Her answer is really straightforward, which shows that this student has a plan in mind. Dao Rui flashed across Du Yeqing's eyes, and instructed: "Do as she says, and adjust your heart rate to fifty beats per minute."
Dr. Pang adjusted the artificial heart-lung machine, and the patient's heart rate rose again.
There was blood coming out again, and the surgical team had already spotted it, and the separating forceps were inserted precisely into the bleeding place to separate the invisible gap. It just so happened that this breach led to the right ventricle, which was very close to the tumor attached to the ventricle wall on the CT film. The surgeon immediately took out the foreign body, and the naked eye preliminarily judged that it was a thrombus. For safety reasons, it was sent to the pathology department for rapid pathological screening. When suturing, the chief surgeon told the extracorporeal circulation technician: "Continue to follow the heart rate she said."
Suddenly being entrusted with a heavy responsibility by the teacher, Xie Wanying tensed up.
You can't answer casually like answering academic questions. Stand up, observe the review teacher's hand movement data and monitor data many times to calculate the rhythm of the main knife's needle, and after thinking about it, I suggest to Teacher Pang: "You can try to slow down the heart rate to 35 beats per minute. Teacher's movements Small but fast."
Dr. Pang adjusted the artificial heart-lung machine so that the patient's heart rate was close to the heart rate she said.
Everyone looked at the monitor screen, and saw that the injection of the needle by the chief surgeon almost coincided with the contraction of the right ventricle, and the timing of lifting the needle coincided with the relaxation of the right ventricle. This image is quite magical.
It can only be said that Ye Qing did the right thing, recruiting a student who can touch his head into the operating room is a good thing.
After repairing the right ventricle, come to the key left ventricle. According to the plan, coronary artery bypass grafting will be done here, and a section of the internal mammary artery will be taken to prepare for the bridge. With the front IVUS as a sentinel, the surgeon has a preliminary judgment on which coronary artery has a problem. Esophageal ultrasound is now used to determine whether there is a coronary artery fistula. The position of the esophageal ultrasound probe in the esophagus can be adjusted, and different lengths of the esophagus can be used to detect different parts of the heart and great vessels. To detect the left ventricle, the probe needs to go deep into the esophagus about 30 centimeters, and the screen of the ultrasound machine will show a four-chamber view of the heart, where the valves can be seen, and the left and right ventricles and the outflow tract of the left ventricle can be seen.
The anesthesiologist operated and the surgeon observed. There is no abnormal blood flow signal on the screen of the ultrasound machine. If the result is correct, it proves that there is no fistula and only need to do a bypass.
The operating room was silent for a moment, everyone was hesitating whether Ye Qing's premonition was right or not.
"Yingying, what do you think?"
It was Senior Brother Shen who turned around and asked her again.
Time was tight, so the senior brother asked her. Anyway, her answer is that if she thinks it can be used, it can be used or not. Xie Wanying didn't hesitate, and replied directly: "Try to push back the probe by about 1 centimeter."
The anesthesiologist is super fast, and the probe is withdrawn without the order of the chief surgeon.
Doctors in large hospitals are very courageous, and they respond in seconds to attempts without major risks.
With this retreat, a ray of abnormal blood flow signal appeared on the screen.
Phew, the sound of relief was everywhere in the operating room. Because knowing Du Yeqing's experience, the probability of intuition being wrong is too low, it would be terrible if he couldn't find the problem quickly. For doctors, apart from operations during surgery, the hardest and most difficult thing is to find evidence to start with.
If there is a fistula, this place should be treated accurately, and a bridge should be built while plugging the leak. The surgeon takes the prepared gasket and puts it on the fistula for suturing.
After the two parts of the operation were completed, the time was fixed at 33 minutes, which was almost miraculous.
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Thank you for your support! ! ! good night dears~