Chapter 186: Frequent accidents and many difficulties. The director was diagnosed with a heart attack

Author: Fisherman by the River

Chapter 186: Frequent accidents and many difficulties. The director was diagnosed with a heart attack

The thymus itself is very close to the heart. After the patient's thymus had tumors, it had directly occupied some of the pericardium.

The injured artery vessel is now blocked by direct ligation.

It is equivalent to the blood flow that is broken.

The entire blood supply system of the human body is very subtle, especially the blood vessels in the chest cavity.

Whether it is a vein or an artery, it is centered on the heart to form a systemic blood circulation system.

The blood supplied from the chest cavity from the brain to the soles of the feet, the human limbs and bones, and the organs of the body are all supplied by it.

Whether the patient's blood oxygen continues to drop is related to the breakdown of this blood vessel, it is not yet clear.

It’s just that if you don’t separate the thymoma, you can’t match this blood vessel now!

Director Hu Kan encountered unprecedented challenges.

"I'll try to increase the oxygen concentration first. But based on my feeling, the effect should not be large."

Dr. Feng tried to increase the oxygen supply concentration of patients inhaled.

You can often see patients who need oxygen inhalation in hospitals. For example, pregnant women, lung insufficiency or failure, COPD, etc., may need oxygen inhalation.

Patients generally have low concentrations of oxygen inhalation. Occasionally, when encountering special circumstances, they will slightly increase the oxygen concentration.

However, the oxygen supply concentration cannot be adjusted too high.

Otherwise, it will backfire.

For example, common carbon dioxide retention, lung function inhibition, oxygen poisoning, etc.

Dr. Feng seemed very cautious when operating.

There is a problem with the patient's blood oxygen itself. If the oxygen supply concentration is too high, the patient's lung function will be suppressed, which will immediately make it worse.

Zhou Can kept watching silently from the side, his heartbeat accelerated slightly.

Because he knew that he had been in cardiothoracic surgery for almost two months and had not been able to get too many opportunities to get started. Now, the opportunity has come.

It is true that cardiothoracic surgery is a master. These directors and deputy chief physicians are all masters among the masters.

Even the attending doctors were not vague, and their surgical ability crushed doctors of the same level in other surgical departments.

But they have one of their biggest weaknesses.

That's slow.

Success is Xiao He, failure is Xiao He.

It's slow, if it's put in other operations, it's nothing.

At this moment, an accidental breakdown of an arterial blood vessel was planted, and the root of disaster was laid. In addition, the operation was slow, which basically meant that the roof was leaking and raining all night.

Oxygen inhalation is not a magic pill to treat low blood oxygen.

In many cases, low blood oxygen cannot be solved by inhalation of oxygen.

As expected by Zhou Can, even though the oxygen concentration was increased, the patient's blood oxygen saturation continued to decline.

It has fallen below 90.

"Oxygen absorption doesn't work!"

Dr. Feng issued a warning.

Director Hu Kan, who is speeding up the operation, changed slightly, and he would be afraid of whatever he is.

It seems like this is a problem today.

"Director Le, how long does it take to fit the broken blood vessel?"

"It will take more than three hours to be conserved."

Director Le is considered a doctor in the surgical team with mature skills and quick hands and feet.

The time for anastomosis of larger arteries is usually between half an hour and three or four hours.

If the operation is more difficult, it is possible in eight hours.

In general, if anastomosis of the arteriovascular anastomosis is placed, the operation can usually be completed within half an hour. If the arterial or blood vessel occlusion is very difficult, the corresponding medication must be used to treat it, and the operation time will be greatly extended.

And even a top surgeon like Director Hu Kan, he dare not say that he can sew it in one go.

If you fail, you have to sew again.

You will also face many risks during surgery, with very large variables.

"Doctor Feng, I think it's not a two-handed preparation! Immediately prepare to establish an external circulation to prevent accidents."

"good!"

Dr. Feng agreed directly.

"I'll help you!"

Zhou Can received many guidance from Dr. Feng today, and his relationship with Dr. Feng is also quietly changing.

It became much closer obviously.

The biggest difference between humans and animals is that humans have complex emotions.

Although animals also have feelings, such as their care and protection for their partners and young children, these are manifestations of feelings.

Human emotions are much more complex.

Zhou Can used to help Dr. Feng do things, but he never said thank you, and his attitude was always indifferent and cold.

Until today, Zhou Can suddenly teaches his anesthesiology knowledge, experience and skills.

It was a qualitative breakthrough in the relationship between the two.

Just like in love, at the beginning, at most, I just watched a movie, strolled the streets, sent messages, and made phone calls. Until the relationship heated up, one day, I suddenly held hands.

And the woman did not refuse.

This is a substantial breakthrough.

Zhou Can has done many times to establish extracorporeal circulation for patients, and is very familiar with it, and his speed is far better than others.

【Insert experience value +1, +1…】

When he performed femoral artery cannula again, he clearly felt that the operation was easier than before.

I quietly checked the attributes, and the insertion technique quietly rose to the medium level of the main treatment. The current experience value is 6001/10000.

Others get rich by hard work, but they quickly earn experience points and upgrade their medical skills by hard work.

Although it is a bit similar to the elixir being taken by immortals, it has some flaws.

However, this upgrade speed that surpasses others in a year or even over ten years still makes Zhou Can feel extremely happy.

Experience can be accumulated slowly.

First, you can get more training opportunities.

An ordinary surgeon can practice suture surgery to the level of deputy director, but it may not be successful in twenty years. However, it took Zhou Can only one year to improve from the level of internship to the level of deputy director.

It’s not just one, but two medical techniques: suture and ligation, and they all reached level 5.

This kind of overtaking on a curve and asymmetric competition are naturally very pleasant.

The slight flaws caused by rapid improvement in medical skills are nothing.

Extracorporeal circulation is quickly established.

However, external circulation can only be temporarily urgent, and the duration is usually about six hours.

If the time exceeds the time, it will often be transferred to the ECMO.

With extracorporeal circulation, the operation continued.

Zhou Can felt a little regretful and thought the opportunity had come.

Unexpectedly, Tuya's top weighted department has many methods and complete equipment. A single external circulation temporarily solved the problem.

"Wipe your sweat!"

Director Hu Kan said to the nurse.

Only then did Zhou Can find that Director Hu Kan's forehead was covered with fine sweat.

The patient had a dangerous situation just now, which brought great pressure to Director Hu. But as the main agent, he must stabilize the morale of the army and be calm.

After the nurse wiped him sweat, not long after, sweat broke out on his forehead again.

His face seemed a little wrong, and he looked a little pale.

Unfortunately, the mask covers most of the face and is difficult to see clearly.
To be continued...