When doctors have a simulated operating room

Chapter 24



The doctor said that he was the only one who could save the child.

"Only he can save the child!"

Jiao Yong's voice kept echoing in Wang Mingjun's ears.

At this time, Wang Mingjun had been thinking about a question in his heart.

Is human life more important, or is the rule more important?

Obviously, as a doctor, it must be the former.

"Okay! Hurry up and notify Zhang Yi to come up for surgery!"

Finally, Wang Mingjun gave an order.

He believed that he had lived for fifty years and had always been doing things in accordance with the rules and regulations.

But today, he made an exception!

In fact, many teachers will try to let interns without certificates perform surgery.

After all, doctors also need to practice more to grow quickly.

But Wang Mingjun never did.

His bottom line is that you must have a certificate to perform surgery.

But now... his rule is broken.

Not because of Zhang Yi, but because of the patient.

Emergency Department.

The group had just finished their shift and were preparing for the ward rounds when the phone rang.

"Hello, Emergency Department."

"Hurry up and ask Zhang Yi to come to Operating Room No. 3. There is a patient who needs him to perform surgery! Hurry!"

As soon as the nurse answered the phone, she heard a nervous and excited voice on the other end of the phone.

She immediately shouted to the doctors: "Zhang Yi, someone called upstairs and asked you to go to Operating Room No. 3. They seemed very anxious. Go quickly."

Zhang Yi was chatting with Chen Fang. When he heard this, he had a hunch that he was asked to go up to perform the surgery.

He didn't hesitate. He immediately realized that the situation might be serious and rushed to the operating room.

Behind him, Lu Jing looked at Zhang Yi's young face and asked curiously, "Who is this young doctor? Why did the upstairs doctor ask him to perform the surgery?"

Li Yan replied with a look of relief, "This is a new resident in our emergency department. Last time, he performed an operation for ventricular septal stenosis in cardiac surgery. This guy only took 4 minutes and 32 seconds to complete the operation. It's incredible. If I hadn't seen the operation video with my own eyes, I wouldn't believe it even if I were beaten to death."

Lu Jing didn't react at first, but when he heard that the operation was completed in 4 minutes and 32 seconds, his eyes almost popped out!

"What?! How many seconds did you say?!"

Li Yan was not surprised by Lu Jing's reaction, because he was also surprised at the time.

"4 minutes and 32 seconds, this Zhang Yi is really a good seedling born to study medicine."

"Impossible, 4 minutes and 32 seconds?!" Lu Jing still couldn't believe it.

Even He Xiaobin, the chief of cardiac surgery at the Imperial Capital Tiantan Hospital, couldn't complete the valve replacement in 4 minutes and 32 seconds!

So Lu Jing couldn't believe it was true!

Li Yan smiled and said, "It just so happens that Director Lu is here for the first day at the hospital today. I'll take you to the operating room to observe, how about it?"

Lu Jing nodded immediately after hearing this: "Okay, I was just thinking about how this 4-minute and 32-second operation was performed!"

So, the two directors of the emergency department also hurried to the No. 3 operating room.

There is a monitoring display screen outside the operating room.

Some large-scale operations will let interns come up to learn, so this display screen is specially placed there for interns to watch.

At this moment, the two directors of the emergency department are watching with relish...

In the operating room.

Zhang Yi learned about the situation shortly after he arrived. Lying on the operating table was a child who had just turned one year old.

Ventricular septal defect with pulmonary artery stenosis.

The blood in the entire pericardium was blocked in the left heart. Fortunately, it was discovered early, otherwise the child would not live for more than three years.

At this time, the extracorporeal circulation machine has been turned on, waiting to open the pericardium to repair the valve.

"Zhang Yi, can you use the method you used last time to save this child?" Jiao Yong said nervously.

Zhang Yi nodded: "It's a bit troublesome, but it's not a big problem."

This extremely calm tone!

The other people in the operating room and the two directors outside couldn't help but look at Zhang Yi twice.

The young man is quite confident!

"This child is too young to use a biological valve first, and then wait until he is five years old to see the situation before changing to a mechanical valve."

The advantage of a biological valve is that you don't have to take anticoagulants for a long time.

For a one-year-old child, the disadvantages of anticoagulants outweigh the advantages.

Although the service life is short, it is the best choice at present.

Jiao Yong took the initiative to assist Zhang Yi and handed over the biological valve.

Zhang Yi directly picked up the trimmer and began to trim the biological valve.

This operation confused the people around him again.

"Zhang Yi, you are not happy yet. Even if you don't use a ruler to measure the valve size... but, you just do this

Should I cut it directly? What if I find that the size is not suitable after opening the pericardium? "Jiao Yong asked.

Zhang Yi calmly replied with four words: "I am sure."

Everyone: "..."

Okay, you are awesome and you have the final say.

The main thing is that within Zhang Yi's sight, he can clearly see the diameter of the pericardial valve.

Considering that the heart load of a one-year-old child is not as good as that of an older child, Zhang Yi plans to trim the valve directly, and then open the pericardium and suture it directly.

This can save more time.

After trimming the valve, Zhang Yi picked up the scalpel and cut open the pericardium.

Suddenly, a stream of bright red blood flowed out.

The heart of a one-year-old child is very small, weighing only about 60 grams, and the size is about the same as an egg.

So operating in such a narrow and cramped space is a great test of the doctor's ability.

"Attract."

"Okay. "Jiao Yong has another purpose for being Zhang Yi's assistant, and that is to learn.

Such an amazing operation is worthy of Jiao Yong's questioning.

After the blood in the pericardium was cleaned, a weak and deformed heart appeared in front of everyone.

Seeing this pericardium, everyone couldn't help but frown.

Wang Mingjun thought, if this were me... I'm afraid I wouldn't be able to guarantee success!

And how could this young man in front of him be so confident?

Under the nervous gaze of everyone, Zhang Yi quickly The trimmed valve is sutured to the position of the ventricular septum, and then the pulmonary valve is expanded.

A set of actions is as smooth as flowing water, and it is done in one go.

A needle holder and suture thread in his hand seem to have spirituality, and they all fall to the most correct position with one pull and one pull.

As for the valve diameter?

It fits the pericardium perfectly!

Everyone exclaimed: Zhang Yi is simply amazing! He can cut out a pair of perfectly fitting valves without even opening the pericardium!

"Okay, turn off the circulator first and open the patient's own heart blood flow." Zhang Yi put down the needle holder and said to everyone.

At this time, everyone was still in shock, and their hearts could not calm down for a long time.

"Fuck! It only took 3 minutes and 21 seconds! "Outside the operating room, Lu Jing opened his mouth in surprise.

Just now, after Zhang Yi opened the pericardium, he deliberately looked at the time.

Before this moment, he still couldn't believe that someone could complete such an extreme operation.

But unexpectedly, it really happened!

At this moment, Zhang Yi's operation directly made Lu Jing couldn't help but swear!

"Fuck, awesome!"

It's even more awesome than He Xiaobin from Tiantan Hospital!

In the operating room, Zhang Yi urged again, and everyone reacted.

Quickly turn off the circulator, then remove the catheter, and open up spontaneous breathing and heartbeat.

If the operation of the operation is critical, then after removing the ventilator and extracorporeal circulation machine, whether the patient can resume breathing and heartbeat is equally important.

For the success of an operation, no problem can go wrong in any link.

So this is why Zhang Yi has not completely relaxed yet.

The child is young, and he has tried his best to do what he should do.

Next, it depends on the child himself.


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