top student at medical school
Chapter 755 He wanted to save him!
Wang Youhua glanced at Pang Haichao again. Pang Haichao noticed Wang Youhua's gaze and immediately lowered his head, obediently looking at the mirror he was holding.
Such words are not appropriate for the current situation; teachers usually say them privately after a patient's surgery.
The patient is currently in the process of being injured, and their life or death remains uncertain.
Wang Youhua merely glanced at Pang Haichao a few times without blaming him; instead, he seemed somewhat envious of Pang Haichao's young age.
In the operating room, young people can say a few bold things while still being labeled as "children speaking without restraint".
only!
Five seconds after Pang Haichao finished speaking, a low curse came from Fang Ziye's side: "Fuck your grandpa."
Wang Youhua and Pang Haichao looked up at the same time to see what had made Fang Ziye break through his defenses.
After a series of shimmering lights on the display screen, Pang Haichao discovered that some segments of the arterial network, which had been clear, were slowly disappearing into the network.
“Moving, mobile thrombus.” Pang Haichao’s eyes bulged out instantly.
A mobile thrombus is a thrombus that travels with the circulation, and it is unknown where it will block or where it came from; it has no specific location at the moment.
"Can you still distinguish the people?"
"Could you please make a phone call to request one or two outside helpers?"
"It would be helpful if you could install a filter."
“Otherwise, I wouldn’t be able to clean it all up even if I wanted to!” Fang Ziye asked Pang Haichao.
Fang Ziye could learn a little about the filter-up process, but it was a specialized procedure in vascular surgery, and he didn't want to waste time on it.
Otherwise, who knows how many more calls the vascular surgeons will make in the future.
Pang Haichao gritted his teeth; the pressure gave him goosebumps.
Fang Ziye asked for a calligraphy piece.
"I...I'll go ask the teacher!" Pang Haichao is just a junior master's student.
Normally, he could cast a powerful summoning spell.
The big bosses are all entangled now, otherwise they wouldn't have only sent Pang Haichao to Fang Ziye.
"Call someone who can operate it over here."
"We still need to protect the vital areas!" Fang Ziye quickly composed himself.
Fang Ziye reinserted the catheter that had already been removed into the carotid artery and began to extend it into the brain.
Fang Ziye guessed that, barring any unforeseen circumstances, this patient might currently be in the same 'special period' that Dean Chen Song had been in before!
Some accidents happen without warning and cannot be explained by the most basic medical principles.
There is no cause, only effect.
However, it's impossible to find a top-tier TCM doctor like the one from the sanatorium's TCM team here anytime soon, someone who can predict when an accident will happen and whether it can be reversed.
So, under these circumstances, what Fang Ziye needs to do is to try again with the existing resources!
Or, if you're just really unlucky.
Fang Ziye is going to personally escort the surgical patients he has been treating on their "journey"!
Fang Ziye's request was quite substantial.
In just three minutes, Pang Haichao went from the operating room back into the operating room and even brought over Associate Professor Mi Qi, who had come to provide support.
"Ziye, what's the situation here?" Miqi asked.
“Free thrombus, Qi Ge, hurry up and wash your hands and come up to the stage to help put on a few filters!” Fang Ziye did not question why Pang Haichao brought Mi Qi instead.
Since injuring his hand, Mitch has been on the 'margins' of the department.
Although his hand function has largely recovered, it can never be fully restored to its original state.
It's impossible to further improve my skills now; all I can do now are the more basic routine procedures in vascular surgery.
Applying the filter was exactly within his firing range.
For the rest of his life, Mickey will never be able to perform advanced vascular surgery again; he can only be a senior vascular surgeon.
This is Mickey's fate, not something he brought upon himself.
"Okay!" Mi Qi nodded and went out to wash her hands.
Fang Ziye then glanced at Pang Haichao and scolded in a low voice, "Who told you to bring Brother Qi here?"
Fang Ziye knew his own skill level, and he was afraid that Mi Qi would become somewhat withdrawn after watching it.
Originally, Mizi could have pursued a higher career path in vascular surgery.
Now that he has lost all hope, showing him even more advanced techniques than those of Professors Deng Haibo and Wu Yong is like killing him by destroying his spirit!
People with dreams always look forward to seeing even greater heights.
But those who have lost the opportunity to strive towards their dreams will experience a greater sense of loss when they see even higher peaks.
"It was arranged by Professor Deng Haibo." Pang Haichao did not take off his sterile surgical gown before going back into the operating room to help.
Fang Ziye's lips twitched for a moment, then he continued to withdraw the guidewire downwards.
During the time Pang Haichao was away, he removed two new blood clots; the whole process was very short.
After withdrawing the guidewire from the carotid artery, Fang Ziye patiently continued to observe the patient's vascular image.
After most of the bleeding was treated, the blood vessels were fully filled. Blood pressure had also begun to rise.
For the patient now, the danger lies not in hemorrhagic shock.
The anesthesiologist, wearing a lead apron, whispered a little secret with Dou Yueyue.
Before Mi Qi came in, Pang Haichao mustered up his courage and explained, "My teacher said that Teacher Mi Qi works very hard and his skills have improved somewhat."
"So, we should never treat Ms. Mickey with prejudice."
Fang Ziye was taken aback upon hearing this, then suddenly realized.
Mi Qixing hurriedly walked in from outside, quickly began to put on a sterile surgical gown over his lead apron, and said with a smile, "I'm sorry, Professor Fang, for keeping you waiting."
"It's alright. The situation is rather complicated anyway. If the safety bolt isn't engaged, I wouldn't dare move it to another place easily," Fang Ziye replied truthfully.
Compared to intracranial tissue necrosis, whether or not a kidney is needed is not that important.
I believe that 90% of men would prefer to be able to stand up rather than have an erection, especially since an erection is not actually that related to the kidneys.
"Ah~ lol~" Mickey smiled as he looked at the intervention display screen, his sartorius muscle instantly contracting and almost clamping down on the egg.
Losing physical skills doesn't mean losing mental skills.
Mi Qi immediately understood what Fang Ziye was doing and what he had accomplished.
"Are you waiting to have the blood clot removed?" Miqi asked.
After speaking, he looked at Fang Ziye and took out the four 'earthworms' lying horizontally, his breathing slightly disordered.
Pang Haichao went to call for reinforcements, not to chat, so he couldn't possibly go into all the details. He simply called out to his superior, "Professor Fang Ziye, please ask us to send someone over," and Mi Qi immediately followed.
"Let's put on the filter first, Brother Qi!" Fang Ziye didn't give a direct answer.
Now is not the time to chat!
After you've finished installing the filter, I don't know what I'll be facing, so I'll just tighten the safety plug first.
Without further ado, Mi Qi obediently went up to the stage, had the circulating nurse bring the filter, and then, after Fang Ziye got into position, placed the filter into both carotid arteries.
Moreover, just to be on the safe side, with Fang Ziye's assistance, Mi Qi also installed a filter on the inferior vena cava.
In this way, the chances of pulmonary embolism and intracranial vascular embolism, which have more serious impacts on vital signs, are greatly reduced.
However, this patient actually had a localized pulmonary embolism, but the area of the embolism was small and had not yet affected the patient's respiratory function.
The human lung capacity is more than sufficient.
After Mi Qi put down the sheath, Fang Ziye took over again.
The distal end of the guidewire, as if equipped with a locator, immediately headed towards the renal artery...
This was the first time Mi Qi had seen Fang Ziye remove a catheter, and the first time she had seen Fang Ziye remove a blood clot.
After watching, I couldn't help but look down at my own hands, wondering if the injury to my hands would affect the difference in strength between the two of us.
The answer seems to be no.
Even at my peak, during the period of fastest growth, I don't seem to dare to have any expectations... Don't run away.
"Hmm hmm hmm!~" While Mi Qi's thoughts were in turmoil, Fang Ziye not only removed the blood clot, but also inserted the guide wire into a branch of the renal artery.
It's those very, very fine branches, which is quite incredible...
Mickey, quite rudely, added, "How can something so small fit? It would have to be incredibly thin!"
Mi Qi's mutterings were not loud, and his tone was not clear enough, causing Fang Ziye to pause slightly: "Brother Qi, what?"
"Did I do something wrong?"
Miki quickly shook his head: "No, no! You continue, brother, you continue."
"Please." Mi Qi knew he had interrupted Fang Ziye's operation, which was quite rude of him.
Mickey was very aware of his status as a 'disabled person' and apologized immediately.
If you can't help, don't make things worse.
Fang Ziye controlled the guide wire to continue moving.
To verify his guess—that this person had probably encountered the same 'extremely unpredictable' situation as Dean Chen Song, he had to proceed with the surgery with extreme caution in order to have any chance of winning him over.
Fang Ziye had never dared to believe in the risks of death.
But after undergoing Chen Song's surgery, Fang Ziye believed it...
Despite his belief and apprehension, Fang Ziye was not so much afraid of it as to develop an instinctive fear of it!
Therefore, Fang Ziye needs to eliminate all factors that may affect the patient's vital signs as early as possible, and then consider how to deal with them.
It's a pity that God did not fulfill his wish.
Fang Ziye's procedure was still in progress when the anesthesia machine started alarming—
“Ding ding ding ding…”
"Ventricular fibrillation!" The anesthesiologist's calm yet panicked voice drifted over, her tone betraying her age; she must be around thirty.
Fang Ziye paused slightly, but did not stop immediately.
In the blink of an eye, Fang Ziye removed another blood clot.
Ventricular fibrillation is not atrial fibrillation. Ventricular fibrillation is a malignant arrhythmia that must be treated immediately.
"What's wrong?" The anesthesiologist was rapidly administering 2% lidocaine, atropine, adrenaline, and amiodarone...
Seeing that Fang Ziye had operated the machine for a few more seconds, she felt somewhat aggrieved.
"I'll start chest compressions right away. Call someone over immediately."
"The patient has no myocardial infarction; we suspect transient ischemic attack or electrolyte imbalance!" Fang Ziye didn't explain further, but simply stated what to do now.
Dou Yueyue immediately became very nervous: "Airway resistance is normal, ruling out airway spasm caused by drug allergy."
"Prepare ECMO and IABP!"
The circulating nurse was a little annoyed: "What is IABP? Speak plainly."
"Intra-aortic balloon counterpulsation!" Dou Yueyue was a little annoyed, but she still repeated the full name.
"Which department should we call?" the circulating nurse pressed again, her voice rising once more.
“Cardiology department!” Dou Yueyue’s tone softened.
Not everyone can understand all the abbreviations, even if you, as a doctor, find it convenient to give medical advice this way.
However, the prerequisite for giving medical orders is that the person carrying out the orders can understand them.
“That’s good enough,” the circulating nurse muttered.
"Call Director Liang Duo," the anesthesiologist pleaded.
The occurrence of ventricular fibrillation during the operation was somewhat beyond her control. In other words, given the sudden situation, she could only make do with what she had to do temporarily.
"Draw a quick electrolyte solution," Dou Yueyue instructed, taking over the task.
The anesthesiologist glanced at the patient and replied, "Dr. Dou, could you please administer methylprednisolone and sodium bicarbonate?"
Dou Yueyue was already rummaging through the tray for the labels of commonly used anesthesia and ICU resuscitation drugs, placing them in an easily accessible spot, and then began to administer the injections in an unsteady manner.
The anesthesiologist had just drawn blood when Dou Yueyue, who had already been given methylprednisolone, immediately had her oxygen flow rate reduced.
The patient was switched from passive general anesthesia to active general anesthesia, so intubation and ventilation had already begun. At this point, the 30:2 chest compression procedure was not necessary.
Fang Ziye began chest compressions methodically.
While reviewing the cardiac imaging results, the doctor stated: "There is still no organic blockage in the blood vessels of the heart; electrolyte issues should be considered."
“I know!” Dou Yueyue replied.
"We are already accelerating fluid resuscitation. Ventricular fibrillation is usually caused by excessively high ion concentrations. We cannot determine which one it is at the moment. We can only give a weak base and expand the circulation to reduce the relative concentration."
"We'll get a detailed plan once the test results come out!" Dou Yueyue added, proving that she wasn't just messing around.
Fang Ziye continued to press.
"Prepare the defibrillator!!" Dou Yueyue said.
"Coming, coming." The circulating nurse was experienced and had called ahead. At that moment, the new circulating nurse was coming in from outside the operating room.
Mi Qi, Wang Youhua, and the others were ready to take over from Fang Ziye and perform chest compressions at any time.
Chest compressions lasted for about three minutes.
The anesthesia machine emitted a pleasant beeping sound.
Dou Yueyue glanced at the clock and called out, "20:09:36, the patient has returned to sinus rhythm, BP 82/65 mmHg, HR 110 bmp!"
Fang Ziye also paused the chest compressions during the operation! ~ Fang Ziye then went to the lower limb to remove the thrombus.
"Dr. Wang, please begin the hepatobiliary hemostasis procedure," Fang Ziye instructed.
"Should we not treat the liver embolism first?" Wang Youhua asked, already intending to stop the bleeding.
"We'll leave it for now. The location of the liver embolism is relatively good," Fang Ziye said.
Fang Ziye then removed the blood clot from the artery in the lower limb.
Because the filter is placed in the inferior vena cava, Fang Ziye does not need to worry that removing the arterial thrombus from his lower limb will affect the stability of the filter.
However, Fang Ziye had only been operating for about five minutes.
The anesthesiologist just returned from outside with the results: "It's hyperkalemia and acidosis."
Associate Professor Liang, who rushed over to help, looked up and said, "It's pointless. The ventricular fibrillation is still corrected, but the atrial fibrillation is back."
"Prepare to administer heart rate-lowering medication. The surgery does not need to be stopped due to atrial fibrillation."
Atrial fibrillation is different from ventricular fibrillation; atrial fibrillation is not considered circulatory arrest!
Circulation is the responsibility of the anesthesiologist.
Dou Yueyue came for this purpose. After calmly glancing at the patient's heart rate, she said, "If the atrial fibrillation cannot be restored in three minutes, connect the ECMO!" "Are the family members here? Have you paid the fees?" Dou Yueyue asked.
Having come from the ICU, she was very concerned about patients' payment status.
The circulating nurse replied, "This car accident is a matter of great concern to the provincial leaders. The hospital director called immediately and told us not to worry about the treatment costs for now."
Yes!
In a city, a patient may die from an incurable elective disease, but in the event of a major car accident or other incident, the death toll is directly linked to the responsibility for the accident.
Therefore, in the event of a major accident, the first priority for medical institutions is to ensure that treatment is not suspended due to cost issues.
Dou Yueyue nodded: "Then after two minutes and forty-six seconds, we'll consider putting on ECMO."
"Draw another electrolyte," Liang Duo instructed the attending anesthesiologist.
"Okay!" the anesthesia girl replied, obediently going to the blood-drawing station.
Suddenly, Miqi yelled, "Holy shit!"
Where did these blood clots come from?
As soon as Fang Ziye removed the blood clot, he saw its shadow drift back into the arterial system, its destination now unknown.
However, through the imaging of the thrombus at this moment, Fang Ziye finally found the culprit of the free thrombus.
The left atrium is turbulently inverted, so even the contrast agent cannot be visualized, resulting in obstruction.
"Left kidney!"
"Left lower limb."
"Let's add some anticoagulant." After his initial shock, Mickey quickly calmed down.
Thrombosis is a condition that falls under the category of vascular surgery, and he must provide professional advice.
However, as soon as Mi Qi finished giving his medical advice, he saw Fang Ziye already moving the guide wire toward the aortic arch.
"What are you going to do?" Mickey's sartorius muscle contracted violently again, squeezing tightly.
This time it really got caught.
Under the intense squeezing and contraction of the seminal vesicle, Mickey's gluteal muscles began to bulge and contract, his buttocks sticking out several degrees, but he managed to suppress a cry.
His face began to tremble slightly.
Fang Ziye did not answer Mi Qi's question. Just as Pang Haichao said, since Mi Qi had come, he would not care about his identity or mental health.
Fang Ziye advanced the guidewire into the right atrium, and the guidewire probed past the atrioventricular valve as the valve opened and closed.
Immediately afterwards, Fang Ziye inserted the thrombectomy tool along the guide wire.
"You're not trying to remove a free blood clot, are you? What if you puncture it?"
“The problem is that we can’t pinpoint the location.” Mi Qi was still in pain, but Fang Ziye’s madness only made him temporarily forget the pain.
Even after he forgot the pain, it still hurt when he came to his senses, so he kept his buttocks slightly sticking out and his abdominal muscles tightly contracting.
After Mi Qi finished speaking, Fang Ziye used his instruments to remove the loose blood clots.
Immediately afterwards, under a strong suction force, the blood clot was drawn into the medical device retrieval gun, just like it was being sucked into a magic bag in a TV drama.
Fang Ziye took it out, and it transformed back into an 'earthworm' shape, lying side by side with the previous blood clot.
After doing all that, Fang Ziye didn't stop. He continued to probe, and only after pulling out a blood clot under the somewhat frightened eyes of Mi Qi and Pang Haichao did he finally breathe a sigh of relief.
This is how blood is visualized in the four chambers of the heart.
Blood clots are the hardest to detect if they are hidden in turbulent water.
If the patient has thrombi in the right atrium and right ventricle, it will make thrombectomy more difficult. It will require going around the aortic arch to the right subscapular artery and then through the superior vena cava back to the right atrium to complete the access.
Returning the heart to the left atrium and left ventricle via pulmonary circulation is a rather "impossible" procedure.
Fortunately, Fang Ziye continued examining the patient's heart for another minute, and the imaging still showed no abnormalities!
"The cardiac arteries are visualized normally, with no signs of embolism."
"No obvious thrombus was found in the four chambers. We will now begin treating the thrombus in the lower extremities and the left renal artery."
"Anesthesiologist, pay close attention to managing the patient's circulation, and be ready for ECMO and IMBA at any time!" Fang Ziye said.
"The atrial fibrillation heart rate is under control, and the blood pressure is currently stabilizing." Liang Duo watched as Fang Ziye pulled the patient back from the brink of death, and a fighting spirit was ignited within him.
"Professor Fang, just do the work, leave everything else to me!"
Fang Ziye nodded.
The most critical factors for sudden death in humans are essentially just a few.
The deaths of most patients can ultimately be attributed to sudden death!
Sudden death is a clinical manifestation, classified as cardiac or non-cardiac. Cardiac sudden death is caused by organic heart disease or malignant arrhythmias. Non-cardiac sudden death includes causes such as mental stress, allergies, and severe infections.
The patient is currently in a coma and under anesthesia, so there is no possibility of any psychological stress, and there is no infection.
If he were to die suddenly, it would either be due to an allergy or a cardiac cause.
For patients without underlying medical conditions to experience sudden cardiac death, there are only two possibilities: embolism or malignant arrhythmia.
Fang Ziye wanted to see what else, besides these two things, could be used to take the patient away right under his nose!
Mi Qi then saw that Fang Ziye had accidentally caught up with a blood clot halfway through the journey.
The thrombus was located in the turbulent part of the celiac trunk.
This falls under the category of thrombus tracking, which is almost entirely within the realm of theory and beyond the scope of human capability.
Of course, the chances of such a blood clot remaining are extremely small, so it's not very meaningful; it's just a show of skill.
But we've already encountered them, and even caught them, so it wouldn't be appropriate not to take them out.
The anesthesiology department sent another graduate student to help out. Liang Duo had called him himself.
"The patient's blood pressure is currently stable. After replenishing blood volume and receiving a blood transfusion, the systolic blood pressure has dropped to 91!" Liang said.
“Let’s remove the thrombus first!” Fang Ziye said.
The real world is not a legend, and the operating room is not a real battlefield; there is no fighting with knives and guns.
But Fang Ziye knew that if he really wanted to compete with Yama in terms of skill, he could only perfect every detail step by step.
Furthermore, from an atheistic perspective, there is no Yama's Palace in this world.
Therefore, whether a patient lives or dies depends on the "probability" and various preparations.
Next, the patient's vital signs gradually returned to normal.
Blood clots don't form or disappear for no reason!
Therefore, after Fang Ziye finished treating the blood clot, his mood gradually calmed down when he looked at the imaging instrument again.
Liang Duodao said, "The patient's electrolyte levels are currently high and have not yet stabilized. Continue the examination!"
"Open another bag of sodium bicarbonate." Liang Duo didn't tell the circulating nurse the dosage; he didn't emphasize the dosage, it was just a routine dosage.
It was 9:20 p.m.
Fang Ziye looked at Wang Youhua, who was still undergoing liver treatment, and said, "I'm going to remove the embolus from the liver now, which may increase the bleeding."
"Pay attention!"
"Okay!" What else could Wang Youhua say?
Fang Ziye has already cleared the battlefield. If he can't even finish this job, then his skills are really too poor.
At this point, even if the skills are lacking, there's no other way but to bite the bullet and go for it.
Fang Ziye practically dragged this man's life back from the clutches of the King of Hell!
The process of thrombectomy will inevitably increase blood loss, but the consequences are considerable.
It did not cause any particular discomfort.
Wang Youhua said, "It's possible that the blood has been treated with anticoagulants, which is why there is some localized bleeding, just from small arteries."
At this moment, Xu Haoyang from the hepatobiliary surgery department also walked in. After taking a quick look, he prepared to perform the spleen removal surgery!
Seeing this, Fang Ziye took a deep breath and said, "Anesthesiologist, circulating doctor, give me another injection of antibiotics."
"Although this patient did not have an open wound, there were a relatively high number of embolisms."
"The risk of infection is still relatively high."
"Okay!" Liang Duo accepted the surgeon's suggestion.
At the same time, Tang Xiaoping from the vascular surgery department walked in from outside and said, "Professor Fang, I'm here. How is the situation here?"
"Professor Deng said that if the situation here is alright, he hopes you can go over and help out."
Fang Ziye replied, "Okay, I'll observe for a while longer. If the patient's condition remains stable, I'll proceed..."
"Damn it!" Fang Ziye hadn't even finished speaking.
Suddenly, the imaging equipment showed that the patient's aortic wall began to twitch and pulsate!
Aortic spasm!
This is a situation that did not occur when Chen and Song encountered unexpected events.
Moreover, aortic spasm causes the aortic cavity to begin to narrow.
"Fuck your mother!" Fang Ziye broke down again instantly, choking back a sob as he cursed.
"How the hell can this clamp? How could this clamp?" Fang Ziye exploded.
Aortic spasm and aortic dissection have both occurred.
No warning!
Of course, Fang Ziye quickly calmed down.
"Prepare the aortic stent. Perform aortoplasty!" Fang Ziye roared.
"Professor Han Yu from the Department of Cardiac Surgery is on stage." Tang Xiaoping's heart clenched when he heard Fang Ziye's voice, but he didn't understand why Fang Ziye's reaction was so strong.
Tang Xiaoping hadn't witnessed everything Fang Ziye did from the emergency room to the operating room, so naturally she found Fang Ziye a bit strange.
"Put in the stent, I'll do it," Fang Ziye instructed.
"Call Professor Han Yu!~"
Tang Xiaoping's steps froze, she stood on tiptoe, her glutes clenched: "But?"
"No buts, we can't just stand by and watch him die!"
“Call Professor Han Yu. I have surgical authority in cardiac surgery. Call him now,” Fang Ziye said.
Fang Ziye may not have the corresponding surgical authorization at Zhongnan Hospital, but he does at the sanatorium.
This authorization can be transferred; the medical department simply needs to accept it.
Surgical authorization is an admission system.
It's not that once you obtain authorization at this hospital, you'll need to undergo a re-evaluation process at other institutions.
Fang Ziye hadn't thought he'd be involved in cardiac surgery, so he didn't transfer the authority over to him, making the medical staff think he was a "jack-of-all-trades"!
It's not necessary.
But when it comes to urgency, follow the authority.
"Fang Ziye, you'd better calm down. You can't possibly have authorization to perform cardiac surgery." Tang Xiaoping had already taken out her phone, but her voice wasn't very pleasant; honest advice is hard to swallow.
“I have it, Professor Tang, you can make the call.”
"I'm very calm!" Fang Ziye's hands began to tremble slightly.
The "clamp" in "aorta" and the "clamp" in "clamp consonant" are completely different concepts.
Aortic dissection is not aesthetically pleasing.
Fang Ziye is an associate professor and the chief surgeon in the operating room. If he wants to do this, no one can stop him now.
Unless you call the medical department and have the head of the medical department call to stop it personally.
But Tang Xiaoping clearly wouldn't do that.
He has fulfilled his duty to dissuade them!
Aortic dissection is an absolute emergency, and every hospital has a green channel for treatment, so the equipment used to treat aortic dissection must be readily available.
The circulating nurse quickly had the equipment brought over.
The catheters are all readily available.
The Department of Cardiac Surgery at Zhongnan Hospital performs aortic balloon fenestration, a common interventional procedure.
In general, the procedure involves using a J-type catheter to puncture the aortic dissection diaphragm, then using a balloon catheter to dilate the puncture site, reducing the pressure in the false lumen and restoring the true lumen...
Fang Ziye's proficiency in this area is not very high, only level four, which is equivalent to the level of an ordinary associate professor in cardiac surgery.
But it's enough.
This patient's aortic dissection was freshly performed; everything was in place.
All the necessary procedures were prepared, and Fang Ziye completed the operation in just two minutes.
As the balloon expands the blood vessel, the vasospasm and the pseudo-lumen hematoma caused by the tearing of the intima due to the spasm are gradually restored to the true aortic lumen due to the expansion of the balloon.
Only after reaching this point did Fang Ziye slightly narrow his eyes.
After letting out a soft sigh of relief, Fang Ziye began to retreat.
He closed his eyes and murmured, "Brother, if I've done all this and still can't keep you, then this is your fate."
"I'm sorry, that's all the time I can give you today."
“I’m a doctor, and I’ve encountered a major emergency. I have to leave.”
Fang Ziye had been in the operating room because he hadn't received a transfer order.
The message relayed by Tang Xiaoping from the vascular surgery department is actually a different kind of transfer order.
In emergency rescue operations, orders must be obeyed without question!
Fang Ziye cannot be allowed to try to be different or seek special treatment!
Fang Ziye stepped back, quickly took off his gloves and clothes, grabbed his phone, and walked out of the operating room.
At the entrance to the operating room, the foot-operated automatic airlock door opened wide. Fang Ziye glanced back, but that was all.
Then he decisively turned around and left.
After Fang Ziye left, Tang Xiaoping asked, "What's wrong with Professor Fang today?"
Why are your emotions fluctuating so much?
This kind of thing can't be explained in just a few words; only Pang Haichao and Wang Youhua, the attending physicians in vascular surgery, know more about it.
Wang Youhua looked at Xu Haoyang and slowly said, "Professor Fang wants to save him..."
The atmosphere in the operating room suddenly became a bit stiff.
Everyone was silent.
Only the beeping of the anesthesia monitor continued.
A machine without emotions can certainly keep running indefinitely, without fluctuating due to any changes.
But people can't. (End of Chapter)
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