Tanglou raised his head and smiled slightly: "Per liter of gSO4? 6mmol, 65ml of 50% glucose solution, the so-called improved solution. As for the perfusion volume, the perfusion volume is controlled at 60ml/kg, the perfusion pressure is 20mmHg, and the perfusion time lasts for more than 5 minutes."

In addition to the formula, Tanglou also directly stated the improved perfusion plan: "During lung perfusion, use low tidal volume ventilation to keep the lungs in a semi-expanded state so that the perfusion fluid is evenly distributed. Compared with the traditional perfusion fluid, the improved fluid

It can have a better prognosis, fewer complications, and avoid ventricular expansion."

After listening to Tanglou's introduction, all the doctors nodded and recorded it. They really didn't know such details before.

Next, Tanglou naturally elaborated on the donor cardiopulmonary plan and the recipient cardiopulmonary resection plan in detail.

Soon, during the consultation, it was decided to perform a heart transplant according to the surgical plan proposed by Tanglou.

Thousands of miles away, in Harbin, the capital of Long Province, at the Second Hospital of Harbin Medical University, the second general consultation for Ye Jian's second heart transplant was also being held.

Professor Liu and Dean Zhang co-chaired the meeting. Chen Minjie, the chief physician under Professor Liu, also had the highest voice this time. He cooperated with Professor Liu's assistant and took the lead in reporting on the completed work:

"Professor Liu, Dean Zhang, yesterday afternoon, Ye Jian was transferred to ICU for monitoring after internal medicine treatment. In the evening, his physical condition has improved..."

Listening to Director Chen's report, Professor Liu and Dean Zhang both nodded and signaled to continue.

"After a day and night of preparation, and in cooperation with the pharmaceutical company and sister units, we have brought in blood warming equipment, a special intraoperative defibrillator, and esophageal ultrasound equipment this morning..."

Dr. Chen looked at the list of equipment and drugs in his hand and reported carefully. After saying that everything was ready, he continued to add preparation time for the remaining drugs: "Special blood protein drugs will arrive at the hospital tomorrow at the latest, and immune rejection drugs can be prepared before evening."

complete."

Due to Ye Jian's special situation, in order to be foolproof, Professor Liu and the expert team specially designed special medical equipment for this second heart transplant.

After Director Chen, the anesthesiology department, ICU, radiology department, and nephrology department also expressed their opinions and preoperative preparations.

After listening to everyone's reports, Professor Liu made a summary: "After this second consultation, the entire plan for the second heart transplant surgery has been basically demonstrated. Various special equipment and special drugs are also being prepared. In addition to

Apart from the hardware, the last topic is the selection of the chief surgeon, first assistant and other cooperating doctors for this operation."

After hearing Professor Liu's words, the doctors present wanted to be selected, but they didn't want to be selected.

After all, Ye Jian's second heart transplant operation was another high-level challenge and landmark event in the history of Chinese medicine.

The chance of being able to perform a second heart transplant is extremely low. Most of the second heart transplants are performed on patients who have been for more than ten years after heart transplantation. Currently, there are very few patients in China who can survive for more than ten years after heart transplantation.

.

There are not many international precedents to follow, so for the doctors present, including Professor Liu, there is almost no medical treatment available for this surgery.

Under the premise that there is no medical data to be found, Ye Jian's second heart transplant operation is unprecedentedly difficult. At the same time, if the operation can be successful, it will promote the evaluation of heart transplant operations, overcome the world's difficult problems in organ transplantation, and advance transplantation technology.

Advances in medical science and technology in many aspects such as pathology, pharmacology, and basic medical research are of great significance.

Of course, the doctors present knew that if they succeeded, they would be successful, but the probability of failure was higher. Of course, they were not afraid of failure, but they were worried that their poor skills would drag down the entire operation, and that their own mistakes would

As a result, the efforts of Professor Liu and all the medical team were in vain.

Dean Zhang and Professor Liu were waiting quietly. Naturally, they hoped that someone would step forward and take the initiative to take on this responsibility.

To be honest, Professor Liu didn't have a 100% favorite candidate in his mind. He had to choose a strong candidate, so Director Chen could barely participate.

Chen Minjie lowered his head at the moment and was a little confused. To be honest, this was a once-in-a-lifetime opportunity for him, but he really had no idea about the second heart transplant surgery, especially the surgical plan designed by Professor Liu.

The operation difficulty is really too high.

Since it is a second operation, the surgeon and first assistant must complete the entire operation within five hours. Such a short operation requires a high degree of concentration and concentration.

Chen Minjie can still do well in his basic skills, but if he is fast and good, he is almost useless.

"Should I recommend myself?"

Chen Minjie couldn't make a decision for a while.

The consultation room fell into silence for a moment, and the silence was a bit eerie.

Regarding this, Professor Liu and Dean Zhang were slightly disappointed, especially Professor Liu who had a profound look at Chen Minjie who lowered his head and didn't know what he was thinking.

It's very similar to the students in school who turned into quails when the teacher asked questions.

Professor Liu smiled bitterly. He didn't blame them. This surgery was really too difficult, and there was no precedent to follow. After all, no one could perform the first surgery as if nothing had happened.

After looking at his watch, Professor Liu broke the silence directly:

"Okay, regarding this surgery candidate, I will discuss it with Director Zhang later and let you know the result. It just so happens that there will be a heart transplant surgery at Union Hospital in a while. I was originally the one to do it, because Ye Jian's

The reason was that I turned it down, but due to my sudden failure to make the appointment, Director Dong of Union Hospital could not find a better replacement for a while, so he chose to go into battle in person. However, after all, Director Dong was still a little worse than me, so he invited me.

Give him remote guidance."

"It happens to be a difficult heart transplant operation. The patient is older, and the difficulty of some operations is not much different from Ye Jian's. Now that the plan has been decided, everyone will come with me to observe it.

, the level of heart transplantation at Union Medical College Hospital. It’s hard to say, but I can still get some inspiration from their operation.”

After hearing Professor Liu's suggestion, the doctors were of course very happy and relaxed. In their opinion, Director Dong's surgical skills were slightly inferior to Professor Liu's. For a while, they mainly looked at Professor Liu instead of Director Dong.

How to guide.

Soon, Professor Liu got in touch with Director Fang of Union Medical College Hospital, and the remote surgical guidance system synchronized the picture of the operating room of Union Medical College Hospital.

"Professor Liu, we are about to start donor cardiopulmonary retrieval, which is the first step. Please keep a close eye on us."
Chapter completed!