Chapter 898 I Want to Go In
Ling Ran carefully read the task again.
Cardiac trauma repair, for doctors, should be rarely seen, but heard a lot.
I have seen less because patients with non-penetrating heart injuries are relatively rare. I have heard more because cardiac trauma repair has opened up human exploration of cardiac surgery, so that people in the medical field are familiar with it.
Theodore Bill Roth, the former father of surgery, had a classic statement: "Anyone who tries to perform heart surgery will end up in ruins." For a long time, no doctor tried to touch the heart again.
It wasn't until three years after Bill Roth's death that a Frankfurt doctor, Louis Wren, successfully performed cardiac trauma repair.
It's hard to say whether Dr. Lane has been prepared and waited for the right time, or he is purely talented and lucky enough to meet a rare heart trauma patient for the first time and perform heart trauma repair for him. It worked.
In any era, heart surgery is extremely difficult, dancing on the tip of the knife.
But in 1896, the 22nd year of Guangxu in China, when surgeons performed heart surgery, the sharp knife became even sharper.
In this era when there was no extracorporeal circulation, of course, there will be no extracorporeal circulation technology for many years after that. This whetstone is not very powerful. The amazing thing is that the blood transfusion technology in the 19th century was almost nonexistent—that is, At that time, performing heart surgery was equivalent to doing ultra-high-end beating heart surgery at the beginning, and there was basically no need to count on blood transfusions...
In terms of danger, there are not many medical operations that are more dangerous than this.
But from another point of view, such a dangerous technical environment, such a backward operation method, can still complete cardiac trauma repair, this technology is not difficult to say the least.
In fact, it can be said to be simple in terms of language alone.
Dr. Wren's original words are: ... I decided to enter the chest cavity through the fourth intercostal space on the left side ... to expand the pericardial tear, expose the heart, remove accumulated blood and blood clots, find a 1.5cm tear on the surface of the right ventricle, and then press the tear with my fingers Hemostasis... using small bowel needle and silk thread, knotted in diastole. The amount of bleeding was significantly reduced at the third stitch and the bleeding was under control...
In other words, the two most important steps in Dr. Wren's operation. The first step is to use bare hands to stop the bleeding, and press the opening in the heart. In the second step, while the heart was not paying attention, three stitches were quickly sewed.
The first successful heart surgery in human history,
That's it.
Today, the conditions of the surgery have undoubtedly been upgraded, and the steps of the surgery have also changed, but the main steps have not changed much.
Grab the broken part of the heart, hold him down, and sew it up when it is beating the slowest.
If Ling Ran was given a chance, with the skills he currently possessed, he might be able to complete such heart trauma repair independently.
However, if it's just if, given the current medical environment, without a suitable opportunity, Ling Ran would never even think about touching his heart.
Without enough accumulation, Ling Ran didn't want to touch the heart rashly.
Dr. Lane, who was the first in human history to complete heart surgery, later performed 123 cases of Xinzan's repair surgery, and the mortality rate was only 60%. Therefore, the risk of performing experimental surgery is huge.
However, with the technology provided by the system, there is no such big concern.
Therefore, this new task should really be completed with emphasis.
Ling Ran closed his eyes slightly to think, and when he opened his eyes and looked into the ICU, he was already thinking about how to get in to help.
Although the Intensive Care Department is a small department, it is still a complete department. If people from other departments go in to help, it is unavoidable that the name is not correct...
The Department of Hepatobiliary Surgery and He Yuanzheng only have one set, and it is not easy to find such a soft...and kind department and department director.
"Zuo Cidian." Ling Ran decided to throw the question out, and asked directly: "I want to go to the ICU to help rescue the patient, what can I do?"
"Ah?" Zuo Cidian was preparing to kneel and lick the Wang family brothers, and when he heard Ling Ran's question, he decided to kneel and show Ling Ran: "Doctor Ling, don't worry about the ICU being busy, there are almost enough people in it." , let's... why don't we go in and help?"
Unlike the emergency department, the ICU has peaks and valleys. In hospitals like Yunyi, the ICU is basically operating at full capacity. There will be three remaining out of the 20 hospital beds, not because there are no patients, but because there are mobile positions left to avoid unexpected emergencies.
Today's ICU is busy, but it's just full of patients. With all the doctors in the intensive care department on the scene, they won't be unable to take care of them.
Ling Ran looked inside, and said in a very firm tone, "I'm going in to help."
"Okay...you have the final say." What could Zuo Cidian say. Ling Ran's technique is really strong, it's just about his personality...
Zuo Cidian gritted his teeth, what is there to be picky about a surgeon's personality? Compared with ordinary surgeons who are pornographic, arrogant, self-respecting and inferior, manic and angry, Ling Ran's personality is better.
"Why don't we go to the operating room first in the name of ward rounds." Zuo Cidian thought for a long time, then whispered: "Let's make it a fait accompli first. You go to the ward rounds first, and if you encounter a patient who is in danger... …Well, you go in for ten to twenty minutes, at most half an hour, there is a high chance that you will encounter dangerous patients, and then you will participate as much as possible, and when everyone is busy, they will not care about you, luck If it’s good, it should be able to save one or two patients.”
"One or two are too few." Ling Ran said.
"Please help with the rescue first. I see that there are quite a lot of patients in the ICU today, and the severity is high. If you hang around for a while, you might go in." Zuo Cidian temporarily thought of the ordinary person who was not a bad idea. Search for ideas.
Ling Ran nodded in agreement, this operation is not complicated.
Watching Ling Ran go to wash his hands again, Zuo Cidian sighed, took out his mobile phone, and prepared to dial the familiar doctor. Ling's treatment team still often comes to the ICU for ward rounds. The first step of the plan is definitely no problem.
Looking at Zuo Cidian and sighing, Wang Chuanwen couldn't help misunderstood, and said, "Doctor Zuo, in fact, Dr. Ling doesn't need to show us. No matter how he behaves, it won't affect our decision whether to donate or not."
"En? Oh, it's okay, it's okay..." Zuo Cidian was stunned for a moment before he came to his senses. Wang Chuanwen thought that Ling Ran wanted to go to the ICU because he was going to show them.
Zuo Cidian didn't think so, but it doesn't matter if the Wang family brothers think so.
Zuo Cidian made a few perfunctory sentences, and then called again, explaining that Ling Ran was going to do rounds and so on...
After a while, Ling Ran came over with his hands tied together.
"Doctor Ling, just go in and change." Zuo Cidian said to Ling Ran.
Ling Ran nodded, and then looked at the Wang brothers.
The four members of the Wang family held their chests up, smiling approvingly.
Ling Ran asked strangely: "Why are they still here? Let them all go down."
The four members of the Wang family couldn't help being stunned.
Zuo Cidian then understood what Ling Ran was thinking, and quickly smiled at Wang Chuanwen and the others: "Sorry, let's go back first, the visiting hours are actually overdue."
The four members of the Wang family were taken back to the elevator in a daze, feeling that something was wrong.