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Chapter 1669: ?1669?Time Frame
Chapter 1669: ?1669?Time Frame
?? Chapter 1669 [1669] Time Frame
?? Her answer is really straightforward, which shows that this student has a plan. Du Yeqing's eyes flashed Dao Rui and instructed: "Do as she says, and adjust the heart rate to fifty beats per minute."
?? Dr. Pang adjusted the artificial heart-lung machine, and the patient's heart rate rose again.
?? There was blood again, and the surgical team had already aimed at it, and the separation forceps were immediately inserted into the bleeding place to separate the invisible crack. It just so happened that this gap led to the right ventricle, which was very close to the mass attached to the ventricular wall on the CT film. The surgeon immediately took out the foreign body, preliminarily predicted that it was a thrombus, and sent it to the pathology department for quick pathological screening for safety. During the suture, the chief surgeon instructed the cardiopulmonary bypass division: "Continue to follow the heart rate she said."
?? was suddenly entrusted with an important task by the teacher, Xie Wanying strained her nerves.
?? You can’t just answer academic questions casually. He stood up, observed and reviewed the teacher's hand movement data and monitor data many times to estimate the rhythm of the main acupuncture needle. After thinking about it, he suggested to Teacher Pang: "You can try to slow down the heart rate to thirty-five beats per minute. Small but fast."
?? Dr. Pang adjusted the artificial heart-lung machine so that the patient's heart rate was close to what she said.
??Everyone looked at the monitor screen, and saw that the time when the main surgeon put down the needle was almost the same as when the right ventricle was contracting, and when the needle was raised was the same as when the right ventricle was diastolic. This picture is quite magical.
?? It can only be said that Ye Qing did the right thing. It is a good thing to recruit a student who can touch his head into the operating room.
??After repairing the right ventricle, it came to the left ventricle of the focus. According to the plan, coronary artery bypass will be done here, and a section of the internal mammary artery will be taken to prepare the bridge. There is a front IVUS sentinel, and the surgeon has a preliminary judgment on which coronary artery has a problem. Esophageal ultrasonography is now used to determine if there is a coronary fistula. The position of the esophageal ultrasound probe in the esophagus can be adjusted, and the different lengths of the esophagus can detect different parts of the heart and great blood vessels. To detect the left ventricle, the probe needs to go deep into the esophagus about 30 cm, and the screen of the ultrasound machine will display the picture of the four-chamber view of the heart. Here you can see the valve, the left and right ventricles and the left ventricular outflow tract.
?? Operated by anesthesiologist and observed by the main surgeon. There is no abnormal blood flow signal on the ultrasound machine screen. If this result is correct, it proves that there is no fistula and only a bypass needs to be done.
?? There was a moment of silence in the operating room, and everyone wondered if Du Ye Qing's hunch was wrong.
?? "Yingying, what do you think?"
?? is Senior Brother Shen turning around and asking her again.
??The time was tight, so the senior brother asked her. Anyway, her answer is that if she thinks it can be used, it can't be used or not. Xie Wanying didn't hesitate, and answered directly, "Try to move the probe back about 1 cm."
??The speed of the anesthesiologist is super fast, and the probe can be retracted directly without the command of the chief surgeon.
?? Doctors in big hospitals are very resolute, and attempts without big risks are a matter of seconds.
?? After retreating, a ray of abnormal blood flow signal appeared on the screen.
??Call, there were sounds of relief in the operating room. Because I know that Du Yeqing's experience and intuition have a very low chance of being wrong, if you can't find the problem quickly, it will be terrible. For doctors, in addition to the operation during surgery, the hardest and most difficult thing is to find evidence to start.
??There is a fistula, this place is treated accurately, and the leakage is blocked while bypassing. The surgeon takes the prepared spacer and places the suture over the fistula.
?? After the two parts of the operation were completed, the time was fixed at 33 minutes, which was almost amazing.
?? Thank you for your support! ! ! Good night dears~
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?? (end of this chapter)