Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 13 Arterial Dissection, Only 15 Minutes!

“Sister Juan, get ready for the operating room.”

Qin Feng changed Liu Juan’s position and said to her.

“I’ll go right away! Xiao Zhang, smile, come with me.”

Liu Juan nodded and took the two nurses into the operating room to make preparations.

Rupture of the aorta, this situation is too dangerous, and it will kill people in minutes if you are not careful!

After two or three minutes, the little girl’s situation was finally under control.

But the shock did not end, just maintained the vital signs.

soon,

Director Zhou of the emergency department and Director Zhang Fan from the heart of the heart had already rushed over with a subordinate, and the intensive care director of anesthesia and ICU was also present, and the consultation began immediately.

All the patient’s examinations were taken out and explained in detail to the doctors present.

“Now the patient’s descending aorta has ruptured and he has lost a lot of blood.”

Qin Feng looked at Director Zhou and Director Zhang Fan in front of him, and said solemnly.

“It must be operated immediately. My recommendation is to replace the descending aorta artificial blood vessel!”

“This is indeed the most suitable solution at the moment, but…”

Director Qi of the ICU looked at the inspection report in his hand and suddenly turned to Director Zhang Fan next to him.

“Lao Zhang, this operation is very difficult. The patient is young and has a thin cardiovascular system. When artificial blood vessels are replaced, complications are prone to occur, especially when the spinal cord is urgent for ischemia.

I estimate that you only have 15 minutes. Once the time is exceeded, avascular necrosis of the spinal cord will cause paralysis of the lower body or the whole body.

Can you have time? ”

As the voice fell, everyone focused on Director Zhang Fan.

“Cao Ke went to the province to have a meeting, and now I am the only one who can take charge, otherwise, what else can I do?”

Director Zhang Fan frowned when he heard what he said, and said angrily.

Director Qi nodded quickly: “The old Zhang, I understand what you mean, I just want to ask who is the candidate for help?”

“Cui Yong, he is a student of Cao Ke, and he also helped me and Cao.”

Zhang Fan looked at the doctor beside him.

Seeing Zhang Fan’s fancy gaze, Cui Yong straightened his waist and straightened his chest.

“All right, you can be sure, what about Second Help?”

“Let Qin Feng come on.”

As soon as Director Qi finished speaking, Zhou Xianren took the lead to speak.

“I don’t need to say more about him, and he discovered that the patient was brought to the emergency department, so he asked him to learn from Lao Zhang.”

After that,

All eyes instantly focused on the handsome cheek in the first place.

Qin Feng was also a little surprised, Director Zhou unexpectedly took the initiative to help him grab the second assistant’s place.

Has he not had time to speak yet? !

“No problem, I agree.”

Seeing Qin Feng, Zhang Fan nodded in satisfaction.

When Deputy Director Chen Yuanfang had an accident last time, Qin Feng’s perfect blood vessel suture technique made him unforgettable until now.

It’s so beautiful!

Um?

Isn’t he the best candidate for a help?

Alas, forget it, who made Cui Yong a student of Lao Cao.

If Lao Cao came back to find out that he hadn’t brought an extra-cardiac surgeon to an extra-cardiac surgery, but instead let the emergency department help him, he would definitely be unhappy.

Sometimes the various departments of the hospital are also very realistic, after all, it is necessary to train the talents of their own departments.

And talent, in addition to talent, also needs experience…….

“Yiyi! Where’s my Yiyi!”

Just as everyone was ready to wait quietly outside the operating room, a rushing voice sounded.

“coming.”

Everyone immediately walked over after hearing the sound.

“Are you Qiao Yiyi’s mother?”

Zhang Fan spoke first.

“Yes, yes, where is my daughter? How is she?”

When the woman heard the name, tears burst into tears, and she grabbed him and asked.

“I’m Zhang Fan, the director of the Department of Cardiac Surgery at the First City Hospital. Your daughter’s arterial dissection has ruptured and it will be life-threatening at any time and must be operated on immediately.”

Zhang Fan quickly explained,

“Now we need you to sign for the operation, so if you want to save your daughter, sign it quickly.”

When the woman heard the words, her face was pale, her legs softened and she almost slumped on the ground.

Qin Feng stretched out his hand to hold it, and saw that her dress and appearance were not ordinary people.

Quite a woman of temperament!

The woman suddenly thought of something, panicked and took out her mobile phone and dialed a number.

“Hey, my daughter has a ruptured artery. It’s dangerous. What should I do?”

“I’m in the No. 1 Hospital of the city now, the doctor is right in front of me, woo woo woo~”

The opposite man didn’t know what he said, the woman cried harder and hung up the phone.

“Me, my husband said that he brought an expert from the province over and… to wait for him to come.”

Hearing her words, everyone suddenly frowned.

What is this called?

Bring experts from the province?

“How long will it take for your husband to arrive?”

“Half…half an hour.”

As soon as the woman’s voice fell, everyone was speechless.

This is not knowing the severity of artery rupture at all!

If it hadn’t been for them to quickly control the condition, the little girl would be dead now.

“I can only tell you that your daughter may not be there anymore in half an hour, I can’t wait!”

Upon seeing this, Director Zhou also said with a serious expression.

“Your daughter’s illness will be more dangerous if it drags on for a minute, so make a decision quickly.”

“Okay, I sign, as long as it can save my daughter’s life.”

After a moment of silence, if the woman finally compromised, she tremblingly signed the surgical consent form.

Seeing the woman’s signature, everyone was relieved.

Operating room,

The little girl was already lying on the stage and was under general anesthesia.

Standing in the second assistant’s position, Qin Feng quietly watched Director Zhang Fan start the operation.

“It’s 6:58 in the afternoon, and patient Qiao Yiyi has an artificial blood vessel replacement operation for the descending aorta.

Start now! ”

The main knife Zhang Fan sounded, and the scalpel made an incision on the posterolateral side of the little girl’s left chest, and entered the chest cavity from the sixth or sixth intercostal space.

This time, the “simple blocking method” is used, which is to block the descending aorta at the upper and lower ends of the aneurysm at room temperature, and after the aneurysm is excised and incised, the artificial blood vessel is transplanted.

The danger that needs to be avoided is that once the aorta is successfully blocked, the burden on the left heart will increase, and at the same time it will cause the aorta to block the important organs at the distal end.

Such as the liver, kidneys, spinal cord, etc., especially the spinal cord at the greatest risk!

This is the most susceptible to ischemia and hypoxia. After other organs are blocked, the tolerance time is more than 30 minutes, but the spinal cord only has half the time!

Once the tolerance time is exceeded, brain cells will die, causing irreversible and serious damage.

……

Squeaky~

As the sternum was opened, Zhang Fan skillfully cut off the rear end of one of the upper ribs, enlarged the incision, and exposed the surgical field of vision.

A young beating heart appeared before everyone’s eyes.

really!

The artery ruptured and he bleeds massively.

There is already a lot of fluid in the pleural cavity and needs to be cleaned up immediately.

“The situation is really serious, let’s start drifting away.”

Zhang Fan frowned slightly and said calmly.

Be very careful in this step, because the arteries are attached to the lungs. Once something goes wrong, the lungs will be damaged.

Bleeding into the lungs is an embolism, which can be extremely fatal.

In addition, the patient is very young, all organs are not fully developed, and the degree of detail is better than that of ordinary people.

Qin Feng watched Zhang Fan start to free the tissue, slowly and cautiously.

5 minutes……

10 minutes……

20 minutes……

Finally successfully dissociated two-thirds of the organization.

“Wiping sweat.”

Zhang Fan paused and said in a low voice.

The nurse on the side quickly moistened the fine sweat beads on his forehead so that it could not affect his eyes.

It took a full half an hour to finally free all the tissues.

The dissection of the aorta fell off and was successfully peeled off!

“Huh~”

Director Zhang Fan retracted the equipment and exhaled deeply.

Such a young child has dissection of arterial tissue, even if he has been in the doctor for decades, he rarely encounters it.

It was much slower than he imagined, wasting 2000cc of blood.

However,

What’s more difficult is yet to come. The patient’s arteries are very thin.

This is the most challenging place!

Next proceed to block the aorta.

“Okay, intravenous injection of heparin 1.5mgkg, sodium nitroprusside, lower blood pressure…”

When the nurse heard the words, he quickly started the operation and injected the injection into the patient’s body.

After ten seconds, the arterial pressure began to gradually decrease and stabilized at 90-100mmhg.

“I’m going to start blocking.”

Zhang Fan glanced at Cui Yonghe beside Qin Feng on the opposite side, with serious eyes.

This is a key race against time.

Because he has only safe time: 15 minutes!

……

Outside the operating room,

There was a rush of footsteps, and the man in the front was in a straight suit and flushed.

There were two or three people behind him, one of whom was about fifty, and the man with a shiny forehead frowned.

“Yiyi, where is Yiyi?”

Hearing the call, the woman pacing back and forth at the door of the operating room raised her head like lightning and rushed over.

“Husband! Yiyi is undergoing surgery.”

“Didn’t I say it! Are you doing it when the expert I hired arrives?”

When the man heard this, he suddenly roared in sullen expression.

“Who made the operation? Can you be held accountable if something goes wrong?!”

“Sir, don’t worry, I’m Zhou Xianren, director of the emergency department.”

Zhou Xianren in the observation room heard the sound and walked out, his eyes a little displeased.

“Your daughter is in a critical condition. If she didn’t undergo surgery in time, she would be gone now.”

After speaking, he handed over the inspection report.

The somewhat flattened middle-aged man beside the man reached out and took it, and after a brief look, his expression suddenly became solemn.

“Mr. Joe, your daughter’s condition is indeed dangerous. The aneurysm has ruptured.”

After reading it, he shook his head at the man and said in a low voice.

Hearing his words, the man calmed down.

Even the experts I hired said so, it seems that the situation is really serious.

“Director Zhou, right? Hello, this is Liang Donglai, who is outside the heart of Jinling First Hospital. I want to ask who is operating on the patient?”

The man took the initiative to stretch out his hand and asked Zhou Xianren.

“Hello, it is the director of our hospital, Zhang Fan.”

Director Zhou heard that this was the expert from the province.

“Oh? Is it him?”

Liang Donglai’s eyes lit up when he heard the words and nodded.

“Zhang Fan is my classmate and one of our experts outside Jiangsu Province

How long has the operation started? ”

“About 35 minutes.”

Zhou Xianren glanced at his watch and said.

“That should have been peeled off, and the artery has begun to be blocked.”

Liang Donglai nodded and groaned, then raised his head and asked.

“Director Zhou, can we go into the observation room to see the operation process?”

“this……”

“I know your deputy dean very well, why don’t you make a phone call?”

“No, family members have the right to watch the operation, but don’t affect it, come in.”

Zhou Xianren nodded and opened the door of the observation room.

At this time, on the monitor,

Zhang Fan has placed blocking forceps on both ends of the arterial dissection.

success!

“Attractor!”

In the next second, the scalpel cuts through the artery, quickly cuts the dissection site, the suction device sucks the blood, and sutures the arterial incision in the right intercostal space.

All in one go!

“Artificial blood vessel, hurry!”

Zhang Fan stretched out his palm and looked serious.

The nurse tore open the artificial blood vessel and handed it to his hand.

“4-0 polypropylene thread!”

After placing the artificial blood vessel, the proximal anastomosis is quickly started.

As soon as he was about to put the needle, Zhang Fan stopped in mid-air, and suddenly his eyes turned white.

Hum~

not good!

Qin Feng’s eyes changed and he found something wrong.

The stitches on Zhang Fan’s pliers suddenly began to tremble inexplicably.