Start From Emergency Doctor

Chapter 74

“Are you… sure?”

Zhou Yuan did not know the level of the two directors of thoracic surgery, so he could only ask.

If they can do it, Zhou Yuan will naturally take the lungs of Chuchu’s father here, and they will remove the diseased lungs of Chuchu’s mother at the same time.

This is only good for transplanters.

“not sure!”

Director Lin said: “I mentioned before that the patient’s hilar fibrosis and calcification are extremely serious, very hard, and the whole is like a stone. Whether our scalpel can be cut is a problem!”

“Furthermore, the lungs are stuck to the chest wall, and a large group of diffuse shadows can also be seen on X-rays. Even cystic changes in the lungs have occurred. It is difficult to cut the knife!”

Zhou Yuan nodded.

On the lung donor side, Zhou Yuan definitely needs to do it himself, because once this lung source is lost, judging from the life expectancy of the newborn mother, it is absolutely impossible to wait for the next lung source.

“Let’s do this, I will do the resection of the donor lung. At the same time, you will open the patient’s chest acutely to clear some fine blood vessels. When I arrive, I will perform the patient’s lung resection!

“Can you…” Director Lin glanced worriedly.

Ordinary people simply can’t stand such physical exertion!

Zhou Yuan was silent for a while, touched the candy in his pocket, and remembered Chuchu.

He was stunned for a moment, his eyes became firm:

“No, it must be possible!”

…

Soon, Chuchu’s father was pushed into the operating room.

At the beginning of the beginning, 813’s mother’s psychological work was also done by nurses such as Tian Liang and Zhang Ling. In the end, she agreed to carry out a lung transplant.

Zhou Yuan was not in a hurry for surgery.

The early mother’s cardiac catheterization, coronary angiography, radionuclide right ventricular angiography, etc. were gradually improved, and everything was ready.

Zhou Yuan was followed by He Jianyi and others, all standing in the operating room, looking at Chu Chu who was sitting in the distance.

At this time, it was late at night, and there were no people in the corridor of the hospital.

The little girl sat on the chair alone, her eyes swollen from crying, she was curling her body together, trying to hug herself.

Zhou Yuan felt sour again, and a strong pain came from the bottom of his heart.

“I must succeed…”

Manpower is exhausted.

Even a master-level double lung resection may fail in the face of poor lung recipients and providers.

But… at the moment when the informed consent form was signed, my mother gave all the lives of the family to Zhou Yuan’s hands at the beginning!

Zhou Yuan does not allow his own failure!

“I will perform the operation on the donor’s lung first, and when it is about time, I will inform you to open the chest to the recipient. Except for the open chest, don’t move anything else!” Zhou Yuan said calmly.

This sentence is equivalent to taking the entire operation, all the risks and all the responsibilities on him alone.

Director Lin and others nodded solemnly.(Read more @ wuxiax.com)

At this time, they had no other choice but to believe that Zhou Yuan could create another miracle.

Dididi.

Both operating rooms began to operate at the same time.

This time it was still in the first operating room of the emergency department.

This is the place that Zhou Yuan is familiar with, and it is also the operating room where he has completed two or three operations. Zhou Yuan has not let go of all possible ways to increase the success rate.

Burn patients in the emergency department were transferred to other nearby operating rooms, and the directors of each department came to participate in the meeting for rescue.

That night, everyone in Yanjing International Hospital moved.

Operating room.

Everyone held their breath and looked at Chuchu’s father who was lying on the hospital bed shortly after his death.

After a brief silence, Zhou Yuan ordered the cryopreservation state to be lifted and the operation started.

The personnel involved in the operation.

Chief Sword: Zhou Yuan

One help: He Jianyi

Second help: Lu Chenxi

Misuke: Director Lin

Instrument nurses, anesthesiologists, etc.

The reason why Lu Chenxi is the second assistant is that this operation requires the help of Lu Chenxi. She definitely needs to participate in the removal of the donor lung, and Director Lin is at best helping to cut the tissue and provide a good surgical field.

His main role is on the mother’s side at the beginning of the year. When the surgery here comes to an end, he needs to rush to participate in the open chest as soon as possible.

Zhou Yuan glanced at the time, took a deep breath, and said, “The operation begins!”

In an instant, everyone became nervous.

Although the lung source provider has passed away, it does not mean that the lung source can be cut off casually.

When the donor lung is removed, the donor lung must be protected, and at the same time, each segment of the blood vessel must be fully exposed so as to be in good agreement with the blood vessel of the recipient lung.

In other words, this is also a major operation that requires delicate operations, and non-experts cannot do it.

Fortunately… Zhou Yuan is a master.

“Supine position, mid-thoracic incision.” Zhou Yuan said.

He Jianyi and Lu Chenxi immediately began to adjust and fully exposed their chests.

Zhou Yuan was very proficient. The scalpel dropped and opened a mouth just in the middle, and then smoothly opened the patient’s chest.

After exposing the chest cavity, Zhou Yuan first incised the pericardium and the mediastinal pleura on both sides, so that the lungs were completely exposed, and the main blood vessels such as the pulmonary aorta also appeared in the operation field.

“Pulmonary artery perfusion tube.” Zhou Yuan said.

He Jianyi handed it up.

Zhou Yuan inserted the pulmonary artery perfusion tube into the pulmonary artery, then slowly tightened the pulmonary artery blood vessel, and quickly made a simple suture at the junction of the two.

After the anastomosis was completed, Zhou Yuan began to infuse the lung protection fluid.

“Mg prostaglandin E1 was injected into the pulmonary artery, and then cold Euro-Collins solution was infused.” Zhou Yuan said quickly.

Euro-Collins solution is a commonly used donor lung preservation solution. It belongs to isotonic solution. It has similar composition to intracellular fluid and can maintain the integrity and activity of the donor lung.

Director Lin was already ready, he was about to infuse, and he was taken aback for a moment, “How much do you want to infuse?”

Generally speaking, the perfusion is about 3L, of course, the situation varies from person to person.

Zhou Yuan glanced at Director Lin, and quickly made a cut in a protruding part of the left atrium in front of the right side, and said, “Don’t worry, just do it. You can stop when the perfusion fluid overflows from the left atrial appendage of the left atrium. ”

Then he explained: “The patient’s lungs are now in a terrible condition. It is necessary to ensure that the whole lungs are filled with Euro-Collins solution!”

Director Lin’s eyes lit up: “Understood!”

On the other hand, He Jianyi quickly blocked the return of the vena cava, sealing the lungs.

Zhou Yuan glanced at the ventilator.

Currently, the patient’s lungs are in relatively good condition.

In the process of removing the donor lung, although the patient has died, the ventilator must be used to maintain the lung function, otherwise the quality of the lung will be greatly affected.

With the perfusion, the color of the donor lungs began to slowly change.

Pink, then pink and white, and finally, the entire lung becomes white.

Finally, a few drops of liquid flowed out from the opening of the left atrial appendage, followed by a continuous stream of water.

“stop.”

Director Lin immediately stopped the perfusion. .