Chapter 154: An ominous sign, a hopeless operation
"Because... I'm poor!"
Although Xiaoli was smiling, she gave people a feeling of desolation.
Liu Susu felt depressed, as if something was blocking her chest, and she felt very uncomfortable.
Poverty...
It can really make people unrecognizable and make people forget everything.
Xiaoli said: "Please forgive me this time. I don't have that much money, so I want to raise some money for Niu Niu's surgery... I will leave after tomorrow."
Liu Susu was silent.
She couldn't understand and asked: "Why, you are obviously..."
Halfway through the words, she couldn't say it again.
Xiaoli took over the conversation and said indifferently: "I am a mistress, right?
You are right, in fact, I don't need to do this. Whether Niu Niu lives or not has nothing to do with me.
Maybe-an occupational disease has occurred?"
Xiaoli covered her heart and felt a pain.
She lowered her head, and her eyes that squeezed out tears before, at this moment, a few more drops fell, and she said: "I don't want him to be so sad."
……
……
The next day, at 7:30, the morning handover began.
The doctor on duty mentioned a patient suspected of tetanus who was admitted last night.
Wang Ping became alert: "Who admitted him? How many family members are accompanying him?"
Fan Lei was stunned.
Accompanying him?
The director mentioned accompanying him, which means that such patients must be accompanied by their family members!
Wang Ping saw Fan Lei's confused face, his face turned black, and he was about to curse.
Liu Susu raised her hand to signal, saying: "I reminded him last night, and two family members came."
Wang Ping breathed a sigh of relief.
He glared at Fan Lei, his eyes full of anger and helplessness.
As if to say, "You made such a fatal mistake, you can just be a killer."
But in the end he still didn't curse, thinking in his heart that he would protest solemnly when the dean came back from the meeting, and Fan Lei must be thrown to the internal medicine department.
In the emergency department and the surgical department, one mistake will kill people.
The internal medicine department is messing around, at least the patients are not so dangerous - suitable for guys like Fan Lei who have a weak foundation but a strong background.
"Wang Fan, go take a look first." Wang Ping urged.
Fan Lei was unhappy at this time, feeling embarrassed, and slammed the table and said: "I will take care of my patients, Wang Fan does not need to intervene."
"You can't handle anything, you don't even know the common sense of patient care. Wang Fan, go!"
Fan Lei clapped his hands, his face darkened, and he laughed coldly.
"Okay, the handover is over, the outpatients who should go to the outpatient clinic, the surgeries who should go to the surgery, He Hai, you take people to the ward rounds, let's go." Wang Ping was in a bad mood, and this morning handover ended unhappily.
Xu Qiu was about to have the last preoperative conversation, and Liu Susu came over.
"Doctor Xu, I caught something last night..." Liu Susu was mysterious and her face was a little red.
"What?"
"Xiao Li, you remember, she is Niuniu's father's mistress!"
"Yeah."
"When I was on night duty, I found that she was engaged in illegal body transactions... in the single ward at the end of the corridor, opposite the tetanus patient..."
Xu Qiu was silent. How come business has come to the hospital?
Liu Susu continued: "She said she won't do it again today, so let me let her go this time."
"Surgery fee?" Xu Qiu guessed.
"Well... it should be."
"Did you not call the police?"
"Yes, Doctor Xu, you guessed it, so amazing!"
"Did the police who escorted him here that day leave a phone number?" Xu Qiu said.
"Yes, and he comes here once during the day."
"No need to call the police, just tell him about it."
This matter must not be let go, otherwise what kind of place will the hospital become?
However,
the police can do at most is to give Xiaoli and the patient a verbal warning.
For old prostitutes, they all use cash.
There is no arrest on the spot, and there is no transfer record.
It is enough for the police to teach the two a lesson. The hospital cannot turn a blind eye.
Even if it disregards the law, the hospital must take care of its reputation.
...
At 9:30 in the morning, Niu Niu's surgery preparations began.
Before going to the operating room, Niu Niu's mother almost knelt down to Xu Qiu.
She wiped her tears and said: "Doctor Xu, if it weren't for you, I wouldn't know that Niu Niu was so uncomfortable. You are her second parent... I beg you, please save her again!"
Xu Qiu had long been accustomed to such scenes.
He said in a calm tone: "Just wait for the news of the operation."
Xu Qiu's voice made people feel at ease, and coupled with his affinity, slowly, Niu Niu's parents' panic was calmed down a lot.
Before the operation,
Niu Niu was intramuscularly injected with morphine 5 mg and scopolamine 0.3 mg.
After entering the operating room, various pipelines were established, and oxygen was given by nasal cannula in the semi-recumbent position, SpO295%, HR126 times/min, BP121/75mmHg, and the mask was changed to pure oxygen inhalation.
Then, an intravenous channel was established, and 1% lidocaine was used for local anesthesia under B-ultrasound guidance to puncture the left radial artery and right internal jugular vein, and monitor invasive blood pressure and CVP.
The assistant disinfected and laid the drape here.
The extracorporeal circulation machine was pre-filled with "wet preparation".
The anesthesiologist also stepped forward and began to induce anesthesia.
Midazolam 1.5 mg, ketamine 50 mg, etomidate 10 mg, rocuronium 100 mg, and fentanyl 0.75 mg were injected intravenously.
"The circulation is stable, maintain anesthesia." The anesthesiologist shouted.
Then, the anesthetic drugs were changed to fentanyl and intermittent injection of cisatracurium, supplemented by inhalation of 0.2% to 1% sevoflurane.
"Extracorporeal circulation is established successfully!"
As this voice sounded, Xu Qiu finally held the scalpel.
"The operation begins."
At this moment, everyone entered a state of concentration.
Xu Qiu made a median sternal incision.
Then, split the sternum.
"The pressure at the root of the pulmonary artery is 44/22mmHg!"
This means that the circulation is stable and the operation can continue.
Xu Qiu nodded and changed back to the scalpel.
The sharp tip of the knife cut open the stopped heart.
The incision is nothing fancy, it is just a conventional right atrium-atrial septum incision.
But, it is poorly displayed under the surgical field.
Director Zheng's face changed: This is not a good sign...
Xu Qiu was not in a hurry. He changed to the left ventricle incision.
This incision is very small, which can ensure that the heart function will not be affected after the operation.
"Can you see this..."
"The surgical field is so small, the difficulty of the operation will be much higher!"
Director Zheng and other cardiac surgeons were a little skeptical.
Mitral valve repair is a very delicate and technical operation.
It requires precision, dexterity and detail.
If the surgical field is compressed on this basis, it will be too difficult.
Director Zheng and others looked at Xu Qiu seriously.
But they found that Xu Qiu was not affected at all, and he was still making the incision carefully.
"Incision +1!"
"Force control +1!"
"Precision +1!"
"..."
Prompts kept popping up in front of Xu Qiu's eyes.
The pleasure that was increasing all the time was irresistible to anyone.
Xu Qiu could also feel that his control of force was getting more and more accurate, and the incision was done beautifully.
Another knife was pressed down, and finally, the mitral valve was exposed under the surgical field.
Director Zheng and others immediately became bitter faces.
The mitral valve prolapse is more serious than expected, and the mitral valve ring is also enlarged. In addition, there is a crack on the mitral valve, the posterior leaflet is missing, and the chordae tendineae under the valve are extended.
"This..."
"It's terrible!"
Everyone's face is very ugly.
This kind of mitral valve basically has few good ones.
It's as difficult to repair it as Nuwa repairing the sky...
Director Zheng was a little collapsed. He was about to speak, but suddenly his eyes were stern and he found something more desperate!
——
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