The amount of bleeding was not large, and the ultrasonic scalpel immediately stopped the small amount of bleeding. However, the doctor immediately started to bleed, and the heart was obviously scarred. It is really lucky for the patient to recover on his own, leaving no big wound.
It’s strange that there are strips of myocardial scarring, the doctors thought to themselves while operating.
The heart has inner and outer membranes, myocardium, blood vessels, and nerves. The place where the bleeding just occurred is not the small amount of bleeding from the large blood vessels on the surface of the heart, but the myocardial bleeding means that there is probably a tear here. The surgical instrument continues to explore deeply after stopping the bleeding.
It is necessary to pay attention to the time. The team of doctors who performed the surgery did not hesitate and tried to penetrate into the depth of the wound.
Being conservative does not mean that you are not brave. Teacher Du's plan may be conservative, but it is completely different from the arrogance of Senior Brother Tao, Teacher Nie. When doing surgery, you only need to be sure of the goal and dare to start. Xie Wanying saw it, and at the same time she could feel the huge crowd beside her.
The teacher was very nervous.
The fast pace of the chief surgeon requires other supporting staff to keep up with his steps.
When the surgical separation forceps in the surgeon's hand are exploring the heart wound, it is best to slow down the beating of the heart. Dr. Pang needs to slow down the beating of the heart.
Generally speaking, in other surgeries, slowing down the heart's heart rate is the responsibility of the anesthesiologist. The anesthesiologist can inject relevant drugs into the patient's intravenous channel to slow down or speed up the heart rate. Any use of drugs has risks.
. There are other better ways without drugs. Of course, it is better to choose a better way. Just in such extracardiac surgery, extracorporeal circulation gives doctors one more option. The artificial heart-lung machine lowers the temperature of the patient's blood flow and increases the patient's heart rate.
Slowing does not require the input of drugs.
Now Dr. Pang has lowered the patient's heart rate to about 30 beats per minute.
"It's better to go faster." Xie Wanying said to Teacher Pang.
Dr. Pang was stunned: What advice do you, a medical student, suddenly make? Have you never seen cardiac surgery before? What can you understand?
"If the crack can be seen clearly with the naked eye, in order to cooperate with the surgeon, the slower the heartbeat, the better. However, now it cannot be seen with the naked eye, and the detection is unclear. It is useless to make it beat slower. Instead, it needs to beat faster to jump out.
You can use blood to identify where the hidden crack is." Xie Wanying said, "Anyway, it needs to be re-sutured. You can't solve the problem until you find it."
It's like her father repairing a car and not knowing what the problem is with the big truck. He can only open the cover of the machine head and continue to run the motor to find out where the problem is. Xie Wanying learned from what she observed at home since she was a child.
A kind of thinking theory.
Other doctors heard her say this.
Dr. Yang exclaimed in surprise: "Oh." This Dr. Xie is a female doctor like her, but her thoughts are so "cruel".
Shen Youhuan turned around and glanced at the junior sister: It was "ruthless". It didn't seem to match the gentle and gentle appearance of the junior sister, but it definitely fit the surgeon's ideas.
If you don’t believe me, look at all the surgeons with their eyes shining brightly on Mr. Xie.
Surgeons need to be "ruthless" and need to be adaptable at critical moments. It is inevitable that sometimes the idea is to be ruthless or else the situation cannot be dealt with.
Given the current surgical situation, which requires speed, Mr. Xie's thinking path is right and must be done quickly.
