Since 1981 Health School Chapter 420

  Chapter 420 Sudden accident during surgery

  One operation became two operations, and the third-level operation directly became the ceiling-level operation.

  The thoracic duct ligation and the sudden right lower lobectomy started successively, which made the atmosphere in the operating room very depressing.

   Performing such a major operation on a newborn is difficult as you can imagine. It not only tests the clinical level of the surgeon, but also whether the operation will be successful is unknown.

  At the same time, it also tests whether the child can overcome the postoperative infection and the possible recurrence of cancer in the future.

  The possibility of recurrence is almost 100%, but I don't know how many years it will last, or it will be one or two years, or five or six years, or ten or twenty years.

   But so what if it's 20 years? At that time, this little baby was only in his early 20s, which was a great time of youth, which was even more unacceptable.

  In addition to medical human factors, it also depends on the fate of this little patient.

  Anyway, according to the current situation, his life is very bitter, and his life is facing withering before it even begins.

  In the operating room, every medical staff was 100% concentrated, especially the two chief surgeons, Dean Guo and Chen Qi, both showed their housekeeping skills.

  Outside the operating room, the family members felt that the sky had fallen. Cancer was quite rare in the 1980s, but everyone knew that cancer was an incurable disease. It can be said that everyone talked about cancer.

  Fang's family never dreamed that their little grandson was dying of chylothorax first, and now it's a thunderbolt from the blue sky, and he has lung cancer?

  Shen Lifen did not know how many times she fainted from crying.

  The child's grandfather stomped his feet, "Send a telegram to the baby's father and ask him to go back to Yuezhong. The family is about to fall apart, and the son is about to die!"

  The child's uncle was worried: "Father, my brother may not come back, unless it's a round of battle, and it just happens to be his turn to rest."

   "I don't care, you send me a telegram, it's good for everyone, but you also have to take care of your family. Look at his son, and then look at his wife. Is there anyone like him who wants to be a father or a husband?"

  Since ancient times, loyalty and filial piety have been difficult to achieve.

   Just when the Fang family was crying with their heads in their arms.

In the operating room, Chen Qi ligated both ends of the thoracic duct almost as quickly as possible, then stared blankly at the malignant tumor in the lower lobe of the right lung, thinking that he had a golden finger, and the operation could be the most perfect, so He was going to try to continue the operation.

  Who knew that Dean Guo had been staring at him for a long time, curled his lips and said to Zhu Huoyan:

   "See? This kid was very courageous when he was an intern, and now he is even more lawless as the chief surgeon. Look at him like that, he clearly wants to continue to do lobectomy."

  Zhu Huoyan coughed a few times: "Chen Qi, don't be kidding, you still can't bear the lobectomy for the time being, let Dean Guo come in person."

  Dean Guo is known as the first surgeon in Yuezhong, and his experience in surgery is much higher than that of Chen Qi. The level of surgery is nothing to say.

  The reason why Chen Qi invited these two masters was because he panicked at the first time; the second was because he wanted someone to help him share the pressure; the third and most important reason was that he valued the experience of the two old experts.

  Since Dean Guo is going to take the stage in person, he naturally has no opinion at all.

   So Director Zhu became the assistant, Chen Qi personally acted as the second assistant, and the operation continued.

  President Guo knew that there was a camera following him at this time, and the old man understood the importance of this radical operation for neonatal lung cancer. It might be the first similar operation in Huaguo, so he paid special attention to it.

  While operating, he still did not forget to impart experience to Chen Qi beside him.

   "Boy, you can be optimistic. Although I have never done such a child's lung cancer operation, the number of adult operations is countless. There are a few points for attention in this lobectomy.

First, it is not enough to cut the lung lobe, you have to clean up the surrounding lymph, because the direction of lymphatic drainage is centripetal from bottom to top, from the periphery to the center, so when cutting the left or right upper lobe , the lymph nodes in the vascular group and the hilum should be removed.

  If the current operation is to remove the lower lobe of the right lung, then we should focus on cleaning the subcarinal group, as well as the pooled block and inferior pulmonary vein lymph nodes, just here, and this part. "

  As Dean Guo began to indicate which points, the camera lens of the border alliance zoomed in a little.

  Chen Qi nodded again and again. These are all valuable clinical experiences over the past few decades, which cannot be written in textbooks.

  How can the level of doctors be improved?

  It's useless to just read a book. At critical moments, a master must take you, teach you, and pass on exclusive experience to you. This is equivalent to the exclusive cheats in martial arts movies.

   After studying for a period of time, your level can reach a very high level.

  Students and apprentices are different, which is why Chen Qi desperately wants to be under Professor Wu Mengchao's school and become a personal disciple.

  Chen Qi learned laparoscopic surgery in his previous life, and in this life he is slowly making up for traditional surgery. If he can master the two surgical methods accurately, he will be invincible in the future.

  Difficult surgery is often accompanied by high risks and many unexpected accidents.

  In the middle of the lobectomy, because the lower trunk of the pulmonary artery was too short, Dean Guo had to ligate one piece first, and then clamped it with a vascular clamp, preparing to cut off the lower pulmonary artery.

   As a result, at this time, the vascular clamp and the ligature suddenly slipped off at the same time, and now it's all right, and a circular incision suddenly appeared in the pulmonary artery trunk.

  This is an artery, or a major artery, and a large amount of blood gushed out all at once, which made Dean Guo break out in a cold sweat from fright.

   If the bleeding cannot be stopped immediately, within a few seconds, the baby will not be able to see the sun tomorrow, and the operation can be declared a failure.

  Chen Qi is young after all, and immediately yelled: "Ah, Xuexue, how many blood vessel clamps does Dean Guo want? Where are they clamped?"

  Dean Guo was upset: "What's the name of the ghost? They are all the dean, can you calm down?"

   While Chen Qi was stunned, the old man directly inserted the little finger of his right hand into the gap on the pulmonary artery trunk, and continued to penetrate deep into the blood vessel cavity until the finger completely blocked the gap.

   At this time, the anesthetist was already shouting: "President Guo, the blood pressure dropped rapidly after a sudden rise."

  Blood pressure is the most important indicator for measuring vital signs. A rapid drop in blood pressure means that too much blood has been lost. One bad thing is death from hemorrhagic shock or multiple organ failure.

  For a while, the air in the operating room seemed to freeze, and everyone's backs were already wet.

   Just when everyone was at a loss, they heard Dean Guo shout:

"Damn it, why are you still standing there, quickly transfuse blood. Lao Zhu, I have stopped the bleeding. Use your fingers to pinch the edge of the bleeding part. Chen Qi, put on the blood vessel clamp, yes, quickly clamp it, okay, now Immediately suture to stop the bleeding."

  Director Zhu Huoyan was fine. Although he didn't say anything, his hands didn't shake during the whole process, and he stopped the bleeding completely according to Director Guo's instructions.

  Chen Qi's hands were already visibly trembling, and his concern was chaotic. He wanted to cure the baby too much, and he was under too much pressure.

   Less than 5 minutes later, the anesthesiologist shouted: "Blood pressure has stabilized."

   Head nurse Qiu also reported: "Three venous channels have been opened, and now the heart rate and breathing rate are normal."

Dean Guo saw that the bleeding had stopped and the blood vessels were ligated, so he took out his finger. Although he looked calm on the surface and scolded people like a bell, it was obvious that his two legs A little trembling.

   "Old Zhu, come on, you are the chief surgeon, I'll take a break, **** it, you scared me to death."

  Chen Qi chuckled: "Old Comrade Guo, you were still scolding us just now, you are afraid if you dare, haha."

   Head nurse Qiu moved a stool, and Dean Guo sat down on it, with his hands still raised in front of his chest, and of course his mouth was still unforgiving.

   "Hey, who is not afraid of your size, this is a living life, and you are still such a small child. The operations you take over are more and more bizarre. I will die in your hands sooner or later. If it doesn't work, you have to treat me to dinner."

  Chen Qi also has a feeling of surviving a catastrophe:

   "No problem, no problem, let's order something at Yunlin Hotel tonight."

"Bring out your Moutai. I'm going to have a drink tonight. If I don't drink it, I'm sorry for my flying knife fee. Damn, it's unreasonable. You little brat costs 50,000 dollars for a flying knife. I'll do it After a lifetime of surgery, I only got one meal."

  Hehe, everyone in the operating room laughed.

  Actually, Dean Guo and Chen Qi crossed each other deliberately as a joke. In fact, to put it bluntly, it was to relax everyone.

  The moment just now was too exciting. If it were a general doctor, the baby would definitely die today.

   If everyone's nerves continue to be tense, the subsequent surgery will not be possible.

  A good chief surgeon must be able to call 666 for his assistants at the right time. In this regard, Chen Qi does not have the team leadership temperament of Dean Guo.

   Fortunately, Dean Guo was ruthless enough and decisive enough at critical moments, otherwise today's operation would be completely overturned.

  This is the gap between old doctors and young doctors. Perhaps young doctors can catch up with the level of surgery, but the emergency ability and key judgments cannot be caught up by young doctors.

  The two operations were merged into one, and 5 hours later, the lights outside the operating room were turned off.

  Shen Lifen and his family saw the door of the operating room opened, and hurriedly surrounded him.

   "Doctor, how is my grandson?"

   "Doctor, was my son's operation successful?"

   "Doctor, doctor..."

  Chen Qi took off the mask, and the usual relaxed and smiling face was no longer on his face:

"Don't worry, everyone, listen to me, I have done a ligation for chylothorax surgery, and this problem has been solved. The main problem now is still the tumor in the lungs. The pathology room has already confirmed that it is cancer, and it is squamous cell carcinoma. "

  When Chen Qi said this, the family members cried together again.

"Don't cry, don't cry, listen to me, it's a blessing among misfortunes, now the tumor is still in place, and there is no distant metastasis, so just now Director Guo of the People's Hospital and Director Zhu of the Department of Surgery personally performed the baby's lower right lung surgery. Lobectomy removed the malignant tumor."

   Shen Lifen's eyes lit up when he heard it, and the mourning family members stopped crying.

   "Dean Chen, you mean, this lung cancer has been removed? Is my son okay?"

  Chen Qi still couldn't bear to look at the sallow and haggard mother of the child, but he still had to say what he had to say:

"The operation was successful, but there are still two problems. One is that such a small baby got lung cancer in only 2 months. How do cells come about.

   Is the baby born with it? Or what way is it contagious? Or which cell has mutated? Only by finding out the cause can we proceed to the next step of treatment. After all, different cancer cells and types have completely different treatment options. "

  The family members were stunned.

   How did the cancer cells come from? This is also the time when the family members are puzzled.

  In 1986, environmental pollution was not serious, and various technologies and hard work were not yet popular.

  The sky is blue, the water is clear, and the heart is not so dark;

  Meat is meat, eggs are eggs, and rice will not be polished or added with various whitening and flavoring agents.

  So cancer is definitely a rare disease in this era. Unlike later generations, there can be several tables of cancer patients in one community.

  Chen Qi continued to explain at this time:

"There is also a second problem. Cancer is very easy to relapse. No one knows which part of the body will grow any tumor after a few years. Therefore, only if we know the source of cancer cells, intervene in advance, and actively prevent them, can we Avoid the possibility of the baby getting cancer again in the future."

  The child's grandfather slapped his thigh: "President Chen, you are right, you need to know how this cancer comes from!"

  The child's grandma muttered to herself: “Could it be something wrong with our ancestral grave? Do you want to ask the Bodhisattva to take a look?”

  The child's uncle is anxious: "Mom, what age is it, you are still so superstitious, you have to listen to the doctor for everything."

  Shen Lifen didn't care about men and women, grabbed Chen Qi's hand, and knelt down:

   "President Chen, I know that you are an international dual director, and you are familiar with domestic and foreign experts. I beg you to help us find a way to save my son, woo woo woo."

  Chen Qi supported Shen Lifen:

   "Mr. Shen, don't do this. The child's father is a hero. I will do my best if you don't tell me. Don't worry."

  The onlookers are all pointing and pointing, and many old ladies are wiping tears.

  The child's grandfather is relatively rational and calm, and at this time he also expressed his position: "Dean Chen, just treat me, and don't worry about money. Even if my family sells everything, I still have to treat my grandson."

  Chen Qi sighed slightly in his heart.

  I thought that if we want to clarify the cause of the disease, the investment will be huge.

  For example, the fourth hospital lacks relevant inspection equipment, so the child has to be transferred? Good guy, going to the big hospitals in the capital or Shanghai, even in 1986, was a waste of money.

  If you can't do it in China and hire a doctor from abroad, then the "labor fee" is even more expensive, and it is simply not affordable for an ordinary Vietnamese family.

   Not to mention selling the house, even if the whole family is sold, it won't be enough.

   Seeing a doctor is difficult and expensive, and it is the same in any era.

  (end of this chapter)

Chapter end