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Chapter 470 Median sternotomy

Chapter 4 Median sternotomy

In the evening, Chen Qun thought he could wait for the good news from his girlfriend, but what he was waiting for was an unexpected request for help from the Department of Cardiovascular Medicine.

The call was made by Academician Yang Xiaoquan himself.

"Xiao Chen, I have a patient here who has undergone a heart transplant operation. He went into shock again and may need surgery. Can you come here immediately? Wait, forget it, I will send the ambulance directly to your emergency center, I will come As soon as you arrive, I will consult with the patient!"

After Mr. Yang finished speaking, he thought for a while and continued to explain the situation.

"Patient has been given two and a half units of dobutamine IV with dopamine added to elevate blood pressure. If he comes over, he needs a blood gas and an EKG first! If it's bad, you'll need to give him milrindone first , to make sure he can survive the test."

It was the first time for Chen Qun to see Mr. Yang explain everything in such a comprehensive manner. He was wondering why he was not sent to the cardiovascular department, and then remembered that Gu Ning had gone to the capital for a meeting.If it were another doctor, I am afraid that he would not dare to take over this kind of patient who has undergone heart transplantation.

For Mr. Yang, there is no such concern. He is not a student, but he came to find him as a surgeon. Most likely, he chose him because of the special situation of the patient.

Thinking that it was Mr. Yang's operation, Chen Qun knew that he should wake up the top female student no matter what, otherwise she would blame her for the rest of his life. He had already offended the top female student once, so this time it would be a good atonement. .

His girlfriend wasn't around, and Chen Qun didn't know which room those female nurses who were going to enjoy the five-star hotel vacation lived in, so he simply called Wang Qiong's number, asked her to help, and called Qi Hong over.

After all this was arranged, he had already arrived at the ambulance lane in front of the emergency center and was ready for rescue.Before the ambulance arrived, Qi Hong called.

"I just got the medical record form from the teacher. His heart transplant has only been done for less than half a year. Is there a rejection reaction in the body?"

"Anything is possible! Only after the inspection is complete!"

"But we can rule out those diseases with a high probability of impossibility first, so as not to waste much time. I imagined a few possibilities, and you can reply to me later when you see the patient. Myocardial infection accounts for 30.00%, and myocarditis accounts for 20.00%. I just Received the ambulance data, his blood pressure 110/70, shortness of breath, but no ST-segment elevation, ruled out myocardial infarction."

"I think, Mr. Yang called me, probably because he is going to prepare for an operation. You can ask your master what the most likely disease is, so that we can prepare. If there is no operation, Mr. Yang will not send the patient to me. I came here. Because operating on a transplanted heart is something all doctors try to avoid. But Mr. Yang still has this plan, which shows that he has given the worst estimate."

Qi Hong heard Chen Qun's tongue-twisting explanation and immediately understood what he meant, but still had to correct his misunderstanding.

"The patient's operation was performed at Xiehe Hospital, not my teacher's patient. My teacher asked you to be the chief surgeon, but he gave you a chance. Don't think that you are so good..."

Qi Hong said a few words unreasonably, but couldn't continue, afraid that she would laugh out loud, so she hung up the phone quickly and called the teacher.

"Teacher, what symptoms do you think this patient is most likely to have, so that he needs to be sent to our operating room for emergency treatment?"

Yang Xiaoquan pondered for a moment before expressing his guess.

"I suspect that there was a complication in the original transplant operation. It was just a very dangerous rescue during the operation in the capital, and it may have recurred now. You tell Xiao Chen that this operation was performed by me, and any problems and responsibilities , it’s all my responsibility, you just have to feel free and bold to implement it.”

Seeing that the phone was hung up again, Qi Hong naturally knew the teacher's concern. This kind of operation for a heart transplant patient again was extremely risky.

"Anyone who re-operates on a heart transplant patient is dancing on the tip of a knife because as soon as he bleeds, the patient dies on the operating table. Even if you manage to get into the chest cavity, the scar tissue will prevent you from seeing the heart clearly. , At that time, you will have a high probability of accidentally injuring blood vessels. Only lunatics and geniuses will have another operation."

Qi Hong called Chen Qun again.

"Is the patient here?"

"It was just delivered, and I saw the color Doppler ultrasound on the ambulance, and the cause has been determined. It is the dissection of the aortic root, which is completely in line with Mr. Yang's prediction. It is a common problem among surgical complications. It would cause a tear to worsen and eventually get out of hand! So, surgery had to be done to fix the problem. Looks like the cardiopulmonary bypass machine we prepared in the morning is finally ready to be used."

Unexpectedly, Chen Qun would encounter two heart surgeries in one day, and he felt a little excited.What's more, this patient has a very luxurious private ambulance, which shows that the family is not ordinary rich.The ambulance doctor on the ambulance is also very professional, and the equipment inside has saved him a lot of time.

He was about to send the patient to the operating room with the ambulance staff, when he saw a bicycle rushing over from the side, and an old man jumped off from it, it was Academician Yang Xiaoquan.As soon as they met, Mr. Yang asked hurriedly.

"What exactly is the situation?"

"It's the aortic root tribe. I'm going to use a median sternotomy to operate along his original surgical scar and pry open his sternum for surgical treatment."

Chen Qun answered confidently. The moment he saw the patient, he used the system space operating room again and conducted four or five drills, which was almost foolproof.What's more, his current rehearsal is different from the original one. Instead, he deliberately creates various accidents and then rescues them.It is no longer the original rookie level to complete the operation, even if it is over.

Academician Yang, who was pushing an old bicycle, immediately asked a question.

"If the scar tissue is too dense to open the chest, how do you deal with it, knock open his sternum and continue the operation?"

"No, I can use Bowei electrocautery to treat the scar tissue, then use a chest opener to complete the chest opening, use an extracorporeal circulation device to send blood to his whole body, and finally use Dacron grafts to repair the problematic aorta."

"Good boy, all situations have been preset. Let's go, my old man will watch how you solve this problem that no one dares to take over."

Chen Qun felt a touch of emotion in his heart, knowing that Academician Yang simply let go this time.If the operation is successful, all the credit will be his, Chen Qun's.If the operation fails, Academician Yang will directly go up and take the blame.

Such a doctor is the treasure and the mainstay of the hospital. Mr. Yang is using his words and deeds to teach him by example and trust him as a young man without reservation.

(End of this chapter)