At this time, the ambulance has been driving very fast.
But I don''t know why, Ma Yuehui still feels a little slow!
He wants Ferrari to make an ambulance!
incorrect!
He felt that there should be a new event in F1, that is, the emergency vehicle speed competition.
Looking at the sweat on Ma Yuehui''s head, like the self sweat of Yang deficiency, Xu Aiqing took a deep breath and felt that he should persuade the big brother team leader: "old ma, I''ll give you a suggestion."
Ma Yuehui was stunned and turned to look at Xu Aiqing: "what advice?"
Xu Aiqing said earnestly, "you are not a young man either. Pay attention to moderation. It''s not like I said you... Whose man is so empty at the age of 40? I have to talk to my sister-in-law about it another day!"
Ma Yuehui was stunned and didn''t react for a while.
But someone reacted. The patient lying on the ambulance couldn''t help laughing: "ha ha... Ouch... Ouch! Doctor, look, I''m bleeding, I''m bleeding!"
Originally patronizing the smiling patient, suddenly found that the wound was broken open?
Ma Yuehui also just reacted. He glanced at the patient and wanted to say that he deserved it!
……
……
Chen Cang looked at Qin Fang and his wife and explained all the situation: "this is the case now. You have to make a decision!"
Qin Fang''s husband looked at Chen Cang and took a deep breath: "doctor, I believe you!"
Qin Fang also nodded: "don''t worry about it. I don''t want my children to do it in the future..."
Looking at their trusting eyes, Chen Cang nodded and left. At the moment of turning around, Qin Fang behind him was already in tears.
Perhaps, this may be the last reunion between her and her children
And Chen Cang also felt heavy trust and hope.
This battle is sure to win!
……
In the operating room, anesthesiologist Zhou he has begun to prepare.
If he wants to do such an operation well, and the child is only 5 years old, he must consider it carefully!
Here, Zhang Yuan and Yang Hui are sweating!
Seeing that their hats were wet, Chen Cang suddenly asked curiously, "are you nervous?"
Zhang Yuan was stunned, unable to laugh or cry. He was very tired!
Worse than nervous!
For the first time, they expect the operation to start quickly!
The anesthetic gradually took effect. Chen Cang looked at the child''s red eyes, closed them and took a deep breath.
Took the scalpel from the little nurse.
In the affectionate encouragement of the little nurse, Chen Cang clenched his hand.
Chen Cang has done this kind of operation in the special training space. I don''t know how many sets, and he is familiar with the road.
This kind of operation has a time limit. Once it takes too long, it will cause cardiomyocyte necrosis, and even all kinds of trouble will follow!
Regular chest incision and thoracotomy!
Then cut the happy bag decisively!
It''s almost no different from normal surgery!
The purpose of the operation is easy to describe. In fact, it is very simple. The one-way door of the two rooms is damaged. It was originally a whole and can work smoothly driven by the door shaft.
But now the door is scattered, and even part of it is not connected with the door shaft.
So at this time, we need to sew the door with a needle and thread.
Of course, you can also change this door directly!
However, this is not mitral valvuloplasty, but mitral valve replacement.
As early as the 1960s, after the application of artificial valve in clinic, plastic surgery was almost replaced by valve replacement.
However, practice has proved that the artificial valve is not ideal enough, and there is a certain potential risk after valve replacement. In recent years, plastic surgery has an increasing trend.
Mitral valvuloplasty aims at restoring the physiological function of mitral valve and correcting the insufficiency caused by valve disease.
For this small patient, choosing valvuloplasty is not only low cost, but also more effective in the long run!
Don''t underestimate this valve. It''s very expensive! Although it''s only fart... For this family working in Beijing, Chen Cang should also be considered.
In fact, sometimes, doctors need to consider a lot of things, not just seeing a doctor!
Looking at the moving heart, at this time, Yu Yong just asked me to choose hypothermia surgery, which can reduce the difficulty of surgery!
A nurse looked at Chen Cang, stuck the watch and looked at the time: "Dr. Chen? Start?"
Chen Cang took a deep breath: "start!"
The clock countdown starts in 15 minutes!
Even if the operation cannot be completed by then, it must be abandoned.
Time began to pass like an hourglass.
Chen Cang stared at his heart and chose the cutting point.
Zhang Yuan, who fixed the tractor on one side, was also a little nervous. This was the first time in his life that he saw someone perform heart surgery without stopping beating. He was a little nervous.
The same is true of Yu Yonggang. He has been studying the series of non-stop heart surgery over the years, but now he is just getting started.
He didn''t expect Chen Cang to do it!
For Yu Yonggang, there are some expectations.
Zhou he stared at the patient''s vital signs and made all kinds of preparations at any time.
No one dares to relax half a minute in this operation!
After cutting the heart, Chen cangguo cut off the mitral valve!
Time does not allow people to hesitate.
With the help of the system, Chen Cang quickly found that he had been prepared by four-dimensional echocardiography. Suddenly, he underestimated the damage degree of the mitral valve!
Rupture of mitral chordae tendineae!
Especially the rupture of the main tendon of the anterior lobe, what should we do?
Chen Cang said directly, "the chordae tendineae of mitral valve is broken!"
Yu Yong was shocked when he first stopped. The rupture of tendon is not a good thing.
"Do you want to change the cardiopulmonary bypass machine?" Lao Yu frowned at Chen Cang.
In case of tendon rupture, when repairing, in addition to repairing the damaged leaflet, it is also necessary to establish an artificial tendon!
It takes about ten minutes to make this process, even under the chest opening?
Lao Yu is really worried!
And Chen Cang lightly shook his head and said, "don''t need it."
Yu Yong was stunned when he first stopped!
At this time, if Tao MI and others were at the scene, they would certainly say: "EEE EEE! Look, look, Xiao Chen is about to start pretending!"
……
Chen Cang took his time, turned to the nurse and said, "4-0 expanded polytetrafluoroethylene suture!"
The nurse nodded quickly!
When Yu Yonggang heard this, he stared at Chen Cang. The boy... Wanted to make an artificial tendon rope under the condition that his heart kept beating!
Mitral insufficiency was corrected by artificial tendon instead of broken tendon.
Good courage!
Chen Cang was holding a suture needle and his hand was very stable! It''s heavy and coincidental!
The suture needle is equipped with 4-0 expanded teflon suture to quickly and accurately sew the gasket on the middle muscle of * * muscle!
Then the edge of the leaflet was sutured at the rupture of the chordae tendineae, then the length of the suture was adjusted to knot.
This series of operations is simple to say, but it is much more difficult than expected!
Yu Yonggang turned around and looked at the time!
The nurse kept reminding the time: "there are still 12 minutes... And..."
With the beating of the heart, Chen Cang''s suture is faster and faster!
The key to the operation is to adjust the length of the artificial tendon, so that it can neither be too long to cause mitral valve prolapse, nor too short to cause limited valve activity!
So the operation is much more difficult than expected, and... Most importantly, the heart is still beating!
It''s difficult to sew. It''s terrible to think about it!
Yu Yonggang looked at Chen Cang''s hand speed like a butterfly wearing flowers, just like a magician playing poker!
Several little nurses on one side looked at Chen Cang''s dexterous hands, fast-moving fingers and calm and powerful arms. For some reason, they blushed!
"Ten minutes left!"
"Nine minutes left!"
At this time, Chen Cang breathed a sigh of relief: "change the line!"
Yu Yonggang was stunned and looked at Chen Cang: "finished?"
Chen Cang nodded and smiled: "yes!"
Suddenly, everyone was stunned.
Even Zhou he looked at Chen Cang strangely. It''s only... Six minutes, less than seven minutes, right?
……
……
PS: Thank you for your 100000 reward from the leader of the alliance! Mighty, Jiageng!