The thoracic aorta bulged, and the dark red hematoma looked so dazzling.
Chief Ma muttered, "The thoracic aorta … Um, is the stent in?"
"It's down. Don't worry." Chief Kong also saw the operative view from behind. He felt a strange feeling in his heart and comforted him in a low voice.
Even though Chief Kong had seen the big stent go in with his own eyes, he was still shocked. If there was no stent, it would definitely break. The person would be gone. What was the point of resuscitation!
Fang Lin used the hemostatic forceps to carefully touch the area around the hematoma. He could feel the hardness of the stent. In fact, as long as the stent was inserted and the rupture in the intima of the blood vessel was blocked, there would be no problem.
He tried it and had some questions in his heart.
Chief Zheng was very strong. When he was rescuing himself, he heard some of the process from someone afterwards. The level of emergency treatment was top-notch. But how did he know that there was a thoracic aorta dissection?
Chief Miao was injured and sent over. He was the first to find out about the news. He jogged all the way over and Chief Zheng's surgery was completed.
Not only was it an abdominal surgery, but even the thoracic aorta stent had been inserted.
Looking at the extent of the hematoma, it would probably burst at any time. Once it burst, the resuscitation would be over.
However, despite his doubts, Fang Lin could not bring himself to question Zheng Ren.
"Chief, the stent is perfect. If I'm worried, I'll cover it with a layer of hemostatic gauze …" Fang Lin said in a low voice. No matter how much treatment he gave, he could not give it.
Chief Zheng had already finished the most serious rescue surgery before everyone arrived.
What a monster. Fang Lin stood in the first assistant's position and raised his head to look at Zheng Ren, who was sitting beside the airtight lead door with his back against the wall.
Was Chief Zheng that amazing? It was really hard to imagine.
Chief Ma nodded. He could not do too much here. If the stent was inserted, there was no need to think about the surgical method of aortic replacement. With Chief Miao's current state, he could not withstand the trauma of replacing the aorta.
Su Yun stood silently beside Lao He and looked at the operative view from the anesthesiologist's point of view. When the mediastinum was opened, he was the most surprised person.
The strange surgical method that Zheng Ren used at the beginning seemed to prove something.
The femoral artery cannulation, with two guide wires installed, was operated by both hands. One was to remove the lower aorta stent, and the other was to embolize the left hepatic hemorrhage.
In retrospect, these two actions were meaningful. If it was a little later, Chief Miao would either die from excessive bleeding or from the rupture of the thoracic aorta.
At a glance, Su Yun could tell that the outer membrane of the thoracic aorta was only a thin layer. It would not rupture at any time, but it would rupture immediately.
It was only because of the hemorrhagic shock that his blood pressure was almost undetectable. That was how he managed to maintain a balance. If the spleen, liver, and bleeding control were to be removed first, Chief Miao would probably die on the operating table once his blood pressure rose.
That was close … But how did this guy make a diagnosis?
Countless questions immediately surfaced in Su Yun's mind, some in front of him, some in the past.
Rich clinical experience my ass! How could Su Yun believe such words! In his opinion, even I don't have such rich clinical experience, so how can others have it?
However, the diagnosis was one thing, and the operation was another.
Although Su Yun was watching Chief Ma and Fang Lin perform the surgery, what appeared in his mind was the interventional surgery with the double guide wire.
Su Yun's standards were high enough, and it was not as if Su Yun had never seen international intervention experts. He was so familiar with Professor Rudolf Wagner, so he had long known what the international level of intervention was like.
Su Yun judged that his level of intervention could be ranked in the top 50 in the world. This also included internal organ intervention, nerve intervention, vascular intervention, heart intervention, and other branches.
But could he do it?
Not to mention operating the double guide wire with both hands to perform two different surgical methods at the same time, just focusing on doing the simplest thoracic aorta stent … The answer was very obvious — he could not do it!
Although there were countless questions in his heart, Su Yun did not say them. Instead, he sealed all these questions.
He said what he should say, and he did not say what he should not say. This was the reason why Su Yun was willing to criticize others, but he could live peacefully until now, and he had friends all over the world.
"The head injury is very light. The inside looks fine." The chief of the neurosurgery department put away the small flashlight and let out a long sigh.
Unlike thoracic surgery and general surgery, the neurosurgery department did not have an exploratory craniotomy.
Without the cooperation of CT and nuclear magnetic resonance imaging, no one dared to go on stage to perform the surgery.
If the skull was really opened and the bleeding point was on the other side, it would be fatal. There was no gap in the head, and it was especially difficult to even determine the bleeding point. It was a pool of blood.
What they could do was to first do a physical examination, mainly by observing the pupils to determine the possibility of intracranial hemorrhage. If the thoracic surgery and general surgery could save the patient and control the hemorrhagic shock, they could still go on stage after a CT scan.
"The pupils on both sides are equal, and the light reflection is weak, but it exists. Even if there is bleeding inside, the amount is relatively small. It's not a big problem. " The chief of the neurosurgery department saw that almost everyone's eyes were on him, and finally said a piece of good news.
As long as the pupils did not appear and the light reflection disappeared, that was the best.
He glanced at the monitor, and the numbers on it told everyone present that the blood pressure seemed to have stabilized!
60/40 mmHg. Although it was still very low, there was blood pressure. The various organs of the body had not been ischemic and hypoxic for long, so it was estimated that it would not cause any irreversible damage.
The surgery continued. The people from the general surgery department came and took a look at the surgery. Seeing that the abdomen was covered with warm saline gauze, Professor Yang washed his hands and went on stage to check it again. The entire surgical area of the abdomen was clean. The spleen was removed, and the left lobe of the liver was removed. There was no bleeding.
'Boss Zheng's surgery is really good,' Professor Yang praised in his heart. Not to mention finding and repairing the intestine, just the left lobe of the liver alone would take at least 40 minutes if he were to do it himself.
This did not include the time it took to open the abdomen and stop the bleeding.
Looking at the left lobe of the liver that was cut off in the pathology basin, Professor Yang still had a lingering fear. It was tattered. One could imagine how fierce the bleeding was at that time.
He carefully examined it for nearly half an hour. Boss Zheng's surgery was flawless!
The surgery was done perfectly, whether it was the resection, bleeding control, or the repair of the right lobe of the liver.
"Boss Zheng, if there's nothing else, I'll close the door here?" Professor Yang did not make the decision on his own. Instead, he turned around and asked Zheng Ren.
"Sorry to trouble you," Zheng Ren said softly. His eyes were slightly closed, and his eyelashes kept trembling. Although there was no expression on his face, it was difficult to hide the waves in his heart.
"Brother Yang, should I go on stage to help?" Su Yun asked.
"No need. We have someone." Professor Yang smiled, but he was also a little sad.
He did not think that Zheng Ren was putting on airs. After completing the surgery at the first moment, he had at least reduced Chief Miao's blood by 500-1000 milliliters. This was a life-saving surgery. He was afraid that Chief Zheng's entire body would be tense when he was rescuing him. Now, he was extremely tired.
If no one went on stage to rescue his own family, it would be a huge joke.
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