Chapter 332 Flowers bloom in the heart

"Hey, we can't go back tonight. Feng suddenly suffered an aortic dissection. We are at Southeast Hospital. I won't talk about it anymore. The operation is going on here."

"You want to watch it too? I don't know if it's possible. It wouldn't be nice to just broadcast live in the hospital."

"Okay, let me ask you, please be quieter. It's almost one or two o'clock. Don't wake up the classmates."

The boss got up and found a doctor in the observation room, exchanged a few words with each other briefly, then returned to what he was doing in the corner, turned on the live broadcast on his mobile phone, and focused the camera on the operating room.

"Lao Hu and the others haven't slept yet?"

"No, we took Feng to the hospital on the way. How could they feel relieved?"

"You're still broadcasting live on your mobile phone for them to watch?"

"They are all from the medical school. This is nothing. They care about Feng and are curious about how to repair the damaged aorta through intervention. Let them take a look so that they will not worry too much."

Although the two were communicating, their eyes were focused on the operating table. The boss's mobile phone with the live broadcast function turned on was directly leaned against the wall by him, obviously not wanting to be disturbed by the live broadcast.

This clinical practice class was extremely vivid. The person lying on the operating table was his roommate. The three of them watched every step of the surgeon's operation attentively, for fear of missing anything.

On the operating table, Zhang Mao seemed dissatisfied with the position of his catheter. He was still trying to adjust the angle, trying to bring the end of the catheter closer to the damaged area of ​​the aorta.

This step is extremely important, as it is related to the subsequent release of the covered stent. Only proper placement of the stent can perfectly seal the false lumen, allowing high-speed and high-pressure aortic blood flow to flow through the true lumen, thus eliminating the risk of aortic rupture.

.

However, Zhang Mao seems to have encountered some problems.

"Teacher Zhang, what's wrong?" Su Jie asked in a low voice. Compared with the previous operation, which he performed with ease, Zhang Mao was obviously a little unable to do his job at this time. He let go of the catheter several times and moved his fingers. It seemed that there was something wrong with his fingers.

"I had several surgeries today, and my fingers are not working properly."

When Zhang Mao said this, he couldn't help but move his fingers again, trying to relieve the tense finger muscles and ligaments in this way. However, the fatigue accumulated over a long period of time cannot be solved by such a few movements.

The result of the lack of success in cardiac surgery is that middle-aged doctors like Zhang Mao still have to bear a huge workload. They perform three or four cardiac surgeries every day for five or six hours, which even an iron man cannot handle.

"No, I'm going to get cramps."

Zhang Mao suddenly put down the catheter in his hand and pushed his fingers back hard. Although he was wearing a mask, Su Jie seemed to be able to see his grin.

The operation suddenly stopped, but time continued to pass.

There is no circulatory arrest, which means that high-speed and high-pressure blood flow is still constantly scouring the descending aorta. Although the channel here is straighter and the shear force is smaller, this is only compared to the ascending aorta.

At this time, every second wasted is pushing the patient one step closer to death.

Without any hesitation, Su Jie took over Zhang Mao's work and continued to adjust the position of the catheter to prepare for the subsequent stent graft isolation.

Zhang Mao watched Su Jie decisively stand in his position. He was stunned for a moment but said nothing. Su Jie had been learning the interventional stent graft isolation technique with him for the past half month, and he had seen all the results.

Yes, Zhang Mao felt that there was no problem at all for him to perform the operation purely from a technical perspective.

What is important in emergency surgery is speed and speed, and in many cases, if you want speed and speed, you cannot stick to the rules.

Elective surgeries will be postponed indefinitely because there is no signature from family members. However, for patients with emergencies such as aortic dissection, the green channel will be opened directly from the moment they are admitted to the hospital. Do not pay or sign. This is the first principle of the hospital's existence.

Always protect the patient's precious life.

Su Jie started, and the guidewire as thin as a hair was slowly pushed forward on the fingertips. The imaging machine continued to work, showing the shape of the patient's blood vessels.

The black-and-white picture doesn't show much detail. You can only see a thin black line moving awkwardly in the thick blood vessel. It's obviously very close to the damaged aorta, but it can't get close no matter what.

, which makes people scratch their heads.

But only Su Jie, who was performing the operation, could deeply feel how difficult it was to move the top of the guide wire forward one centimeter.

The guidewire, which is as thin as a hair, is almost one meter deep into the groin, and the environment it is in is still in the fast-flowing aortic blood flow.

This feeling is like flying a kite in stormy weather and letting him follow the trajectory of thunder and lightning.

Every slight pinch of the fingertips was a transmission of Su Jie's strong willpower. The guide wire moved slowly but firmly in the direction of the damage. Soon, the work that Zhang Mao had not completed was completed with Su Jie's efforts.

.

"pretty."

Zhang Mao held down his twitching fingers and couldn't help but let out a low drink.

The imaging machine was working again, and radiation was raging in the small operating room, but at the same time, the blood vessels in the patient's body were once again displayed.

Just as Zhang Mao couldn't help but comment, the guidewire was placed in a very beautiful position, floating steadily above the damaged area of ​​the aorta, just waiting for isolation by the covered stent.

Su Jie raised his head and glanced at Zhang Mao at this time: "Teacher Zhang, what are you doing? Can you put in the covered stent?"

"Of course!" Zhang Mao nodded with certainty.

In fact, Su Jie just subconsciously asked the experienced surgeon present, simulated it countless times in the virtual operating room, and spent half a month following Zhang Mao to figure out many operations in the real world. Although aortic dissection surgery

It's difficult, but as long as he spends enough energy, Su Jie is confident that he can master it completely.

Maybe this is the self-confidence of genius.

The catheter was accurately placed at the designated position along the guide wire, and then the guide wire was withdrawn. The protagonist of this operation finally appeared. The stent graft, which looked like a metal strip, was slowly fed into the catheter. Under the imaging machine,

, it was like getting on a shuttle and quickly arrived at the location of the damaged aorta.

On the display screen, the black heart beats powerfully again and again, and the blood vessels expand and contract as the blood pumps in. The damaged gap is located at the descending aorta, and a small bag bulges on the smooth outer wall of the blood vessel. This is

False lumen caused by dissection.

"Release it." Seeing the stent graft already in place, Zhang Mao commanded decisively.

Almost at the same time as Zhang Mao spoke, Su Jie had already pressed the release button. The originally slender metal bar instantly unfolded his body, and the extremely delicate hollow metal stent bloomed in the patient's damaged aorta, supporting it.

The true cavity was created and the false cavity outside the damaged opening was isolated.

It is like a flower growing on the patient's heart.

"What a nice view……"

In the observation room, three medical students from the University of Science and Technology of China couldn't help but whisper in their hearts.

This was the first time they had witnessed the beauty of this kind of medical technology with their own eyes. It was really difficult for outsiders to understand the spiritual shock brought by these cubs.

"Is this cardiac surgery..."

"Amazing."

at the same time.

Dormitory for students in the School of Medicine, University of Science and Technology of China.

It was almost one o'clock in the morning, but the lights were brightly lit in a dormitory. A dozen students were crowded into a small space, and on the table in front of them was a mobile phone that was broadcasting live.

"Okay...so amazing. Is this heart surgery?"

"The moment when the stent was released was so beautiful, I actually felt tears filling my eyes. It looks like Feng will be fine."
Chapter completed!