Rebirth Hao Shao snatches a kiss
Chapter 171 Heart surgery during pregnancy
On the last day of the medical seminar, Tang Muchen and Gu Chengyuan both sat down.
Tang Muchen looked back at Song Yehui with some guilt. Fortunately, this guy didn't realize that he knocked on the door indiscriminately yesterday.
"Are you going to make a move today?" Gu Chengyuan interrupted Tang Muchen's thoughts.
Tang Muchen said hastily: "Of course we have to make a move, otherwise the artificial heart-lung machine will end up in someone else's hands."
As the workshop begins, the first patient's profile appears on a large screen.
This patient has severely damaged leg tendons and is in a dilemma between amputation and retention.
According to many doctors, the injury is almost incurable.
However, Tang Muchen raised his hand and stood up. He thought of the mother who was injured trying to protect her child. At that time, the mother's leg was bitten by a dog, which was more serious than this patient.
As long as their doctors don't give up, patients have a chance.
In this operation, Tang Muchen entered the operating room as the chief surgeon.
The nearly three-hour operation was perfectly completed. As long as the postoperative recovery is good, standing up again will not be a problem.
The second patient was intracardiac and required coronary catheterization.
There were many competitors this time, but after some questions and discussions, Tang Muchen and Li Yan were successfully selected.
Surprisingly, Dr. Jesse is also the deputy chief surgeon.
The operation went very smoothly. Dr. Li Yan and Dr. Jesse were highly skilled and cooperated with Tang Muchen to complete this complicated operation.
The last patient was a pregnant woman who had been pregnant for more than seven months and was suddenly found to have a heart attack.
Because of the special situation of the patient, the organizer gave a detailed introduction, "This patient had a cold when she was six months pregnant, but she survived without taking medicine.
When I was seven months pregnant, I had chest tightness and rapid heartbeat. I went to the hospital for an obstetric examination and initially suspected it was pregnancy syndrome.
Now the pregnant woman has been pregnant for seven and a half months, and she has reached the point where she cannot lie down even when she sleeps. The continuous asthma makes her unable to rest normally.
Recently, this pregnant woman went to Yuncheng Hospital for a comprehensive examination, and was determined to be infective endocarditis, and was given anti-inflammatory treatment by hanging water. serious.
Therefore, with the consent of all the experts from Yuncheng Hospital and the family members, the person was sent here, hoping to be treated through surgery. "
In the operating room, the pregnant woman lies flat on the bed, looking in the direction of the camera.
"Doctors, I beg you to save the child. I have no choice. If I don't perform this operation, not only will I die, but the child will not be able to see the world." With tears in his eyes, the voice of the patient spread throughout the venue.
Seeing this, the hearts of all the doctors tugged.
The difficulty of this operation is too high, requiring the cooperation of gynecology and cardiology.
Of course, the gynecology department is only for assistance, not for pregnant women to give birth to their babies at this time. However, in order to make complete preparations, three gynecology experts from Yuncheng Hospital have come.
Now, it depends on which heart doctor can take on this important task and complete this extremely risky operation.
"I would like to remind you that in this operation, we must not only save the fetus, but also let the adults survive." The representative of the sponsor said, otherwise, there is no need to send the patient here.
There are also quite a few experts in Yuncheng Hospital. It is not a problem just to keep the fetus. An early caesarean section can solve it.
However, this is not the best solution, because 90.00% of adults will pay their lives in this way.
There is also the size of the fetus. Although it can survive for more than seven months, there are always exceptions.
Everyone was silent. It is difficult for a simple cold to develop into such a serious heart disease, and there must be other factors.
She thought that the patient had a heart attack before coming, but she didn't know it.
When pregnant, the burden on the body was increased, and the heart could not bear it, forming mitral valve prolapse and regurgitation, which caused problems in the blood circulation of the heart. Meningitis.
A variety of questions emerged in Tang Muchen's mind. Due to the special condition of the patient, the difficulty of the operation was multiplied.
During the operation, they had to solve the patient's heart problem and ensure that the fetus in the patient's abdomen would not be affected.
This is not just talking about it, any accident may happen during the operation.
But, looking at his mother in the operating room, Tang Muchen couldn't do nothing to save her.
In the end, Tang Muchen slowly raised his hand and became the first surgeon.
Tang Muchen's previous performance was very good, and his medical skills were also recognized by the organizers.
Then an island doctor raised his hand, but he didn't compete with Tang Muchen for the position of chief surgeon.
Dr. Jesse remained silent. If he only wanted to protect the child, he could do it, but he was not sure about allowing such a pregnant patient to undergo surgery during pregnancy and protect the fetus during the operation.
Soon, four doctors stood on the stage.
The organizers asked these four people questions respectively, and one of the young doctors said: "I don't have much experience in surgery, but I am very familiar with the equipment, and I can be Dr. Tang's assistant."
Not surprisingly, Tang Muchen became the chief surgeon of this operation, and a heavy burden fell on his shoulders.
After the four entered the operating room, they first communicated with the three gynecologists inside.
Three gynecologists said that the condition of the fetus is normal now, and they will pay close attention to the condition of the fetus during the operation.
"Prepare for surgery!" Tang Muchen took a deep breath and looked at the anesthesiologist at Yuncheng Hospital.
Anesthesia is the first step in surgery.
This operation is also a big test for the anesthetist, because the patient's situation is special, the anesthesia should be neither too deep nor too shallow, otherwise it will be unfavorable to the fetus.
The anesthesiologist chose an anesthetic that would have the least impact on the fetus, then inserted the needle, and kept his eyes on the monitor, monitoring the pregnant woman's blood pressure and heart rate fluctuations.
The injection process is very slow, which shows that the anesthetist is under a lot of pressure.
"Well, this anesthetic will not enter the placenta and affect the fetus, but it will take some time for anesthesia." The anesthetist breathed a sigh of relief.
After confirming that the anesthesia was completed, the young doctor volunteered to take a step forward. This kind of operation requires extracorporeal circulation, which is what he is best at.
Also because of the special situation of the patient, many processes need to be changed, especially the control of temperature.
In this situation of the patient, the deep hypothermia extracorporeal circulation technique cannot be used, and the temperature must be raised and kept at about 35 degrees.
Then it is infused with high-potassium cardioplegia. The normal temperature of this liquid is four to six degrees. However, if it is poured into the patient's body, it will only cause her uterine contractions, and then lead to premature labor.
This is what they don't want to see, so they also increased the temperature of the arresting fluid, keeping it at about [-] degrees.
Tang Muchen saw that everything was done, and reminded the doctor, "Activate the inner suction device."
The young doctor reacted quickly, activated the device, and kept sucking up the cardioplegia fluid to protect the safety of the fetus.
The next step is to open the heart, because the patient has endocarditis caused by a cold, so germs have been produced inside the heart, and the mitral valve has been eroded.
In the venue, everyone also saw the inner situation.
Not only the mitral valve is completely rotten, but even the tricuspid valve is also affected.
During the operation, Tang Muchen had to replace the mitral valve and then repair the tricuspid valve.
This process must be extremely careful, and the condition of the fetus must be monitored at any time to avoid fetal asphyxia.
Not to mention the doctors in the operating room, even the doctors in the venue were sweating for them.
Whether the pregnant woman can give birth to the child smoothly, and whether the child can have a complete family depends on whether the operation is successful.
Tang Muchen bears not only responsibility, but also the hope of a family.
Responsibility and persistence alone are not something ordinary people can bear.
Gu Chengyuan looked at the chief surgeon on the screen, this is his lover, like the brightest star in the night, bringing not only light, but also hope!
An hour and a half later, the operation was over.
When the operation was successful, the audience burst into applause, and everyone smiled knowingly.
Tang Muchen smiled like a child, clean and pure.
Gu Chengyuan was dumbfounded, Song Yehui was dumbfounded, many people were attracted by this smile.
Bai Zhexi smiled lightly, Baby Mu Chen's charm is really great, such an excellent person, it's hard to be disgusted.
Doctor Jesse from the United States stood up to greet Tang Muchen after he came out, and stretched out his hand to him, "I don't understand your medical ethics here, but I admire your skills."
Tang Muchen shook hands with him, "As a doctor, he can only go further if he has high medical ethics."
Dr. Jesse seems to understand, but he will study the so-called medical ethics.
Without any objection, Tang Muchen became a new star in this seminar.
The artificial heart-lung machine newly developed by the island country will be transported to the imperial capital and sent to the general hospital of the military region.
Although instruments are precious, everyone understands that people are more precious than instruments.
In addition to this instrument, the organizer also gave Tang Muchen the certificate of the International Medical Association, and he will be a member of this association from now on.
For this reason, many people cast envious glances. Such a young member of the medical association, not to mention that there will be no one in the future, and there will be no one before.
Tang Muchen did not expect to have such a harvest, and he thanked the organizer for his recognition.
"Doctor Tang, if we have a chance, we will go to the imperial capital to discuss medical skills with you." The representative of the organizer admires Tang Muchen very much, as there are not many young and capable people.
Tang Muchen smiled heartily, "You are always welcome."
After the seminar ended, Tang Muchen did not greet everyone, but left the hotel with Gu Chengyuan through the urethra.
It is rare to see people who run away with all their glory, and Tang Muchen is honored to be one of them.
Tang Muchen looked back at Song Yehui with some guilt. Fortunately, this guy didn't realize that he knocked on the door indiscriminately yesterday.
"Are you going to make a move today?" Gu Chengyuan interrupted Tang Muchen's thoughts.
Tang Muchen said hastily: "Of course we have to make a move, otherwise the artificial heart-lung machine will end up in someone else's hands."
As the workshop begins, the first patient's profile appears on a large screen.
This patient has severely damaged leg tendons and is in a dilemma between amputation and retention.
According to many doctors, the injury is almost incurable.
However, Tang Muchen raised his hand and stood up. He thought of the mother who was injured trying to protect her child. At that time, the mother's leg was bitten by a dog, which was more serious than this patient.
As long as their doctors don't give up, patients have a chance.
In this operation, Tang Muchen entered the operating room as the chief surgeon.
The nearly three-hour operation was perfectly completed. As long as the postoperative recovery is good, standing up again will not be a problem.
The second patient was intracardiac and required coronary catheterization.
There were many competitors this time, but after some questions and discussions, Tang Muchen and Li Yan were successfully selected.
Surprisingly, Dr. Jesse is also the deputy chief surgeon.
The operation went very smoothly. Dr. Li Yan and Dr. Jesse were highly skilled and cooperated with Tang Muchen to complete this complicated operation.
The last patient was a pregnant woman who had been pregnant for more than seven months and was suddenly found to have a heart attack.
Because of the special situation of the patient, the organizer gave a detailed introduction, "This patient had a cold when she was six months pregnant, but she survived without taking medicine.
When I was seven months pregnant, I had chest tightness and rapid heartbeat. I went to the hospital for an obstetric examination and initially suspected it was pregnancy syndrome.
Now the pregnant woman has been pregnant for seven and a half months, and she has reached the point where she cannot lie down even when she sleeps. The continuous asthma makes her unable to rest normally.
Recently, this pregnant woman went to Yuncheng Hospital for a comprehensive examination, and was determined to be infective endocarditis, and was given anti-inflammatory treatment by hanging water. serious.
Therefore, with the consent of all the experts from Yuncheng Hospital and the family members, the person was sent here, hoping to be treated through surgery. "
In the operating room, the pregnant woman lies flat on the bed, looking in the direction of the camera.
"Doctors, I beg you to save the child. I have no choice. If I don't perform this operation, not only will I die, but the child will not be able to see the world." With tears in his eyes, the voice of the patient spread throughout the venue.
Seeing this, the hearts of all the doctors tugged.
The difficulty of this operation is too high, requiring the cooperation of gynecology and cardiology.
Of course, the gynecology department is only for assistance, not for pregnant women to give birth to their babies at this time. However, in order to make complete preparations, three gynecology experts from Yuncheng Hospital have come.
Now, it depends on which heart doctor can take on this important task and complete this extremely risky operation.
"I would like to remind you that in this operation, we must not only save the fetus, but also let the adults survive." The representative of the sponsor said, otherwise, there is no need to send the patient here.
There are also quite a few experts in Yuncheng Hospital. It is not a problem just to keep the fetus. An early caesarean section can solve it.
However, this is not the best solution, because 90.00% of adults will pay their lives in this way.
There is also the size of the fetus. Although it can survive for more than seven months, there are always exceptions.
Everyone was silent. It is difficult for a simple cold to develop into such a serious heart disease, and there must be other factors.
She thought that the patient had a heart attack before coming, but she didn't know it.
When pregnant, the burden on the body was increased, and the heart could not bear it, forming mitral valve prolapse and regurgitation, which caused problems in the blood circulation of the heart. Meningitis.
A variety of questions emerged in Tang Muchen's mind. Due to the special condition of the patient, the difficulty of the operation was multiplied.
During the operation, they had to solve the patient's heart problem and ensure that the fetus in the patient's abdomen would not be affected.
This is not just talking about it, any accident may happen during the operation.
But, looking at his mother in the operating room, Tang Muchen couldn't do nothing to save her.
In the end, Tang Muchen slowly raised his hand and became the first surgeon.
Tang Muchen's previous performance was very good, and his medical skills were also recognized by the organizers.
Then an island doctor raised his hand, but he didn't compete with Tang Muchen for the position of chief surgeon.
Dr. Jesse remained silent. If he only wanted to protect the child, he could do it, but he was not sure about allowing such a pregnant patient to undergo surgery during pregnancy and protect the fetus during the operation.
Soon, four doctors stood on the stage.
The organizers asked these four people questions respectively, and one of the young doctors said: "I don't have much experience in surgery, but I am very familiar with the equipment, and I can be Dr. Tang's assistant."
Not surprisingly, Tang Muchen became the chief surgeon of this operation, and a heavy burden fell on his shoulders.
After the four entered the operating room, they first communicated with the three gynecologists inside.
Three gynecologists said that the condition of the fetus is normal now, and they will pay close attention to the condition of the fetus during the operation.
"Prepare for surgery!" Tang Muchen took a deep breath and looked at the anesthesiologist at Yuncheng Hospital.
Anesthesia is the first step in surgery.
This operation is also a big test for the anesthetist, because the patient's situation is special, the anesthesia should be neither too deep nor too shallow, otherwise it will be unfavorable to the fetus.
The anesthesiologist chose an anesthetic that would have the least impact on the fetus, then inserted the needle, and kept his eyes on the monitor, monitoring the pregnant woman's blood pressure and heart rate fluctuations.
The injection process is very slow, which shows that the anesthetist is under a lot of pressure.
"Well, this anesthetic will not enter the placenta and affect the fetus, but it will take some time for anesthesia." The anesthetist breathed a sigh of relief.
After confirming that the anesthesia was completed, the young doctor volunteered to take a step forward. This kind of operation requires extracorporeal circulation, which is what he is best at.
Also because of the special situation of the patient, many processes need to be changed, especially the control of temperature.
In this situation of the patient, the deep hypothermia extracorporeal circulation technique cannot be used, and the temperature must be raised and kept at about 35 degrees.
Then it is infused with high-potassium cardioplegia. The normal temperature of this liquid is four to six degrees. However, if it is poured into the patient's body, it will only cause her uterine contractions, and then lead to premature labor.
This is what they don't want to see, so they also increased the temperature of the arresting fluid, keeping it at about [-] degrees.
Tang Muchen saw that everything was done, and reminded the doctor, "Activate the inner suction device."
The young doctor reacted quickly, activated the device, and kept sucking up the cardioplegia fluid to protect the safety of the fetus.
The next step is to open the heart, because the patient has endocarditis caused by a cold, so germs have been produced inside the heart, and the mitral valve has been eroded.
In the venue, everyone also saw the inner situation.
Not only the mitral valve is completely rotten, but even the tricuspid valve is also affected.
During the operation, Tang Muchen had to replace the mitral valve and then repair the tricuspid valve.
This process must be extremely careful, and the condition of the fetus must be monitored at any time to avoid fetal asphyxia.
Not to mention the doctors in the operating room, even the doctors in the venue were sweating for them.
Whether the pregnant woman can give birth to the child smoothly, and whether the child can have a complete family depends on whether the operation is successful.
Tang Muchen bears not only responsibility, but also the hope of a family.
Responsibility and persistence alone are not something ordinary people can bear.
Gu Chengyuan looked at the chief surgeon on the screen, this is his lover, like the brightest star in the night, bringing not only light, but also hope!
An hour and a half later, the operation was over.
When the operation was successful, the audience burst into applause, and everyone smiled knowingly.
Tang Muchen smiled like a child, clean and pure.
Gu Chengyuan was dumbfounded, Song Yehui was dumbfounded, many people were attracted by this smile.
Bai Zhexi smiled lightly, Baby Mu Chen's charm is really great, such an excellent person, it's hard to be disgusted.
Doctor Jesse from the United States stood up to greet Tang Muchen after he came out, and stretched out his hand to him, "I don't understand your medical ethics here, but I admire your skills."
Tang Muchen shook hands with him, "As a doctor, he can only go further if he has high medical ethics."
Dr. Jesse seems to understand, but he will study the so-called medical ethics.
Without any objection, Tang Muchen became a new star in this seminar.
The artificial heart-lung machine newly developed by the island country will be transported to the imperial capital and sent to the general hospital of the military region.
Although instruments are precious, everyone understands that people are more precious than instruments.
In addition to this instrument, the organizer also gave Tang Muchen the certificate of the International Medical Association, and he will be a member of this association from now on.
For this reason, many people cast envious glances. Such a young member of the medical association, not to mention that there will be no one in the future, and there will be no one before.
Tang Muchen did not expect to have such a harvest, and he thanked the organizer for his recognition.
"Doctor Tang, if we have a chance, we will go to the imperial capital to discuss medical skills with you." The representative of the organizer admires Tang Muchen very much, as there are not many young and capable people.
Tang Muchen smiled heartily, "You are always welcome."
After the seminar ended, Tang Muchen did not greet everyone, but left the hotel with Gu Chengyuan through the urethra.
It is rare to see people who run away with all their glory, and Tang Muchen is honored to be one of them.
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