When the captain saw this, he immediately slowed down the landing speed of the plane. However, the plane could wait, but people could not wait. As time passed by, the patient's vital signs became weaker and weaker. Everyone was anxious like ants on a hot pot. , pinning all their hopes on the captain.
The captain immediately reported the unexpected situation to the tower. After some understanding, he learned that the plane that suddenly made an emergency landing was due to lack of fuel.
The worst part was that the plane that was forced to land had almost run out of fuel, and it was almost impossible to leave the runway in a short time.
Even if we add fuel to it and let it fly away now, it will take at least fifteen minutes, and the time left for the patient is only fifteen minutes!
Such a difficult situation made the air quickly become anxious. Do we really want to watch our efforts fall short?
Just when everyone was on the verge of despair, the powerful Chinese faith once again made a miracle happen!
I saw hundreds of staff pouring in from Jining Qufu Airport, transporting several aircraft tractors. They connected the tractors to the aircraft as quickly as possible, and then began to use the most primitive methods to pull the aircraft away with all their strength. track!
And when the plane ran out of fuel, the captain of the plane tried his best to use excellent technology and a tractor to perform a fuel-free taxi on the runway!
With the joint efforts of the airport staff on the ground and the captain, it took only three minutes to drive this behemoth, which was out of fuel, off the runway! ap..
The final crisis has been resolved!
The cabin instantly erupted with cheers and whistles, and excited people hugged each other. Xia Xingran also breathed a sigh of relief. She, Zhou Wei and others made the final arrangements for the patient, waiting for the plane to land and immediately send him to the hospital for surgery!
The plane landed successfully two minutes later. Medical staff from Jining First People's Hospital, who had been waiting at the airport, immediately climbed up the gangway, carefully lifted the patient off, and rushed him to the nearest Jiaxiang County People's Hospital.
This life relay coordinated and organized by multiple systems has finally reached the most critical moment!
In the ambulance, Xia Xingran, Bai Moyan and others, as well as experts from Jining First People's Hospital, discussed the surgical plan while disinfecting and changing clothes, racing against time and not wasting any time.
Mobile echocardiography showed that the patient's right ventricular outflow tract was occupying space, and everyone suspected that it was the detached inferior vena cava filter and the moderate regurgitation of the tricuspid valve.
After emergency judgment, everyone agreed that Xia Xingran's previous diagnosis of central arterial embolism in the right lung and deep vein thrombosis in both lower limbs based only on naked eyes and palpation was completely correct.
Director Song Dong, who was born in the Department of Cardiology at Qilu Hospital, couldn't help but look at Xia Xingran a few more times and became curious about this girl who looked very petite and frail.
The condition is critical and there is no need to delay.
Song Dong analyzed with others: "The first condition of the patient is that the foreign body in the right ventricle of the heart is made of metal, and damage to the myocardial tissue in the beating ventricle may cause heart rupture at any time;
The second is large-scale pulmonary embolism. Blockage of the main pulmonary artery may lead to shock or sudden death. However, there are still thrombus in the deep veins of the lower limbs, and the thrombus may break off again at any time, resulting in a secondary pulmonary embolism;
Third, the echocardiogram showed moderate tricuspid valve regurgitation, suggesting possible valve damage.
Therefore, pulmonary embolus removal, right ventricular foreign body removal and tricuspid valve valvuloplasty under extracorporeal circulation are performed according to the condition. "
After Song Dong finished speaking, everyone in the car looked solemn. That’s three surgeries, one of which alone is a level 4 surgery! Now three people have to do it together. You can imagine how difficult this operation is!
Song Dong had heard about the reputations of Xia Xingran and Bai Moyan for a long time. When he saw the two of them so young today, he was a little unconvinced. Therefore, he wanted to find out the truth about the two of them, so he deliberately asked, "Do you two have any additional opinions?" No?"
Bai Moyan pursed his lips and thought for a moment, then said: "The risks of this operation are very high. First, the Jiaxiang County People's Hospital does not have sufficient blood supply to carry out such a complicated operation, which requires extracorporeal circulation."
Unconventional combined cardiopulmonary surgery with support carries a high risk of death;
Second, when the pulmonary artery is incised to clear the thrombus during the operation, deep hypothermic circulatory arrest may be required, which may cause ischemic damage to important organs, increasing the difficulty of the operation and the risk of multiple organ failure;
Third, the coagulation mechanism is disordered after surgery, with extensive bleeding and oozing of wounds, making it difficult to stop bleeding and without effective treatment methods;
In addition, the occurrence of postoperative hypoxemia results in the inability to take the ventilator off the machine and extubation, and respiratory infections and respiratory failure may occur, which are life-threatening. "
Bai Moyan's precise and organized remarks made Song Dong, Zhou Wei and others nod frequently.
Xia Xingran had already simulated the dynamic operation model of the surgery in his mind, and took corresponding measures one by one to the questions raised by Bai Moyan with a tacit understanding.
"To solve the above problems, we can solve the problem of insufficient blood preparation through multiple channels, and stop preoperative anticoagulants in advance to reduce intraoperative bleeding as much as possible;
Secondly, the intraoperative operation should be as precise, fast and accurate as possible to overcome the unclear surgical field and avoid deep hypothermic circulatory arrest;
Then ensure thorough hemostasis during the operation, strengthen respiratory tract management after the operation, and try to avoid the occurrence of hypoxemia and respiratory infection. "
The head nurse on the side listened to what Xia Xingran said and quickly showed a look of realization: "No wonder Dr. So ready."
Song Dong and Wang Ji immediately raised their heads and glanced at Xia Xingran, their eyes full of shock.
This young girl was actually able to predict the many problems that would come with such a complicated surgery in such a short period of time. The most rare thing is that she is brave and careful, and has already prepared the safest solution in advance!
Zhou Wei and Zhang Shuyang were already accustomed to the strange situation. They lowered their heads with pride and smiled softly.
Bai Moyan curled his lips and stared at Xia Xingran with a pair of cold eyes from top to bottom.
Jiaxiang County People's Hospital.
The police car drove out of the way, the ambulance rushed all the way, and finally the patient was sent to the prepared operating table at the last moment. Read the book
In the operating room, Song Dong and Wang Ji, two experts from the cardiac surgery department of Qilu Hospital, put on surgical clothes and said to Xia Xingran and Bai Moyan in front of them: "Xia Xingran, you will be the first assistant, and Bai Moyan, you will be the second assistant. "
The two of them pointed at themselves in surprise, and confirmed to Song Dong and Wang Ji again: "Me, us? But we have never done it before, and we don't follow the rules to do such a combined four-level and difficult surgery. Will it happen?" meeting……"
"I'm letting you go because I haven't done it before. Hurry up, there's no time!" Song Dong and Wang Ji interrupted them and urged.
Zhou Wei reminded in a low voice: "Director Song and Director Wang are the leading cardiac surgery experts in China. This is giving you an opportunity to learn, so hurry up and go!"
Xia Xingran and Bai Moyan woke up from a dream and hurriedly followed them and stood according to their positions.
The personnel, equipment, and materials are all ready, the operating light is on, and the operation begins!
"Xia Xingran, open your chest now." Song Dong began to give the first instruction.
Xia Xingran took the scalpel and neatly opened the patient's chest with precise positioning and skillful movements, all in one go.
"Yes, it's like that." Song Dong and Wang Ji smiled at each other, and joined Zhou Wei and Zhang Shuyang to watch their operations.
Xia Xingran lowered his head and concentrated on exploring the right ventricle from the right atrium through the tricuspid valve orifice. He found that the inferior vena cava filter was embedded in the right ventricle, and then found two holes in the tricuspid leaflet.
"No wonder the cardiac color ultrasound showed moderate tricuspid valve regurgitation." Xia Xingran and Bai Moyan talked.
But the next operation made Xia Xingran and Bai Moyan a little embarrassed.
"Teachers, if you want to remove the foreign body next, the tricuspid orifice is the only way to go, but the size of the foreign body is obviously larger than the caliber of the tricuspid annulus, and there are barbs around the filter."
This situation is tantamount to adding great difficulty to the surgical operation.
"If there is a slight mistake in the removal process, the damaged tricuspid valve will be aggravated again.
Severe injuries will bring lifelong regret to the patient. "
Xia Xingran's voice became softer and softer as she spoke, and the fear rising from the soles of her feet filled her whole body.
"Then do you want to give up?" Song Dong and Wang Ji came over and took the scalpel.
"Of course not! I would never!"
Xia Xingran, who had once given up on a patient, immediately raised his head and shook his head resolutely. "Even if I try my best, I will try to save you!"
Song Dong and Wang Ji showed relief in their eyes, and began to teach Xia Xingran and Bai Moyan how to completely remove the foreign body in the heart in such a complicated and high-risk situation. .
Under Song Dong and Wang Ji's step-by-step instruction, Xia Xingran and Bai Moyan cooperated with them in an orderly manner to completely remove the inferior vena cava filter that had fallen off the right ventricle, and no secondary damage was found after exploration.
The first big stone in the hearts of everyone present fell to the ground.
"The next step is to repair the tricuspid valve hole."
With their previous learning and operating experience, Xia Xingran and Bai Moyan got started quickly this time. Under the guidance of Song Dong and Wang Ji, the four-hour overall repair operation went relatively smoothly.
"The next step is to incise the pulmonary artery and remove the thrombus in the pulmonary artery." Song Dong and Wang Ji couldn't help but take a deep breath, as if facing a formidable enemy.
Zhou Wei on the side also began to get nervous and muttered to himself: "Pulmonary artery thrombectomy is a surgery with a very high clinical mortality rate. Only a small number of patients' lives can be saved."
"What's more, this patient's situation is so special and dangerous, and he is under such simple conditions." Zhang Shuyang couldn't help but sweat.
