Hearing Dean Zhang's idea, even an authority in the field of heart transplantation, Professor Liu was a little shocked.

Ye Jian needs a second heart transplant. The main reason is that after the heart transplant, there are two problems that the world still cannot solve: one is chronic rejection, and the other is vascular disease of the graft.

But now Ye Jian has two factors coexisting at the same time, especially for a long-term surviving heart transplant recipient like him.

Dean Zhang handed Ye Jian's latest physical examination information to Professor Liu.

After flipping through the information, Professor Liu's face became very serious: "Ye Jian, the main problem currently existing in the heart is the coronary arteries. The arteries that supply blood to the heart are seriously diseased, narrowed and blocked, resulting in severe insufficient blood supply to the myocardium. At the same time,

There is a fatal arrhythmia, that is, frequent ventricular tachycardia, which is a severe fast arrhythmia that can develop into ventricular fibrillation and cause sudden cardiac death. Ye Jian has already induced ventricular fibrillation twice."

"Dean Zhang, the situation is very dangerous. Ventricular fibrillation can lead to death if the rescue is not timely."

Dean Zhang nodded: "Ye Jian suffered two ventricular fibrillations two months ago and one month ago in Chengdu, Sichuan. He suffered cardiac arrest and lost consciousness. After timely rescue, he saved his life from death. He has been sent to

In our hospital, his heart test showed that he had 100 ventricular tachycardias in 24 hours, and each ventricular tachycardia may develop into ventricular fibrillation. In other words, he is in danger of cardiac arrest every second. If

Without a heart transplant, he may die at any time."

Professor Liu looked at the information again: "Ye Jian's chronic rejection has caused severe changes in the coronary arteries. In the past three years, he has been complicated by diabetes and has aggravated the changes in the coronary arteries. Moreover, because he has been taking anti-rejection drugs all year round, it will also cause damage to the blood vessels.

, the combination of these factors makes the coronary artery disease reaction extremely serious and develops rapidly."

"With the current level of medical development in the world, there is no other way to solve this kind of arrhythmia and myocardial ischemia. The only way to save Ye Jianhua's life is another heart transplant."

After reading it, Professor Liu made the same judgment as Dean Zhang. Ye Jian's only way to survive now is a second heart transplant.

"So Professor Liu, this second heart transplant surgery, in our hospital, only you can complete this extreme task."

Dean Zhang filled another cup of tea for Professor Liu and continued, "Professor Liu, my idea is that starting from today, you will immediately start organizing cardiac surgery, cardiology, nephrology, urology, ultrasound medicine, rheumatology and immunology

We will consult with experts from more than ten disciplines and formulate a comprehensive plan.”

"After all, Ye Jian's heart disease became sudden and complicated. Ye Jian's chronic rejection led to serious changes in his coronary arteries. In the past three years, he has been complicated by diabetes and has aggravated the changes in his coronary arteries. Taking anti-rejection drugs all year round will also have a negative impact on his blood vessels.

These factors caused the reaction of his coronary artery disease to be extremely serious and develop rapidly. At the same time, Ye Jian was accompanied by severe renal function damage that is inevitable after heart transplantation. His liver function was also damaged to varying degrees, and the success rate of the operation was seriously reduced.

.”

"Dean Zhang, you really gave me a huge problem, but it's also a huge opportunity."

After all, Professor Liu is one of the top three people in heart transplant surgery in China. Although he knows that it is extremely difficult, he still has the spirit to challenge it.

"Yes, so Professor Liu, this time I will mobilize the resources and manpower of the entire hospital to cooperate with you. If necessary, I can also invite experts from other hospitals you know to come and assist."

Dean Zhang also understands the difficulty of secondary heart transplantation. In the past thirty years, there have been less than ten documented secondary heart transplant surgeries in the world, and there are no documented records. As for domestically, there is still a blank, without any precedent.

Can be used as a reference.

In other words, this surgical plan completely relied on Professor Liu to take the lead and the elite forces of the Hezhong Department to create a plan for the first time. It was unproven and immature. Even Professor Liu was very nervous.

After all, compared with the first heart transplant, the second heart transplant is much more difficult than the first transplant. First, the physical condition of the second transplant patient is far worse than that of the first transplant patient.

Ye Jian has already suffered from ventricular fibrillation twice, resulting in loss of consciousness, severe kidney damage, liver damage, and poor blood condition... Multiple factors have led to a continuous decline in the success rate of the operation.

Secondly, the transplanted heart has become severely adhesions after more than ten years, and the heart environment in the patient's body is almost completely unknown. Thirdly, the patient's pericardium has been stripped off during the first transplant, and the risk of heart damage during the second thoracotomy is higher than that of ordinary people.

Out several times.

"According to preliminary judgment, Ye Jian's time is running out. There are only four days left for your operation. Therefore, within three days, all preparations must be made for the second heart transplant."

Dean Zhang saw that the time was right and broke through the last layer of window paper.

Professor Liu, of course, has been completely attracted by this task, not only for the honor of the department, but also for his own pursuit.

"Dean Zhang, then I will arrange and design Ye Jian's surgical plan now."

After Professor Liu thought about it for a while, he immediately made a preliminary plan. He planned to convene more than a dozen departments of the Second Hospital of Harbin Medical University, hundreds of experts and staff, and divide them into eight major medical groups, including the preoperative preparation group, the surgical group, and so on.

Conduct surgical research and prepare facilities, medicines, and material support.

Soon, top experts from more than a dozen medical departments including cardiac surgery, cardiology, anesthesiology, ICU, nursing, ultrasonic medicine, radiology, laboratory, hematology, nephrology, urology, rheumatology and immunology were in Liu.

Motivated by the professor, we came to the consultation room.

Regarding Ye Jian's second heart transplant surgery, the first hospital-wide conference was held.

At the same time, Professor Liu took advantage of the gap to make a call to Director Dong of Union Hospital.

"Director Dong, I'm sorry, I have an important project here. I can't come for the heart transplant that was originally scheduled. You can find another expert to perform the surgery."

Director Dong, one of the chief physicians of the Cardiac Surgery Department of Union Medical College Hospital, was stunned after hearing what Professor Liu said: "Professor Liu, are you kidding me? Isn't this already agreed? You will come to our hospital to perform the surgery tomorrow.

, I have prepared everything. You also know that the patient is older and the difficulty of heart transplantation is very high. That’s why I invited you to be the surgeon. If you don’t come, where can I find someone as good as you?

Excellent doctor."

Director Dong himself has also undergone heart transplantation, but these were relatively young patients. This time the patient was a big shot in the imperial capital. He was already very old and had underlying diseases, so he found the most popular doctor in the country.

Top professor Liu.

"It only takes one day, Professor Liu, it's hard for me to do this."

Director Dong's tone almost sounded like crying.

"Director Dong, I can't help it. The patients I have now are more dangerous and important than the ones you have. I'm sorry. In addition, I believe you still have many masters outside of Xiehe Hospital. No, just go.

Let’s take a look at Fuwai Hospital. Okay, I won’t tell you anymore, I have a consultation here.”

Professor Liu hung up the phone directly.

Director Dong almost collapsed when he heard the busy signal on the other end of the phone. If he had been a few days in advance, he would have been able to find the person, but time was too urgent now. As far as he knew, Union Medical College's cardiac surgery department could perform such a difficult heart transplant.

The chief physicians are all fully booked.

"If it really doesn't work, can I do it myself?" Director Dong became entangled, "No, I'm still almost there unless I have a powerful assistant to help me."

Thinking of this, Director Dong suddenly realized that the young doctor who had cooperated with Academician Zhong before was not the best candidate.

If you have the doctor's solid basic skills and quick operation, coupled with your own surgical experience, the success rate will be very high.

The more Director Dong thought about it, the more feasible it became. He immediately called Tang Xianhu, the director of Zijingang Hospital, and asked Tang Xianhu to tell the director of Hecheng No. 1 Hospital to tell Tanglou to come to the imperial capital to rescue the situation.

And he edited another WeChat message: "Professor Liu, it's okay if you can't come, but I have a request, that is, can we provide remote guidance during our surgery in the future."

After all, remote guidance does not take much time compared to in-person surgery.
Chapter completed!