Coincidentally, Zhang Yi and Liu Changzheng were standing at the entrance of the clinic building. The woman came up and grabbed Zhang Yi's shoulder. She said excitedly,"Doctor, save my child, save my child!”
Zhang Yi glanced at the one-year-old child in the woman's arms. His entire face revealed a very obvious light purple color. Zhang Yi glanced at the child's heart again. Coincidentally, it was the tetralogy of Fallot!
The shape of the child's heart had already become a 'boot-shaped heart'. The 'boot heart' was the most typical pathological feature of the tetralogy of Fallot. This feature could be seen through X-ray examination, but now Zhang Yi could directly see the problem without the help of auxiliary examinations.
After Zhang Yi understood the child's general situation, he said to Liu Chang Zheng,""Director Liu, this child has congenital heart disease. His condition is critical and he needs surgery as soon as possible.”
Liu Changzheng also walked closer to take a look, but he was not a pediatricist, so he was not sure what the disease was. He could only say,"Hurry up and send the child to the emergency department for a checkup. Contact the pediatricist to come over and take a look.”
“... Good!" It didn't matter if Liu Changzheng didn't believe him. In the hospital, it was impossible to just say what kind of illness it was. It was necessary to determine what kind of illness the patient had based on a variety of sophisticated examination equipment.
After all, not everyone had a super system like Zhang Yi and could directly see the location of the focal point.
Zhang Yi did not dare to delay. He picked up the child and went to the emergency room.
"Hurry up and do an X-ray, an electrocardiogram, and a blood routine to check the red blood cell count.”Zhang Yi instructed a nurse as soon as he entered the emergency room.
Although the nurse didn't know Zhang Yi, she knew that the child in his arms was in an emergency. She quickly contacted the emergency doctor and pediatricist.
The Emergency Department's attitude toward critically ill patients was rather impressive. In less than ten minutes, all the examination results were out.
The pediatricist who came to receive the patient was an elder sister in her thirties. She carefully looked at the examination report and said,"This child has congenital tetralogy of Fallot. This surgery can only be performed by our department director. "But…" The pediatricist paused.
"But what? You have to save my child. You're a doctor. You can't leave her in the lurch. Look at my child's face. It's turning purple. Please save her!”The woman cried and screamed, and her voice was particularly miserable. Many family members of the patients in the Emergency Department came over to watch.
The pediatricist continued,"But our department director is on annual leave recently. He's overseas and won't be back for a while."
"I'll go! I'll be the chief surgeon." Zhang Yi said indifferently.
The pediatricist glanced at Zhang Yi suspiciously. He wanted to refuse, but when he saw the work card on Zhang Yi's chest, he opened his mouth in shock.
So he was Zhang Yi!
The doctor who performed a surgery that even the hospital director couldn't do!
The director of a second-grade county hospital might not be as good as the experts and professors of those big hospitals, but he had decades of experience. This was a surgery that even the senior doctors said could not be performed, but he, a young doctor who had just started his career, actually managed to do it. He really did not know if he relied on luck or skill.
"Doctor Zhang, I know that your skills are good, but…"
"Let him do it, Dr. Jiang." Liu Changzheng said slowly at the door of the consultation room.
"Director Liu, why are you here?" the pediatricist quickly stood up and said.
Liu Changzheng ignored Dr. Jiang and said to the woman,"Don't worry, the child will get better. We'll arrange for the surgery immediately.”
The woman excitedly grabbed Liu Chang Zheng's wrist and thanked him profusely.
In the operating room, the shadowless lamp was turned on. The child who was crying slightly earlier slowly closed his eyes after being injected with general anesthesia.
The chief surgeon of this surgery was Zhang Yi. Jiang Xin, scrub nurse: He Yuanyuan, Zhang Xiaojie, anesthetist: Meng Yi.
After the child's breathing gradually stabilized, the surgery officially began.
Zhang Yi calmed himself down and said," You can do it. If you can succeed with a five-month-old baby, why can't you succeed with a one-year-old child?
The scalpel in his hand slowly fell, and an incision was made in the middle of his chest.
"Gut gauze." Zhang Yi calmly instructed the scrub nurse to hand over the surgical supplies. The assistant surgeon cooperated with him to stop the bleeding. After the bleeding was stopped, he used a chest opener to open the chest cavity.
Sticking the bone wax to a corner of the intestine, it could be used to stop bleeding after the sternum was opened.
"Saw."
After the chest cavity was opened, the chief surgeon used an electric saw to dissect the thymic gland, while the secondary surgeon used a Mijiao and a No. 7 suture to ligate it.
After opening the heart, he used a 7x17 yellow non-invasive suture as traction. Generally, five stitches were enough. Then, he used a 7x17 blue atramic suture to make a purse string and put the purse string into the sheath. There were two purse strings in total, one for the main artery and one for the right heart.
After the pouch was completed, the superior and inferior caval veins were blocked, and an extra-corporeal bypass was established. Seeing that they were almost ready, Zhang Yi raised his head and asked the anesthetist,"What's the patient's ACT-score now?”
“100。”
"Alright, prepare the drainage tube."
He used the tip of the knife to gently cut open the artery, the superior and inferior caval veins, and the left atrium. He used a silk thread to fix the tube and the cuff together. In order to ensure that nothing went wrong, Zhang Yi added another needle at the place where the artery was inserted.
Finally, he poured the cold cardioversion solution into the tube and used the clamp to block the ascending artery.
After the preliminary preparations were completed, they began to repair the VSD.
This book comes from：m.funovel.com。