Life is like a journey

Later, when Yu Gui recalled that day, everything that happened was like a documentary filmed with a telephoto lens, with a sense of time flowing slowly.

Maybe there are some things that are doomed from the beginning, for example, she and Fang Zhiyou fell in love, for example, she became a student of Lu Qingshi, for example, Lu Qingshi would meet Gu Yanzhi, and Xiang Nanke would fall in love with Qin Xuan, or for example, that day Traffic jams start when you don't get off the highway.

Yu Gui opened the car door for the third time and got out of the car to check. The long road was still blocked, and there was no end to the traffic flow.

She casually pulled the driver waiting by the side of the road and asked, "When will this road be open?"

The driver was smoking, with a pile of cigarette butts under his feet: "I don't know, I have been waiting for more than four hours, and it is said that there was a serial car accident ahead."

Yu Gui locked the car door annoyed, Dr. Zheng lay on the steering wheel with his head down, and the doctor in the back seat punched the back of the seat: "I just got stuck in the last ten kilometers!"

The life-saving heart is still ten kilometers away from Miaomiao.

Looking at the endless traffic, Yu Gui gritted his teeth suddenly and took off his seat belt.

"What are you doing?!"

Dr. Zheng went to pull her, but in vain, Yu Gui had already opened the trunk and took out the incubator.

"We can't wait here for four hours, and Miaomiao can't wait that long, I have to run back"

"Are you crazy?! It's so far away..." Before he finished speaking, the two male doctors who were traveling with him also got out of the car, took off their coats, and rolled up their sleeves.

"We Relay"

A grateful and touched smile overflowed on Yu Gui's face.

The chest cavity had been opened, and the heart was so infected that it was almost as brittle as a piece of paper. The surrounding blood vessels were also seriously malformed, and they were all glued together. The right heart was swollen visible to the naked eye, while the left ventricle was only the size of a walnut.

Director Zhang, who has done heart transplantation for more than ten years, is the first time to do such a difficult case. He carefully peeled off the blood vessels and nerves around the heart with an electric knife.

"Director Lu, help me deal with the inferior vena cava in the right atrium, and I will deal with the aorta"

"it is good"

The two exchanged positions, and Lu Qingshi ordered the station patrol while operating: "Call Yu Gui and ask where she is."

Transplantation does not mean that it is enough to take the organs out of the patient's body and replace them with new ones. It is also necessary to consider how to connect them to minimize rejection and delay the patient's life to the greatest extent.

Yu Gui had already reserved more inferior vena cava in advance, so she planned to remove all the deformed parts. Keeping these unstable blood vessels is also a hidden danger. She planned to use the extra part of the donor heart to make up for it. If not, replace it with an artificial blood vessel.

"Did you get in touch?"

The patrolling nurse shook her head: "Doctor Yu doesn't answer the phone"

"Then call Dr. Zheng"

After a while, the station inspector covered the receiver with a puzzled expression: "Doctor Zheng said that they were blocked at the exit of the expressway."

Lu Qingshi's hand holding the monopolar electric knife paused for a moment.

really.

"The heart removal will be completed soon, let them think of a way," Director Zhang answered.

She is not a top student in sports. She failed the 800-meter physical test many times in school. The feeling of running to the limit is similar to respiratory failure. The air in the lungs is squeezed out, and the oxygen inhaled is not enough to maintain the blood perfusion of the whole body organs. , Then there will be fatigue, dizziness, vomiting, and blurred vision. Because of the discomfort, physiological tears ooze from the corners of the eyes, those bright street lamps flicker before the eyes, and suddenly the world is dark.

Yu Gui staggered and fell down, but was firmly supported by someone: "Captain Gu!"

She cried out in surprise.

Gu Yanzhi rode a locomotive all the way in the opposite direction, put the helmet on her head, and seeing the flashing police lights behind her were about to arrive, she patted the back seat: "Hurry up!"

Yu Gui nodded, and climbed into her back seat with the incubator in his arms: "Did Teacher Lu ask you to come?"

"Hold on tight." Gu Yanzhi stepped on the accelerator without turning his head, and the locomotive rushed out in the narrow traffic with a buzzing sound.

"Not long after you left the highway, there was a series of car accidents. Qing Shi predicted that there might be a traffic jam and asked me to get ready to pick you up."

The strong wind whizzed past her ears, and Yu Gui's entire facial muscles were deformed by the wind, and he grabbed her skirt in fear.

I thought: Teacher Lu is really a god.

"This is..." Even though a complete preoperative CT scan and angiography were performed, an aneurysm with a diameter greater than 10 cm was found in the shadow of the back of the aorta connected to the lung during the intraoperative exploration.

The location of the tumor is ingenious. It is next to the aorta and firmly adheres to the heart and lungs. If only the heart is transplanted, the tumor will be cut through and cause massive bleeding. If the heart is not transplanted, Miaomiao will not be able to get off the operating table. It is not easy to find a suitable heart source for combined heart and lung transplantation, so where can I find a qualified lung source?

The "tweezers" equipment nurse handed the tweezers to her.

Lu Qingshi didn't raise his head, his eyes were determined: "Let's fight together"

Gamble your future and destiny to complete a seemingly impossible operation.

Liu Changsheng became anxious, and stood up from the observation room: "Don't mess around, Doctor Lu, go discuss it with the patient's family first."

"Do you want to separate the tumor from the aorta first, then remove the vena cava for bypassing, and finally remove the tumor adhered to the lung?"

He has only seen this method in foreign language medical journals.

Lu Qingshi shook his head: "No, her blood vessels are too fragile, and if the aorta bleeds, it can't be ligated at all, so I will replace her aorta with an artificial blood vessel."

"No, the surface of the tumor is rich in blood vessels. Believe it or not, your tissue scissors will start to bleed before you put them on."

"So I'm going to use an artificial heart-lung to replace the function of the heart." She turned to call the anesthesiologist: "Is extracorporeal circulation ready?"

Suddenly changing the operation method, everyone was stunned for a moment, Director Zhang put down the electric knife: "Doctor Lu, you are too reckless, if you fail, you must bear the responsibility!"

Lu Qing raised his head and glanced at the faces in the operating room, full of fear, anxiety, and hesitation. They were still young or in their prime, and no one wanted to ruin their careers because of a sudden change. Stains, even if everyone's original intention is the same: to cure diseases and save lives.

She took a deep breath: "Change the surgeon, I will remove the tumor and complete the aortic replacement."

She went to Director Zhang's position: "I'll change back later when Xinyuan comes. Transplantation is not my strong point. I hope you will do your best."

"You..." He wanted to say something, but Lu Qingshi elbowed him off the stage.

"Anaesthesiologist, are you ready for extracorporeal circulation?" The usually calm person suddenly yelled, and the anesthetist almost jumped up in fright.

"Okay, at 35:35, extracorporeal circulation starts." The anesthesiologist pressed the stopwatch: "The operation was originally scheduled to last for six hours, and two hours and 10 minutes have passed, so there is not much time left for Dr. Lu. Extracorporeal circulation It can only last for [-] minutes at most.”

After this time, He Miaomiao will die of multiple organ failure.

Everyone in the operating room suddenly became nervous.

"tweezers"

"Unipolar Electric Knife"

"tissue scissors"

"The assistant pulls here with a vein retractor"

"Okay, give me the vessel clamp"

Lu Qingshi's hands are very steady, and she doesn't feel anxious because of the passing of time. On the operating table, in her own field, she is the unique king.

"15 minutes left!"

The anesthetist starts to tell the time.

Lu Qingshi picked up the tissue scissors: "Prepare to remove the tumor"

Everyone watched this scene with bated breath.

She had blocked the blood vessels at the upper and lower ends of the tumor in advance, without much hesitation, she slowly peeled off with one hand, and cut off the supply of the tumor and surrounding tissues with the other hand along the stripped trace.

There is no bleeding.

Director Zhang breathed a sigh of relief and thanked God.

Lu Qingshi slightly closed his eyes, calmed down his breath, took the tweezers out of the tumor, and put it in the dirt tray: "Send to pathology, the tumor has been removed."

"The next step is to replace the artificial blood vessel"

"Doctor Lu, there are still 10 minutes!"

Lu Qingshi glanced back at the clock on the wall, and when he lowered his head, his face was splattered with blood, the magnifying glass was blurred, and the monitor screamed sharply.

"Blood pressure 50-80!"

"Blood oxygen is dropping!"

"Bleeding over 500cc!"

"Hurry up, get five more units of red blood cells!"

Lu Qingshi was trembling all over, his chest was heaving violently, seeing the continuous blood gushing out, he pressed the gauze on it with red eyes.

"Drainage, drainage, hurry up!!!"

"Dopamine 5mg administered via catheter!"

"Increase oxygen flow!"

"Open another venous access!!!"

"Blood! Is the blood here?"

The usually calm person was a little hysterical, her eyes were red and she didn't dare to move the bleeding place. A large piece of gauze was soon completely wet, and the warm blood splashed on her hands, sleeves, collar, and even her face. Everywhere.

Dean Meng took off his glasses and let out a long sigh: Is the bleeding that even Lu Qingshi couldn't stop?

"Blood is coming, blood is coming!" The nurse rushed in and quickly hung up the blood transfusion bag, but the blood pressure continued to drop, and one blood reservoir was already full, a full 1000 milliliters.

"Blood pressure 30-60!" The anesthesiologist injected medicine into the vein through the catheter.

The third piece of gauze in Lu Qingshi's hand was completely wet. She threw it in the dirt tray, but instead of picking up a new one, she grabbed the needle holder tremblingly.

"There is too much bleeding. If you don't stop the bleeding quickly, you will die!" Director Zhang also broke out in a hot sweat.

"I know." Lu Qingshi's eyes were red, and he searched for the bleeding point in the blurred surgical field of vision due to bleeding.

"I have to quickly find the bleeding point and sew it up, the gauze can't stop the bleeding"

"Attract, attract, hurry up!" An assistant was in a hurry, and Director Zhang pushed him away: "I'll help you!"

Lu Qingshi nodded, feeling the broken part in the warm blood flow, time seemed to stretch slowly, she should have nothing else to do, but she remembered the time when she saw Miaomiao for the first time.

It was her first year at Renji University of Medical Sciences, and she was frustrated. Miaomiao was just two years old and was diagnosed with congenital heart disease. When her mother hugged her and left, the little child stretched out her palm in front of her. Spread out is a pinched white rabbit toffee.

Nuo Nuo's voice was slurred: "A...Auntie...time...time..."

Lu Qingshi kept that candy for a long time, until it melted, he didn't want to eat it.

Her nose was sore and her chest was astringent. She glanced at He Miaomiao, who was pale with a tube in her mouth, tears filled her eyelashes, and tried her best not to let it fall.

"Bleeding point... Where exactly is it?" She gritted her teeth, her eyes were red, tears were rolling in her eyes, and the surgical gown was soaked with sweat.

"Doctor Lu, you can last another 5 minutes after the cycle stops!"

"Aunt Lu, when I get better, can you play with me?"

"it is good"

"The cycle stops and I can persist for another 3 minutes!"

"Miaomiao, goodbye." She waved goodbye to her.

She also stood in a white light and said goodbye to her: "Aunt Lu, goodbye"

"The cycle can be stopped for 1 minute!"

The little child finally stood up, and the door opened in front of her eyes. She turned her head and looked at her parents, crying: "Mom and Dad, goodbye."

"No!!!" Lu Qingshi roared, and the anesthesiologist picked up the artificial blood vessel with tweezers while the anesthesiologist was counting down.

Her hand speed is so fast that it is dazzling, which is a kind of beauty that can only be captured with high-speed cameras.

Dean Meng put on his glasses again, and unconsciously squeezed the armchair tightly.

"Fives"

A heartbeat sounded like a drumbeat.

"Four"

"three"

"two"

Holding a needle in one hand and fast knotting in the other, this is an instinct accumulated over the years. At a certain moment, Meng Jihua even felt that she surpassed the existence of surgical robots. The Lu family has cultivated such talents, but Lu Qingshi herself was unruly. Taming, I don't know if it's luck or misfortune?

It was another perfect and neat operation, Lu Qingshi picked up the thread scissors and completed the operation at the same time as the anesthetist's counting sound.

"one!"

"The artificial blood vessel replacement is complete!" She panted heavily, her clothes were soaked in sweat, and the wire clippers fell into the tray with a bang. Because of the high-speed force in a short period of time, her wrists inevitably twitched, but her face overflowed with blood. A relieved smile.

Director Zhang was dumbfounded, looking at the perfectly sutured and hemostatic wound, this...wasn't it really done by a surgical robot?

A wave of respect and fear arises spontaneously.

The bleeding in the blood storage tank stopped, and after a silence, everyone in the operating room burst into cheers.

Hao Renjie rushed forward to grab her shoulders: "Sister Lu, you are amazing!"

Lu Qingshi smiled, held his trembling right wrist with his left hand, gritted his teeth and said slowly: "It's not over yet."

She gently loosened the hemostatic forceps clamping the upper and lower ends of the artificial blood vessel.

Everyone's eyes were fixed on this scene, the bright red blood slowly flowed through the artificial blood vessel, and there was no bleeding from the stitched place.

The artificial heart and lungs have stopped.

Lu Qingshi closed his eyes, slightly curled the corners of his lips, and glanced at Miaomiao: Come on, baby, you will be fine.

The blood flowed back into the heart through the whole body, the right ventricle suddenly contracted, everyone was suffocated, but the long-awaited pulse did not appear, the horizontal line on the monitor began to fluctuate violently, and a sharp beep sounded like a curse up.

"Drip-drip--"

The anesthesiologist stood up abruptly from his seat: "No, ventricular fibrillation!"

After a wave of ups and downs, Lu Qingshi's eyes were bloodshot, and he shouted tremblingly, "Defibrillator!"