Doctors specializing in emergency medicine are generally more impatient, and doctors engaged in major vascular surgery are particularly impatient.

Director Xiang of the Cardiac Surgery Department occasionally urged his doctors to check at the door to see if the ambulance was coming. Professor Cao also kept looking at his watch. Judging from the contrast images, the aorta in the patient's body was now like a balloon, and the blood vessel wall was very thin.

, it may burst and explode at any time.

Once the "vascular balloon" explodes, the patient will die immediately, and there is no second possibility.

But Yang Ping seemed very calm. He had been sitting in front of the electronic screen, even closing his eyes to relax, as if he was not anxious at all. In fact, the devilish training in the system space not only improved Yang Ping's medical skills, but also changed Yang Ping's temperament.

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After too much experience, you will get used to it. Whether you are anxious or not has no impact on the outcome of the matter.

"Should we be prepared for such a long artificial blood vessel? This is the angiogram taken at the emergency department of Affiliated Hospital at that time. The bottom has reached the iliac artery, and the brachiocephalic trunk and left carotid artery have been affected upward. It is estimated that it will continue to extend up and down. The artificial blood vessel will need to be

Prepare to go up to the internal and external carotid arteries and down to the femoral arteries." Yang Ping pointed at the electronic screen and said calmly.

Director Xiang of the Department of Cardiovascular Surgery nodded slightly: "It's ready, the length is enough."

Yang Ping's extreme calmness can infect the people around him, and his calmness naturally cools down his mind, and some impatient doctors gradually calm down.

"As soon as the patient arrives, he goes directly to the operating table. No other examinations are required except blood drawing. He goes directly to the table to perform a thoracotomy and abdominal opening. First, he blocks the aorta from the root, and then immediately establishes extracorporeal circulation and stops the heart." Yang Ping began to talk to Yang Ping.

Discuss the surgical plan together with everyone to become familiar with it in advance.

"Then how do you know the latest extent of blood vessel tears before surgery?" Director Xiang asked doubtfully.

Blood vessel tears are dynamic and may continue to worsen during transport. If no angiography is performed, how can we know the latest extent of blood vessel tears?

Professor Cao also had such doubts, and he was also waiting for Yang Ping's answer.

"After opening the chest and blocking the aorta, the patient will be much safer. I am left to explore, following the tear of the blood vessel up and down until it is normal." Yang Ping said in a rational and confident tone.

According to common sense, to determine the scope of new blood vessel tears, interventional angiography is actually faster and more intuitive than exploration.

However, angiography takes time. In any case, it will be delayed for more than ten minutes. If the "vascular balloon" explodes within these ten minutes, there will be no chance for surgery later.

If the step of angiography is removed, the chest is opened directly, the aorta is blocked first, and the blood vessels are immediately explored while establishing extracorporeal circulation. This will increase the doctor's operational burden, but also take up the aortic blocking time and the time after aortic blocking.

It must be left for artificial blood vessel replacement.

Because the artificial blood vessel replacement surgery must be completed within 30 minutes.

Exploration is not only difficult, but also time-consuming, leaving less than 30 minutes for artificial blood vessel replacement.

"The blood vessel is too long. It is estimated to be more than 100 centimeters. Are you sure there is enough time to replace the blood vessel?"

Professor Cao asked, after all, his experience told him that it was far from enough.

"Don't worry about time, it's enough! Just do as I say." Yang Ping said in a firm tone.

If the operation time in the system space is added up, no one in the world can have more operation time than Yang Ping, so anyone in Yang Ping's eyes is considered "inexperienced".

Professor Cao stopped talking because he thought it was impossible to perform minimally invasive myocardial rotation at the time, but Yang Ping not only did it, but also did it extremely skillfully, and the surgical effect far exceeded Professor Cao's expectations.

Having had the experience of the last operation, Professor Cao no longer doubted this young man's words. His confidence was real and not unfounded.

"Shall I be your assistant later?" Xiang offered his services to the director.

Yang Ping refused without hesitation: "No, your movements are too slow. Let Song Zimo be the assistant. He is used to my rhythm. Xu Zhiliang is the second assistant, and Zhang Lin Xiaowu is the hook. You---you can watch from the audience.

Bar."

Awkward!

Director Xiang stroked the hair on the back of his head and was speechless.

Rescue surgery must not be done carelessly. As long as conditions permit, Yang Ping must have a "golden team" on stage. If it is an elective surgery, he can also take Director Xiang for a ride on stage.

"Listen to Professor Yang, this kind of surgery is too difficult. He needs to cooperate with a skilled assistant." Professor Cao Zhenshan helped smooth things over.

Professor Cao Zhenshan is a specially appointed expert of Sanbo Hospital. He is an expert in cardiovascular surgery and can be regarded as a member and instructor of cardiovascular surgery. He is naturally familiar with cardiac surgeons, so he is also very familiar with Director Xiang.

"That's --- I'm in the reserve team. I can make arrangements and come on stage whenever necessary." Director Xiang pretended to be generous, but he still felt that he was losing face.

At this time, Director Zhao, who was on duty, came to this office and announced loudly:

"All-out rescue, green channel!"

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Finally, as the shrill siren sounded, an ambulance appeared at the door of the emergency department.

The back door of the ambulance opened, the stretcher carrying the patient was pulled out, and then it immediately turned into a flat car. Doctors and nurses pushed the flat car and rushed to the emergency department.

Among the doctors pushing the cart was Director Ouyang Songhua. Because the patient's condition was too special, he personally sent the patient here.

"Enter the operating room, hurry up, enter the operating room." The emergency doctor who greeted the patient held the cart and guided the cart to the prepared operating room. The nurse immediately completed the blood drawing in the movement to cross-match the blood.

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If this kind of emergency is done in an inexperienced hospital, it will definitely turn into a mess, and you won't know what to do. At most, some basic first aid measures will be given in a panic.

There are only a few hospitals that can perform aortic dissection surgery, but the only two hospitals that can perform such severe aortic dissection surgery are Anzhen and Fuwai Hospitals, which are the two leading hospitals in cardiovascular surgery in China.

Director Xin from Fuwai has more than 20 years of experience in major vascular surgery. Many patients who have undergone his surgery simply live and work in the place closest to Director Xin's hospital in order to receive timely rescue when they have a second attack.

When he was ill, he could rely on Director Xin's skills to save his life.

The flat car pushed the patient to the operating room, and Yang Ping and everyone were ready.

Passing the bed, anesthesia, disinfection, and making sheets - without any delay for a second, Yang Ping immediately opened the chest, so fast that Professor Cao was speechless.

In my fifty years of practicing medicine, I have never seen such a speed of operation. It is fast but not chaotic, and it advances rapidly.

How many surgeries does it take to achieve this level of proficiency?

After thoracotomy and abdominal dissection, the thoracoabdominal aorta expanded by blood is automatically exposed like a huge balloon. The blood vessel wall is thin, and the blood vessel "balloon" beats with the beating of the heart, and is in danger of exploding at any time.

Yang Ping immediately blocked the aorta temporarily and worked with the extracorporeal circulation team to stop the heart and open extracorporeal circulation.

In order to save time and buy more time for rescue, Yang Ping went straight down to explore.

The long incision extends from the chest to the abdomen, up to the neck, and down to below the roots of both thighs. The scope of the blood vessel tear extends downwards to the femoral artery below the roots of the thighs, and upwards.

The tear reaches the common carotid artery, which can be called the ceiling of aortic tear.

The extent of the blood vessel tear has exceeded that of the angiography pictures at that time, indicating that it was still torn during transportation.

Professor Cao, as an experienced expert, had never seen such an extensive tear before. He almost held his heart in his hands while watching the operation.

The movement was so fast that Professor Cao was dazzled. The aorta was completely cut from top to bottom, and the artificial blood vessel was gently put in, followed by hundreds or even thousands of stitches. No blood could be leaked from one stitch.

Yang Ping's hand speed is very fast and very stable, like a machine, precise and stable.

Professor Cao didn't dare to breathe even when he was standing by. The speed of this kind of surgery is simply the ceiling of great vascular surgery. Not only is the surgery fast, but the hemostasis is also very thorough. Most hemostasis is done proactively rather than passively. Wait until the bleeding is stopped at the end of the surgery.

, there is no need to stop bleeding.

"Marfan Syndrome!"

Yang Ping gently placed the needle holder in the nurse's tray and said.

“Vascular calcification is serious,” Yang Ping added.

"Is it done?" Professor Cao looked at the electronic clock on the wall.

Yang Ping nodded: "You can close your chest and belly."

It still takes less than two hours. This kind of surgery takes at least six hours. Even when Xin Weicong is in the best condition, it takes six hours.

Director Ouyang Songhua was observing the entire operation. His thoughts were closely following the operation and he did not dare to speak. Now that the operation is over, he still does not dare to speak.

"It seems that the prices of properties around the hospital are going to increase!" Professor Cao said with a smile.

Zhang Lin didn't understand what Professor Cao meant. How to perform surgery and suddenly involve real estate. The veteran expert's thinking was too fast.

"When he wakes up, let him rent or buy a house near the hospital. The best place to work is also near Sanbo Hospital."

Song Zimo looked at Zhang Lin's confused look: "In a few years, there is a possibility that he will get sick again. In South China, only professors can save him. Living near Sanbo Hospital is equivalent to buying life insurance."

I see!

"No wonder Wang Changxin bought another apartment near the hospital. He wants to live in a community with the professor. This is a personal genius."

"How is he now? Has he received any follow-up calls and has his X-rays been reviewed regularly?"

"I'm still in Africa. It's been very busy lately, and more and more gold mines are being mined."

"Didn't you say that they sold him the unwanted waste ore after mining?"

"Others didn't want it. The previous detection was inaccurate. The original boss asked the Japanese to explore the mine. After the exploration, they found very little gold. The mining cost was high and it was worthless. The original boss deceived Wang Changxin and said it was a rich mine, so he moved to other places to invest.

So the mine was sold to him, and Lao Wang bought it. After digging for a long time, nothing was dug out. Later, he invited an old expert from China University of Geosciences. The old expert took his team to help him explore. After the exploration, the old expert said

, this is a rich mine. Digging 400 meters in this direction is the rich ore area. Wang Changxin kept digging. As the experts said, he dug out high-quality gold mines. The original boss was so angry that he vomited blood because he was afraid that Wang Changxin would not want it.

After coaxing and deceiving, I sold it to Wang Changxin at half price."

"Lao Wang is making a comeback. He used to sing on the bridge, and his song "Broad Sea and Sky" was really tear-jerking."

"I heard that some of the beggars who sang with him are now in Africa, working for him."

"Is this happening?"
To be continued...