Chapter 2125: Unexpected sudden stop
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Live Surgical Broadcast
- 真熊初墨
- 1292 characters
- 2021-03-01 09:04:23
Based on the measurement of liver damage biomarkers, the team found that the normal temperature mechanical perfusion method had 50% less damage to the donor liver than the frozen storage method, an average liver preservation period of 54%, and an organ rejection rate of 50%.
Not only the liver source of the same blood type and the same type, but also the donor liver sent by the life support system at room temperature.
At the thought of this, Director Li could not help but feel a little embarrassed. Can it be said that the world is the same?
It is also possible to do this - it must have a high status in academia. At least the doctors in the world's top hospitals have to buy it, or who is willing to do so.
Looking at the liver taken out of the life support system, with the breath of life, the entire operating room is solemn.
When the Shei people took over the donor liver, the liver just cut off and seamlessly connected, and there was no delay at all.
Director Li looked silly, this is the most ideal situation for liver transplantation.
The cut donor liver, without blood supply, and no more than one minute of blood supply, will cause some changes in the organization.
Although everyone knows that seamless integration is the best way, the surgeons who can do it simply don't exist.
Director Li stood on the operating table and served as a helper. He was experienced and experienced many details that others could not feel.
This kind of detail is filled in every corner of the operation, and Director Li is not even sure if he understands it.
For the director of the 912 hepatobiliary surgery with rich experience in liver transplantation, the hand speed may not be as fast as that of young people. But if the surgery does not understand some, this is too much.
The vascular anastomosis magnetic ring was installed by Zheng Ren one by one, and Director Li always paid attention to the time. The time of the liverless period must be as short as possible, which no one can deny.
But is Zheng Boss the first to contact the vascular anastomosis? How so skilled!
"Old He, dopamine began to pump in the micro pump." Zheng Ren said while doing surgery.
"8ml per hour." Old congratulations.
"Prepare to push dopamine, adrenaline for ten." Zheng Rendao.
"..." Director Li looked at the ECG monitoring in confusion, and the above values were all stable.
What is Zheng boss doing?
ECG oscillography was sinus rhythm, 124 beats / min. The heart rate is fast, considering acute liver failure, toxic shock caused by infection, which is the result of the efforts of the 912 top intensive care team.
After a rescue, the patient's condition was slightly relieved, at least in the opinion of Director Li, there was no problem for the time being.
It is said that the older the rivers and lakes, the smaller the courage.
Zheng Boss is the young white horse. When he is at the end of his life, he is so cautious and watchful. It is really interesting to watch.
The transplanted liver, Director Li knows in mind, his eyes from the ECG monitoring to the surgery area.
but,
Just at the moment when his eyes were removed,
He felt that he seemed to have an illusion.
The heart rate waveform is fluctuating violently. Is it wrong? Director Li stunned.
"Dopamine, adrenaline." Zheng boss looked at the operation area, but his mouth said quietly.
Three seconds ago, he had already opened the door.
Immediately after the opening of the portal blood flow, the vital signs of the patient Chen Li began to change immediately.
Uh... Director Li stunned.
He immediately turned his head and looked at it. Invasive arterial blood pressure monitoring was like jumping off a building.
Just 90mmHg, just the moment I turned my head and turned back, it fell to 62mmHg.
"Hey." Director Li’s hand shook a little, and Zheng Ren’s hemostasis pliers knocked on Director Li’s hemostatic forceps.
"Director Li, concentrate on giving us a lot of time." Zheng Ren said quietly.
Director Li is stunned.
Obviously, Zheng has his own plans and forecasts for the entire operation.
There is not much time... He is not talking about the ordinary term of the normal temperature period of the organ, but the patient really can't!
Since Zheng boss has confidence, Director Li will no longer ponder other things, and began to concentrate on Zheng boss surgery.
At the moment when the door was opened, Su Yun stopped looking at the field, but stared at the ECG.
Blood pressure fell off the cliff, arrhythmia, rapid atrial fibrillation.
Even when the administration time is not available, the blood pressure heart rate is directly returned to zero.
After restoring the venous return to the blood supply, the heart of the patient who has developed heart failure cannot withstand such a large pressure and stops directly!
The waveform of the electrocardiogram trembled from the madness, and soon it was weak and moving, and it was drawn in a straight line.
The boss judges the real thing! Su Yun was slightly surprised.
But the boss’s judgment is correct, isn’t that what it should be? Su Yun didn't know when, and he also had a mindset.
Zero return is exaggerated. Invasive arterial pressure monitoring shows a rapid decline in arterial pressure and an average arterial pressure of 20 mmHg.
"The bilateral pupils are scattered, the diameter is 4mm, and the light reflection disappears." Laohe has been preparing, and from the moment the ECG monitoring machine starts to alarm, he begins to observe the patient's pupil.
Su Yun's right hand extends from the surgical incision below the diaphragm. Place 2-5 fingers and place them on the lower back of the heart. The left palm is placed on the position of the previously reserved incision dressing. He knows that the patient is below. The lower third of the sternum.
Fix the left hand palm, with the right elbow and shoulder joint coordination movement to drive the right hand 2-5 palm finger rhythmically impact to the sternum ~EbookFREE.me~ make the diaphragm muscle up 5.5cm, then quickly relax the diaphragm back to In situ.
The entire action standard, like a machine, has no error.
Although Su Yun's movements are very hard and the impact is strong, the patient's body is steady and motionless.
Not to mention the whole body, even the liver that is being transplanted nearby is not moving.
Professor Zhang is looking silly on the side.
Sudden cardiac arrest, as if the patient's heart rate was transplanted to his heart.
The steady heart rate of 80 beats / min instantly reached 150 beats / min. Finally, do you want to go to power yourself?
No excitement, only a trace of embarrassment.
Zhao Yunlong how the goods did not move, Professor Zhang is somewhat dissatisfied, this time should not go to brush your hands, ready to open the chest, press it under direct vision!
He touched Zhao Yunlong with his arm.
"Xiao Zhao, brush your hand."
"Hey..." Zhao Yunlong’s eyes looked at Su Yun’s movements with a sigh of relief, only to make a sound out of his nose.
What is this attitude? Professor Zhang has not noticed the action of Su Yun. He is very dissatisfied with Zhao Yunlong’s reaction.
But Zhao Yunlong does not move, how does Director Zhang Lin not move!
After 1.2 seconds, Professor Zhang noticed that the ECG oscillating waves that had been pulled into a straight line had fluctuated.
That kind of volatility means the continuation of life. However, the waveform is not a sinus heart rate waveform, but a standard squeeze waveform.
CPR? Professor Zhang stunned.
Did not see someone doing chest compressions, who did cardiopulmonary resuscitation!
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