"Quick, 1mg of epinephrine!"
Qin Feng put on a sterile suit and entered the CCU room, and heard Zhang Fan urging the nurse to give first aid while performing heart compressions.
"Director Zhang, enter the operating room! Hurry up!"
He shouted hastily.
Zhang Fan turned his head to look at him when he heard the words, and immediately nodded in agreement.
"Continue to press, I will go to prepare the operating room immediately."
"No need, Dean Zhang has already notified the surgery preparations. Liang Donglai is the first assistant, and you are the second assistant. Hurry up and I'll come here."
Qin Feng urged him to leave, and then took over the task of first aid.
"Intravenous injection of 3mg morphine, rapid intravenous infusion of Cedilan and sodium nitroprusside, endotracheal intubation, hurry up!"
Drip~drip~drip~
After about five minutes, there was finally a heartbeat fluctuation on the monitor.
Everyone breathed a sigh of relief, and Qin Feng finally felt a little relieved.
"Continue to take medicine, ensure the heart rate, bedside B-ultrasound, echocardiogram check immediately, and send it to the operating room."
Afterwards, the nurse finished the examination and transferred the patient to the operating room without waiting for the report, waiting for the operation notice signed by the family members.
Qin Feng paid attention to the patient's physiological indicators throughout the process to prevent further accidents.
Now the patient's physiological function is not very good, and secondary heart failure or sudden death may occur at any time.
At this time, Dean Zhang Tong was discussing the operation with Qin Dongyang.
He hopes that they can sign as soon as possible, after all, time waits for no one!
"General Qin, you have seen the situation of Mr. Chen now, and the operation must be performed immediately."
"Are you sure you can do this operation?"
Qin Dongyang frowned, his tone was low,
"I also sent the situation of Mr. Chen to the Fourth Military Doctor. The result they gave me was not good, and the risk of the operation was very high."
"General Qin, this is no longer a matter of seriousness, but an operation must be performed."
Zhang Tong pondered for a while, and then became firm,
"We have just stabilized Chen's vital signs, a second sudden death may occur at any time, and now there are only two ways.
The first is that we try to rescue again, but the result may not be able to save it, because the tumor in Mr. Chen's heart has already compressed the artery. If the compression is not relieved...
The second is surgery, the risk is also very high, and it is possible to leave during the operation, but we will try to remove the tumor as much as possible, so that at least it can help prolong life for a period of time.
So now you and Mrs. Chen need to decide which one to choose. "
After the words fell, Qin Dongyang's brows were all knit together, and he fell into entanglement and heaviness.
He knew exactly what Zhang Tong meant.
He might leave at any time without surgery. If he had surgery, he would be competing with the god of death. He would try to save his life, but he might die on the operating table as well.
No matter who it is, it is difficult to make a choice in the face of this result!
"Dean Zhang, I want to give up treatment."
Just when he was extremely entangled, an old voice suddenly sounded.
Hearing the reputation, it was Mrs. Chen's wife who was stumbling over.
"Dean Zhang, our old Chen said that if he fails, don't waste the hospital and doctor's money, just let him go."
The old man's voice was a little hoarse, he held Qin Dongyang's hand,
"Xiao Qin, your Grandpa Chen is worth his life. Since you can't save him, don't bother him anymore. Let him go."
After finishing speaking, the eyes of the old lady were also wet by the mist, and her lips were trembling constantly.
Everyone can see her reluctance and sadness, but she is also satisfied.
Once, she was a college student. When the country was invaded, she went to the front to visit the soldiers in the war regardless of danger and sacrifice.
The enemy attacked at night, and she was shot and injured in the abdomen during the danger. It was Chen Shouguo who sacrificed his life to save her.
Since then, the two have established a relationship of life and death, and finally come together.
But because of that injury, she also lost the opportunity to have children, and she always felt owed something.
The blood of the only son of the Chen family was cut off...
From then on, no matter what decision Mr. Chen made, she was willing to stay by his side, even if he went back to his hometown to farm.
"Grandma, Dean Zhang said that there is still hope for Grandpa after surgery."
Qin Dongyang shook his head when he heard the words,
"Let's ask my dad about this and listen to his opinion, okay?
He is also your son, it can't be that he doesn't have the right to make decisions, right? "
Speaking of this, the old man was also silent, and nodded after thinking about it.
"Then call your dad and go."
"Okay, I'll fight now."
Only then did Qin Dongyang relax a little, and looked at Zhang Tong,
"Dean Zhang, I'll make a call, wait a minute, sorry."
After finishing speaking, he quickly took out his mobile phone and walked aside, Zhang Tong helped the old man to sit down.
After about two minutes, Qin Dongyang came back.
"Grandma, what my dad means is that we respect the hospital's decision and sign it, do you think it's okay?"
Qin Dongyang squatted down and looked at the old lady, hoping to get her consent.
"Let's try it! There's still a chance!"
Zhang Tong also persuaded.
He doesn't believe in miracles, but he believes in Qin Feng.
Qin Feng said that if he is sure, then he still has a chance!
But these words cannot be said to the family members of the patients, and it is also for the consideration of the hospital.
"Well, since your dad said so, then listen to your dad."
Finally, the old lady finally nodded.
Both Zhang Tong and Qin Dongyang were overjoyed.
"I'll notify the chief surgeon immediately!"
Afterwards, Qin Feng outside the operating room received a call and agreed to the operation!
"Inform Director Zhang to establish bilateral venous access immediately, prepare blood in the blood bank, and ECMO outside the heart is in place, and prepare for anesthesia. I will go there immediately."
"Yes!"
After speaking, he quickly took the consent form for the operation and Liang Donglai took the elevator downstairs.
When he learned that Qin Feng was the chief surgeon, Qin Dongyang was also very surprised, but when Liang Donglai, as the vice president of Su Xingxin Surgery Association, even recommended Qin Feng, he didn't say anything more.
After all, when Qin Feng stopped Mr. Chen from panting, he had already calmed down many people.
Finally, he raised his hand and signed the consent form for the operation.
Five minutes later, Qin Feng and Liang Dong came back to the operating room, cleaned and disinfected, put on hats and masks, and entered the operating room.
"Is the venous access established?"
"All right."
"What about blood preparation?"
"2000CC is already in place, and the blood bank has 300CC to spare."
"Okay, I don't think I need to say more about the identity of the patient. Everyone, put your mind to it. This will be one of the most important surgeries in your life. Don't make any mistakes, do you understand?"
Qin Feng looked around as he spoke, his eyes were serious and serious, and his tone was full of no doubt.
In an instant, everyone felt that the Director Qin in front of them seemed to be a different person, and that sense of control made everyone unable to refuse.
[Ding! The system detects a world-class disease, and the task module is triggered! ]
[Mission release: Successfully complete the cardiac malignant sarcoma removal operation, and will be rewarded according to the rating. (Ratings are divided into: SSS, SS, S, A, B, C, below A grade will be punished)]
? ? ?
The system prompt that suddenly came to mind made Qin Feng startled, and his eyes showed shock.
What's the situation?
Actually triggered the task system?
And there are surgery ratings, and if you don't meet the standards, you will be punished!
It seems that his system has changed!
Unexpectedly, the first case of a world-class disease would happen again, which really surprised Qin Feng.
But since this is the case, it is a good thing, it seems that his pressure is even greater!
He wondered what reward he would get if the operation was successful?
"The anesthesia is complete."
At this time, the director of the anesthesiology department said to Qin Feng after seeing the physiological indicators.
"Huh~"
Qin Feng nodded and let out a breath of turbid air slowly, walked up to the chief knife position, his gaze was like a torch,
"Current time, at 2:03 pm on October 27th, patient Chen Shouguo's cardiac sarcoma was removed, and the operation began!"
"Open chest, scalpel."
…
Soon, the skin and muscle layers were cut open and gradually freed.
The chainsaw splits the sternum, and the chest expander opens the chest cavity, fully exposing the field of vision.
"I'm going to cut the pericardium, prepare to block the artery, and prepare the extracorporeal circulation system."
Qin Feng glanced at Zhang Fan and said in a low voice.
"OK."
Zhang Fan nodded, then Qin Feng suddenly remembered something, and with a thought, he quickly called the patrol nurse.
"Help me take out the scalpel in my pocket and sterilize it."
? ? ?
Hearing this, everyone was stunned.
The itinerant nurse was also stunned, and then took out a leather-wrapped thing from his pocket, opened the button and saw that it was indeed a brand new scalpel.
Seeing this scene, both Zhang Fan and Liang Donglai showed puzzled eyes.
When did Qin Feng bring his own scalpel?
But when the itinerant nurse took out the scalpel and saw the cold light on the blade, it made people tremble a little.
This scalpel looks a bit wrong!
After disinfection, the nurse handed him the scalpel.
Qin Feng took it, and then cut the pericardium, exposing the ascending aorta inside the heart.
"Blocking forceps."
After the ascending aorta was occluded, the cannula was purse string sutured, the perfusion line was inserted, and the venous line was inserted from the right femoral vein.
15 minutes later,
The two ascending aortas were completely blocked, cardioplegia was perfused, and the temperature was rapidly cooled.
"Start extracorporeal circulation."
Qin Feng said in a deep voice.
Zhang Fan immediately turned on ECMO and successfully completed extracorporeal circulation.
The most important thing is to remove the tumor!
Holding his own scalpel, Qin Feng felt an unprecedented fit.
Moreover, the accuracy has also been significantly improved, and the confidence of each knife seems to be enhanced out of thin air, and the sense of confidence is full.
This also dispelled his nervousness about the risk of surgery in an instant. When he opened the right ventricle and saw the tumor, Qin Feng was relieved.
Fortunately, no serious adhesions occurred!
In the right atrium near the entrance of the superior cavity meridian, there is a tumor about the size of a baby's fist.
The entrance of the superior vena cava was completely blocked, and the distal end of the entrance of the superior vena cava also had obvious old thrombus formation, and the main right coronary artery was completely wrapped and infiltrated by the tumor.
Part of the atrial septum was infiltrated by the tumor, and the boundary between the tumor and the right atrium was unclear.
If you want to completely resect the tumor, you must resect the right atrium and the sinus node infiltrating part of the atrial septum.
At the same time, tumors on the right ventricular surface, right coronary artery, and anterior tricuspid annulus were involved and resected together.
He decided to bypass the distal right coronary artery, which can ensure the normal coronary artery.
"Ready to remove the tumor."
Qin Feng started to move, his hands free quickly!
Mr. Chen's physical condition is not very good, and the operation time cannot be delayed for too long, otherwise it is easy to be dangerous!
About an hour later, the surrounding area of the tumor has been dissociated and clean, except for the infiltrating part, which will be completely removed later.
1 hour.....
2 hours.....
Qin Feng's forehead couldn't help but ooze sweat. Although he is more sure, considering the situation of the operation, he is not too optimistic.
So he was still very nervous, as were Zhang Fan and Liang Donglai next to him.
But the two were even more shocked!
Qin Feng's dissociation and removal speed is really too fast!
Even if this kind of surgery was performed in a place with strong medical development like Jinling, Liang Donglai would not dare to perform it lightly.
But before him, Qin Feng was able to perform the operation at such a fast speed. He understood that this was a race against time and ended the operation at the least cost.
But he still saw that his back was drenched in cold sweat, because as long as Qin Feng made a slight mistake, even a twitch of the nerves in his hands, it may cause serious consequences!
With such a dangerous operation and resection speed, Liang Donglai only felt a void in his heart.
He can't do it!
With such surgical prowess, Qin Feng can be ranked among the famous heart experts in the country and even in the world!
Don't fall behind!
"5-0."
Finally, 3 hours later, the tumor was carefully removed, Qin Feng stretched out his hand and said.
Start to suture and reconstruct the atrial septum, and then use 7-0 to perform lateral anastomosis of AM, PDA1, PDA2, and PL to the great saphenous vein, respectively.
Into the Medtrordc biological mitral valve at the position of the tricuspid valve...
An hour later, Qin Feng finished sewing.
Right atrium and ventricle reconstruction sutured completed!
Finally, the proximal and distal arteries of the aorta were re-anastomized, the ascending aortic clamp was opened, and the cardiopulmonary bypass was withdrawn.
"Get ready to jump."
Qin Feng straightened his waist and let out a long breath.
He was very nervous about this operation!
For the first time, Qin Feng felt that he had touched the end of the world-class medical skills signed by the system.
Perhaps, this is the best that cardiac surgery can do in terms of critical heart tumors~~~
Soon, the heart automatically resumed beating, the blood supply began to recover, and the physiological indicators slowly recovered.
It worked!
"Qin Feng, you succeeded! Awesome!"
When Liang Donglai saw the data on the monitor, he excitedly held onto his shoulder, his eyes full of red.
Zhang Fan also looked nervous all over, knowing that at this moment, he felt as if he had exhausted his strength and wanted to cry.
Such an operation is what a cardiologist would only dream of doing!
"I can't do it anymore, Director Zhang, you can close his chest."
Qin Feng smiled, shook his head and looked at Zhang Fan.
He is really tired, but everything is worth it. From the current point of view, the patient should be able to extend the life span of about half a year.
It has basically returned to the same as predicted by experts before, which is the best result.
He tried his best...