Chapter 377 The role of a teacher is safe for mother and baby(1/2)
Chapter 377 Mother and Baby Ping An, Teacher's role
Author: Jiangbianyu Weng
Chapter 377 Mother and Baby Ping An, Teacher's role
Zhou Can won't care about the strange eyes of others.
The aortic fidelity is mainly divided into two types, one is type A, which is highly dangerous. It needs to be treated with chest opening surgery. The risk is extremely high, and the entire surgery process is very complicated.
Then, then
Even so, the mortality rate of type A mezzanine surgery is still as high as more than 30%.
There are also some very good surgical teams that do this kind of surgery, which can reduce the mortality to about 10%.
Relatively speaking, one of the ten patients died, and the mortality rate was still very high.
The other is the B -type mezzanine, which can usually be intervened.
That is, the internal repair of the aortic cavity, through the femoral arterial puncture, implant the aortic arterialized membrane stent into the piercing mouth, completely close the oral breakdown to be closed to achieve the purpose of clinical treatment.
At present, there are very few traditional surgery.
Because of high risk and high technical requirements, there are not many surgical teams that can be completed.
This pregnant woman was unfortunate. During pregnancy, the aortic clad was found, and it was type A. Seeing that it was about to have a dead body immediately.
Playing surgery is performed at the same time.
Before entering the operating room, I have already given a notice of critical illness to their families.
To be honest, everyone is saving a conscience of the doctor now.
Being able to save this pregnant woman, the child who has just been cut out will grow under the care of mother love in the future. Otherwise, there will be no mothers when they are born. This child is very pitiful.
Why is the mortality rate of type A mezzanine surgery high?
Because it is an open -chest surgery, a heart stopped during surgery, and an artificial vascular replacement or bridge. The surgery is complex and the surgery time is long.
Patients of each type A mezzanine surgery are basically a lifetime of nine deaths.
Some patients, even if the surgery is successful, still die after surgery.
For this operation, under the control of ECG monitoring, blood flow dynamics monitoring, blood pressure needs to be strictly maintained at about 120/80 mm Hg.
From the above surgical conditions and basic steps, you can see how difficult the operation is.
During the surgery, surgery should be separated from the left and right brachial artery, the left neck arteries and the femoral artery on the left, and then the 4 guide wires are penetrated from the femoral arteries on the lower limbs, penetrated into the corresponding catheter.
After the specific situation, then determine the specific plan of the surgery.
This patient needs to be replaced with aortic.
After all, Director Xue Yan's surgical ability was still a little worse. After doing it for so long, it was the most critical and the hardest step.
After Zhou Chan took over, it directly made the two obstetrics and gynecologists feel that they were only more scary and the most scary.
I saw him output to the patient, and it was fast and fierce.
Compared with the wind and drizzle of Director Xueyan, compared with the gloom, gentleness, and slow, it is two different surgical styles.
"alright!"
More than thirty minutes later, Zhou Can sighed lightly, and finally did not humiliate the mission, and successfully completed the aorta replacement.
"Sister Yan, the remaining surgery work is still operated by you!"
After Zhou Can complete the most difficult surgery steps, prepare to give up the position.
His name for Director Xueyan is also from behind the scenes to the front of the stage, and there is no need to cover up.
In front of everyone, she also called her directly.
"Your surgical speed is fast, time is life. Let's operate it by you! I'll get it off for you."
Director Xue Yan has always been good at him.
There is an opportunity to exercise. As long as Zhou Can can be competent, she will give Zhou Can.
This is the core member of the intention to cultivate Zhou Can, so that he can quickly become a heavy responsibility.
Today, Zhou Chan's surgical ability is getting stronger and stronger, and most of the highly difficult surgery in cardiac surgery can basically be competent. His status in the cardiac surgery room is getting higher and higher.
Gradually formed a new surgical team centered on him.
In fact, I had this signs a long time ago, but now it is even more obvious.
Everyone is understanding people. With their ability and talent, it is impossible to replace Director Hu Kan's heavy responsibility in a short time. Only Zhou Can can let everyone see hope.
Nowadays, cardiosia surgery has long been stormy, and the crisis is four volts.
If you can't fall down before Director Hu Kan falls, there is a new core figure to take over, and cardiac surgery is likely to have a sharp shrinking business in a very short period of time.
In the past few years, this omen has been very obvious.
Not to mention anything else, the total amount of surgical surgery of cardiac surgery alone has been steadily declined. Although there is no tragedy of a thousand miles, compared with the data during the peak period, whether it is the door, the emergency number, or the total number of surgery stations, the total number of surgery stations
Almost one -third of it has been dropped.
The amount of diagnosis and treatment decreases so much, which is directly reflected in everyone's income.
I believe many people can feel the decline in income.
Nympho
After nearly an hour, the surgery was over. After so many people's efforts to rescue the maternal life, they finally survived.
It's just that she can't feed her children.
Because she needs to live in a specialized ICU in myocardial surgery, because the child who has been cut out is less than 37 weeks, it is barely premature. In addition, the baby's own nutrition is a bit weak. It may be about a week or so.
This surgery is very successful.
Both adults and children's life are kept, avoiding a tragedy on earth.
"Dr. Zhou's surgical ability is so strong! I am Zhao Jie, a surgeon of the obstetrics and gynecology department. This is my doctor Qin Feifei. I am honored to know it."
The surgeon of obstetrics and gynecology took off the mask and greeted Zhou Can with a smile.
This is a female doctor in her forties. She looks ordinary.
But her surgical strength is very strong. The cesarean section of the mother just now was done by her.
Her medical assistance is a male doctor, and she is very tall. She nodded at Zhou Can friendly, and she said hello.
"You have won the prize! I am also glad to know you and Dr. Qin."
Zhou Can took off his gloves and shook hands with others.
This Dr. Zhao was able to host a cesarean section. At least it was also the level of deputy chief physician. People took the initiative to intersect. He must lower the posture, and he must lower his posture, enthusiastic and friendly.
"I have a chance in the future, and I look forward to cooperating with the heart chest surgery again. I am really grateful to you today! Director Hu, if there is nothing here, we will withdraw first."
Zhao Jie and Zhou Can did not talk too much in the operating room.
That is, mix a face first.
This is because she saw the powerful surgical strength exposed by Zhou Can Zhan, and after listening to the many famous names of Zhou Can, she would be so enthusiastic about Zhou Can.
Doctors are not in the age of being alone. When they encounter difficult cases, they often need to ask them to teach doctors from other departments, and even ask others to ask for clinics in the past.
Excellent doctors like Zhou Chan are now familiar with each other. Next time, if you have something to help him, it will be convenient to speak.
Therefore, behind everyone's communication, it is essentially for the benefit.
After the mother was sent to the specialty ICU, new patients were brought into the operating room soon.
Not every patient is promoted to the operating room.
Patients who need to lie on the cart are basically severe patients who have lost their ability to move.
Patients who can walk by themselves, nurses generally take the patient into the operating room.
This patient can go, but it seems very difficult when walking, and it seems to have serious problems in breathing.
After the patient was lying on the operating table, he was anesthetized soon.
During the patient's anesthesia, Zhou Can did not help the anesthesiologist to implement anesthesia together, but instead took the patient's information to understand.
"Xiao Zhou, this surgery is done by you! The repair of bronchial pleural fistula belongs to the fourth -level surgery. You must be careful and careful during the operation. I will guide you every operation step.
Yan has been basically at the same time, Director Le is almost on fire, just give Zhou Can a help, and learn again. "
Director Hu Kan made the main arrangement of surgery.
"OK!"
Director Lexing agreed.
At present, their surgical team, Director Xue Yan, he, and Zhou Can, should be the three main force.
Everyone has their own strengths. On the comprehensive surgical strength, the strongest is Zhou Can.
At this point, he and Xueyan must admit it.
To be continued...