Hearing the words, the woman's face suddenly turned pale, her legs were weak and she almost slumped on the ground.
Qin Feng reached out and supported her, seeing that her dress and appearance were not ordinary people.
A very temperamental woman!
Suddenly, the woman seemed to remember something, took out her mobile phone in a panic, and dialed a number.
"Husband, our daughter's artery ruptured, it's very dangerous, what should I do?"
"I'm at the First Hospital now, the doctor is right in front of me, woohoo~"
The man on the other side didn't know what to say, the woman cried even more and hung up the phone.
"My husband said that he will bring the experts from the province right away, and he wants us to wait for him to arrive."
Hearing her words, everyone frowned suddenly.
What is this called?
Bring a provincial expert?
"How long will your husband be here?"
"He said . . . half an hour."
As soon as the woman's voice fell, everyone was speechless.
This is not to know the seriousness of arterial rupture at all!
If they hadn't quickly controlled the disease, the little girl would be dead now.
"I can only tell you that your daughter is probably gone in half an hour, so I can't wait!"
Seeing this, Director Zhou also said with the same serious expression,
"If your daughter's illness is delayed for a minute, it will be more dangerous. Make a decision quickly."
"Okay, I'll sign, as long as it can save my daughter's life."
After a moment of silence, if the woman finally compromised, she trembled and signed the consent form for the operation.
Seeing the woman's signature, everyone was relieved.
In the operating room.
The little girl was already lying on the operating table, under general anesthesia.
Qin Feng stood in the position of the second assistant and quietly watched Director Zhang Fan start the operation.
"It's 6:58 pm, patient Qiao Yiyi, the descending aorta artificial blood vessel replacement surgery."
"Start now!"
The voice of the chief surgeon Zhang Fan sounded, and the scalpel made an incision on the posterolateral side of the little girl's left chest, and entered the chest cavity from the sixth or sixth intercostal space.
This time, the [simple blocking method] was used, that is, at normal temperature, the upper and lower ends of the aneurysm were blocked from the descending aorta, and the artificial blood vessel was transplanted after the aneurysm was excised.
The danger point to avoid is that once the aorta is successfully blocked, the burden on the left atrium and ventricle will increase, and at the same time, it will cause the aorta to block the vital organs distal to it.
Such as liver, kidney, spinal cord, etc., especially the spinal cord is the most at risk!
This is the most vulnerable to ischemia and hypoxia damage. After other organs are blocked, the tolerance time is more than 30 minutes, but the spinal cord is only half the time!
Once the tolerance time is exceeded, brain cells die, causing irreversible and severe damage.
The gears of the chest opener rubbed against the bones, making a screeching sound.
As the sternum was opened, Zhang Fan skillfully cut off the rear end of the upper rib, widening the incision to reveal the surgical field.
A young beating heart appeared before everyone's eyes.
really!
Ruptured arteries, massive bleeding.
There is a lot of fluid in the pleural cavity and needs to be cleaned up immediately.
"The situation is really serious, let's start wandering."
Zhang Fan frowned slightly and said calmly.
This step needs to be very careful, because the arteries are glued to the lungs, and in the event of an accident, the lungs can be damaged.
Bleeding into the lungs, which is an embolism, can easily lead to death.
In addition, the patient is very young, all organs are not fully developed, and the level of detail is better than ordinary people.
Qin Feng watched Zhang Fan begin to dissociate his organization, slowly and cautiously.
5 minutes...
10 minutes...
20 minutes...
Finally succeeded in dissociating two-thirds of the tissue.
"Wipe my sweat."
Zhang Fan paused and said in a low voice.
The nurse on the side quickly wet the fine sweat on his forehead, so as not to affect his eyes.
After half an hour, all the tissues were finally freed and clean.
The aortic dissection segment fell off and was successfully stripped!
"Whoo~"
Director Zhang Fan took back the equipment and let out a deep breath.
Arterial tissue stripping in such a young child is rare even in his decades of medical practice.
The speed was much slower than he imagined, and a full 2000CC of blood was wasted.
However, the more difficult thing is to come, the patient's arteries are very thin.
This is the most challenging place!
The next step is to block the aorta.
"Okay, intravenous injection of heparin 1.5mg/kg, sodium nitroprusside, blood pressure..."
The nurse immediately started the operation and injected it into the patient's body.
After more than ten seconds, the arterial pressure began to gradually decrease and stabilized at 90~100mmhg.
"I'm going to start blocking."
Zhang Fan glanced at Cui Yong next to him and Qin Feng opposite him, his eyes solemn.
This is a crucial race against time.
Because, he only has safe time: 15 minutes!
...
Outside the operating room.
A burst of hurried footsteps came, and the man at the front was in a straight suit and his face was flushed.
There were two or three people behind him, one of whom was in his fifties, a man with a shining forehead frowned.
"Yiyi, where is Yiyi?"
Hearing the sound, the woman who was pacing back and forth at the door of the operating room raised her head like lightning and rushed over.
"Dear! Yiyi is in surgery."
"I said it! Wait until the expert I invited arrives."
When the man heard this, he immediately roared with a sullen expression,
"Who asked for the operation? Can you take the blame if something goes wrong?!"
"Sir, don't worry, I'm Zhou Xianren, director of the emergency department."
Zhou Xianren, who was in the observation room, heard the sound and walked out, his eyes a little displeased.
"Your daughter's condition is very critical. If surgery is not done in time, she is no longer here."
After he finished speaking, he handed over the inspection report.
The middle-aged man next to the man, who was somewhat bald, reached out and took it. After a brief look, his expression suddenly became solemn.
"Mr. Qiao, your daughter's condition is really dangerous. The aneurysm has ruptured."
After reading it, he shook his head at the man and said in a low voice.
Hearing his words, the man calmed down.
Even the experts he invited said so, and it seems that the situation is indeed serious.
"Director Zhou, hello, I'm Liang Donglai from Jinling First Hospital. I want to ask who is operating on the patient?"
The man stretched out his hand, looked at Zhou Xianren and asked.
"Hello, this is the director of our hospital, Zhang Fan."
When Director Zhou heard it, it turned out that this was the expert from the province.
"Oh? Is it him?"
When Liang Donglai heard this, his eyes lit up and he nodded.
"Zhang Fan is my younger brother and one of the experts of our provincial association. How long has it been since the operation started?"
"About 35 minutes."
Zhou Xianren glanced at his watch and said.
"That should have been stripped, and the artery has been blocked."
Liang Donglai nodded and murmured, then raised his head and asked,
"Director Zhou, can we enter the observation room to see the operation?"
"This..."
"I'm also very familiar with your vice president, why don't you make a phone call?"
"No, but I hope you all stay quiet and come in."
Zhou Xianren thought for a while and nodded in agreement, motioning to open the door of the observation room.
At this time, on the monitor,
Zhang Fan has placed blocking forceps at both ends of the artery dissection.
Success!
"Attractor!"
In the next second, the scalpel slid across the artery, quickly incised the dissection site, sucked the blood with the suction device, and sutured the right intercostal arterial incision.
All in one go!
"Artificial blood vessels, fast!"
Zhang Fan stretched out his palm with a serious expression.
The nurse tore open the artificial blood vessel and handed it to him.
"4-0 Polypropylene Line!"
After placing the artificial blood vessel, the proximal anastomosis was started quickly.
Just as he was about to insert the needle, Zhang Fan's hand stopped in mid-air, and suddenly his eyes turned white.
Hum~
Not good!
Qin Feng's eyes changed and he realized something was wrong.
The needle on Zhang Fan's pliers suddenly began to tremble inexplicably.
Zhang Fan paused for about ten seconds and reopened his eyes.
A flash of regret flashed in his eyes!
He shouldn't have been drinking last night!
He has high blood pressure himself. Last night, his father-in-law and brother-in-law came to the house and had no choice but to drink a few glasses of wine.
As a result, he felt a little dizzy at the time, so he quickly took some medicine and slept until noon.
He came to work in the afternoon, still a little groggy, but fortunately it didn't affect the diagnosis.
But the operation in front of him put a lot of pressure on him!
Although the First Hospital is the best hospital in Jiangcheng, he is also one of the top doctors.
The surgery for this arterial dissection in front of me has reached grade four, and the patient is only 7 years old.
Difficulty increases instantly!
It can be said that this has exceeded the difficulty category of level 4 surgery.
The last time he encountered this kind of major cardiovascular surgery in a child was more than half a year ago.