MWIABCEO :: Volume #12

#1116: Trembling


LNMTL needs user funding to survive Read More

Following Jane (simple) does not have the excited mood of skill/effort (kung fu) control/tube these people, making all people concentrate the attention. 下面的也没有功夫管这些人的激动情绪,让所有人集中注意力。 Equipment artificial heart, No. 40 line...” “装置人工心肺,40号线…” The assistants have also taken up the tourniquet, does not have the tooth straight artery forceps, starts to carry out the auxiliary work. 副手也拿起了止血带,无齿直止血钳,开始进行辅助工作。 Artificial heart installment ended!” Instrument Master say/way. “人工心肺装置结束!”器械师道。 Pumping! Electricity blade...” Jane (simple) is bustling about the work on hand, while also said to the assistant: Troubles you to prepare two 18 millimeters artificial blood vessels.” “开泵!电刀…”一边忙碌着手上的工作,一边又对助手道:“麻烦你准备两条18毫米的人工血管。” This saying, people the doubts of whole face, not only the person on stand, hesitates including the assistant the tunnel: Doctor, PIGGYBACK, in the view according to book, should connects the blood vessel between pulmonary arteries, isn't only suffices with an artificial blood vessel?” 这话一出,众人又满脸的疑惑,不仅看台上的人,连助手也犹豫地道:“医生,PIGGYBACK,按照书上的说法,应该是连接肺动脉间的血管,不是只用一条人工血管就够么?” Jane (simple) catches the eye, several points of reluctantly saying: Makes you do does, is just the same as the textbook without any surgery, do not limit your thought in the books, otherwise you also can only work as the assistant for a lifetime, could not become the genuine chief surgeon.” 抬眼,几分无奈地道:“让你做就做吧,没有任何一例外科手术是跟教科书一模一样的,不要把你的思想局限在书本上,不然你一辈子也只能当助手,成不了真正的主刀。” But exactly when the people completely are puzzled, Li Yinzheng from the monitor of stand, saw clearly Jane (simple) big margin that keeps in the right pleural membrane. 而恰在众人都满是不解的时候,李银正从看台的显示器上,清晰地看到了在右边胸膜留的大切口。 The Li Yinzheng heart is imposing, calls out in alarm said: so that's how it is!” 不由的,李银正心头凛然,惊呼道:“原来如此!” Dr. Li, what's the matter?” Immediately some people inquired curiously. “李医生,到底怎么回事?”立刻有人好奇地询问。 Li Yinzheng shivers the hand to point at monitor, said: „ PIGGYBACK originally, places on the contributor heart the damage heart, sutures the left heart vena cava superior and aorta directly, only needs the artificial blood vessel to build a bridge to the pulmonary artery! 李银正颤抖着手指着显示器,道:“原本的PIGGYBACK,是把捐赠者心脏放在受损心脏上,直接缝合左心房上腔静脉和主动脉,只需要人工血管对肺动脉搭桥! But Jane (simple) must do, places not to have in the chest cavity of adhesion the contributor heart, the distance to make up for the surgery method many, the aorta sutures also uses the Reverend labor blood vessel! ” 可是要做的,是把捐赠者心脏放在没有粘连的胸腔内,为了弥补原本手术方法多出的一段距离,主动脉缝合也用上人工血管!” Originally is this, Dr. Li really the mental perception like the torch, we unexpectedly cannot detect, has the doctor to approve to sigh. “原来是这样,李医生果然慧眼如炬,我们竟都没能发觉”,有医生赞叹道。 Li Yinzheng smiles bitterly shook the head to sigh: My this, radically was nothing to speak in front of Jane (simple), we all cannot guess correctly her plan unexpectedly... From the beginning, Jane (simple) arrived was unable to complete the peeling in the finite time, she also calculated the contributor heart condition, with transplant space. We are in vain anxious half dead, originally all these, within her computation!” 李银正则苦笑地摇头叹息道:“我这点就算了吧,在面前根本不值一提,我们竟然全都没能猜到她的计划…从一开始,就算到了在有限时间内无法完成剥离,她也算到了捐赠者心脏状态,和移植空间。枉我们还急得半死,原来这一切,都在她的计算之内!” The people were panic-stricken, had understood after Jane's mentality, they blew heartfeltly. 众人惊骇,理解了简的思路后,他们由衷地镇住了。 That... Was that my grandfather can revive?” Zhenxiu full is the hope asked. “那…那是不是我外公可以救活了?”贞秀满是希望地问。 The Li Yinzheng nod said that if all goes well, should not have the issue.” 李银正点头道,“如果一切顺利,应该没问题。” Many Park Family people relaxed, the Park Zhenxun smiling face somewhat is stiff. 不少朴家的人都松了口气,朴贞勋的笑容却有些僵硬。 The time also remains for 50 minutes, pleural membrane has cut open, the heart prepares to complete. 时间还剩50分钟,胸膜已经切开,心脏准备完成。 Jane's fast speeds up once again, aorta pliers... Shuts off the blood stream, pours into the heart to stop fluid... Starts to transplant, the tip cuts...” 简的手速再度加快,“大动脉钳…切断血流,注入心停止液…开始移植,尖头剪…” Takes the heart from the assistant place, after carries on carefully was fixed, the left heart sutures to start. 从助手处拿过心脏,小心地进行了固定后,左心脏缝合开始。 Tweezers, No. 40 line...” “镊子,40号线…” On the stand, the people look that is also heartbeat speeds up. 看台上,众人看着也是心跳加快。 At the Jane's speed, should be able to complete, but, the contributor heart long time has transported, the function was damaged, the heart that if donates cannot support, all are the futile efforts, hopes that does not have problems...” Li Yinzheng is analyzing the say/way. “以简的速度,应该可以完成,但是,捐赠者心脏过长时间运输,机能本就受损,如果捐赠的心脏支撑不住,一切就是徒劳,希望不出问题…”李银正分析着道。 Near surgery table, Jane (simple) not to stop. 手术台边,一刻不停。 Carries on the blood drainage... Starts the pulmonary artery far-end to suture, No. 40 line, tweezers...” “进行血液引流…开始肺动脉远端缝合,40号线,镊子…” Aspirator elevates again, the load falls, the subcutaneous injection 500, supplement FFP...” “吸引器再升高一点,负荷降回来,皮下注射500,追加FFP…” Discovered with several assistants by recent Wahlen that the Jane's speed was faster than a moment ago! 靠得最近的瓦伦与几名助手发现,简的速度比刚才还要快! These doctors on stand, there are to open mouth unable to speak much, the surgery skill that they see today, deeply has shocked their cognition to the medicine! 就连看台上的那些医生,也有不少已经张着嘴说不出话来,他们今天所见到的手术技巧,已经深深震撼了他们对医学的认知! Li Yinzheng grabs the double fist tightly, in eye somewhat unwilling at the same time, what are more has no alternative. 李银正紧抓着双拳,眼里有些不甘的同时,更多的是无可奈何。 Stitching technology of being dazzled, making in the PIGGYBACK far ultra expectation time end! 眼花缭乱的缝合技术,使得PIGGYBACK远超预想时间内就已经结束! After Jane (simple) quite calmly sutures, to instrument master said clearly: FLOWDOWN!” 相当从容地缝合完毕后,对着器械师清声道:“FLOWDOWN!” Yes! Excision interdiction, BACKUP!” “是!切除遮断,BACKUP!” After the voice falls, the people start to look at the heart extremely dedicated, is hoping the heart can beat. 话音落下后,众人都开始极为专注地看着心脏,盼着心脏能够跳动起来。 Suddenly, inside and outside the entire operating room holds the breath with rapt attention, seemed for fear that alarms the heart to be ordinary. 一时间,整个手术室内外都屏息凝神,好似生怕惊扰了心脏一般。 Several seconds pass by, when everybody feels the danger more and more, the heart, beat! 数秒钟过去,就在大家越来越感到危险的时候,心脏,跳动了! Bang bang... Bang bang...” “嘭嘭…嘭嘭…” It seems in the mind of everyone is producing the tictac of heart! 好似每个人的脑海里都在产生心脏的跳动声! Succeeded!? Succeeded!?!?” Some people start to shout happily. “成功了!?成功了!?!?”有人开始高兴地大喊起来。 When the people on stand also relaxed, is actually one ear-piercing drop drop sound passed on! 就在看台上的众人也松了口气的时候,却是一声刺耳的“滴滴”声传了出来! In the electrocardiogram, the beat frequency of heart starts to speed up violently! 心电图上,心脏的跳动频率开始猛烈加快! Wahlen looked that calls out in alarm said: Is VT! Room tachycardia!!?” 瓦伦一看,惊呼道:“是VT!室性心动过速!!?” This... This what situation!? Was not surgery success!?” Zhenxiu just liking on stand changes immediately destroyed! “这…这到底什么情况!?不是手术成功了么!?”看台上的贞秀刚刚的欢喜立刻化作乌有! Li Yinzheng said solemnly: VT was too serious, the ischemia time was too long, causes this heart unable to use... Before was worried that really occurred.” 李银正沉声道:“VT太严重了,缺血时间太长,造成这个心脏不能用了…之前就担心的,果然还是发生了。” That what to do!? Grandfather can also rescue!?” Park Zhenxun was also as if excited at this time, is a face asked sincerely. “那怎么办!?爷爷还能救么!?”朴贞勋这时仿佛又兴奋了起来,却是一脸恳切地问。 Li Yinzheng shook the head, heart transplantation, lost the vitality including the heart of transplant, but how also to rescue...” 李银正摇头,“心脏移植,连移植的心脏都失去了生命力,还怎么救…” Has not caught up...” Lin Ruoxi also regrets the tunnel in side. “还是没赶上么…”林若溪也在旁惋惜地道。 Yang Chen puts out a hand to embrace the fragrant shoulder of woman, tightened, said: Believes that Jane (simple) has the means.” 杨辰伸手揽住女人的香肩,紧了紧,道:“相信有办法的。” Lin Ruoxi raised the head, sees a Yang Chen face assured appearance, slightly sighed at heart. 林若溪抬头,看到杨辰一脸笃定的样子,心里不由微微一叹。 Near surgery table, all people go to Jane (simple) the vision, may actually mostly be the facial expression that regrets, in people opinion, this has been unable to save the situation. 手术台边,所有人都把目光投向,可却大多是惋惜的神情,在众人看来,这已经回天乏术了。 Jane (simple) closed one's eyes to ponder the little while, suddenly opened eyes, said: Lidocaine hydrochloride establishes 50 milligrams, DC defibrillation, the 20 J charge!” 闭眼沉思了会儿,突然睁开双眸,道:“盐酸利多卡因设置50毫克,DC除颤器,20J充电!” Although thought that was impossible to succeed, but the instrument master rapidly brings defibrillation with the assistant. 虽然觉得已经不可能成功,但器械师还是跟助手迅速地拿来除颤器。 Doctor, charges!” “医生,充电完毕!” Jane (simple) takes defibrillation, after his post tight heart, said: Shunt... Electric discharge!” 拿过除颤器,将其贴紧心脏后,道:“都闪开…放电!” After electric shock, the electrocardiogram or the frequency are extremely high, VT has not eliminated. 电击过后,心电图还是频率极高,VT并没消除。 Doctor, this is not good...” Had the nurse to be about to cry. “医生,这样不行啊…”有护士已经快哭了。 In Jane's eye not slightly flurried, said: Opens the artificial heart once more, pumping!” 简的眼中没有丝毫慌乱,道:“再次打开人工心肺,开泵!” Yes!” “是!” Along with artificial heart opening once again, all people soon despaired. 随着再度的人工心肺开启,所有人都已经快要绝望。 Teacher, installs VAD!” Vincent on stand had been shouting to the microphone. 老师,安装VAD吧!”已经在看台上的文森对着话筒大喊。 Heart supporting facility?” Some people asked in side. “心脏辅助设备?”有人在旁问道。 Right, that preparing for the heart is unable to save.” Vincent said. “对,做好心脏无法挽救的准备。”文森道。 But the body of President could not bear, just completed the liver transplant, the body already to the limit, Li Yinzheng denied this method. “可会长的身体已经受不了,刚做完肝脏移植,身体已经到极限了”,李银正否认了这个方法。 On the surgery table, the contributor heart is still beating, the blood drainage is still continuing. 手术台上,捐赠者心脏还在跳动,血液引流还在继续。 All people are gazing at Jane (simple), actually saw that Jane (simple) used one time to carry on the electric shock defibrillation with the 20 J electric power again. 所有人都注视着,却见到再用一次用20J电力进行了电击除颤。 Teacher, you must do!?” Wahlen has called out in alarm one. 老师,你要干嘛!?”瓦伦惊呼了一声。 Only saw, after Jane (simple) eliminates trembling, was makes the assistant change the vice- glove to her unexpectedly! 只见到,除颤完后,竟然是让助手给她换了副手套! Jane (simple) did not reply, but a hand, penetrates some spots of holding down heart slowly... 并不回答,而是将一只手,缓缓深入去按住心脏的一些部位… Crossed a small little while, Jane (simple) has pulled out the hand, said: Stops a time the heart function again.” 过了一小会儿,把手抽回来,道:“再把心脏机能停止一次。” What? Stops again!? This... This is the heart that just transplanted!” The instrument master thinks that own misunderstood. “什么?再停止!?这…这是刚移植的心脏啊!”器械师以为自己听错了。 Jane (simple) actually seriously nods, confirmed that does not have the issue. 却是郑重地点头,确认没问题。 The after heart of transplant stopped beat once again, Jane (simple) asked: „Can ultra-low temperature cryosurgery momentarily take place?” 移植的心脏再度停止了跳动后,问道:“超低温冷冻治疗能随时就位么?” Eh... Can, the instrument master nod, immediately starts to get ready. …能”,器械师点头,立刻开始准备。 Jane (simple) said to the people solution: In heart has a focal point, after the heart stops, cuts open the cardiac muscle, carries on the ultra-low temperature to freeze around Ru Touji, should be able except VT...” 对众人解说道:“心脏里有个焦点,心脏停止后切开心肌,在茹头肌周围进行超低温冷冻,应该就能除去VT…” Li Yinzheng on stand frowns saying: „ The place of finding room tachycardia, with the freezing coagulation technology, inserted the ultra-low temperature cryosurgery meter. 看台上的李银正蹙眉道:“找到室性心动过速的地方,用冷冻凝固技术,把超低温冷冻治疗仪插进去。 Truly, with the ultra-low temperature technology, can in the situation , to the cardiac muscle not causing the damage, locks the focal point, but the issue found that focal point!? Has the mistake slightly, will affect the stimulation conduction system to create the conduction hindrance... ” 确实,用超低温技术,可以在不对心肌造成损伤的情况下,锁定焦点,可问题是怎么找到那焦点!?稍有差池,就会影响刺激传导系统造成传导阻碍啊…” Related to the issues of these levels, other people have not been able to understand clearly that only knows present situation, seems looks for a needle in a haystack general, the hope is uncertain! 涉及到这些层面的问题,旁人已经无法清楚地理解,只知道眼下的情况,好似大海捞针一般,希望渺茫! Following Jane (simple) actually not slightly hesitant, received the pointed knife after the assistant hand, on Li Yinzheng by stand was actually stopped. 下面的却是没有丝毫犹豫,从助手手上接过尖刀后,却被看台上的李银正叫停。 Dr. Jane!” Li Yinzheng shouts: You... You can know where that focal point is at!? You use the hand to touch!?” 简医生!”李银正喊道:“你…你能知道那个焦点在哪吗!?难道你用手就能摸出来!?” Jane (simple) raised the head, said: My hand can feel the contraction of heart, point that does not suit, I confirmed the focal point in that.” 抬头,道:“我的手就能感受到心脏的收缩,有一个不对劲的点,我确认焦点就在那。” Heard this saying, Li Yinzheng is startled thoroughly. 听到这话,李银正彻底怔住了。 Was too absurd! Can feel the focal point of cardiac muscle by the hand of person!?” “太荒谬了!靠人的手能感受到心肌的焦点!?” What degree that must understanding the heart arrive at to achieve!? Do not crack a joke!” Many doctors oppose. “那要对心脏的了解到达什么程度才能做到!?别开玩笑了!”不少医生反对起来。 But, Jane (simple) has not paid attention to all doctors' questions, a blade has delimited decisively! 可是,并没理会所有医生的质疑,已经一刀果断划下! Then, Jane (simple) rapidly uses the ultra-low temperature treatment, after ending, sutures the cardiac muscle. 接下来,又迅速地利用超低温治疗,完后缝合好心肌。 As the voice falls, makes heart regain the function once again, the people that time also wanted more tense than before. 随着话音落下,再度使心脏恢复功能,众人比之前那次还要紧张许多。 Finally, once again sees the heart to beat, waited for the period of time, the beat of heart is still steady! 终于,又一次看到心脏跳动起来,等了一阵子,心脏的跳动依然平稳! Heart normal rule, does not have VT!!” The instrument master shouted loudly excitedly. “心脏正常规律,没有VT!!”器械师兴奋地高呼。 The people cheer immediately, the doctors on stand also in didn't know whether to laugh or cry, start to applaud. 众人当即欢呼起来,看台上的医生们也都在哭笑不得中,开始鼓掌。 Li Yinzheng is also face the color of admiration, muttered, my this has a dream, she can unexpectedly really...” 李银正也是一脸的敬佩之色,喃喃自语,“我这是做梦么,她竟然真的可以…” The doctors are not only stimulated are awe look at Jane (simple), only then the person of specialty study medicine, feels, this young woman doctor has makes the medical skill that one trembles! 医生们既是亢奋又是敬畏地看着,只有专业学医的人,才感受到,这名年轻的女医生拥有多么叫人颤栗的医术!
To display comments and comment, click at the button