"Is it Boss Zheng from 912?" Director Xu asked in confusion.

"Yes." Zheng Ren nodded.

"Why are you here?" Director Xu was surprised and the unpleasantness that had asked him to open it again disappeared.

Seeing Director Xu turning around and going to step down, Zheng Ren hurriedly said, "Director Xu, the operation is not over! Open it first and take a look."

"oh oh."

This time, Director Xu did not insist at all. His principles and positions flew out of the sky with his previous anger.

"Boss Zheng, I have been revered for a long time." Director Xu said, suppressing his excitement: "What are you doing to Director Qiu, he is an anesthesia."

"How do you talk?" Director Qiu said unhappily.

Seeing that Director Xu began to twist the steel wire in reverse, Zheng Ren looked at the waveform of the electrocardiogram and the radial artery pressure curve, and felt that time was enough.

"You're welcome." He said lightly, then said: "Don't withdraw the extracorporeal circulation first, and prepare to establish it again immediately!"

The extracorporeal circulatory master was stunned. The legendary Boss Zheng?! I didn’t see any difference for 6 hours.

No, it’s a big deal to not let the chest be closed. Director Xu and Director Qiu didn’t see any abnormality on the stage. What was the matter if they didn’t let the chest be closed at the last moment? They endured it and slapped it in the face at the last moment?

No, right? The external circulatory master immediately threw away all the messy things in his mind. Boss Zheng said there was something wrong. If he opened it and saw nothing was wrong, it would become a slap in the face, right?

Seeing that Director Xu had a look of admiration, his hands trembling with the steel wire were a little trembling, and he felt it was funny, so he said, "Director Xu, keep your hands steady and hurry up."

"Oh, oh, don't worry." Director Xu was so gentle that he had become a different person, no longer as cold as an iceberg, but responded like an intern.

"Boss Zheng, what's going on?" Director Qiu asked in Zheng Ren's ear.

"The electrocardiogram oscilloscope does not match the radial artery pressure curve wave, consider the mitral valve..."

Zheng Rengang said a little while, suddenly the alarm sounded for ECG monitoring, and then the ventilator began to use a sharp alarm to remind people in the surgery room that there were abnormalities.

"Hurry up! Prepare for extracorporeal circulation." Zheng Ren had already switched to the sci-man mode. In this room, he was the unique king!

Although it was still unclear, everyone in the art room started to move. Director Xu didn't have time to express his admiration with Boss Zheng, and took the time to unscrew the steel wire.

At this time, blood pressure dropped sharply, the peak of the arterial waveform dropped and gradually became straight.

“Dopamine, speed up.”

"Erepinephrine, 1 mg intravenously."

"Another adrenaline!"

"Hold on extracorporeal circulation and prepare to re-establish."

"The chest speed point! Open the mouth according to the change of the flap."

As instructions were issued, the quiet atmosphere in the operating room was gone.

Director Qiu and the tour nurse were busy at the rush, their feet almost touching the ground, and they were flying in the air.

I am most afraid of this situation. Fortunately, Boss Zheng reminded me that it would take 10 minutes just to twist the steel wire. During this period, drugs have to rely on drugs to maintain the patient's vital signs. Judging from the blood pressure, the drugs can still play a little role at the beginning, but soon there will be no use.

Phosphorus-enhancing drugs are difficult to maintain the patient's blood pressure, with an average pressure of 20 to 30 mmhg, and the heart rate also rises to 120 to 130 beats per minute. This does not count. The patient's left-hand spo2 waveform is consistent with the right radial artery pressure waveform, and is also straight.

Needless to say, everyone here knows what a straight line means.

md, what's wrong!

After 20 seconds, the waveform recovered slightly. But before everyone's nervous mood could relax, the straight line appeared in their field of vision again.

This situation occurs repeatedly, and the interval is getting shorter and shorter, and the heart rate also rises to 120 to 150 times/min. The blood flow of the radial artery pressure measuring tube is smooth, indicating that the radial artery pressure measuring tube is normal, not a problem with the machine, but something is really wrong!

Director Xu opened the chest cavity as fast as possible and began to establish an extracorporeal circulation. Because of Zheng Ren and Su Yun's previous reminder, this period of time was shortened to a certain extent.

"Pressure measurement at the root of the aorta!" Zheng Ren said in a deep voice.

Director Xu immediately began to measure the pressure of the patient's aortic root, just like the radial artery... His sweat immediately came down again.

Boss Zheng was not aimless, but saw an abnormality. What was wrong with this? Director Xu felt that his hands were cold, and his movements in front of him became extremely slow, and his whole body seemed to have entered another world.

Not only is the pressure measurement at the aortic root consistent with the radial artery, but the aortic root becomes soft and the valve sound of the biological valve also disappears. This all means something... Something really happened when the position of the valve was changed just now!

Emergency establish extracorporeal circulation and secondary turnaround.

Because of the prior reminder, the preparation time of the extracorporeal circulation machine did not delay the operation. After the heart was opened, the tendon chondrup of the posterior mitral valve broke from the muscles of the mitral valve, causing the tendon chondrup to be embedded in the artificial valve and the valve was stuck.

It's really a silly! Director Qiu and Director Xu looked at the scene in front of him helplessly, feeling horrified.

Free chondrops are removed and continuous sutures are still used to suture the original petals. It is not difficult to deal with it, at least for Director Xu. The final twists and turns lies in the cooperation between the surgeon and the anesthesiologist.

After observing abnormal situations, whether the anesthesiologist knows whether he can remind the surgeon in time is the key to whether he can remind the surgeon in time. Under the pressure of the surgeon's strong aura, not all anesthesiologists can stick to their own judgment and open their chest twice as soon as possible to detect abnormalities.

The mitral valve chondrome is ruptured and the valve is stuck, which is an uncommon complication of valve replacement surgery.

This time, it may be related to the patient's heart failure. Director Xu felt that it was a little innocent. After the valve replacement, he observed it carefully for a few minutes and saw that there was no problem with the mitral valve tendon chondrome, so he continued to the next step.

Who would have thought something happened after closing the chest?

What a fuck! If you want to say that doctors can’t do this job, there are big pits everywhere, who knows which pit will be buried one day?

After the mitral valve chondrome was urgently cut off, the biological valve began to work again, and the alarm sound of the instrument disappeared.

The rest is routine operations. Director Xu looked up at Boss Zheng and whispered: "Boss Zheng, thank you."

"You're welcome." Zheng Ren also breathed a sigh of relief. At first, he saw a vague problem with the pressure curve of the electrocardiogram and the radial artery. He entered the operating room of the system and confirmed that something was wrong.

But why is that guy Su Yun so determined?

Zheng Ren glanced at Su Yun with some confusion.

"What do you think of me?" Su Yun was recording the anesthesia sheet and looked up at Zheng Ren as if he had a sense of induction.

"How did you decide?"

"There is a problem, but it's not sure. It's so clear to see if you're so sure, so it's so simple." Su Yun said, "It's amazing that I'm wrong to open my chest again. It took half an hour of surgery. Let's go back in shame."
Chapter completed!