When doctors have a simulated operating room
Chapter 608
The heart is full of blood, and the blood vessels are not as good as before.
Hypertrophic cardiomyopathy.
To put it concretely, the muscles at the apex of the heart, that is, the position of the ventricular wall, are hypertrophic, which leads to the shrinkage of the entire ventricular cavity.
The heart has four chambers, the left and right atria and the left and right ventricles.
Each chamber and the connected arteries and veins have their own responsibilities.
Now that the ventricular cavity has been compressed due to myocardial hypertrophy, the work of the ventricle is naturally much worse than before.
For example, this little girl in front of me.
At the apex, the thickness of myocardial hypertrophy at the lower end of the left and right ventricles is as written in the case, reaching 30 mm!
The entire ventricular cavity is compressed to less than half the size of the atrium!
In this case, how can the blood in the atrium flow in from the mitral valve and tricuspid valve?
How can the ventricle participate in the blood circulation of the whole body?
Every time the heart beats, blood will be ejected.
The left and right ventricles of this girl have been compressed to the point that the blood in the atrium can hardly enter.
Especially the left ventricle!
In Zhang Yi's sight, the right ventricle is not as seriously affected as the left ventricle.
It can still participate in the ejection of blood while beating.
But the left ventricle is almost in a state of strike.
If it weren't for the ECMO machine to help extracorporeal circulation, and the drugs to dilate blood vessels, the child would have died long ago.
Looking at this situation, Zhang Yi's expression was not very good.
Yi Mingsheng and his family looked at Zhang Yi's face in fear, fearing that Zhang Yi would say that he couldn't do the operation again.
Then their last hope would be shattered!
The most important thing for heart transplantation is the heart source, and they finally found one from a long distance.
We can't miss it like this!
"Is the child's oxygen saturation still 92% after using the EMCO machine?"
"Then it seems that the situation is really serious."
Generally, after patients with cardiopulmonary diseases breathe oxygen, especially with the support of ECMO machines, the oxygen saturation can definitely reach 98%.
As a result, this child's oxygen saturation is only 92% with the help of so many machines.
The condition is indeed very serious and dangerous.
"Show me the medical records again."
"Oh! Good!"
The family members hurriedly took out a stack of medical records from their bag and handed them to Zhang Yi.
Zhang Yi observed and read the medical records.
The look was serious and rigorous, and the people around couldn't help holding their breath, for fear of disturbing Zhang Yi.
After waiting for a long time, Zhang Yi raised his head and said:
"You have no problem here, as long as the heart is donated, there is no problem, I can do this operation."
Hearing Zhang Yi's words, Yi Mingsheng's family took a deep breath and then exhaled heavily.
Yi Mingsheng said excitedly and with a choked voice:
"Okay...Okay! Thank you, Doctor Zhang! I will take you to see the child who donated his heart."
Soon, the group came to another ward.
This ward is not as spacious as the VIP ward just now. It should be an ordinary ward.
"Doctor Zhang, this child is already in a vegetative state, and the probability of waking up is almost impossible, so the family decided to donate organs and give up treatment.
This is the child's medical record, you can take a look."
Zhang Yi took the medical record in his hand while observing the little boy on the bed.
He is older than the girl just now, probably about eight or nine years old?
But after a glance at the boy's brain, no signs of brain damage were found.
So how did this child become a vegetative state?
After taking the medical record, I found out that it was carbon monoxide poisoning.
While looking through the medical records, Yi Mingsheng sighed and said:
"This boy is only nine years old. He burned coal at home to commit suicide. He didn't die but became a vegetable.
Alas, it's a pity, but... I should thank him. If it weren't for him, my daughter wouldn't have the chance to be reborn..."
After hearing this, Zhang Yi also fell silent for a while.
Alas.
Facts are unpredictable. A nine-year-old child would burn coal to commit suicide?
This... is really rare.
But other people's family affairs have nothing to do with Zhang Yi. In addition to regret, he has to formulate a surgical plan in his mind as soon as possible.
After a few minutes, Zhang Yi returned the medical records to Yi Mingsheng:
"Okay, there are no problems with the child's organs and functions. The operation can be scheduled for next Monday, which is the day after tomorrow.
President Yi, please take me to meet the attending doctor here first."
Finally hearing Zhang Yi's affirmative answer, Yi Mingsheng nodded with slightly red eyes:
"Okay! Please follow me! I
Go explain the situation to my daughter's attending physician right away!"
Soon, Yi Mingsheng brought Zhang Yi to the doctor's office.
At the door of the office, several blond and blue-eyed foreign doctors, including two black-skinned doctors, were busy inside.
"Hey, Dr. Bob!"
After Yi Mingsheng greeted them, a middle-aged man with a golden brown crew cut turned around and looked at them, then smiled and said:
"Hey, Mr. Yi, what can I do for you? Are you planning to let our team leader Jian perform surgery on your daughter?"
Yi Mingsheng's eyes flashed a little embarrassed, and he smiled quickly:
"No, no, no, I came to you to tell you that I invited an expert from our China to help my daughter with the surgery. Originally, it was Professor Phipps who performed the surgery, but now he has an accident, right?
You know my daughter's situation, it is impossible to wait for Professor Phipps to recover before completing the surgery, right?
So I found a doctor from our country to help. "
"Oh? ? "Bob was obviously a little surprised.
Originally, after Professor Phipps's accident, he wanted to ask the director of their department, Team Leader Jian, to perform the surgery on Yi Mingsheng's daughter.
What a surprise.
This guy actually invited a doctor from China himself??
Which expert did he invite??
He actually made him give up the opportunity to be the surgeon given by the director of the cardiothoracic surgery department of the Mass General Hospital??
"Haha, I have no problem with this, as long as you sign a disclaimer of our hospital.
By the way, I also want to ask which expert you invited from China? I wonder if I have heard of him? "
After hearing this, Yi Mingsheng immediately moved his sight to the door of the office.
I saw a tall handsome guy standing there!!
Wow?!
What an eye-catching handsome guy!!
Hmm??
No!
This guy looks familiar!!
Wait a minute~
Bob blinked hard, as if he couldn't believe it, and then took out his mobile phone to flip through the photos.
A few seconds later, Dr. Bob laughed excitedly:
"Hahaha! OMG! Are you Dr. Zhang Yi? ? Haha! I didn't expect Mr. Yi to invite you to perform surgery on his daughter!
Hahaha! Oh my God! It's fate that we meet, Mr. Zhang Yi!
I know you. You took over the last time Professor Phipps' remote operation failed, right?
The news was very big at that time, and many people in our hospital knew you! "
Seeing Bob so excited, other doctors in the office also cast their eyes over.
Unexpectedly, take a closer look!
Wow!
It's really Zhang Yi!!
Oh my!
The person I saw on TV and news a few days ago suddenly appeared in front of me?!
Haha!
What a surprise!
"Haha, hello, nice to meet you."
Unable to refuse the kindness, Zhang Yi extended his hand and politely greeted Bob.
Just when Bob wanted to continue to get close to him, an emergency call interrupted their conversation.
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