Chapter 1706 The Operation Was Successful? The Operation Failed! (Superior)

Right under the spotlight.

Surgery begins.

This may be the world's first combined heart-lung transplantation for the treatment of congenital heart disease combined with pulmonary hypertension.

Naturally, it has attracted more and more people's attention.

Both the difficulty of the operation and the starting point of the operation are highly controversial.

Therefore, after Chen Cang announced the news that the surgery was going to be broadcast live, he was on Weibo's hot search almost instantly.

Whether it is professionals or ordinary people, they all want to wait and see this operation with different attitudes.

actually!

For Chen Cang, the significance of this live broadcast of surgery does not lie in how powerful the surgery must be!

Rather, he wanted everyone to see the cruelty and authenticity of the operation.

Medical care has never been as good as everyone imagined!

Behind every miraculous operation, there are countless efforts and dangers hidden, but even so, the reality will never be merciful!

That's right!

The scalpel is sentient.

But disease is relentless.

Combined heart-lung transplantation itself is an extremely difficult operation, not to mention that the patient was a patient with congenital heart disease and pulmonary hypertension who violated the doctor's orders.

Many experts from the American Association of Thoracic and Cardiovascular Surgery AATS sighed after learning that Chen Cang had performed this operation!

In today's humanitarian world, everyone is thinking about the human rights of patients, but how many people are thinking about the human rights of doctors?

Patients have the right to choose.

However, if you are a doctor, do you have the right to choose when you encounter such a situation?

It's like a pool of ice is frozen, and the surrounding staff are worried that something will happen, so they surround the railings to prevent people from skating. In the end, some people don't believe in evil, think they are the son of destiny, and go skating!

When I accidentally fell into the river and my life was hanging by a thread, the staff here saw it. Do you want to save it?

save?

They also don't have enough protection!

Do not save?

Next, we will face too many discussions and questions.

Don't underestimate the mentality of some melon-eating people who are not afraid of big things. I don't know how many medical staff can't bear the pressure of public opinion because of this, and choose to commit suicide!

They rescued, but the other party was disabled and sick after being rescued. It's your fault that you didn't save it in time, but you didn't consider how much pressure you were under!

You died, so did he, it's because your hospital's doctor system is not perfect, and the doctor's level is limited!

Who cares if the rescuer dies and the rescuer lives, at most one trophy? Is it because the person who saves lives is rare, or is it because his family is rare?

You don't save people? Ah! You are completely finished, without professionalism, without the true qualities of a benevolent and virtuous doctor, you are trash! All kinds of unbearable comments entered the ears, who can resist?

We are all human, so don't think that they should just because of their different occupations.

In this world, there is nothing that should or should not be, let alone right and wrong!

Putting everything aside to look at the problem, people are selfish after all!

...

Sabrina, the president of the AATS Association, stood up this time and supported Chen Cang!

Even Mr. Zhong, from the Chinese Medical Doctor Association, came to Anyang in person after learning about this incident!

For this surgery!

Mr. Zhong came here in a big way, and he has seen a lot of these things in these years. His purpose of coming is not for the success of the operation. To be honest, he can't help much in the operation. His purpose of coming is for Chen Cang!

Also for this incident.

Although Mr. Zhong cannot represent absolute strength, he is an authority in the medical field!

He came to protect Chen Cang.

...

...

As a doctor, the biggest consideration is not technology, but human heart!

Often, when you stand in the position of different people, you will really have different thinking and decisions.

From the patient's point of view, Guo Xue, she may really want a child, and she is even willing to give up her life to let this child come out.

If his children learn about it, they may thank their mother for giving him a chance in life.

Even if the case is broken down and opened up in any novel, this child can be the model of the protagonist.

isn't it?

What's more, from the point of view of most people, what they would most like to see is Professor Chen's efforts to turn the tide, the operation went smoothly, the mother and child were safe, creating a good story!

Even many doctors think so!

Just like Meng Xi, she herself is a non-marriage advocate. When encountering such a thing, as a woman, she most likely wants to help her.

What she saw was the greatness of a mother, so she hoped that Chen Cang could save her, because Meng Xi knew that surgery is risky, and if it fails, it will fail, but whether to do it or not is the same thing.

Meng Xi never thought that there were so many complicated information behind this matter.

But, think about it.

Meng Xi said it out.

How many people at the scene did not say these words.

Chen Cang's comprehension has been improved a lot, he sees problems more thoroughly, but it doesn't mean that everyone can think so far.

This one seems to be justifying the name of love, but it is actually an operation kidnapped by love.

Not everyone can see through many things. Meng Xi is just a Ph.D. in his early thirties, and his perspective on problems is not as mature as Chen Cang's after all!

Hmm... Losing physically doesn't mean you're ripe inside.

Chen Cang's IQ, thinking ability, comprehension, and reaction are all very fast, so he can think of these things in a very short time!

Chen Cang didn't blame Meng Xi, which was in line with Teacher Meng's actions.

However, Mr. Zhong's arrival surprised Chen Cang a little.

"Mr. Zhong, why are you here?" Chen Cang couldn't help asking.

Mr. Zhong smiled slightly: "This operation not only requires superb technology, but also needs to deal with many things. Let me help you solve the trouble."

For Mr. Zhong's initiative to help, Chen Cang was naturally very grateful.

In this way, with the participation of Mr. Zhong.

Chen Cang joined hands with obstetrics, hematology, anesthesiology, infection, cardiology, respiratory... nearly ten departments held the last preoperative discussion!

The arrival of Mr. Zhong added more security to the operation.

Now Guo Xue has begun to show the trend of severe cardiopulmonary failure.

If this continues, it is bound to affect the fetus.

Just when Chen Cang and others were thinking about how to perform transplantation without affecting the fetus.

Mr. Zhong suddenly suggested: "First perform a caesarean section, and then perform a heart-lung transplant!"

I have to say that ginger is still old and spicy.

Everyone immediately started a new discussion on this plan.

Zhang Jinfeng is a specialist in gynecology, and immediately said that this operation can only be performed by cesarean section: "Now that the fetus has grown to 28 weeks, it can be treated by cesarean section, and it will not be affected by putting it in an incubator for treatment."

Zhang Jinfeng said suddenly: "It's been seven months. I really don't know how this girl persisted. Anyway, everyone should do their best. It's best to save this child."

Everyone nodded one after another. In fact, saving the child may already be the greatest possibility.

Because most people don't last for less than seven months!

Congenital heart disease combined with pulmonary hypertension, and wanting to persist in a seven-month pregnancy, this kind of pain is really not something ordinary people can endure.

At this time, Chen Cang asked curiously: "Director Zhang, is it true that pregnancy is 70% or 80% impossible?"

Zhang Jinfeng shook his head: "How should I put this sentence, it's a bit one-sided."

"If the health of the mother and fetus is normal, this sentence is completely wrong. After all, as time goes by, the embryo gradually develops and matures. Naturally, eight months is better than seven months."

"At the 7th month of pregnancy, the lungs of the fetus have the basic respiratory function, which is also the basic condition for the survival of the newborn, so it can be completed in July."

Speaking of this, Zhang Jinfeng smiled instead: "Of course, in fact, it is not absolutely wrong to say that it is 70% or 80% wrong. I think the ancients may have studied a pathological state."

"If the mother has a disease during pregnancy and has to give birth prematurely, like Guo Xue, if her physical condition continues, it will only bring a lot of adverse effects to the child. At this time, if it is about seven months old, it will be fine. It’s a premature birth, and it’s not a good thing to continue to procrastinate.”

"Of course, there is also the reason that the fetus was unable to survive in the womb due to its own reasons. It was born prematurely in August, but this was caused by the fetus itself. This kind of mortality rate is very high, so the folks have such a saying, Seventy to eighty percent."

After some explanation, everyone was relieved.

(You can remember this point. After all, many old people now have this kind of cognition, so don’t believe it blindly.)

The surgical plan was further revised and developed.

It was decided to give Guo Xue a caesarean section tonight.

At the same time, Chen Cang underwent donor heart and lung removal surgery.

During anesthesia, the patient is supported using a heart-lung machine.

Afterwards, a combined heart-lung transplant was performed.

In just a few steps, it seems simple, but the risk is actually very high!

With the help of the staff, after Chen Cang returned to Anyang, he performed the first difficult and even the world's first combined heart and lung transplantation for a patient with pulmonary arterial hypertension combined with a risk of pregnancy!

This time, the Health Commission did not get involved.

But Mr. Zhong's arrival showed the doctor's attitude this time. After all, he is the president of the Chinese Medical Doctor Association.

That night, the surgery began!

The patient who provided the heart and lung transplant was a brain-dead patient after a car accident!

It also has to be said that Guo Xue's family also spent a lot of money to support her.

Because organ transplants can't wait for you!

After all, organs are different from pork, so it doesn't mean that they can be used after being frozen.

To put it bluntly, every organ in the human body is life, the life of cells, nerves, and tissues.

But in the past ten years, due to the advancement of medical technology, when a person has brain death, doctors can use a ventilator and drugs to maintain his physiological functions such as breathing, heartbeat and blood pressure for more than two weeks.

But once these assistive devices are removed, the patient cannot breathe on his own and his heartbeat stops.

In this case, if there is no other special disease, except for the death of brain cells, the organs and tissues in other parts of the body are still healthy.

In the operating room!

The soldiers are divided into two groups.

While undergoing a complicated caesarean section, the organ transplant is being closely prepared!

Combined heart and lung transplantation requires the removal of the donor heart and lungs as a whole.

This means that the operation will be very difficult, because a large number of blood vessels, nerves and other tissues are involved, so there cannot be any damage during the operation.

At this time, Dingxiang.com and Chen Cang had already cooperated many times, but even so, the live broadcast of the operation this time was beyond their expectations!

Because this time, whether it is overseas or domestic, the number of people watching this surgery has soared, several times more than usual!

Special patient!

Special surgery!

Everyone joked that this may be the hottest event in the live broadcast industry!

The medical staff watching the operation saw such a difficult operation.

The audience came here to join in the fun, and secondly, they also wanted to see the true face of the operation.

This time, Dingxiang.com has prepared two domestic academicians of cardiac surgery as guests to explain the operation to most audiences.

After all, the professionalism is too high to prevent everyone from being confused!

This time, Chen Cang performed the operation under the watchful eyes of the public. In fact, it also prevented the patients and their families from causing trouble after the operation, and the possibility of improper publicity by media reporters!

At the same time, the two guests in the Lilac Community are Wang Tong, Director of the Heart Surgery Department of Peking Union Medical College, and Academician Chen Jing, a master of lung transplantation and the first lung transplanter in China.

The host started the interview: "Two experts, what do you two think about today's operation?"

As soon as these words came out, Chen Jing couldn't help but said: "Actually, let me say a fair word, everyone should rest assured that Professor Chen can stand in front of so many people in the country, and even experts from all over the world, to start this operation this time." !"

"Because Professor Chen has already gone all out!"

Wang Tong nodded: "I haven't seen Professor Chen's heart transplant a few times, but I think he is willing to operate on Guo Xue, which can explain everything, because when Guo Xue found me, I refused!"

Chen Jing said bluntly: "Actually, is the result of this operation important? To be honest, it doesn't matter to me!"

"I don't agree with a surgery that knows it will lose but has to start, but sometimes, medical ethics, humanities, ethics, medical ethics, social morality...etc., all contribute to such a surgery! "

"This is a kind of kidnapping in the name of love, so, as Professor Chen said, he will only perform such an operation once in his life, regardless of success or failure!"

After listening to Chen Jing's words, everyone watching the live broadcast began to reflect silently.

Perhaps sometimes, it is really necessary to strengthen communication and connection between doctors and patients.

And such a live broadcast of surgery for ordinary people may really be meaningful.

Let people really experience such a live broadcast of surgery!

The purpose of the live broadcast is definitely not just to make everyone happy, but the unpredictable future.

All this is necessary for patients to understand the unpredictability and risk of medical treatment, as well as the uncertainty of medical treatment!

In fact, what Chen Cang did today was also for this reason.

Speaking of this, Chen Jing couldn't help but sigh with emotion: "Actually, if I hadn't seen it with my own eyes, I would never believe that Professor Chen is only less than thirty years old. The vision he can see, the methods he can think of, and even his The courage is far beyond our generation!"

Wang Tong nodded approvingly: "Yes, I am looking forward to Mr. Chen taking Chinese medical care to a better step."

"The operation has begun, let's cut the scene back!"

...

After the live broadcast started, Chen Cang didn't say a word.

Although he has [heart-lung transplantation] perfect level.

However, there is no bottom in the heart.

Because of the patient's condition, there is a 90% chance that an accident will happen after the operation!

Because of his physical condition, he would die if he did not undergo a heart and lung transplant!

If a heart and lung transplant is performed, there is a high probability of postoperative complications and rejection, since these are tissues from different human bodies.

Of course, there is another situation that Chen Cang is most afraid of: postoperative infection!

Looking at the brain-dead patient, Chen Cang couldn't help talking!

If the operation fails, it's a fucking waste of a good heart and lungs!

This set of heart and lungs might save two people again!

While speaking, the operation officially began!

Chen Cang looked at Meng Xi: "Give me the scalpel!"

Meng Xi nodded honestly.

After this incident happened, Meng Xi changed a lot.

Medical care should not only consider patients, but also consider many things!

Chen Cang took the scalpel, took a deep breath, and made an incision along the center of the chest.

Accompanied by cutting the skin, fat layer, fascia layer by layer...

Just like the same song: cut the heart layer by layer!

After the chest was opened, Tao Mi and Meng Xi quickly opened it with instruments!

Within the field of vision, the pericardium was revealed.

Chen Cang began to use a scalpel to make a wide incision to the pulmonary veins on both sides.

Then carefully free the ascending aorta, innominate artery, and superior vena cava.

His hands are extremely light, as if they have spirituality.

Watching Chen Cang put on the belt, ligate the azygos vein, free the trachea...

These subtle and delicate operations are eye-opening for ordinary people who are seeing surgery for the first time!

This guy!

Even those craftsmen don't have such dexterous hands?

Looking at the densely distributed blood vessels, trachea, and nerves in the chest cavity, Chen Cang's hands can deftly resolve these complicated situations, and then deftly separate them.

Seeing this scene, most of the common people were full of admiration.

Surgery is really dangerous!

In addition to superb technology, there are also comprehensive considerations.

Chen Cang began to do it while giving various doctor's orders.

"Intravenous heparin!"

"Prostaglandin E120ng/(kg·min)!"

...

At the beginning, the atmosphere was relatively relaxed, but gradually, as Chen Cang issued orders one by one.

In the entire operating room, a tense battlefield-like atmosphere began to pervade!

strict!

But also filled with tension.

I saw Chen Cang quickly complete the high position ligation!

This is followed by cutting the superior vena cava, close to the diaphragm, and clamping the inferior vena cava with a vascular clamp, cutting it on the upper side of the clamp.

The whole set of movements was hearty and hearty, which scared the people watching the live broadcast very much!

When Wang Tong and Chen Jing were explaining, they couldn't help but said: "This may be the smoothest heart-lung donor heart-lung harvesting operation I have ever seen!"

After less than half an hour, Chen Cang had skillfully cut the left atrial appendage, drained the lung perfusion fluid, and cut the ascending aorta at the level of the innominate artery!

Then, the heart and lungs were separated from the bottom upwards and the mediastinum was separated, the lower pulmonary ligament was ligated and cut off, and the heart and lungs were removed from the chest cavity.

When seeing this came out, there was obviously a beating heart, and the whole live broadcast room was boiling.

Here, Meng Xi had already brought the container, and Chen Cang carefully soaked the separated heart and lung tissue in 4°C normal saline!

At the same time, the patient was undergoing a caesarean section!

Chen Cang also began to skillfully change and wash the surgical gown, and then the patient's new surgical gown came to the operating room where Guo Xue was.

Chen Cang must ensure all conditions that can be guaranteed to prevent complications and infections.

And here, Zhang Jinfeng has led the team to start further cesarean section work!

This step is not difficult!

However, the patient's condition is unstable.

Just after cutting the abdominal wall, I heard the sound of beeping!

Very prickly.

Everyone watching the operation was shocked!

"Hypotension!"

Zhang Jinfeng acted calmly and vigorously: "Add blood volume!"

Zhang Yan nodded quickly, started to deal with it, and made it up as soon as possible.

However, the good times didn't last long, and in less than ten minutes, accidents continued to happen!

"Blood pressure keeps dropping!"

At this time, Zhang Jinfeng also had a tight brow.

What is the sudden low blood pressure?

Who would have expected that hypotension would suddenly be induced at this time.

The patient itself has pulmonary hypertension, but now suddenly accompanied by hypotension.

Just when everyone was a little uneasy, Chen Cang just walked in!

"what's the situation?"

Zhang Jinfeng quickly said: "The patient has unexplained hypotension!"

Chen Cang frowned suddenly: "Is there any bleeding?"

The sonographer hurriedly began to check: "No abnormal uterine bleeding was found!"

Chen Cang put on the surgical gown and hurriedly walked forward.

This moment!

Wang Tong and Chen Jing, who were commentating in the live broadcast room, also suddenly became nervous.

There are many people watching the live broadcast of the surgery!

Everyone was chattering, and no one could explain clearly.

How can hypotension occur well?

It's incredible.

"Blood pressure 60/30mmHg!"

"Still falling!"

The sound of the alarm, like a reminder, made everyone's hearts jump wildly!

This is the first time everyone has had close contact with the operating room!

This is also the first time they have seen the danger of surgery.

At this moment, they seemed to realize: perhaps no one can guarantee the success of the operation!

It's true that risks always happen where you can't see them!

Happens in a way you never imagined!

Zhang Jinfeng had thought of abnormal fetal position, abnormal umbilical cord, and even massive bleeding during the operation, but he never thought that such a thing would happen from the very beginning!

Wang Tong and Chen Jing began to discuss the cause of hypotension!

But I can't figure it out.

The common people who watched the operation were sweating unconsciously!

Now suddenly like this, will they die at the same time?

Thinking of this, everyone started to get scared!

Various words of "protection" began to appear on the barrage.

indeed!

This is the real live broadcast, and no one can predict what will happen in the next minute.

There may even be a sudden death of the patient!

This is not playing a game. If you die, you will die. Anyway, you can continue to play!

This is a living life!

If you die, you will be gone!

So can you not be afraid?

Even looking at the scalpel, I felt like it was on me!

At this time, Chen Cang looked at the various conditions of the patient, analyzed them carefully, and the four-dimensional model diagram in his mind started to activate.

Diagnostics is at an all-time high!

What causes low blood pressure!

It's not guesswork, it has to be diagnosed and treated within minutes.

At this time, the four-dimensional model diagram began to simulate various indicators of the patient.

bleeding?

No!

Insufficient perfusion?

No!

...

Various inferences flashed through Chen Cang's mind.

finally!

His eyes lit up!

He found it.

The reason is found!

Brick Chen looked at the anesthetist and asked, "Is there an epidural?"

The anesthesiologist nodded quickly: "That's right!"

Chen Cang thought of this, and quickly said: "Use ephedrine 20mg intravenously, and stop the operation, wait for the blood pressure to rise!"

"Oxygen increases the flow rate to stimulate!"

Here, upon hearing Chen Cang's words, the nurse nodded quickly and began to operate!

Not long after, the drug was injected!

Everyone began to wait.

Some uneasy.

Can it really be recovered?

At this moment, every minute and every second of time seemed very heavy.

Not only in the operating room, but everyone who watched the operation felt frightened and scared!

1 minute... two minutes... three minutes...

After three minutes passed, the nurse said pleasantly: "The blood pressure has risen!"

"36/70mmHg!"

"45/80mmHg!"

...

When everyone heard the sound, they were overjoyed!

I don't know how many people who watched the live broadcast cheered and stood up to celebrate!

"Chen Cang is awesome!"

"My Cao, this is too awesome!"

"Scared me just now, watching this is scarier than watching a horror movie!"

"Why do I feel that this operation is like a crime-solving movie, and the disease is like a murderer. You don't know where he will appear from! It's too scary!"

"Who says it's not! But this Professor Chen is really awesome, he's easy to catch!"

"This is probably a master!"

"Yes, what is the reason?"

No matter how excited the outside world is, everyone in the operating room is very calm!

Then Zhang Jinfeng led everyone to start the next wave of operations!

It seems that what happened just now is very trivial!

Isn't... isn't this something to be excited about and celebrate?

All of a sudden, the barrage popped up one after another:

"Isn't that exciting?"

"What's the excitement? Isn't this kind of thing a common operation in emergency rooms and operating rooms?"

"Before the operation is over, any staged victory is insignificant!"

"This...is an operation!"

"It's so difficult!"

"Is there a master? Explain what happened just now?"

Here, Chen Jing and Wang Tong also saw everyone chatting.

Explains: "As you can see, there are all kinds of things going on in the operating room and you never know what's going to happen next, and again, every minute counts and has to be taken care of."

"However, Director Wang, did you check why the patient had hypotension just now?"

Wang Tong frowned slightly, and after thinking for a moment, he said, "It should be a nervous hypotension just now!"

"After anesthesia, the patient's sympathetic nerves are extensively blocked, which will cause peripheral blood vessels to dilate and reduce venous return to the heart, which generally does not affect it."

"However, you have to consider that the patient is a patient with severe pulmonary hypertension. Therefore, after the combination of the two, it will cause high blood pressure due to the blockage of the sympathetic nerve and the weakening of myocardial contractility, which will reduce the effective circulating blood volume!"

Wang Tong said with some emotion: "Actually, these are also the results I obtained after hearing Teacher Chen's plan!"

After finishing speaking, Wang Tong explained: "So, the operations you see are definitely not just about hands-on ability, but about a comprehensive ability. Medicine requires not only the spirit of craftsmanship, but also the thinking of mastery."

Hearing Wang Tong's explanation, everyone was deeply moved!

"It's too difficult!"

"yes!"

"I wish I could meet someone like Professor Chen during my surgery!"

"Surgery is too dangerous, cherish life!"

"Yes, lose weight tomorrow, no, start tonight!"

...

Looking at the barrage, Wang Tong suddenly felt that Professor Chen's surgery live broadcast was difficult, but the effect might be really good!

Surgery continues!

Zhang Jinfeng and Zhang Yan can already deal with these things.

Zhang Jinfeng performed the operation himself and carefully explored the abdominal cavity, for fear of any accident.

She then carefully pushed the bladder away, exposing the lower uterine segment.

The next thing to do is to cut the uterus and take out the fetus!

This is the first time everyone has seen a baby!

Originally, I thought it should be very simple to come out, but... when they saw the bloody scene, they were all silent!

Seeing that the uterus was cut open and the blood flowed out, everyone's expressions changed!

This may be the first time in a lifetime that ordinary viewers have seen a caesarean section so clearly!

Even, many parents called their half-grown children to their side and turned on the video for them to watch!

Let them see for themselves that your mother endured such pressure and pain to give birth to you.

Having a baby is really not that simple and beautiful, it's an operation!

There is a possibility of massive bleeding, and there is a possibility of death.

When the teenagers saw this scene, their hearts were really touched!

That kind of gratitude to my mother comes from the bottom of my heart!

Watching the fetus removed from the womb, the uterine cavity cleaned, and the uterus stitched up...

There really isn't any beauty to speak of.

This may be what surgery should be like.

One after another, many children who watched the operation couldn't help but say to their mother:

"Mom, thank you for your hard work!"

"Mom, I will be filial to you!"

"Thank you, Mom!"

These voices of greetings stunned the people who were originally watching the surgery!

Everyone looked up at their children, and there was an indescribable feeling!

Is it happiness?

Is it gratitude?

then what.

Chen Cang himself did not expect that this operation would have such an unexpected result.

At this time, the guests Wang Tong and Chen Jing couldn't help being happy when they saw the various voices about their mother on the barrage.

Perhaps, this is also a correct guidance!

Let many children really understand something, what they need to know!