Chapter 2124 Old Fan, He Is the Security Guard of the Community Hospital (Brother Yun, Happy Birthday Plus X2)
Is it the hell? Professor Zhang looked around in a daze, Boss Zheng, Director Li, and Professor Yang were concentrating on the operation.
Su Yun!
This is... Until then, he saw Su Yun's right hand stretched into the operation area, pressing on the patient's diaphragm, moving rapidly at a frequency of nearly 2 times per second.
The frequency is extremely fast, through the diaphragm, the heart appears a squeeze waveform, and the external force helps the patient recover the mechanical blood pump.
How did he do that!
Professor Zhang was stunned.
In liver transplantation, it is not uncommon to compress the heart through the diaphragm. As an academic pioneer, although Professor Zhang does not perform liver transplantation, he still knows some related common sense.
However, the few transdiaphragmatic heart compressions he had seen were all performed by the surgeon. Wait for the patient to get over the shock of blood pressure after the opening of the portal vein, and restore sinus rhythm by itself after 3-5 minutes. After that, the operation continued.
If you can't get through, you have to open your chest, and start cardiac compressions under direct vision.
But Boss Zheng's operation continued. He took a Zeiss microscope and stitched up the blood vessels one by one, as if he didn't notice that the patient's heart...fuck stopped beating!
This cooperation made Professor Zhang want to cry.
I really want to cry.
As a doctor, who doesn't dream of joining a tacitly coordinated team, performing their duties, trusting and respecting each other. There is no intrigue, and all attention is devoted to healing.
Of course, this is just a dream.
But he saw this scene on Boss Zheng's team.
Professor Zhang felt goosebumps all over his body, but this feeling of blood rushing to his heart was fleeting.
Su Yun, that young man who used to be known as the rising star of cardiothoracic surgery in the imperial capital, what kind of tricks did he show!
When pressing the diaphragm, the force must be sufficient, otherwise the heart will not feel enough force, and the waveform of the ECG monitoring will not appear a squeeze waveform.
But he did this without affecting the operation!
It's just horrible.
Professor Zhang was cold all over, this kind of technique, let alone seeing him, he never even thought about it.
"Epinephrine, 1mg, static push." Su Yun said.
Lao He picked up a piece of epinephrine that had been drawn into the syringe, opened the tee, and injected it into the blood vessel.
"Come again!"
"Come again!"
Invasive arterial pressure monitoring systolic blood pressure gradually increased to 60mmHg under the action of transdiaphragmatic cardiac compression and epinephrine, dopamine and other drugs.
Is this all right? Professor Zhang felt a little horrified.
He looked at Su Yun like watching a horror movie,
Although he is bitter and mean,
Although he is proud of his talents,
But people do have the ability!
Without affecting the operation, shortening the time of anhepatic period, and performing cardiac compressions, Professor Zhang judged objectively that he would definitely not be able to do it.
But the finer the operation, the harder it is, this is an axiom.
No matter how easy it looks, it's all fake. With countless efforts, just to make people look relaxed.
Su Yun only lasted 2 minutes and 23 seconds for this kind of heart compression, and it was a bit strenuous.
"Boss, hurry up!" On the operating table, Su Yun swears very rarely.
"Come on, hold on a little longer." Zheng Ren said, "Old Fan has been here for longer than you."
"How can it be the same!" Su Yun said angrily.
Although he was talking, there was no delay in heart compression or vascular anastomosis.
"Adrenaline, push another one."
After stapling the next blood vessel, Zheng Ren said in a deep voice.
2 minutes 44 seconds...
2 minutes 52 seconds...
3 minutes and 15 seconds...
Professor Zhang lives like a year.
But it was more painful than him standing on the operating table, Director Li and Professor Yang of the Department of Hepatobiliary Surgery.
Boss Zheng's hands were so fast, it was as if he was flying.
But fast is fast, but fast and steady.
The left hepatic vein was sutured with 4-0prolene suture, and the anterior wall of the inferior vena cava was cut along the right hepatic vein in the liver with the same width as the donor hepatic superior and superior vena cava, and sutured with 4-0prolene suture. The donor portal vein was closed with continuous eversion sutures of 6-0 prolene.
However, Director Li and Professor Yang were not distressed because they couldn't keep up with Boss Zheng's pace.
The two of them were standing opposite Boss Zheng. Director Li couldn't help at all except pulling the hook, so he could only stand stupidly.
Although the prolene thread looks a bit thick under the microscope, Boss Zheng chose micro suture.
Director Li didn't dare to move, for fear that his good intentions to help would end up tearing the blood vessels.
Except for Su Yunzai's constant heart compressions, the operating table was... very quiet.
3 minutes and 52 seconds.
"Okay." Zheng Ren put the hemostatic forceps and needle holder in his hand on the side of the patient's leg, and said softly.
"It's really slow." Su Yun said contemptuously.
"..." All the people in the viewing platform did not understand Su Yun's words, and this old joke was too harsh.
If this is still slow, what is fast.
"There's no other way. It can only be done to this extent." Zheng Ren seemed a little embarrassed, he let out a sigh of relief, and said, "When I improve my skills, it might be faster."
"..."
Everyone began to curse inwardly.
Boss Zheng, you are still thinking about technological advancement, are you planning to break through the sky?
At this time, Su Yun's frequency also gradually slowed down.
After 2′23″, the electrocardiogram gradually restored sinus rhythm, and the systolic blood pressure also returned to above 90 mmHg on invasive arterial blood pressure monitoring.
The dangerous period is over.
Zheng Ren was not in such a hurry when he did this, but continued to suture the proper hepatic artery of the donor and recipient step by step with 7-0 prolene suture end-to-end, and sutured the donor-recipient with continuous posterior wall and intermittent anterior wall suture with 6-0 PDS suture common bile duct.
Professor Zhang tried hard to recall the whole process of heart compressions, and it seemed that the boss mentioned Lao Fan.
Su Yun's technique has already amazed him. But according to Boss Zheng's opinion, it seems that Lao Fan's methods are still superior to Su Yun's.
In the Cardiothoracic Surgery Department of the Imperial Capital, or the Department of Thoracic Surgery, is there a doctor named Fan?
Xiehe has one, but it seems that it was always hospitalized the year before last. East Tumor also has an associate professor surnamed Fan, but it can only be said that the level is good, but it can't be said that it is really amazing.
"Boss Zheng, who is the old Fan you are talking about?" Professor Zhang asked confidently seeing that the most dangerous anhepatic stage had passed through the operation.
"Old Fan?" Zheng Ren said casually, and immediately stopped talking.
He is suturing with a microscope, and even the trembling of his body muscles must be controlled. Otherwise, if the blood vessel wall moves under the microscope, it is like riding a roller coaster.
It won't affect the operation, but it will affect the mood.
"Old Fan, he is the security guard of the community hospital." Su Yun took his right hand out of the patient's abdominal cavity and looked up at Professor Zhang.
"..."
"..."
In the operating room, except for the people in the medical team... Lin Yuan in the medical team didn't know about it either.
A security guard who is proficient in such advanced heart compression techniques? !
What the hell!
After Professor Zhang listened, the sadness in his heart flowed like a river.