Doctor of Healing

Page 237

Suddenly woke up.

After dreaming back at midnight, Zhao Jixiang was also very helpless.

The son's matter is still a big matter, and I can't face success or failure calmly and calmly.

Chapter 324 Preparation for the Ghost Heart

Ji Xiang started working in orthopedics.

He was not in a hurry, nor did he frequently use [Superior Doctor's Gaze], even Ji Xiang had never used it at all, but followed Deng Chaohong's operations and medical records honestly and step by step.

In addition, performing surgery with Zhao Zhe and coordinating with Director Liu to complete partial resection of kidney cancer on weekends is also a big job.

The days passed silently like running water.

twelve days later.

Ji Xiang and Director Liu are undergoing a partial resection of kidney cancer, and the operation went smoothly. Director Liu is very happy.

After one operation was completed, Ji Xiang went to send the patient, and took the next patient to the stage.

Director Liu sat in the corner of the operating room and watched the nurses chattering.

"Director Liu, your recent surgery is really getting better and better." The anesthesiologist chatted with Director Liu.

"It's bad, it's because Ji Xiang is here." Director Liu didn't shy away from saying it, telling the truth.

The anesthetist was startled, and said with a smile, "What's the matter, Director Liu, you mean you want to recruit Ji Xiang as your son-in-law?"

"I would like to, but young people nowadays." Director Liu shook his head, "My girl is in the south, and it is impossible for her to come back."

"Director Liu, Ji Xiang belongs to the Phoenix man." The itinerant nurse joked after hearing this.

Tang Yan, who was busy, froze for a moment, Phoenix Man?She immediately thought of Feng Yuqing who was driving an Aston Geely.

It seems to be the opposite, he is not a phoenix man, but a rich man.

"What's wrong with Phoenix Man?" Director Liu said disdainfully, "Talent is like being pregnant in October, you can't hide it. If you can really be called Phoenix Man, you don't need to fight out among thousands of troops, go find it. Bai Fumei from a well-to-do family. The old man with good eyesight chose the Phoenix man early on."

"For example?" the anesthesiologist asked with a smile.

"Zhu Yuanzhang?"

"Hahaha, Director Liu, look at what you said, this is called bullshit!" The anesthesiologist laughed, "But I think you really appreciate Ji Xiang, the kind in your bones, you don't look right at Ji Xiang. If we were not familiar with each other, I would doubt your orientation."

"It's really admiration. I started to want to recruit him as my graduate student. But..."

The anesthesiologist pricked up his ears.

"Impossible."

"What? The school doesn't give you a place?"

"Ji Xiang won't come to me as a graduate student." Director Liu said frankly, "It's hard to say whether the regular training period will end in one or two years, and he has to go. I have a strong feeling."

Just as the anesthetist was about to ask something, there was a commotion outside the door. He kicked the door open and stood at the door to look.

Another anesthesiologist in the operating room was sitting on a flat trolley holding the ball, and the nurse was holding an IV drip. Someone in front opened the way, and someone behind pushed the trolley, and quickly left the operating room neatly and solemnly.

The figures of a group of people disappeared in a hurry. Director Liu didn't look at it, but he knew it well, "Have you finished the heart transplant?"

"Tsk tsk, that's really fast." The anesthesiologist didn't answer, but sighed.

"The transplant operation itself is not difficult. The difficulty lies in the postoperative care and rejection." Director Liu said.

"I haven't done it for so many years, why do I start again?" the anesthesiologist said to himself.

"I heard from Director Bai that the reason why we didn't do it before was because the donors were limited and couldn't support it. But now..."

He made a final sound.

"What is it now, Director Liu?"

"Do you know what a ghost heart is?"

"Are you going to tell a ghost story? We don't believe it." The anesthetist laughed.

"Damn, you can only talk about it in the operating room, don't say it outside, others will think you are not doing your job properly." Director Liu said contemptuously.

The gossip he heard from Director Bai just happened to show off.

"!!!" The anesthesiologist was taken aback.

"The pulsed field kills the cells, and then chemicals wash away the cell residue, leaving behind the protein architecture that can be implanted into autologous stem cells to develop into a real beating, non-rejecting heart."

"Because it is pale and pale, it is also called ghost heart."

"I'll go, Director Liu, your research is deep enough!"

"I also heard what Director Bai said." Director Liu smiled, "Director Bai said that the ghost heart may be widely used in the next ten years, so the heart transplant technology in our hospital must be passed on, or else it will come to an end." It's time to catch blind."

"If you want to say that Director Bai is really serious, but these... Forget it, he stands tall and sees far, hey."

The anesthetist knew that Director Liu and Director Bai had a close personal relationship, so it was hard for him to say anything.

"Director Bai has been watching the heart transplant operation. I've been very tired recently." Director Liu said, and a patient wearing a hospital gown walked in.

"Work!" Director Liu stood up.

First N check N pairs, Ji Xiang, the anesthesiologist, and Director Liu each went through it to check the identity of the patient and the location of the organs. The symptoms of obsessive-compulsive disorder are obvious.

After checking, Ji Xiang went to brush his hands and was ready to go on stage. Zhao Zhe didn't go up, but helped the itinerant nurse busy below.

Another operation begins.

……

……

A patient after a heart transplant is sent to the ICU.

The patient's condition was stable, and a small amount of light red bloody fluid was drained from the pericardial drainage and thoracic drainage, which meant that the vascular anastomosis was quite good and there was little bleeding.

Director Bai was quite satisfied with this.

The directors of the Department of Cardiac Surgery, Cardiology, and Critical Care Medicine under his command are all present, as is Lu Gang.

A group of top experts in the province represent the escort of the highest level of technical force in the province.Although Director Bai couldn't be sure that nothing happened, but he had already reached this point, and if there were any problems, it would be fate.

Although the patient has woken up, the ventilator is still used to assist breathing, reducing the burden on the patient's heart and lungs.

The operation went well, and the patient recovered well after the operation. An hour later, the first consultation meeting was held and it was decided to withdraw the tube.

Any treatment has advantages and disadvantages. Although ventilator-assisted breathing has great advantages, it also has disadvantages.

After consultation with the expert group, the ventilator was still removed and the patient was allowed to breathe on his own.

Everything is still intact.

The patient's vital signs were stable, and the air in the ICU was relaxed.

After 2 hours, the vasopressor that kept reducing the pump rate was also withdrawn.

After 3 hours, the cardiac drugs were withdrawn.

The patient only has a small amount of isoproterenol pumped in by a micropump for maintenance treatment.

Director Bai looked at the patient, feeling inexplicably relieved.

Heart transplant, the patient recovered so quickly after such a major operation!Although the Second Affiliated Hospital has not performed organ transplantation for a long time, it is still a treasure trove.

The overall technical strength is still very strong.

Director Bai was also a little tired, he lay down in the duty room of the ICU for a while to rest his energy.

But just after lying down for less than 20 minutes, there was a hasty knock on the door.

"Director Bai, there is a problem."

Director Bai sat up all of a sudden, "What's wrong!"

Chapter 325 Knotting

Icu Director Qian pushed open the door nervously and reported the situation.

"Director Bai, the patient has a problem."

"Say." Director Bai said one word concisely.

"Just now the patient developed refractory hypotension, and the booster drug given has no effect, and he is rehydrating."

"What about drainage?"

"The drainage was fine, I gave norepinephrine."

Director Bai got up, put on a sterile cap and mask, and went to the ICU with Director Qian.

Under the action of norepinephrine, the patient's blood pressure began to rise. Director Bai did not blame Director Qian, and stood at the head of the bed with his hands behind his back to watch carefully.

The situation was not as stable as before. The patient's blood pressure did come back under the action of norepinephrine, but it did not stop at the normal value or a slightly higher normal value.

血压像是过山车一样，高压从70毫米汞柱升到80，再到90、100、130、150，最后定格在183毫米汞柱附近。

"There's something wrong with the waveform of the Swan-Ganz catheter."

The directors of the Circulatory Medicine Department and the Cardiac Surgery Department both noticed this, and they both reminded in unison.

Director Qian saw that Director Bai was silent, so he started to get busy on his own.

The norepinephrine was stopped first, Director Qian discussed with Director Zhang of the Cardiac Surgery Department and the Director of the Circulatory Medicine Department for a few minutes, and reported to Director Bai, "Director Bai, the Swan-Ganz catheter may have failed, and it is recommended to take it out."

"Take it." Director Bai stepped aside and did not interfere with the clinical work.

Director Zhang of the Department of Cardiac Surgery first inserted the right subclavian vein catheter and tried to remove the Swan-Ganz catheter.

But seeing that the last paragraph was about to be pulled out, Director Zhang felt slight resistance.That kind of force is so small that it seems that the catheter can be taken out with a little force.

But he was careful not to pull out the Swan-Ganz catheter with force.

The most taboo of all kinds of operations and postoperative patients is to use brute force, because people's hearts are separated by the belly, and no one knows what happened inside.

Director Zhang asked someone to push the bedside X-ray machine to see what happened to the Swan-Ganz catheter.

Swan-Ganz balloon floating catheter is a tool for measuring pulmonary arterial pressure and pulmonary capillary wedge pressure, which is necessary for cardiac surgery.

During the operation, the measurement work was performed after being inserted, but the waveform displayed by the floating catheter was not correct. No matter how you looked at it, it seemed that there was something wrong with the Swan-Ganz catheter.

After filming, a doctor in the ICU took the film box to the radiology department to develop the film.

Ten minutes later, Director Bai and others saw the video on the computer.

The moment they saw the image, everyone was inexplicably astonished.

The Swan-Ganz catheter has a knot at the head...like the first knot in a shoelace.

Really special!

Director Bai cursed in his heart.

What's the matter!How could such a weird thing happen to a perfectly good heart transplant operation!

Knotted, the Swan-Ganz catheter enters from the internal jugular vein, passes through the superior vena cava to the right atrium, right ventricle, and pulmonary artery.

In the process of taking it out, the Swan-Ganz catheter somehow got a knot.The floating catheter, which could have been taken out easily, could not be taken out because of a knot.

The knot was not killed, because Director Zhang was very careful and did not use brute force in the end.But what if he was not killed?The shape has been formed, and any method is useless.

After seeing the film, all the experts present were silent.

The incident happened suddenly, and everyone present was a little confused.The operation went well, but the problem actually appeared after the operation, in a knot.

Swan-Ganz catheter kinked, what to do next?

With a newly transplanted heart, no one expected such a troublesome thing to happen.

The experts in the expert group wanted to scold people, especially Director Zhang of the Department of Cardiology, his face turned red.

The Swan-Ganz catheter is expensive and not used by many patients, but it is often used in cardiac surgery.Director Zhang has seen many patients use Swan-Ganz catheters, but he has never seen any knots.

Cursing won't solve the problem, the problem is what to do next.

Several experts in cardiology, circulation, and critical illness fell silent, and even Lu Gang, who had one eye above the top, did not speak.

No one has seen this before, and they don't know how to deal with it.