Section 23

Considering that the child was too young, a pediatrician was specially consulted to discuss the surgical plan.

After discussions with many doctors, a relatively safe method was determined.

And to be on the safe side, the surgeon in charge of this operation was Wang Mingjun, the director of cardiac surgery.

But at this moment, in the operating room.

The same situation as last time appeared again!

The pediatrician frowned tightly on the side, not understanding why the situation suddenly became like this.

Jiao Yong and Wang Mingjun also flashed a trace of surprise and helplessness in their eyes.

On the ECG monitoring, the child's various indicators were declining.

And it was very coincidental that it also happened when the heart was exposed after the chest cavity was opened!

The anesthesiologist said in a panic: "Director Wang, think of a way! See if you can solve it as quickly as Dr. Zhang did, leaving a lot of time for subsequent life support."

"Last time, Dr. Zhang used this method to save the child's life!"

Hearing this, Jiao Yong suddenly remembered.

The child with mitral stenosis last time was saved by Zhang Yi with an extreme operation of 4 minutes and 32 seconds!

Thinking of this, Jiao Yong immediately looked at Wang Mingjun.

He was the chief surgeon, and any decision had to be approved by him.

At this moment, there was a hint of hesitation in Wang Mingjun's eyes.

Zhang Yi was an unlicensed doctor after all.

Just let him enter the operating room like this? !

Jiao Yong guessed Wang Mingjun's concerns, but saving people was the most important thing at the moment!

What's more, the child's identity was not ordinary!

"Director Wang, hurry up and find Zhang Yi, only he can save this child!"

Chapter 24 Zhang Yi, worthy of his humble question

"Only he can save the child!"

Jiao Yong's voice kept echoing in Wang Mingjun's ears.

At this time, Wang Mingjun had been thinking about a question in his heart.

Is human life more important, or is the rule more important?

Obviously, as a doctor, it must be the former.

"Okay! Hurry up and notify Zhang Yi to come up for surgery!"

Finally, Wang Mingjun gave an order.

He believed that he had lived for fifty years and had always been doing things in accordance with the rules and regulations.

But today, he made an exception!

In fact, many teachers would try to let interns without certificates perform surgery.

After all, doctors need to practice more to grow quickly.

But Wang Mingjun never did.

His bottom line is that you must have a certificate to perform surgery.

But now... his rule is broken.

Not because of Zhang Yi, but because of the patient.

Emergency Department.

The group had just finished their shift and were preparing for rounds when the phone rang.

"Hello, emergency department."

"Hurry up and ask Zhang Yi to come to operating room No. 3. There is a patient who needs him to perform surgery! Hurry!"

The nurse heard a nervous and excited voice on the other end of the phone as soon as she answered the phone.

She immediately shouted to the doctors: "Zhang Yi, someone called upstairs and asked you to go to operating room No. 3. It seems that they are in a hurry. Go quickly."

Zhang Yi was chatting with Chen Fang. When he heard this, he had a hunch that he was asked to go up to perform the surgery.

He didn't hesitate. He immediately realized that the matter might be serious and rushed to the operating room.

Behind him, Lu Jing looked at Zhang Yi's young face and asked curiously, "Who is this young doctor? Why did the upstairs doctor ask him to perform the surgery?"

Li Yan replied with a look of relief, "This is a new resident in our emergency department. Last time, he performed an operation for ventricular septal stenosis in cardiac surgery. This guy only took 4 minutes and 32 seconds to complete the operation. It's incredible. If I hadn't seen the operation video with my own eyes, I wouldn't believe it even if I were beaten to death."

Lu Jing didn't react at first, but when he heard that the operation was completed in 4 minutes and 32 seconds, his eyes almost popped out!

"What?! How many seconds did you say?!"

Li Yan was not surprised by Lu Jing's reaction, because he was also surprised at the time.

"4 minutes and 32 seconds, this Zhang Yi is really a good seedling born to study medicine."

"Impossible, 4 minutes and 32 seconds?!" Lu Jing still couldn't believe it.

Even He Xiaobin, the chief of cardiac surgery at the Imperial Capital Tiantan Hospital, couldn't complete the valve replacement in 4 minutes and 32 seconds!

So Lu Jing couldn't believe it at all!

Li Yan smiled and said, "It happens that Director Lu is here for the first time today. I will take you to the operating room to observe. How about it?"

Lv Jing nodded immediately after hearing this: "Okay, I was just thinking about how this 4-minute and 32-second operation was performed!"

So, the two directors of the emergency department also hurried to the operating room No. 3.

There is a monitoring display screen outside the operating room.

Some large operations will let interns come up to learn, so this display screen is specially placed there for interns to watch.

At this moment, the two directors of the emergency department are watching with relish...

In the operating room.

Zhang Yi learned about the situation shortly after he arrived. Lying on the operating table was a child who had just turned one year old.

Ventricular septal defect with pulmonary artery stenosis.

The blood in the entire pericardium was blocked in the left heart. Fortunately, it was discovered early, otherwise the child would not live for more than three years.

At this time, the extracorporeal circulation machine has been turned on, waiting to open the pericardium to repair the valve.

"Zhang Yi, see if you can use the last method to save this child?" Jiao Yong said nervously.

Zhang Yi nodded: "It's a bit troublesome, but it's not a big problem."

This is such a calm tone!

The other people in the operating room and the two directors outside couldn't help but look at Zhang Yi twice.

The young man is very confident!

"This child is too young, so he has to use a biological valve first, and then change to a mechanical valve after he is five years old."

The advantage of biological valves is that they don't need to take anticoagulants for a long time.

For a one-year-old child, the disadvantages of anticoagulants outweigh the advantages.

Although the service life is short, it is the best choice at present.

Jiao Yong took the initiative to be Zhang Yi's assistant and handed over the biological valve.

Zhang Yi directly picked up the trimmer and started trimming the biological valve.

This operation confused the people around him.

"Zhang Yi, you haven't opened the pericardium yet. Even if you don't use a ruler to measure the valve size... But, are you going to cut it directly? What if you find that the size is not suitable after opening the pericardium?" Jiao Yong asked.

Zhang Yi calmly replied with four words: "I am sure."

Everyone: "..."

Well, you are awesome and you have the final say.

The main thing is that within Zhang Yi's sight, he can clearly see the diameter of the pericardial valve.

Considering that the heart load of a one-year-old child is not as good as that of an older child, Zhang Yi plans to trim the valve directly, and then open the pericardium and suture it directly.

This will save more time.

After trimming the valve, Zhang Yi picked up the scalpel and cut open the pericardium.

Suddenly, a stream of bright red blood flowed out.

The heart of a one-year-old child is very small, weighing only about 60 grams, and is about the size of an egg.

Therefore, operating in such a narrow and cramped space is a great test of the doctor's ability.

"Attract."