Big Doctor Live Room

Chapter 1108 Abdominal Aortic Aneurysm Resection and Artificial Vascular Replacement Surgery

The echo of the system was still in my ears, but Huang Shiren's voice from above the operating room immediately brought Chen Qun back to the real world.

"Xiao Chen, it just so happened that you have finished your operation, and you are going to rescue a patient who was sent from the hospital in the development zone. The patient was sent here because he couldn't complete it. The patient was a 41-year-old man with an abdominal aortic aneurysm that was about to rupture. He has high blood pressure, diabetes, coronary heart disease, liver and kidney failure, and low heart function. He thought he had a gastric ulcer before and had a laparotomy."

As soon as Chen Qun heard this, he knew why the hospital there would send the patient here directly. Because these symptoms added together, it became a technical problem that the surgeon had to solve - the patient's abdominal adhesions were very serious and the abdominal cavity could not be removed. It can be shunted with the intra-abdominal organs, and it is difficult to separate the various organs.

Sometimes a lot of diseases are so simple and complicated, and many small symptoms come together to become a problem that is usually insignificant but very difficult to solve by surgery.What's more, the low heart function and the rupture of the aortic aneurysm are almost dead, and only a few big hospitals can save him. The probability is not high.

Chen Qun answered directly without thinking.

"Send the patient over immediately, I'll go wash my hands!"

Two minutes later, Chen Qun frowned slightly when he saw the medical records sent by the district hospital.

The patient had an abdominal aortic aneurysm with a diameter of seven centimeters below the abdominal renal artery.Due to the enlargement of the aortic aneurysm, the aortic dissection is reduced, and the possibility of rupture is very high. Coupled with such a toss on the road, it should probably rupture.Then there is a high possibility of bleeding too much and causing the heart to stop beating.

The only thing to be thankful for now is that this patient is not of the panda blood type, otherwise it would be impossible for him not to cheat.

Almost within a few seconds of seeing the information, Chen Qun immediately prepared a countermeasure.

"Prepare six units of frozen plasma and two units of platelets, and immediately send the patient to operating room No. 15. We will start rescue according to the severe abdominal bleeding. Since the patient has a history of laparotomy, it is the fastest and fastest to perform laparotomy for abdominal adhesions." It takes 5 minutes, but the patient may not last for [-] minutes at the beginning of the operation, so we switched to unconventional rescue methods.”

Sure enough, it was a very Chen-style way of thinking. All the medical staff came up with this idea in their minds. They didn't seek victory, they first expected defeat, which made the only sliver of luck lost.Of course, this worst-case scenario is not necessarily a panacea, and may even be counterproductive.But the current situation is very suitable for this patient's condition.

Zhao Xue, who had nothing to do as an assistant in the previous operation, immediately became a little nervous and asked questions.

"What kind of unconventional method is it?"

"Without adhesion dissection, the patient was operated in a lateral position, and the abdominal aortic aneurysm resection and artificial blood vessel replacement were performed through a combined thoracoabdominal incision. Fortunately, we have three spare blood vessels that were not used in the previous operation, This time, even disinfection and preparation have been saved.”

This is still a new posture. Even if Zhao Xue, Chen Qun's senior substitute mechanical nurse, has never seen it before, he doesn't know much about the operation itself.However, even though Zhao Xue didn't have much experience, he was used to Chen Qun using all kinds of strange treatments for all kinds of strange patients. He would lead a group of other rookies to complete a brand new operation.

What's more, when the patient has severe adhesions, not peeling off the adhering organs is also a "cleaner" surgical method for nurses and other medical staff.Otherwise, if there is any leakage or ulcer in the intestine, it will be a disaster in the operating room.

Besides, when Chen Qun came to the new hospital, the type of operating room had changed from one to four.Among them, operating room No. [-] is the most complete comprehensive demonstration operating room, operating room No. [-] has been turned into a hybrid cardiac operating room, and operating room No. [-] and [-] are small operating rooms for abdominal surgery, especially operating room No. [-]. It is mainly pure abdominal surgery.

Since these four operating rooms adopt split and modular management, as long as different equipment and instruments are deployed, these operating rooms can be converted into operating rooms Chen Qun needs in just a few minutes.Of course, strong logistics for the various automated operations are essential.

Of course, the plan given by Chen Qun at this time was based on his judgment based on his rich clinical experience, and he did not demonstrate it in the system space, but directly finalized it.Because if the incision is made from the middle, there will be serious abdominal adhesions, which will take a long time to reach the most important abdominal aortic aneurysm after peeling off the adhesions.

What's more, the tumor has ruptured and started to bleed profusely. If it enters from the side, it can directly contact the abdominal aortic aneurysm for rescue, regardless of the adhesion of the abdominal cavity.

The reason why this type of operation is not common is because the opening of this type of operation is relatively small, the field of view is also small, and the operability is weak. Even for him, it is not as fast as the conventional method.But for now, this is the best surgical method. Although the difficulty has increased several times, he has also performed thousands of operations from this position in the system space, and has formed muscle memory, so it is not difficult.

A few minutes later, Chen Qun had opened the patient's abdominal cavity during the operation. Looking at the hemangioma that swelled like a kidney, Zhao Xue felt that she could no longer look directly at the hospital's fried waist.However, Zhou Lin, the other nominal store manager of the husband-and-wife store who was the first assistant, didn't notice at all. When he saw the tumor, a surgical plan naturally appeared in his mind, as if he was to do it, although it was very slow. But I can firmly believe that he can complete the operation.

Could it be that he went abroad for a trip and performed very well, and then he started to feel smug?

Zhou Lin felt that his idea was a little abnormal, and quickly shook his head to throw this unrealistic idea out of his mind.Then he saw Chen Qun gently raise his right hand, slightly pull the surgical glove with his left hand, then put his right hand into the patient's abdominal cavity, and then pull out the aorta slightly with a slight pull.

The moment he stretched his palm in, the patient's blood pressure jumped from 72 to 101 on the index of the blood pressure monitor outside.

"The blood pressure has risen, Dr. Chen, you have found the patient's bleeding point!"

An itinerant nurse read the readings on the monitor, and little stars appeared in his eyes, knowing that Dr. Chen Qun's manual hemostasis, which he didn't use easily, had worked, and the bleeding stopped immediately.

"Don't talk nonsense, the operation hasn't started yet, give me the hemostatic forceps, prepare Mei's dissecting scissors, and inject heparin!"

Chen Qun replied calmly, and then reminded Zhao Xue, the words fell, and the female nurse's palm involuntarily touched the dissecting scissors, although he still didn't know the mechanism of the system to upgrade the assistant What is it, but he is clear that all upgrades are based on personal efforts.After hard work, the improvement of skills in turn affects them as assistants and nurses.

(End of this chapter)