Chapter 55 Doctor Xu Qiu, You Are My God(1/2)
air:
The amount of fluid in the pericardial cavity increases again!
This means that there are hidden bleeding points in Kong Huixia's heart cavity.
Didi didi——
At this time, the life monitor alarmed again and the patient's blood pressure began to drop.
Xu Qiu made a decision immediately:
"Continue to infuse the red blood cell suspension."
"Replenish 400ml of plasma! Fastest!"
The assistant took a sharp breath, connected the blood bag, and squeezed the blood bag with both hands.
At this time, this is the only way to increase the speed of fluid replenishment again.
Xu Qiu continued:
"Colloid 800ml."
"Crystal 500ml!"
At the same time as giving the order, Xu Qiu picked up the scalpel again and slashed, causing a large amount of blood to flow out with coagulated blood clots.
There is also a large amount of gray-red myocardium in the ventricular wall below.
This is necrotic myocardium.
Without saying a word, Xu Qiu quickly started the construction process and had already calculated the area of the myocardial defect in the process.
"21mm*16mm polyester patch!"
Director Zheng thought the assistant was too slow.
So I personally built it to a corresponding size and quickly covered it over the defect.
The next moment, everyone's breath froze and they felt unbelievable.
Just right……
Xu Qiu judged such precise dimensions without even using a ruler!
the other side.
The moment the polyester patch fell, Xu Qiu also placed the needle with 3-0 non-invasive sutures.
He quickly completed several simple mattress sutures along the edge of the wound.
The peripheral sutures are patched with a small spacer.
Click——
After finishing the last stitch, Xu Qiu cuts the suture.
Then the little finger hooked back, and then gently picked and pinched, and the perfect knot fell on the polyester patch.
After doing this, Xu Qiu put down the equipment and then held his heart with one hand.
Director Zheng turned pale with fright: "You...what are you doing!"
Xu Qiu said calmly: "Check for bleeding."
Director Zheng stared with disbelief on his face.
Is this how you check for bleeding?!
Xu Qiu did not answer.
In the surgeon's position, he slowly closed his eyes and carefully felt the beating of his heart in his palm.
Blood rushes and hits in the blood vessels.
As the heart relaxes and contracts, the mitral valve and tricuspid valve continuously eject blood flow and hit the ventricular wall.
His perfect hand-to-hand hemostasis method turned his palm into a humanoid bleeding detector.
Bang bang.
Bang bang.
No murmurs such as valvular disease or blood leakage,
This is a rhythmic and regular heartbeat!
A few seconds later, Xu Qiu opened his eyes, and his voice sounded:
"Continue blood transfusion and give methylprednisolone, sodium bicarbonate, mannitol, and furosemide."
These are to correct acid-base balance and electrolyte imbalance.
Perform brain protection.
At this time, Xu Qiu looked at the life monitor again.
Kong Huixia's blood pressure is gradually rising, and finally stabilized at around 95/55mmhg.
Although he is still on the verge of danger, his life is no longer in danger.
five minutes later,
Repeat cardiac ultrasound.
Everyone held their breath and felt uneasy.
If there is still fluid accumulation and bleeding this time...
Then this operation will fail!
The God of Death will not give Kong Huixia a third chance!
Didi——
Finally, the cardiac ultrasound scan showed that there was no blood accumulation in the pericardial cavity!
"It's done!" People were pleasantly surprised.
Director Zheng and others were also very excited.
However, Xu Qiu remained calm, quickly placed a chest drainage tube, and then sutured the chest layer by layer.
"The operation is complete."
Xu Qiu's voice fell.
Everyone looked at the surgery time at the same time.
"Forty-one minutes!"
At this moment, everyone's eyes were filled with shock.
"Such a complicated heart rupture was completed in 41 minutes?"
"The estimated operation time is about 3.5 hours... What the hell is 41 minutes? It's like cheating!"
"Does Dr. Xu really not consider transferring to another department? With this skill, he can become a director outside the department of cardiology!"
"I'm so excited when you say this. We also welcome Dr. Xu to be the director of our Department of Respiratory Surgery!"
"Brain surgery is also..."
…
After the operation, the record sheet was sent to Xu Qiu.
As the real chief surgeon, Xu Qiu naturally has the right to sign for this operation.
He glanced at it and was suddenly shocked.
It records the fluid replenishment situation during Kong Huixia's surgery.
Red blood cell suspension 8.5u, plasma 2150ml, autologous blood 2250ml, colloid 2500ml, crystalloid 1500ml, cumulative rehydration 9800ml, cumulative bleeding 4000ml, urine output 300ml...
The blood volume of an adult is only about 4500ml.
In this operation, the total amount of fluid replenishment was more than twice Kong Huixia’s blood volume!
This alone is enough to show how dangerous this surgery is.
…
At this time, there were many doctors and nurses waiting anxiously outside the operating channel.
Among them are obstetricians and gynecologists such as Li Xue.
There were also many patients who had been cured by Kong Huixia who came after hearing the news.
Kong Huixia is the old director of the Department of Obstetrics and Gynecology. She has single-handedly led many doctors and nurses in the department.
Her surgical skills are also excellent,
Many difficult patients who were refused treatment by other hospitals received a new lease of life under Kong Huixia's surgery...
To be continued...