Chapter 489 According to the original plan

In order to prepare for Fujiwara Gusheng's surgery, Song Zimo and his team stayed in the intensive care ward.

Song Zimo, who is proficient in English and Japanese, has no pressure in communication.

Moreover, Song Gongzi had a short-term study in Dongda Hospital back then, and he was familiar with this place.

It's just that the Japanese are more strange, and the case records are often mixed with some German.

Fortunately, this qualified assistant is even familiar with German, so he can't accept it.

The Japanese doctor who followed behind him, when he saw Song Zimo encounter a German word, he just wanted to help translate, but he didn't need to help at all, and the German words he pronounced were round and sound, which made the Japanese instantly embarrassed.

The assistant of the cow man is also a cow man.

With such a capable assistant, Yang Ping is much more relaxed, he doesn't have to worry about trivial things, regularly browses the report materials sent on his mobile phone, and then sends the instructions on his mobile phone.

Yang Ping stayed in the hotel and studied Fujiwara Tani's condition behind closed doors.

Huang Jiacai, Lao Cheng, and Gao Qiao, the three of them have been with them.

Lao Cheng poured water to peel apples, and when it was time to eat the fruit, the apples had been delivered to Yang Ping's hands.

Takahashi helps to find medical records, what Yang Ping wants to see, what is called up on the special screen, Yang Ping wants to enlarge the picture to enlarge, and rotate if he wants to rotate.

The medical records can almost be memorized, images and pictures, and studied back and forth I don't know how many times.

Huang Jiacai is responsible for overall scheduling, and is also responsible for keeping in touch with the people of the Ning family, for example, for their return trip, Ning Qi has arranged a special plane and can board the plane at any time.

After a large amount of coagulation factor supplementation, the coagulation function was temporarily stabilized, but immediately showed a downward trend.

It is evident that the time for clotting factors to survive in the body becomes shorter and the consumption is accelerated.

Moreover, coagulation factors cannot be supplemented indefinitely, and once excessive, it will also bring bad consequences.

The latest CT and MRI images are passed one by one like snowflakes, which makes people overwhelmed.

"Take a break, won't you?"

Lao Cheng was a little unbearable, this was high-intensity mental work.

Takahashi also suggested, "Let's take a break." ”

Rest and rest!

I won't go to the afternoon meeting, just rest in the hotel and wait until 8 o'clock in the evening for surgery.

Yang Ping took off his shoes, curled up on the sofa, and took a break.

Lao Cheng took out a thick quilt from the room and covered Yang Ping, and Gao Qiao pointed to the temperature displayed on the control screen in the room: "The heating is all up to 30 degrees, and the cover is so thick." ”

Lao Cheng put on a thin quilt again.

When Dr. Yang is resting, everyone should not disturb him, but keep quiet, Lao Cheng is very familiar with Yang Ping's living habits.

So the three of them sat in the living room of the hotel suite, guarding Yang Ping, looking at each other without speaking, and the atmosphere was a little awkward.

---

Coagulation dysfunction, horrific bleeding, became the biggest obstacle to surgery.

Hemostasis! Hemostasis! Perfect hemostasis! Operating room in the system space.

Familiar with the operating table, familiar with the robotic arm assistant, lying on the table is the experimental subject of Fujiwara Tani.

The cases replicated by the system are the real cases that are replicated instantly.

That is, the laboratory lying on the operating table now, is exactly the same as Fujiwara Tani, who had just copied that moment.

The clotting time is prolonged, and the bleeding lasts for more than five minutes, even if the pinpin is punctured through the same hole.

Sterilize the sheet just like the usual surgery, and then Yang Ping starts the operation.

The incision of the skin and the opening of the spinal canal to the base of the skull are too familiar to be more familiar.

The scalpel cut the upper cervical spinal cord and medulla oblongata, and blood immediately gushed everywhere in the section, and the bipolar electrocoagulation in Yang Ping's hand accurately dotted the section at a very fast speed.

The bleeding point is all eliminated, and this hemostatic point is reached, and the position of the bipolar electrocoagulation contact bleeding point must be accurate, without error, and the duration cannot be too long, otherwise it will bring burns to the surrounding tissues.

This is too difficult, even if the bleeding can be stopped quickly, it cannot avoid the burn of the bulbar tissue due to the severity of the manipulation.

The principle of double-click electrocoagulation to stop bleeding is to constrict and carbonize the end of the bleeding vessel, and then race, and if it is not well controlled, it may cause burning and active carbonization of the surrounding tissues.

With so many bleeding spots, each bleeding point increases the burn, and all the bleeding points add up, the damage to the medulla oblongata is fatal.

It's a human surgery.

Even if a supercomputer controls the laser for spot welding, it cannot be so precise and delicate.

Yang Ping calmed down, stabilized his hands, and barely finished the operation.

The hemostasis was satisfactory, but it was far from meeting the requirements for success.

Subject was declared dead due to a small amount of bleeding after surgery.

Yang Ping was not discouraged and continued the operation.

After doing five units in a row, the patient either died during the operation or died after the operation, and there was almost no possibility of success.

You see, one cannot step into two rivers of the same kind.

Similarly, there must be differences in each test subject, even if the differences are very small, and it is impossible for the tissue profile to be exactly the same every time Yang Ping cuts it.

This does not guarantee that the bleeding point will be exactly the same for each profile.

As long as there are different new and unknown bleeding points, it is impossible to stop the bleeding best.

If you want to achieve truly perfect hemostasis, unless you do it now, when you cut the medulla oblongata and the upper cervical cord, each knife is the same, and the bleeding point of the profile is the same, so that when the bleeding is stopped, muscle memory can be formed.

How hard it is!

It's like quickly stacking dozens of smooth iron balls, one by one, all the way up to base.

Yang Ping didn't want to give up, as long as there was a glimmer of hope, he wanted to give up.

He counted the points, and it was enough.

So I went on to buy replica test subjects, five, ten, twenty---

And so it goes.

The terrible thing is that this kind of repetition is so that each incision has the least difference and the greatest degree of similarity, so it can only be repeated over and over again.

Yang Ping truly experienced the process of water drops and stones.

No matter what differences Fujiwara Tani's subjects may have, their anatomy will not change, only their state and function.

The anatomy remains the same, and the natural distribution of large and small blood vessels will definitely not change.

As long as each knife is cut and can be reproduced repeatedly, then those bleeding points are fixed, and then you can achieve perfect hemostasis.

Yang Ping became more and more confident, and the memory of the brain, the memory of the muscles, and the gradual repetition of the formation of memory.

The management of bleeding has improved from time to time.

The test subject is constantly consumed, I don't know how many surgeries have been performed, and every time I make an incision, I don't need to look at it at all, I don't have to think about it, the bipolar electrocoagulation points to the bleeding point, and the position and strength are very accurate.

Finally, the surgery was done.

Yang Ping saw that on the monitoring instrument, the vital signs were stable, and Fujiwara Gusheng was finally alive.

Yang Ping continued surgery to strengthen this memory.

Moreover, after each operation, he observed the subject for one day, two days, and three days--- and observed that he was in danger of getting out of the experiment until he could, ensuring that there would be no postoperative bleeding.

Until I was satisfied, I don't know how long I stayed in the system space, and I was extremely mentally exhausted and on the verge of collapse.

Coming out of the space operating room, Yang Ping curled up on the sofa and really began to sleep.

The psychological fatigue of the system space can be alleviated by the rest in reality, which is the law of the system.

Fujiwara Tani's coagulation factor transfusion is close to the limit and must be suspended to ensure that the coagulation factor transfusion can continue after surgery to regulate the coagulation function.

When I woke up, it was already five o'clock in the afternoon.

The Asia-Pacific Orthopaedic Association Forum has ended, and Professor Liang, Professor Su, and Professor Qin have all returned to the hotel and started to prepare to leave Japan early the next morning.

They heard that Yang Ping was resting, and they didn't want to disturb him.

knew that Yang Ping had another operation at night, and he did it against absolute contraindications to surgery.

"What time is it?"

Yang Ping woke up.

"Half past five!"

Lao Cheng has been sitting in the living room, guarding Yang Ping, and he doesn't even dare to blink his eyes.

"Nothing, right?"

Yang Ping rubbed his eyes and rested well.

"It's fine!"

Lao Cheng has been guarding it, Song Zimo has something to call, he must know.

Yang Ping took out his mobile phone and looked at it, Xiao Su had already come back from shopping and helped him buy some gifts, they knew that Yang Ping was resting and didn't come in.

"Mr. Fujiwara called, and the supercomputer of the University of Tokyo has been simulating President Taniyu's surgery today--- "Takahashi looked a little embarrassed.

"How did it turn out?"

Yang Ping asked.

"All died due to uncontrollable bleeding during the operation, it is said that it was simulated 10,000 times, no exceptions!"

Takahashi frowned, waiting for Yang Ping's reaction, whether the operation would still be done.

"Ten thousand? So many times! ”

Yang Ping's tone was very flat, and he was not surprised at all.

Simulating surgery with a supercomputer is nothing new.

The Americans, the Germans are doing this.

After all, the human body is so complex, and many parameters are not understood, and the computer's modeling must be distorted, and no matter how you simulate it, it will be like that.

"Dr. Yang? Professor Fujiwara will come to see you soon and bring you the materials of today's simulation? --- surgery go according to plan? ”

Takahashi was cautious, thinking that Yang Ping had just woken up and was a little ignorant.

"As planned!"

Yang Ping was relaxed.