When a doctor opened a plug-in

Just under the eyes of everyone.

The operation has begun.

This may be the world's first combined heart-lung transplantation to treat 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 very controversial.

Therefore, after Chen Cang said that the operation was going to be broadcast live, almost instantly, he boarded the hot search on Weibo.

Both professionals and ordinary people want to wait and see the operation with different attitudes.

in fact!

For Chen Cang, the significance of this live operation is not how powerful the operation is!

Rather, he hopes that everyone will see the cruelty and authenticity of the operation.

Medical treatment has never been as good as everyone imagined!

Behind every miracle of surgery, I don't know how much all-out effort and danger are hidden, but even so, the reality has never been soft-hearted!

That's right!

The scalpel is affectionate.

But the disease is ruthless.

Cardiopulmonary transplantation is a very difficult operation in itself, not to mention that the patient is a patient with congenital heart disease and pulmonary hypertension against the doctor's advice.

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

In today's humanitarian world, everyone is considering the human rights of patients, but how many people are considering 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 freezing. The staff around were worried that something might happen. They fenced off the railing to prevent people from skating. As a result, some people didn’t believe in evil and thought they were the sons of destiny.

When he accidentally fell into the river and his life was hanging by a thread, the staff here saw it. You said it could not be saved?

save?

They also don't have enough protective measures!

Not saved?

Next, there will be too many discussions and questions.

Don't underestimate the mentality of some people who eat melons that they are not afraid of big things. Because of this, how many medical staff can not bear the pressure of public opinion and choose to commit suicide!

They were saved, but after the other party was rescued, there was a disability and disease. This blamed you for not being saved in time, instead of considering how much pressure you were under!

You are dead, and he is also dead. Blame your hospital's imperfect doctor system and limited doctors!

The savior died, the saved alive, at most one trophy, who is rare?Is it rare to save people, or is his family rare?

You don't save people?Ah!You are completely finished, without professionalism, without being a benevolent doctor, you are rubbish!All kinds of unbearable comments enter the ears, who can resist?

Everyone is human. Don't think they should be because of different occupations.

In this world, there is nothing that should or should not, and there is nothing right or 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 Amyang in person after learning about this incident!

For this operation!

Elder Zhong came in a stormy wave. He has seen too many of these things in these years. His purpose is not to succeed in the operation. To be honest, he can't help much in the operation. His purpose is to Chen Cang!

Also for this event.

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

He is here to protect Chen Cang.

...

...

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

Often, when you stand from the standpoint of different people, you really have different thinking and decisions.

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

If his child learns about this, he might thank his mother for giving him a chance to live.

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

Isn't it?

Even, this matter is from the point of view of most people, and the scene that Professor Chen is most willing to see is that Professor Chen turned the tide, the operation went smoothly, and the mother and child were safe.

Even many doctors think so!

Take Meng Xi as an example. She is an unmarriage activist. When encountering this kind of thing, as a woman, she probably wants to help her.

What she saw was the greatness of a mother, so she hoped that Chen Cang would be able to save it, because Meng Xi knew that the operation was risky, and if it failed, it failed, but it was one thing to do or not.

Meng Xi never thought that there was so much complicated information behind this incident.

But think about it carefully.

Meng Xi said it.

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

Chen Cang's understanding has increased a lot. He sees the problem more thoroughly, but it does not mean that everyone can think so far-reaching.

This one seems to justify the name of love, but it is actually a kidnapping operation with love.

Not everyone can see through many things. Meng Xi is just a PhD in his early thirties, and he is not as mature as Chen Cang after all!

Hmm... If you lose physically, it doesn't mean you are familiar with yourself.

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

Chen Cang does not blame Meng Xi, this is in line with what Ms. Meng did.

However, the arrival of Mr. Zhong surprised Chen Cang a bit.

"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. I will help solve the trouble."

Chen Cang was naturally grateful for Mr. Zhong's active help.

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

Chen Cang joined obstetrics, hematology, anesthesiology, infectious diseases, cardiology, respiratory...nearly ten departments had the last preoperative discussion!

The arrival of Mr. Zhong gave the operation more security.

Now Guo Xue has begun to show a 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 combined 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, a gynecologist, said immediately that this operation can only be performed by cesarean section: "Now that the fetus has developed for 28 weeks, it can be used for cesarean section. After that, it will be treated in an incubator and it will not affect."

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

Everyone nodded. In fact, saving the child might already be the greatest possibility.

Because most people persist for less than seven months at all!

Congenital heart disease combined with pulmonary hypertension, if you want to maintain a seven-month pregnancy, this kind of pain is really not something ordinary people can persist.

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

Zhang Jinfeng shook his head: "How do you say this sentence, it's a bit one-sided."

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

"At 7 months of pregnancy, the lungs of the fetus have basic respiratory functions. This is also the basic condition for the survival of newborns, so it can be achieved in July."

Speaking of this, Zhang Jinfeng smiled instead: "Of course, in fact, it's not an absolute mistake that 70% of it fails. I think the ancients may have studied a pathological state."

"If the mother has a disease during pregnancy and has to give birth prematurely, such as Guo Xue, if her physical condition continues, it can only bring a lot of adverse effects to the child. At this time, if you are satisfied for about seven months, you can It’s a premature birth, it’s not a good thing to continue to drag on."

"Of course, there is also the reason that the fetus cannot survive in the uterus due to its own reasons, and it was born prematurely in August, but this is due to the fetus's own reasons. The mortality rate is very high, so the folks have such a saying. It's almost impossible."

After some explanation, everyone was relieved.

(You can remember this. After all, many elderly people now have this kind of perception, so don't believe it blindly.)

The surgical plan was further revised and formulated.

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

At the same time, Chen Cang underwent donor cardiopulmonary surgery.

During the patient's anesthesia, an artificial heart-lung machine is used for support.

After that, a combined heart-lung transplantation was performed.

It may seem simple in just a few steps, but in fact it is very risky!

With the help of the staff, after Chen Cang returned to Amyang, he was the first highly difficult, even the world's first combined heart-lung transplant for a patient with pulmonary hypertension combined with pregnancy risk!

This time, the Health Commission did not get involved.

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

That night, the operation started!

The patient who provided a heart-lung transplant is a brain-dead patient after a car accident!

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

Because organ transplantation can't wait for you!

After all, organs are not the same as pork. It does not mean that they can be used 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 advances in medical technology, when a person suffers from brain death, doctors can use ventilator and drugs to maintain his breathing, heartbeat, and blood pressure for more than two weeks.

But once these auxiliary facilities are removed, patients cannot breathe on their own and their heartbeat will stop.

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

Operating room!

The soldiers are divided into two ways.

While complicated caesarean section is being performed, organ transplantation is being prepared closely at the same time!

In a combined heart-lung transplant operation, the donor heart and the donor lung must be removed as a whole.

This means that the operation will be very difficult, because a lot of blood vessels, nerves and other tissues are involved, so there can be no slight damage during the operation.

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

Because this time, whether it is overseas or domestic, the number of people watching this operation has soared, exceeding the usual many times!

Special patients!

Special surgery!

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

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

The audience first came to join in the fun, and secondly, they wanted to see the real surgery.

Dingxiang.com has prepared two domestic academicians of cardiac surgery as guests to explain surgery to most audiences.

After all, the professionalism is too high to prevent everyone from not understanding!

This time, Chen Cang performed the operation in full view of the public. In fact, it also disguised the possibility of patients and their families making trouble after surgery, and the possibility of improper publicity by media reporters!

At the same time, one of the two guests from the Dingxiang community is Wang Tong, the director of Xiehe Heart Surgery, and the other is the lung transplant master, Academician Chen Jing, the first lung transplant in China.

The host began to interview: "Two experts, what do you two think about today's surgery?"

As soon as she said this, Chen Jing couldn't help but say: "Actually, let me just say that Professor Chen can stand in front of so many people across the country and even experts from all over the world to start this operation. Everyone should rest assured. !"

"Because Professor Chen has already gone all out!"

Wang Tong nodded: "I haven't seen Professor Chen's heart transplantation several times, but I think he was willing to perform surgery on Guo Xue, which can explain everything, because at the time 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 approve of an operation that I know is about to lose, but still needs to start, but sometimes, medical ethics, humanities, ethics, medical ethics, social ethics, etc., have contributed to such an operation! "

"This is a kind of kidnapping in the name of love, so, as Professor Chen said, such an operation will only be performed 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 contact between doctors and patients.

And such a live broadcast of surgery that looks like ordinary people may really be meaningful.

Let people really experience such a live operation!

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

It 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 is also for this.

Speaking of this, Chen Jing couldn't help but sighed: "Actually, if I hadn't seen it with my own eyes, I would never believe that Professor Chen is less than 30 years old, he can see the vision, and the way he can think of, even his The courage is far beyond our generation!"

Wang Tong nodded very approvingly: "Yes, I am looking forward to Teacher Chen's taking China Medical Care to a better step."

"The operation has started, let's cut back the picture!"

...

After the live broadcast began, Chen Cang said nothing.

Although he has the perfect level of [Heart-lung transplantation].

However, there is no bottom in my heart.

Because of the patient's condition, 90% of the probability is that an accident will occur after the operation!

Because of this physical condition, if you don't have a heart-lung transplant, you will die!

If a heart-lung transplantation is performed, there is a high probability of postoperative complication and rejection. After all, this is a different body tissue.

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

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

If the operation fails, this damn thing will ruin a good heart and lungs!

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

While talking, the operation officially begins!

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

Meng Xi nodded honestly.

After this incident, Meng Xi also changed a lot.

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

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

Accompanied by layer by layer incision of the skin, fat layer, fascia...

It's like the same song: Have fun layer by layer!

After opening their chests, Tao Mi and Meng Xi quickly opened them with equipment!

Within the field of vision, the pericardium was revealed.

Chen Cang began to make extensive incisions to the pulmonary veins on both sides with a scalpel.

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

His hands are extremely light and seem to be spiritual.

Watching Chen Cang wear bands, ligate odd veins and free trachea...

These subtle and delicate operations are an eye-opener for ordinary people who see surgery for the first time!

This guy!

Even those craftsmen don’t have such dexterous hands?

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

Seeing this scene, most of the common people were amazed.

Surgery is really dangerous!

In addition to superb technology, there are comprehensive considerations.

Chen Cang began to do it while giving various medical orders.

"Intravenous heparin!"

"Prostaglandin E120ng (kg·min)!"

...

At the beginning, the atmosphere was relatively mild, but gradually, with Chen Cang's instructions one by one.

The entire operating room was filled with a tense atmosphere like a battlefield!

strict!

But there is also tension.

I saw Chen Cang quickly complete the high ligation!

Immediately after that, cut the superior vena cava, close to the diaphragm, clamp the inferior vena cava with vascular forceps, and cut it off on the upper side of the forceps.

The whole set of actions was hearty and heartily, which scared the people watching the live broadcast!

When Wang Tong and Chen Jing explained, they couldn't help saying: "This may be the smoothest cardiopulmonary surgery I have ever seen!"

After less than half an hour, Chen Cang has skillfully incised the left atrial appendage, drained the lung perfusion, and then cut the ascending aorta at the plane of the innominate artery!

Then the heart and lungs are separated from the bottom to the posterior mediastinum, the lower lung ligaments are ligated and cut, and the heart and lungs are removed from the chest cavity.

When I saw this coming out, there was obviously a beating heart, and the whole live broadcast room was boiling.

Here, Meng Xi had brought the container, and Chen Cang carefully soaked the separated heart and lung tissues in 4℃ normal saline!

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

Chen Cang also began to skillfully change and clean 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 the 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 open the abdominal wall, I heard the sound of Didi!

Very prickly.

Everyone watching the operation was shocked!

"Blood pressure is too low!"

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

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

However, the good times did not last long, less than ten minutes, accidents continued!

"The blood pressure keeps dropping!"

At this time, Zhang Jinfeng was also frowning.

What is the situation of sudden low blood pressure now?

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

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

Just when everyone was a little uneasy, Chen Cang happened to walk in!

"what's the situation?"

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

Chen Cang suddenly frowned: "Is there bleeding?"

The ultrasound doctor hurriedly proceeded to check: "No abnormal uterine bleeding was found!"

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

At this moment!

Both Wang Tong and Chen Jing who were commenting in the live broadcast suddenly became nervous.

There are many people watching live surgery!

Everyone was babbling, no one could explain it clearly.

How can hypotension occur properly?

It's incredible.

"Blood pressure 6030mmHg!"

"Still declining!"

The sound of the alarm sounded like a reminder, making everyone's heart throb!

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

This was the first time they saw the danger of surgery.

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

It really is that the risk always occurs where you can't see it!

Happened in a way you never expected!

Zhang Jinfeng thought of abnormal fetal position, thought of abnormal umbilical cord, and even thought of hemorrhage during the operation, but he never thought that such a thing happened in the beginning!

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

But I can't figure it out.

The people who watched the operation were unconsciously sweating!

Suddenly now, will they die at the same time?

Thinking of this, everyone became scared!

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

indeed!

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

It is even possible that the patient died suddenly!

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

This is a living life!

It's gone if you die!

So everyone can't be afraid?

Even looking at this scalpel, there is a feeling of being on me!

At this moment, Chen Cang looked at the patient's various situations and carefully analyzed the four-dimensional model in his mind.

Diagnostics has reached an unprecedented level of tension!

What can induce hypotension!

This is not a guess, but a diagnosis and treatment must be made within a few minutes.

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

Bleeding?

No!

Underperfusion?

Not really!

...

Various inferences flashed through Chen Cang's mind.

at last!

His eyes lit up!

He found it.

The reason is found!

Chen Cang looked at the anesthesiologist and asked, "Is it epidural?"

The anesthesiologist nodded quickly: "Yes!"

Thinking of this, Chen Cang said quickly: "Use 20mg of ephedrine intravenously and stop the operation until the blood pressure rises!"

"Oxygen increases flow stimulation!"

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

Before long, the drug injection is finished!

Everyone started to wait.

Somewhat uneasy.

Can it really recover?

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

Not only in the operating room, but even everyone watching the operation felt frightened and fearful!

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

After three minutes passed, the nurse said in surprise: "Blood pressure has risen!"

"3670mmHg!"

"4580mmHg!"

...

After hearing the sound, everyone was overjoyed!

Watching the live broadcast, I don’t know how many people all got up and celebrated!

"Chen Cang is awesome!"

"I, Cao, this is too awesome!"

"I was shocked just now, watching this is more scary than watching a horror movie!"

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

"Who would say no! But this Professor Chen is really awesome, he can catch him!"

"This is probably a master!"

"Yeah, what is the reason?"

No matter how excited the outsiders are, everyone is calm in the operating room!

Then Zhang Jinfeng started the next wave of operations with everyone!

It seems that the matter just now is very trivial!

Isn't it...not worth the excitement and celebration?

All of a sudden, the barrage appeared:

"Isn't this worth the excitement?"

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

"Before the operation is over, any stage of victory is trivial!"

"This... is surgery!"

"It's hard!"

"Are there any masters? Explain what happened just now?"

Here, Chen Jing and Wang Tong also saw everyone's chat.

Explained: "As you can see, there will be various things in the operating room, you will never think of what will happen next, and again, every minute is precious and must be dealt with."

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

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

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

"However, you have to consider that the patient is a severe pulmonary hypertension patient. Therefore, after the combination of the two, due to the sympathetic nerve block, the additional myocardial contractility will be weakened, and the effective circulating blood volume will decrease, resulting in high blood pressure!"

Wang Tong said with some emotion: "In fact, these are the results I got after hearing Teacher Chen's plan!"

After speaking, Wang Tong explained: "So, the surgeries that everyone sees are definitely not just hands-on ability, but a comprehensive ability. Medicine requires not only the spirit of craftsmanship, but also the thinking of mastery."

Hearing Wang Tong's explanation, everyone was full of emotion!

"This is too difficult!"

"Yes!"

"I wish I could meet someone like Professor Chen during the operation!"

"Surgery is too dangerous, cherish your life!"

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

...

Looking at the barrage, Wang Tong suddenly felt that although Professor Chen’s live operation was difficult, it might be really effective!

The operation continues!

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

Zhang Jinfeng personally operated the knife and carefully explored the abdominal cavity, for fear of an accident.

Afterwards, she cautiously pushed her bladder away, exposing the lower part of the uterus.

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

This is the first time everyone has seen giving birth!

Originally thought it should be very simple, but... when they saw the blood sparkling scene, they were all silent!

Seeing a knife cut on the womb, blood was poured out, everyone's expression changed!

This may be the first time an ordinary audience has seen a caesarean section so clearly!

Even many parents call their half-old children around and open the video for them to watch!

Let them see with their own eyes, your mother was born under such pressure and pain.

Having a baby is really not so simple, so beautiful, this is an operation!

There may be heavy bleeding, and there may be death.

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

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

Watching the fetus take out from the womb, clean up the uterine cavity, suture the uterus...

There really is nothing beautiful at all.

This may be what surgery should look 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, mother!"

This greeting made all the people who had seen the operation stunned!

Everyone looked up at their children, and there was a feeling that they couldn't tell!

Is happiness?

Is it grateful?

then what.

Chen Cang himself did not expect that this time the operation would have such unexpected results.

At this time, guests Wang Tong and Chen Jing couldn't help but feel happy watching the various voices about their mother on the barrage.

Perhaps this is also a correct guide!

Let many children really understand some things they need to understand!