Emergency Office.
The familiar little nurse cheered when she saw Ye Lan returning.
Professor Chen is out for exchanges and may not be back for ten days and a month.
Ye Lan didn't see anyone else, and sat directly at Professor Chen's desk, skillfully opening the computer and calling up the information on cardiac surgery.
Bed No. 3, Ma Jiyun.
Dilated cardiomyopathy, aortic valve insufficiency, bicuspid and tricuspid valve insufficiency, left ventricular systolic abnormality...
Ye Lan looked at it carefully, and finally his eyes stopped on a piece of data.
The average thickness of the left ventricular posterior wall was 2.9mm.
Seeing this data, he understood why Wu Siqi was unwilling to undergo surgery.
With dilated cardiomyopathy, the heart becomes extremely fragile, like tofu, and the entire heart will break if you are not careful.
Even more troublesome is that the artificial heart must be implanted 3 to 4 mm.
The average thickness of 2.9 is impossible to do.
Just as he was thinking about it, Dean Gao walked in with a smile.
He carried the lunch box and said with a smile: "Xiaoye, haven't you eaten yet?"
"I gave you a shot in the cafeteria. Come on, try it while it's hot."
Ye Lan raised his head from the computer and glanced at him expressionlessly.
"no appetite."
"Eat as much as you can!"
Dean Gao's face was full of flattery, but then he showed a pitiful expression.
"Xiaoye, you don't know why I'm here these days."
"You have made a name for yourself, but all kinds of difficult and complicated diseases are being squeezed into Beichen. Now the expert account of the Second Hospital has been promoted by scalpers."
"That's not all. Some people who I can't even afford to offend insist on coming to our place. I was forced to have no choice, so I invited Expert Wu here."
...
He kept chattering like a resentful woman.
Ye Lan leaned heavily on the chair and said coldly: "Lao Gao, I have no problem with you using my office."
"But hospitals are not places where profit comes first. How dare you pat your chest and say that you don't know Ma Jiyun's situation?"
Dean Gao's expression froze and he lowered his head helplessly.
Ye Lan was not embarrassed, but said calmly: "Let's make arrangements. I want to perform surgery on him."
"Are you sure?"
Dean Gao asked subconsciously.
"Yes, let's get an artificial heart!"
Ye Lan spoke calmly.
"But..."
Dean Gao hesitated to speak.
He is also a doctor, so he naturally understands that there is no possibility of treatment for this patient.
Artificial hearts are no longer sufficient unless biological hearts are replaced.
But in this case, the cost will almost increase exponentially.
Moreover, there are no patient-adapted cardiac sources.
After a pause, he nodded.
"Okay, I'll arrange it right away."
After that, he left in silence.
Ye Lan leaned on the chair and turned on the computer again.
The main purpose of coming to the hospital this time was to confuse the Dragon Group.
And Professor Wang was really powerful, just for a short while.
His name not only appears in the emergency department directory.
There are even detailed records of medical visits in the past half month.
Even the handwritten cases are thoughtfully arranged in a pile.
I just don’t know which poor intern made this.
"Forget it, at worst I'll record a few teaching surgeries."
Thinking of this, the guilt in my heart suddenly faded a lot.
...
At 8 p.m., two operations were performed at the same time.
Expert Wu occupied the teaching operating room.
The patient this time seemed to be very special. Ye Lan even sensed faint energy fluctuations.
It was the feeling of a master practitioner wearing a breath-masking prop.
Not only that, even the adjacent operating rooms 1 and 2 were under martial law at the same time.
Fortunately, the emergency department also has a simple operating room.
Although the conditions are a bit poor, all kinds of instruments and tools are readily available.
Whether it is heart replacement surgery or heart implantation surgery, they are both difficult surgeries.
Doctors throughout the hospital were itching.
It's a pity that I couldn't observe it.
8:10.
The preoperative medical instructions are handed over and signed by family members.
15 minutes later, the artificial heart test is completed.
Ye Lan walked into the operating room.
This time, apart from the nurses, there were only two interns on the stage with him.
No senior doctor who had seen the medical records dared to come.
This is not simply acupuncture to stop bleeding, or digging out the heart and lungs.
It looks scary, but it's actually not that dangerous.
This time it was artificial heart implantation, the most cutting-edge Western medicine surgery.
No matter how confident they were in Ye Lan, they would not dare to try it easily.
Emergency operating room.
The anesthesiologist raised his head nervously and said, "Combined intravenous inhalation anesthesia is completed."
"Okay, get ready for surgery!"
Ye Lan opened his hands, and two nurses immediately put him in surgical clothes.
Although they are not doctors, they also know that this case is impossible to succeed.
With a heart wall thickness of 2.9 mm, it is impossible to implant 3 mm.
The two intern doctors next to him also had no confidence at all.
Outside the emergency department, a group of doctors and nurses were also discussing in low voices.
"Hey, do you want to call Mr. Liu at the morgue first? What if he's not here again?"
"That's right. I guess he should come out later. I'll give him a call first and ask him to stay at the door."
"When the time comes, will you go to comfort the family members or shall I go to comfort the family members?"
"I'm afraid the patient will lose control of his emotions, so let's forget it!"
When Dean Gao on the side heard this, he immediately shouted dissatisfied: "What are you talking about? Can't you hope for something good?"
A young nurse muttered aggrievedly: "Then do you think the operation will be successful?"
"I..." Dean Gao opened his mouth, paused, and sighed leisurely.
"Forget it, I'd better call Lao Liu!"
...
Operating room.
Ye Lan had cut open the sternum and opened the patient's chest.
The almost broken heart was clearly displayed in front of his eyes.
It stands to reason that the next step is to establish extracorporeal circulation.
Two interns are ready to go together.
But at this moment, Ye Lan took out a box of silver needles.
Under everyone's surprised gaze, several injections were quickly administered.
The patient's body trembled violently.
With a beep sound, the instrument started to alarm.
In the stunned gaze of everyone, Ye Lan roared: "What are you doing standing still? Prepare to establish extracorporeal circulation!"
"But the instrument..."
An intern couldn't help but point to the monitor nearby.
Fortunately, another intern had quick eyes and quick hands and immediately started to establish extracorporeal circulation.
Just as he prepared the instruments, Ye Lan inserted the severed superior and inferior vena cava into drainage tubes.
"Connect the cannula."
He warned, and the two intern doctors immediately started moving quickly, sweating profusely.
Damn it, they had never seen such speed before.
Even those instructional videos are completely inferior.
After hurriedly connecting the cannula to the heart-lung machine, Ye Lan had already cut out the other blood vessels and handed it over to the cannula.
With the infusion of cardioplegia, Ma Jiyun's heart slowly stopped beating.
Immediately afterwards, Ye Lan put on his microscope glasses and began to work seriously.
"Absorbable thread."
Ye Lan spoke as he spoke.
The others were stunned and had no idea what he was doing.
It wasn't until half an hour later that an intern couldn't help but exclaimed.
"Heartoplasty?"
Ye Lan raised his head and nodded appreciatively.
"That's right, the heart wall is too thin, so we need to reshape it until the thickness reaches the standard."
Feng Qingyun's calm words silenced the entire operating room.
You know, cardiac plastic surgery is a top-notch surgery, even more difficult than a heart transplant.
What's more, this is an almost broken heart.
Everyone has an idea in their hearts.
Perhaps, they will witness the birth of a medical miracle!
