Extrathoracic treatment is no longer effective. Now it depends on the abilities of Zhang Fan and the director of cardiothoracic surgery. There is a saying that car mechanics are not convinced by cardiac surgeons.
"We both repair engines, so why do you earn more than me?"
“Because the engine I repaired was repaired on the job!”
Not to mention anything else, this first illustrates a problem: the heart cannot stop beating. Even if it stops beating, the effect will not be very good even if the chest is opened, and this decision to open the chest is generally not easy to make.
With the chest cavity opened, it is easy to say that the person is alive, but what about the person who is dead? And there is another problem: cardiac surgery and brain surgery, these two departments are not developing well in the northwest.
Because the requirements for doctors in these two departments are too high, the general Northwest Hospital will never be able to retain doctors who have some promise in these two departments.
This has become a joke. Cardiac interventional surgery is being promoted all over the world, even in some county-level hospitals. But there is a prerequisite for cardiac interventional surgery, that is, the hospital must have a strong cardiothoracic surgery department as backing.
In other words, cardiac intervention at the county or even city level is a very dangerous matter. Once massive bleeding occurs, there is not even a doctor to open the chest, and you can only wait for death!
What do you think of the cardiothoracic surgery department in the city hospital? Is it good or bad? But Director Li of the cardiothoracic surgery department is quite good at extracardiac surgery.
Director Li has been involved in cardiothoracic surgery for decades. He suffered a lot in his early years and studied everywhere. Now, he is considered to be a leader in cardiothoracic surgery at this level in the city, but the problem is that his legacy is gone.
This department is very strange. The director only has one attending, and the rest are all inpatients! Because cardiothoracic surgery is too difficult, and almost all the early doctors in the city hospital were undergraduates, no one wanted to do cardiothoracic surgery.
Graduate students in cardiothoracic surgery do not come to city-level hospitals at all, so the department relies on Director Li alone.
At the beginning, Lao Huang also felt that he could not develop. The cardiothoracic surgery department was always in the emergency department, and he suffered a rib fracture in one day. Later, the hospital was admitted to the top three hospitals, and the cardiothoracic surgery department had to be released.
After Ouyang came to power, he specially recruited two graduate students from major universities and several doctors who were interested in cardiothoracic surgery. However, they had just left school for a few days, so they were young, so the whole department still relied on Director Li.
Zhang Fan's system does not open cardiothoracic surgery, so Zhang Fan rarely performs this area of surgery. Practice in this area of surgery is not something that makes perfect. The comprehensive basic requirements it places on a doctor are indeed super abnormal.
However, Zhang Fan's hard work over the past two years was not in vain. Although the system was not turned on, Zhang Fan was now asked to open his chest for heart surgery and to stop the aortic bleeding. It is estimated that Zhang Fan would not be able to do it.
However, Zhang Fan could still do it if he had his chest opened and his heart massaged. When it comes to human anatomy, there are probably not many doctors who can surpass Zhang Fan. This is the foundation, this is the reserve, and this is the result of the past two years.
"Zhang Yuan, it's probably too late. Look at the heart rate..." Director Li's brows furrowed into steps. He believed that opening the chest now would be death, and not opening the chest would be death. So he simply didn't open the chest and let the child walk peacefully. It's a kind of kindness.
However, Zhang Fan did not give up. It is really not a lie that when people are small, their spirit is high, and when people are old, their ambitions decline. Which one of them is correct? It was correct to save Zhang Fan, but it was correct to fail to save Director Li.
Were they wrong? No! This is the difference in medical treatment. It has nothing to do with anything else!
"It's time, let's start!" Zhang Fan gritted his teeth and said firmly. The patient was transferred from the emergency room to the operating room of the trauma center. After brushing his hands, Zhang Fan silently went through the structures near the heart and brain again. .
"Zhang Yuan, it is impossible to enter the heart within five minutes. Moreover, the child has lost such a large amount of blood, and the trauma of the operation is just adding insult to injury. Let's think about it again."
Director Li was also brushing his hands quickly, but he still tried to dissuade Zhang Fan. He had no selfish motives and was not afraid of taking responsibility. He just gave Zhang Fan advice based on a purely senior cardiac surgeon.
Because he knew that he would not be able to enter the chest cavity within ten minutes, not to mention that Zhang Fan had never set any benchmark in cardiothoracic surgery, so he was a little worried about Zhang Fan's lack of consideration.
"Director Li, believe me, I will definitely be able to enter!" Zhang Fan looked at Director Li and said with certainty.
"Uh!" Director Li looked at Zhang Fan's firm eyes. He knew that Zhang Fan was determined to open his heart. "Okay, I will be your assistant, don't worry!"
"Thanks!"
"Click!" The shadowless light came on, and the child lay on the operating bed like a poor puppy. Channels were opened on the thin limbs, and liquid was continuously input. The incisions all over the body have been bandaged with suture materials.
There are white accessories horizontally and vertically, just like a broken inflatable doll that has been stuck together with white adhesive tape. There was still unwiped blood on the pale skin.
"Start!" Zhang Fan said through gritted teeth. The most suitable place for thoracotomy is the fourth or fifth intercostal space on the outside of the chest. If time permits, this kind of surgery is very particular. The incision should be about 15°.
But, it's too late now, so we can only use the fastest speed. The child was a girl. In order not to damage her breast glands, Zhang Fan cut directly under the armpit to the left edge of the child's sternum.
The pectoralis major, pectoralis minor, serratus anterior, and intercostal muscles are the protective and respiratory muscles of the chest. The pectoralis major is the most famous because it seems to have become a symbol of sexiness.
Open and enter, Zhang Fan is too skilled at the anatomy of the human body, the shape of muscles, the passage of blood vessels, what should be avoided, time is passing by little by little.
The child's heart rate was getting weaker and weaker. Ren Li watched Zhang Fan's operations nervously. The effect of the cardiotonic drug was getting worse and worse. If it hadn't entered the chest before the heart stopped...
The older a person is, the less likely they are to suffer cardiac arrest. The simplest problem is that after the heart stops, coagulation cells such as platelets in the blood will form thrombus.
Once a blood clot occurs, the consequences are extremely terrible. The heart can be saved, but the embolus can enter the brain and lungs, which is fatal, so it must be entered before the heart stops.
"Hurry! Hurry! Hurry!" Ren Li watched the ECG monitoring while watching Zhang Fan's operations.
Director Li was sweating all over his chest. He was lying if he wasn't nervous. He couldn't be too cautious during thoracotomy. But now, Zhang Fan was driving the car faster and faster, and Lao Li was even scared. This accident could cause the car to overturn and kill someone.
Zhang Fan's mind was clear and unambiguous, and his hands and brain cooperated to maximize his precision. When there is bleeding in the muscle, there is no time to stop the bleeding, so the hemostatic forceps are clamped directly, entering, entering, accelerating the entry.
Finally, when the child's heart was about to stop, Zhang Fan entered the chest cavity. He narrowly missed entering the chest cavity. It was too difficult. Ren Li choked up a little when Zhang Fan entered the child's chest before his heart stopped.
It's not easy. How many people and doctors have been trying their best to rescue the patient for such a long time. It is impossible not to have any hope. In fact, most people still yearn for beauty.
Open the chest and open the left lung. The heart comes out, the heart, how big is the human heart, raise your fist, your heart is about the same size as your fist.
Zhang Fan opened the pink lungs. The child's heart is revealed.
