"The patient was diagnosed with a pulmonary torsion before the operation. Due to the long course of the disease, when he was admitted to the hospital for treatment, his condition suddenly worsened." Su Yun began to introduce, "Lao He, turn down the sound of the song!"
Lao He pretended not to hear and went to adjust the ventilator.
"Boss, tell me about Old He." Su Yun was dissatisfied.
"Chest opener." Zheng Ren did not hear anything. He reached for the chest opener, stuffed it into the chest cavity, and began to twist the screws.
With a cracking sound, the chest cavity was opened. The scale was just right. The rib elasticity was maximized, but there were no fractures.
During the operation, it was found that the middle lobe of the right lung shifted upward and rotated approximately counterclockwise.
About 0 °. It's a very standard value because it's written in all the textbooks that it's 180 °. " Su Yun connected to the microphone and began to nag, "The lungs are visibly congested, and there are already ischemic foci at the edges."
He knew why Zheng Ren was in such a hurry. If he followed the steps, the necrotic position at the edge would die forever in five minutes and there would be no chance of ischemia reperfusion.
Moreover, if it was completely necrotic, the blood perfusion after correction would bring the necrotic tissue into the body's blood circulation.
This was how bacteremia appeared.
If there was not enough time and a similar problem was found, the best option was to remove the lobes of the lungs.
What would the boss choose?
Su Yun nagged as he assisted Zheng Ren.
His movements had to be slightly delayed, because in the live broadcast of the live microphone, he couldn't ask or communicate. The quality of the microphone host was extremely high.
Without hesitation, he began to loosen the right lung.
"Usually, the surgical choice for a lung torsion is resection. However, the emergency treatment level of our 912 is high. It won't delay time. The patient's lungs haven't died yet, so we can choose to keep them, "Su Yun said.
Lin Ge walked in just in time to hear this.
This sentence was like the Sanskrit of the Nine Heavens, making him happy. Boss Zheng did not forget to advertise for the 912 even though he was broadcasting the surgery live. How loyal!
"Old He, get ready!" Zheng Ren said.
"I'm ready."
With Su Yun's assistance, Zheng Ren twisted the middle lobe of the right lung and restored its original anatomical structure.
Lao He's fiberoptic bronchoscope with a sputum suction tube had already been inserted.
"The strength of the anesthetist is very important. The anesthetist will use a fiberoptic bronchoscope to suck the sputum. Boss, give Old He a shot. "Su Yun said.
Zheng Ren raised his head and looked at Lao He.
On the other hand, Lao He was overjoyed, but there was no expression on his face. He seriously and attentively used the fiberoptic bronchoscope to suck the sputum. He tried his best to portray the style of a marijuana drunk, and strive for perfection.
"A large amount of sputum with plasma was sucked out. I won't explain in detail why there is such a secretion," Su Yun said as he began to treat the bleeding spots left by Zheng Ren's thoracotomy.
Crackle, crackle, crackle, crackle. The electricity danced in the air, and when it came into contact with the bleeding point, it immediately left.
There was nothing to explain here, and Su Yun was too lazy to explain. Fang Lin used the hemostatic forceps to help Su Yun stop the bleeding.
He stared at the middle lobe of the patient's right lung.
"The surgeon is observing the blood flow in the middle lobe of the patient's right lung. From the looks of it, the middle lobe of the right lung should be preserved," Su Yun explained as he stopped the bleeding.
"Now, I have a question for all of you watching the live broadcast. In the next 20 to 60 minutes, blood tests will be drawn continuously. What does the surgeon need to check? "Su Yun asked.
Fang Lin was also a little stunned. He thought hard for a moment before asking in a low voice, "Brother Yun, do you want to check serum potassium and lactate dehydrogenase?"
"Sigh, after so many years, we still don't have any tacit understanding." Su Yun sighed and said, "When you speak, those with good ears can hear you."
"…" Fang Lin lowered his head and used the hemostatic forceps to expose Su Yun's blood vessels.
The small ones were directly burned, and the large ones needed to be ligated.
Soon, the treatment was done. The three of them stood on the operating table, and there was nothing else to do.
Before the operating table, they were busy. After opening the chest cavity and repositioning the middle lobe of the right lung, the extreme dynamic state changed to static state.
This kind of surgery was generally rare. The most common was to wait for intraoperative freezing. In a well-trained hospital, 20 to 30 minutes was enough for the pathology department to have a result.
However, it was a little strange to wait for the surgery to be broadcast live.
While waiting, Su Yun began to talk about the patient's previous medical history with the song "Good Luck".
He had an excellent memory. Before the surgery, he only read the test sheet in the thoracic surgery department once. He took it out and began to analyze it logically.
Time passed quickly. After drawing blood three times in a row, the serum potassium and lactate dehydrogenase values did not increase significantly.
Zheng Ren let out a long sigh.
The patient's lungs should be saved.
"There are no problems with the serum potassium and lactate dehydrogenase. Now, the surgeon will begin to investigate." Su Yun began to speak into the microphone. "It's been an hour. The surgeon has finally moved! Friends watching the live broadcast, do you feel a little excited? "
Zheng Ren probed.
As he pulsed, he asked, "When you were doing the live broadcast for Liu Xuzhi, were you also so unconventional?"
"Boss, do you have to do the surgery so seriously? Friends, do you hear the background music? Taste! It's hard to believe that the top surgeon in the surgical world actually likes this song. "
Zheng Ren ignored this guy. He was doing a live broadcast, so he could not hit him in the face with a hemostatic forceps.
He reached out and patted the needle holder in his palm.
Zheng Ren began to suture the right middle lobe and the right lower lobe.
This was to prevent the right middle lobe from twisting again after the surgery. If the ligaments were missing or not strong enough, then it would be fixed with the other lobes.
"One hour after the normal physiological structure is restored, the bloody sputum will disappear." Su Yun looked at the sputum suction tube in Lao He's hand and only sucked out a small amount of white foam-like sputum. He began to take out the fiberoptic bronchoscope and explained.
"Why do we have to wait for an hour? The first thing is naturally to see if the patient's right middle lobe can be preserved. I … The surgeon will not easily perform a simple and crude surgery that is extremely damaging. "
"Removing a lobe of the lung will cause the patient's respiratory function to be lost by about 20%. Although it will not affect life, it will more or less affect the quality of life. "
"And waiting for an hour during the surgery means that the patient's quality of life will be improved for decades after the surgery."
"This is the duty of a doctor, right, boss?"
"It's the surgery. You should talk less." Zheng Ren felt that the matter of opening the microphone was really unreliable. Usually, Su Yun would talk and laugh. However, when the microphone was turned on today, no one else spoke. Only Su Yun spoke.
Originally, he did not feel much about the singing of good luck, but why did he feel that Su Yun's voice was mixed with the singing of good luck today? It was very ear-piercing.
"In order to control the airway secretions, the patient will be mechanically ventilated after the surgery.
About an hour, observe the patient's condition before extubation. "
"Because there may be thrombosis in the pulmonary vein stump, warfarin will be given anti-thrombosis treatment after the surgery."
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