Deadly 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, Chen Ling, Yan Xinyue and 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 Chen Ling and shouted, "Doctor Chen, 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 Chen Ling turned a deaf ear, his hand that was washing did not stop, and he didn't raise his head but said in a sonorous voice: "No!"

Dean Zhou was angry, "Dr. Chen, you actually want to do non-stop coronary artery bypass grafting on a patient with malignant high fever, aren't you so whimsical?"

Chen Ling was unmoved, and said in a calm voice: "Dean, I personally don't think so. ”

Dean Zhou was so angry, "You still don't think so, what about anesthesia? Anesthesia is a big problem, without anesthesia, how can you operate on patients." ”

Chen Ling replied calmly: "I will naturally find a way to deal with this." ”

Dean Zhou roared almost like thunder: "What do you think of? What do you think of? I have never heard of anyone who can administer anesthesia on a patient with malignant hyperthermia." ”

Chen Ling didn't have the heart to explain to him, "If I say a way, there is a way!"

Dean Zhou was almost so angry that he vomited blood, "Okay, even if you can anesthetize him, but have you considered it, this non-stop heart bypass surgery is not mature for our hospital, and even Vice President Pang doesn't dare to carry it out easily, do you really think you are better than him?"

Chen Ling didn't answer, just continued his washing, washing.

Lin Zixuan couldn't help it, and opened his mouth to persuade politely: "Doctor Chen, you know how risky this operation is, why do you insist on going your own way? You don't think about yourself, you also have to think about the reputation of the hospital! In doing so, you not only put yourself on the fire, but even pushed the entire affiliated doctor into the fire!"

Chen Ling 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 will say that I am a temporary worker, anyway, what responsibility do I have, I will bear it alone, so it will always be okay, right?"

The dean was so angry that he couldn't cry or laugh, "Doctor Chen, why are you doing this!"

Chen Ling 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, and I must not die without help." ”

The dean finally couldn't help but start a fire and shouted, "You are not allowed to go!"

Chen Ling said even louder: "I have to go!"

Seeing that he couldn't stop him, the dean yelled at the others who were lined up with Chen Ling: "This operation, without my permission, no one will do it, whoever wants to mess around with Chen Ling, I will fire him!"

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”

Chen Lingli ignored it, washed his hands, turned off the water faucet with his elbow, and then opened the door of the isolation room with his butt and entered the operating room.

Yan Xinyue groaned for a moment, then raised her hands that had been poisoned, and followed Chen Ling 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!

When Dean Zhou saw that these two people regarded their words as wind in their ears, he 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 and yelled, and he was about to rush into the operating room.

Lin Zixuan hurriedly stopped and said, "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.

Chen Ling glanced at the clock on the wall, it was exactly twelve o'clock at noon.

Toralf's vital signs, although low-risk, were able to keep his heartbeat under the two-pronged approach of giving him blood and heart medication.

Before the operation began, Yan Xinyue couldn't help but ask worriedly: "Chen Ling, are you sure you really want to use the non-stop bypass?" My suggestion is to be safe and establish cardiopulmonary bypass!"

Chen Ling nodded without thinking, "His coronary artery stenosis is hereditary, the myocardium is originally ischemia, if it stops, 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 is not as optimistic as him, she keeps beating heart bypass surgery, just like that aortic dissection aneurysm surgery, she and Chen Ling have indeed done it, and not more than once or twice, but by no means on living people, but on those animals.

People and moving

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Needless to say, everyone knows the difference between things.

"Okay, even if this can barely be tried, what about his anesthesia? Malignant hyperthermia can't use anesthetics at all, because once there is a hyperthermia, even with dantrolene, it 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 Chen Ling's view.

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 the role of anesthesia, but there is a time limit, and it is precisely because this time is precious, so I decided to use the method of non-stop jumping to shorten the operation time, because if the cardiopulmonary bypass is established, 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 must compete for the best and complete the operation without a little situation." 。 Do you have faith?"

Yan Xinyue looked at Chen Ling's firm eyes, although she still felt a little hung in her heart, but she couldn't help his intimidating 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 Chen Ling 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, Chen Ling said in a deep voice: "Open your chest!"

As soon as her hand was stretched, Liu Shiya handed over a scalpel neatly.

Chen Ling 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, Chen Ling 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 Chen, it's not good, the patient's blood pressure is unstable, and it has dropped rapidly!"

Tollaf's ribcage had just been opened, and his vital signs had plummeted.

Looking at the precarious life instrument, Bao Xinhui, who had always rarely spoken, couldn't help but say, "Doctor Chen, the patient's condition is very bad, should you stop the operation immediately!"