Big Doctor Live Room

Chapter 1030 Palliative Right Ventriculopulmonary Connection
Liu Yang watched Chen Qun command and arrange everything quietly on the observation platform, without making any sound, but he knew in his heart that even he, an old military doctor who stood out from the baptism of war, was only around 40 years old before he could calm down. To deal with any medical emergencies.

If it’s just courage, it’s just that you don’t panic, but finding a solution is a purely technical problem that requires a lot of surgery to settle, and there is no detour.And Xiao Chen can do this step now, which is enough to show how far his genius has reached.

After Liu Yang waited for Chen Qun to make arrangements, he asked Yang Xiaoquan next to him in a low voice.

"You are an expert, tell me what kind of disease this left ventricular dysplasia is?"

Yang Xiaoquan looked at Chen Qun and his surgery team downstairs with great interest, and explained casually.

"Even if most of the left ventricular dysplasia exists, it exists during the pregnancy period. If the fetus grows normally, it is difficult to find out. This kind of disease is mainly congenital lesion of the left ventricle and the upper large artery, and the volume of the left ventricle is severely reduced. The smooth flow of blood flowing from here to all parts of the body cannot be guaranteed. Therefore, blood circulation can only be carried out in the atrial septal defect and other branches of the aorta. Therefore, as long as there is an occlusion in the active artery part of the defect, it will cause the patient die."

After the academician finished explaining, seeing Liu Dapao half-understanding, he knew that he was playing the piano against the cow again this time. I am afraid that for this guy, at most he understands the position and harm. As for the principle of circulation, it is not under consideration. , had to be changed into a simple and clear statement to explain.

"To put it simply, this is a case that only occurs once in tens of thousands of people. It is rare. Even in my decades of heart surgery, I have only encountered it twice. And this kind of operation is very beneficial to Xiao Chen. One difficulty is that the heart of an adult and the heart of a child are almost two different things. No matter how good the technique is, asking a general cardiologist to perform heart surgery on infants is like asking a brain surgeon to perform obstetrics and gynecology. Completely unprofessional!"

Liu Yang nodded, glanced down again, touched the dregs of beard on his chin, and nodded his head.

"You mean to say that Xiao Chen started acting recklessly again? That's right, I like this kid's reckless spirit. If there are no conditions, he must create conditions to save patients, so even if he goes further than you, He is not a qualified cardiologist or brain surgeon, but a qualified emergency surgeon."

"What kind of general will lead what kind of soldiers, you have to brag about yourself and I can go!"

"Good to go!"

Liu Yang squinted at Yang Xiaoquan, who was sitting firmly in the wheelchair, and ignored his various rhetoric at all.

Chen Qun's voice below interrupted the daily quarrel between the two old men.

"The foramen ovale is occluded, and the first-stage surgery for left ventricular dysplasia must be performed immediately."

As soon as Yang Xiaoquan heard it, he immediately gave up the idea of ​​not interrupting, and asked questions directly into the microphone.

"Xiao Chen, the foramen ovale is closed, can't you open it?"

"No, it's too dangerous. At this time, the baby has already appeared in a cyanotic state and has begun to coma."

"Then have you ever had a genetic congenital heart disease surgery? You should know what I mean, not the general congenital heart disease surgery."

Yang Xiaoquan directly pointed out the key points of this operation.

Of course Chen Qun knew what he meant, but he couldn't remember whether he had undergone such an operation, so he simply gave a genuine answer.

"I've done many simulations in my brain, there shouldn't be any problems!"

"You're crazy!"

Yang Xiaoquan reprimanded angrily, but he wasn't unhappy at all.After all, most of this kid's operations were forced by the Overlord, and the results were much better than those of experts in this field. In addition, now that his personal surgical style has been formed, it is not a big problem.

"Which surgery doesn't start with brain supplementation?"

Liu Yang immediately seized the opportunity, and said to Yang Xiaoquan, this old guy just can't see that young people are better than him!
In just a few words, Chen Qun had completed the anesthesia of the baby. The speed was so fast that the group of young backbone doctors in the emergency center around him could hardly cooperate. Only the young lady could do her best to keep up with Chen Qun's movements.

"It's because the surgical tools are not smooth, and it's not the set that I use every day that makes the movements a little slower!"

The eldest lady comforted herself in this way, although outsiders can't see this little gap, only she can feel it, but she can also understand that this guy Chen Qun has always cooperated with her on purpose, instead of cooperating with this guy himself .

Hmph, this bastard was obviously a rookie when he was in his hometown, but he has improved so fast in just over a year, this guy must be cheating!

The arrogant eldest lady let out a silent cry in her heart, but she didn't know her thoughts at all, but it was an out-and-out fact.

After more than ten minutes, the young heart opened, revealing a beating heart, which formed a sharp contrast with the huge heart of the mother next to it.

"It's so small!"

This was the first thought from the hearts of the doctors and nurses present.

"Aspiration, the ascending aorta is estimated to be [-] mm, the peripheral artery is [-] mm, and the coronary artery is [-] mm. The heart seems to have only the right atrium, the left atrium has been shaped, the beating frequency of the right atrium is very high, and there is mitral valve regurgitation!"

Chen Qun calmed down more and more while telling the baby's condition.Although this situation is very rare, the traditional typical solution given by the broken system is the best method, or even none of them.

As soon as the words came out, Yang Xiaoquan on the observation platform knew that he was speaking for him, and immediately expressed his opinion.

"The pulmonary artery is connected to the right atrium. If the frequency of the right atrium is too high, it will inevitably lead to excessive blood flow in the pulmonary artery, and the mitral valve regurgitation will become more serious. It is conceivable that heart failure and respiratory failure will inevitably occur. How are you going to operate?"

"I'm ready to intubate with a foreign RV-PA shunt!"

"Don't speak these foreign languages, I don't understand, Xiao Chen, please explain!"

Liu Yang saw that Chen Qun had stopped his movements on the ground, he only thought he was thinking about the operation, and he sorted out his thoughts by the way, and immediately raised his doubts.

Yang Xiaoquan interjected directly.

"Xiao Chen, don't worry about this big bastard. He doesn't understand me. I am an expert in this field. You are going to open a hole in the wall of the right atrium, create a channel, connect the pulmonary artery, and perform palliative right ventricle pulmonary artery connection surgery. But you Have you ever thought about it, the baby's heart is too small, I'm afraid you can't complete the operation in that kind of space."

"It might have been difficult in the past, but a few days ago I had a giant panda's heart surgery, and the opening there was a hundred times smaller than this one, so now I have the confidence to complete the surgery."

Chen Qun answered Yang Xiaoquan's question, and made up his mind that after the baby's surgery was completed, he would immediately define this radical surgery as a "conservative surgery" and enjoy the bonus of 20.00% success rate of conservative treatment.Otherwise, he really didn't have much confidence in keeping the baby alive after the operation.

(End of this chapter)