is even more afraid of a hot face and a cold buttocks, you must know that who in the whole hospital does not know that kid's stinky temper, if he is a cow, it will not even give the face of the dean.

Zheng Jinan saw that his teacher's face changed back and forth, as if he was extremely hesitant and could not make a decision.

Thinking of the teacher's cultivation of himself, from the school to the hospital, from the resident doctor to the attending doctor, the teacher can be said to be painstaking and painstaking.

Zheng Jinan, who knew what this operation meant to Director Pang, took the initiative to speak: "Director, why don't I go find Gu Feng and talk to him!"

The students brought out by himself were really intimate, Director Pang personally invited them, and he was indeed a little embarrassed, but if Zheng Jinan came forward, it would be better, but he still said with some hesitation: "Jin'an, do you say this kid is willing to come?"

Zheng Jinan took it for granted and said: "Director, this is a normal consultation between departments, why does he refuse to come?"

Director Pang shook his head and said, "This is not possible. ”

Zheng Jinan said, "No matter what, I have to try it, if the director can complete this operation, it will be a step further in the field of cardiac surgery, and those people in the Provincial People's Medical Cardiac Surgery will not dare to say that our Provincial Affiliated Medical Cardiac Surgery is eating old rice." ”

Director Pang thought of the ridicule and ridicule of the director of the cardiac surgery department of the Provincial People's Medical Center every time he saw him, and finally nodded: "Okay, you go!"

Zheng Jinan nodded, "I'll go and explain the condition to the family in a while, and then I'll go and ask Doctor Gu!"

Director Pang bowed his head and asked, "Are all the patient's family members here?"

Zheng Jinan shook his head, "Only his eldest daughter came, and she said that her sister was rushing back from abroad." However, I heard that this mayor ......"

Director Pang waved his hand, "In my eyes, there are only patients and diseases, no identity, whether he is the mayor or a prisoner, as long as he comes here, then we must do our best to treat his disease." ”

Zheng Jin was relieved and hurriedly said, "Got it, director." ”

Director Pang said: "That's okay, you go, communicate well with your family, Gu Feng's side, you have to communicate well, although he is still only a resident doctor, the level is lower than you, but he is the head of a department, and he also has the titles of academician and doctor, and behind him stands Dean Zhou,--Piao Astronomy--much higher than you, and in time it may be at the same level as you, so you have to befriend him, don't be an enemy!"

Zheng Jinan knew the severity, quickly nodded yes, and then left the director's office to find the patient's family......

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