Section 13
"Me?"
Zhang Yi turned around and found that it was Deputy Director Li Yan.
"Yes, if you want to go, I will arrange for you to go. It just so happens that you young doctors also need this opportunity to learn."
"Okay, I'll go! Thank you, Director Li!" Zhang Yi nodded gratefully.
Although he can perform surgery every day in the simulated operating room, Zhang Yi is still eager to perform a real operation once.
After a while, Zhang Yi appeared in the little girl's operating room.
Of course, as a young doctor, he is definitely not qualified to operate a knife, and he is not even qualified to be an assistant.
Only after Li Yan said hello, Jiao Yong allowed an intern who had just stayed in the hospital to enter his operating room.
"What's your name?" Jiao Yong looked at Zhang Yi and asked.
"Hello, Professor Jiao, my name is Zhang Yi."
Jiao Yong asked expressionlessly: "You are an intern who just stayed in the hospital, right? Which departments have you interned in before? Have you been to the operating room?"
"Um... I have been to general surgery, neurosurgery, neurology, ICU, and the operating room more than a dozen times in total."
Zhang Yi didn't know why he asked this, so he could only answer truthfully.
The next second, Jiao Yong looked at Zhang Yi very seriously, and there was a little disdain in his eyes?
"Listen carefully, our cardiac surgery operations are different from other departments. I never let useless interns enter my operating room. If it weren't for Director Li to speak for you, I would kick you out now."
"But since you are here, you must follow the rules. In my operating room, inexperienced interns and resident doctors can only watch from the side. Remember not to touch any surgical instruments. Do you understand?"
Jiao Yong's contemptuous tone made Zhang Yi a little unhappy.
You can't touch surgical instruments? !
I can control the whole operation by myself in the simulated operating room, can you?
Thinking of this, Zhang Yi stood far away. He wanted to see what level this doctor who had worked in cardiac surgery for ten years was.
"I know."
After that, Jiao Yong did not give Zhang Yi a look, but prepared to start the operation.
The anesthesiologist had already given anesthesia. The little girl was sleeping soundly and felt no pain at all.
"Report tprbp and time."
"Okay, t36.3℃, p112 times/min, r22 times/min, bp114/80mmhg, spo295%, time 10:32 am."
"Pay attention to blood oxygen saturation at any time and report in time."
"Okay."
"The operation begins!"
Because the girl's heart showed enlargement of both the atrium and ventricle.
Considering that it is difficult to clearly see the entire surgical field with minimally invasive surgery, a thoracotomy was chosen.
The median sternotomy incision, considering the child's young age and the need for postoperative beauty and other effects, Jiao Yong controlled the incision diameter to within five centimeters.
"Forceps, pull the pleura and subcutaneous tissue apart to prepare for cutting the sternum."
After cutting the sternum, the position of the entire heart is exposed.
Suspend the aorta, pulmonary artery, superior and inferior vena cava, insert the catheter of the extracorporeal circulation machine, and establish extracorporeal circulation.
Put a certain amount of condensate around the heart to protect the heart.
"How is the circulation?" Jiao Yong looked at the anesthesiologist and asked.
"No problem, all vital signs are normal."
After the establishment of the extracorporeal circulation machine, it means that the human heart is temporarily on strike. The normal operation of the extracorporeal circulation machine must be ensured before the next operation can be carried out.
Zhang Yi watched Jiao Yong's every step from the side.
Not bad, worthy of being an old cardiac surgeon who has worked for ten years, the operation still looks very stable.
But the next second, when Jiao Yong was holding a scalpel and preparing to cut open the pericardium between the atrium and ventricle, a stream of blood spurted out instantly!
The blood splashed on Jiao Yong's goggles and mask, and even the surgical gown on his chest was stained with a little.
"What's going on? Why is the pericardial pressure so high?!" Jiao Yong's tone was a little flustered.
Not only that, the anesthesiologist also brought bad news!
"Doctor Jiao, blood pressure and heart rate are dropping! It dropped very suddenly!"
Jiao Yong looked embarrassed: "It's bad, this child has high pericardial pressure and can't bear the pressure difference of the extracorporeal circulation machine in a short time!"
"Ah? Then...what should we do?" The assistant beside him asked worriedly.
"First, remove the extracorporeal circulation machine! Xiao Li, you come to suture the chest cavity, I'll call Director Wang and ask him to come and see, and go out to explain to the family."
Jiao Yong made a decision after thinking for a while, and now he can only suspend the operation.
Everyone has different physiques and different tolerances.
Especially this girl has congenital heart disease. In such a situation, Jiao Yong dare not rashly do this operation directly.
If something goes wrong, it will be a life!
So he decided to find the head of cardiac surgery, Director Wang Mingjun, to make the final decision.
Jiao Yong walked out of the operating room, and the other two cardiac surgery assistants continued to deal with the follow-up matters.
Zhang Yi walked to the operating table and saw that the blood flow path of the girl's whole body was fine.
The high pressure difference is because too much blood has accumulated in the right atrium. The sudden release of pressure will cause the entire heart to suddenly lose pressure.
However...
It's not completely impossible!
Use pressor drugs to stabilize blood pressure, complete valve replacement and suture the pericardium within just five minutes, then the operation can be successful!
Because Zhang Yi also experienced the same situation in the simulated operating room last night!
After being fined 1,000 yuan, Zhang Yi finally completed the operation.
What Zhang Yi didn't expect was that after practicing last night, he would actually encounter such a situation today!
I wonder if it's a coincidence? !
"Hey, it's a pity for this little girl. I wonder if the stab in the heart today was in vain?" the assistant said slightly helplessly.
"Wait! Don't rush to turn off the extracorporeal circulation machine yet!" Zhang Yi walked to the assistant and reminded him loudly.
In the operating room, an anesthesiologist, two nurses and two assistants all cast doubtful glances.
"Who are you? Do you have the right to speak here?"
"That's right, you, an intern, don't talk nonsense!"
Several people ignored Zhang Yi's existence.
Who would listen to an intern who has just transferred to regular training?
"Add 1 mg of epinephrine intravenously! I will complete the valve replacement within five minutes!"
Facing Zhang Yi's words again, several other people turned their heads and looked at Zhang Yi like a fool.
What's going on with this guy?
Crazy?
Doesn't he know that he is a clueless noob?
Do you think your opinion can really save this little girl?
Seeing that the others didn't respond, Zhang Yi had no choice but to take action himself!
He picked up the emergency medicine on the side, sucked out the empty needle, and injected it along the needle tube of the indwelling needle.
"Oh! You can't do this!" The nurse on the side quickly stopped after realizing.
But the drug has entered the girl's body and is starting to work!
The girl's blood pressure starts to rise!
"Oh, you can't take action without permission! Who will be responsible if something goes wrong!" an assistant shouted quickly.
"Don't worry, I'll be responsible if something goes wrong!" Zhang Yi said as he picked up the scalpel.
"you……!"
Just when everyone was about to work together to pull Zhang Yi away, Zhang Yi struck the knife.
The fast, accurate and steady operation technique immediately caused several assistants and nurses around to freeze on the spot!
Chapter 15 Too bad, Zhang Yi was fired again
"This...this is..."
"Oh my god...he's an intern?!"