After 100 Days Of Signing In, The First Operation Shocked The Medical Community!

Chapter 177 Two Hearts

Liu Xin didn’t expect that the patient would have this kind of condition. Heart and kidney problems would occur at the same time, and not to mention how he needed to operate it, if it was just one aspect of treatment, it might be difficult to guarantee the survival of the patient.

“One milligram of sacuba and trixartan, static push.”

The nurse takes out the medicine, and then slowly injects the medicine into the patient.

“Sakuba Trijiesartan has been injected.”

Liu Xin nodded lightly and did not rush for surgery. With a probability of 30, the left heart failure caused by malignant hypertension will cause the patient’s symptoms to be acute. If it can be suppressed temporarily, it will not cause excessive losses. .

“Ten minutes, observe the blood pressure.”

“good!”

Everyone anxiously waited for the blood pressure meter to drop, and the ten-minute mark was like a year.

“Dr. Liu, in three minutes, the patient’s heart rate deviates.”

Liu Xin still shook his head when he was reminded by the nurse. If the heart failure can be temporarily suppressed, there is a high probability of treating kidney failure. Double failure itself is an extremely rare condition.

After another three minutes, the nurses looked at the various instruments without any accident, and frowned at Liu Xin.

“blood pressure.”

“160.”

“The patient has lower extremity edema.”

“Insulin aspart is injected subcutaneously.”

The nurse had no choice but to open the medical cloth on the patient, and a stench could be smelled through the mask.

“Dr. Liu, there is an enlarged lymph node near the patient’s thigh.”

Liu Xin knew that sooner or later he would die in the hospital bed if he didn’t have a kidney transplant.

“Go, ask the hospital if there is a matching kidney. If this continues, he will die.”

When the nurse heard the sound, she rushed out and rushed into the ward after a while.

“how?”

“I still haven’t found a matching kidney source.”

Upon seeing this, Liu Xin walked straight out of the operating room, picked up a mobile phone and dialed Mr. Gong’s number. The first time he and the patient had a kidney replacement, he looked for Mr. Gong. Although it is a black market, it is important to save people.

“Hey, Liu Xin, shouldn’t you be participating in the selection?”

Hearing Mr. Gong’s voice, Liu Xin immediately informed the situation on the scene, and when he heard of this, Mr. Gong frowned.

“Send the information and materials, I will match the kidney source for you as soon as possible, but you also have to think clearly, if this matter falls under the control in the future, it may become an obstacle to your way forward, and you may be expelled from the selection process. ”

“I have figured it out clearly.”

After that, Liu Xin hung up the phone and found Lu Feng to send the patient’s information to the website instructed by Mr. Gong.

“Still matching, let me know if there is news.”

Lu Feng nodded.

Back in the operating room, Liu Xin has changed into a new surgical gown.

“Doctor Liu, where have you been?”

“It’s okay. I will solve the problem of heart failure first. I have asked others to find a suitable kidney source.”

“good!”

The patient reenters the operation stage, and the heart failure problem cannot be solved at once. Under X-rays, the patient’s lungs have formed a thick shadow, and the lungs are congested enough to cause death.

“Scalpel.”

The second assistant put on a scalpel, and Liu Xin slowly opened a McGregor’s incision, and inhaled the pus and congestion through the lung tube to remove the congestion in the lungs on a large scale.

“Preliminary diagnosis of reduced ejection fraction heart rate.”

Liu Xin made a preliminary judgment that the blood stasis in the lungs has been cleared, and the next step is to solve the problem of the heart.

“Open bone clamp.”

The large forceps slowly tear open the ribs, and the lowered ejection point heart rate is mostly induced by many reasons. Although the situation seen in CT and MRI is caused by pericardial hypertrophy, ct cannot be completely induced for accurate surgery.

“Heart Endoscope!”

The nurse slowly injected it. Through the display, it was seen that there was indeed a problem with the pericardium in the heart, but a large mass had formed in a large part of the area.

“Why is there such a big lump?”

Liu Xin has been a doctor for many years, and even in the system training room, he has never seen such a situation. The condition of pericardial swelling is actually not special, but it is a bit too big.

“Could it be a double swelling of the heart?”

The second assistant reminded.

The so-called double swelling of the heart is actually the site of internal and external swelling after the pericardium is enlarged, but this is obviously not in the range that Liu Xin has seen.

“Prepare the defibrillator.”

After Liu Xin finished speaking, he personally performed the surgery and cut the heart part. The bright red heart was still beating weakly, and a large part of the blood vessels had been squeezed and deformed. Liu Xin reached out his hand to touch the pericardium, but unexpectedly found that there are different frequencies in the pericardium. beat.

Seeing this, he immediately looked at the electrocardiogram, but the appearance of the electrocardiogram and the feeling of weak internal beating did not match at all.

“Could it be!”

Liu Xin’s face changed drastically, and he slowly incised a layer of pericardium with a scalpel. The swelling of the pericardium was simply an appearance, and all the things he saw in the operating room were shocked.

“This… Doctor Liu, am I wrong?”

Nisuke looked unbelievable, with a surprised expression.

“These are two hearts?!!!”

Everyone looked at Liu Xin.

“The frequencies of the two hearts are not the same. If the heart is deformed, it shouldn’t cause arrhythmia.”

Heart malformations are relatively rare, but two hearts are unheard of.

“What should we do now?”

“Resolve the heart rate problem first, and treat it with heart synchronization.”

The nurse handed the prepared electronic booster pump to Liu Xin, which needed to be installed in two parts of the heart in order to promote blood circulation in the heart instead of blood vessels.

“The puncture needle.”

The electric power pump needs to be passed through the left inferior rib vein.

“Pay attention to the various values, and report in time if special circumstances occur.”

“good!”

“The venipuncture was successful.”

Second helper was responsible for the introduction of the puncture needle, and then Liu Xin extended the tubular venous sinus of the electronic power pump.

“The coronary sinus electrode is pressurized to level ten, as a guide, maintain a constant speed, and do not rush.”

Slowly push in according to the instructions of the second aid, the skin epidermis can show a kind of precipitation purple with the visible blood vessels, which is the result of the discharge of the electrodes.

“Prepare the PTCA wire!”

The nurse sent the steel wire in front of Liu Xin, he grabbed it, and slowly introduced the steel wire through the situation revealed by the radiography.

“Push into the target vessel.”

According to Liu Xin’s instructions, the two of them did it at the same time, and the target blood vessel was located below the heart blood vessel. If the heart was accidentally stimulated, it would directly lead to cardiac arrest, which is very dangerous.

“Yes, keep it at a constant speed.”

The nurse wiped the sweat for the two of them. As the steel wire was gradually injected, the two combined with each other to finally guide the coronary sinus long sheath to be injected.

“call……”

Nisuke breathed a sigh of relief.

“Good job, do a battery threshold test.”