Du Heng felt that his throat was starting to feel a little uncomfortable again, and he wanted to rub his neck with his hand, but when he reached halfway, he honestly put it down.

"Cough~~~Cough~~~Cough cough"

I raised my chin slightly and felt much more comfortable.

"So what are you doing now?"

"wait."

"Wait?" Du Heng was obviously confused.

What are you waiting for?

Wait until Yao Youshi's heart forces the knife out?

Or should we wait until Yao Youshi dies?

Sun Xin explained at this time, "We are waiting for a call from Libreville. This time the medical team includes Director Liu Qiguang of the Cardiac Surgery Department of the First Hospital of Capital University. He is a master in this field. We need his guidance to go there."

Proceed next.”

"Telephone communication?"

"That's all it can do."

Du Heng exhaled slowly, and then he realized that Li Chengzu and Sun Xin were not sitting idly by, but waiting for remote support.

But is this reliable?

Du Heng raised his head and glanced at Sun Xin, Li Chengzu, and several other doctors and nurses who were helping Li Chengzu.

Sun Xin is an experienced anesthesia teacher and an expert who has experienced great storms, so there is definitely no problem in providing anesthesia support for such an operation.

But Li Chengzu still has the same problem as before. He specializes in orthopedics, and now there is a high probability that he will need heart suture surgery. This basically touches his blind spot in knowledge.

As for the doctors and nurses nearby, what Du Heng saw was toothache. Before Li Chengzu came, they had only performed a few appendicitis surgeries.

And Li Chengzu seems to have said that the few appendicitis surgeries did not seem to be done well. I heard that some people had postoperative infections and then died.

Now asking them to perform heart sutures is nothing more than a dream.

Just when Du Heng was thinking wildly, the phone next to Sun Xin rang. After Sun Xin lowered his head and glanced at the phone display, his expression became serious.

The caller should be Director Liu Qiguang, so this means that Yao Youshi's surgery has officially begun.

And Du Heng was very self-aware. He knew that Yao Youshi's heart suturing operation would definitely require a thoracotomy, so he consciously retreated to the outside of the operating table, and stayed as far away as possible, so as not to affect Li Chengzu and others' operations, and to allow himself to see.

Can't see the scene on the operating table.

The efficiency of telephone communication is not high. In the early stage, the other end of the phone basically asked a question, and then Sun Xin here answered.

Because Du Heng was standing a little far away, Du Heng couldn't hear many of the questions that came over the phone clearly. Fortunately, he could hear Sun Xin's answers.

But after listening to several of Sun Xin's answers, his heart grew colder and colder as he listened. Du Heng felt that it would be better not to hear them.

Because Sun Xin’s answer, besides ‘no’, was still ‘no’.

After Sun Xin answered "no" several times in a row, the other end of the phone fell silent, and the operating room also fell silent.

Quiet, too quiet.

In the entire operating room, except for the ticking sound of the monitor, there was no sound anymore. Even the breathing of everyone had been suppressed to the lowest point at this time.

This silence lasted for about a minute before a voice came from the other end of the phone again, but this time the voice was a little more firm than last time.

And as the voice on the phone rang again, Li Chengzu and others who had been stagnant began to move one by one.

Cardiac suturing surgery, more accurately called cardiac penetrating suturing surgery, is to sew the damaged myocardium to stop bleeding, similar to skin suturing.

But the two are completely different.

No matter how severe the trauma is, when suturing, you only need to follow the physiological characteristics and suture them layer by layer. What you need to pay attention to is to clean up well to avoid infection in the end.

But suturing the heart won't work.

Just like Yao Youshi now, taking off the knife in the first step is full of danger, because just a small accident may cause blood to spurt out.

The current situation depends on whether Yao Youshi's luck is good and whether his life should not be cut off.

If the insertion is shallow and the wound is small, then the chance of his survival will be very high. If the insertion is deep and the wound is large, he may be put to rest as soon as the knife is removed.

Fortunately, after some time passed, Du Heng heard Li Chengzu's voice talking on the phone, saying that he had taken off the knife that frightened him.

This made Du Heng, who was on the outermost level, breathe a sigh of relief, but then he became nervous again.

Because this is only the first step, it does not mean that after this step, there will be no danger. On the contrary, every step afterward will be full of danger.

This also made Du Heng feel that his throat was itchy, and he did not dare to cough or make a few noises to relieve it. He was deeply afraid that any noise he made would affect Li Chengzu on the operating table.

Yao Youshi's myocardium was slightly damaged, which was a good thing, but it also meant that the blood leaking from the wound flowed back into the pericardial cavity.

Once the blood breaks away from the blood vessels and enters other places, it will coagulate into clots, so another risk Yao Youshi faces now is pericardial blockage.

So what Li Chengzu has to do now is to quickly suck out the blood accumulated in the pericardial cavity, remove the blood clot, and then quickly find the tear in the myocardium to stop the bleeding and sew it up.

But this time also means the arrival of heavy bleeding. If the danger is to be minimized, then Li Chengzu, the surgeon, must be calm, operate carefully, and the movements must be quick and correct. If there is a slightest negligence or accident, Yao Youshi may not survive.

Already.

Although Li Chengzu is not familiar with this kind of heart surgery, as a mature orthopedic surgeon, he has a steady hand and a strong psychological quality. He can complete every step of the instructions given by Director Liu Qiguang on the phone as quickly and best as possible, and

As a long-term surgeon, his suturing skills are actually not bad, but he has never sutured a heart before.

As the most critical anesthesiologist, Sun Xin now devotes 200% of his concentration.

He does not need to think about the risks during the operation, such as massive bleeding, pericardial blockage and other problems, because he has more important things to do.

In his work, although other aspects are important, he is confident that he can complete them well, but there is only one thing that he must pay attention to at all times, and that is the patient's breathing and heartbeat.

Yao Youshi's situation was not the worst, because he was conscious until the operation, but because his heart was injured, the dosage of the anesthetic became a problem.

It's too small and it won't do the job. It's possible that the person woke up early before the operation was completed and frightened himself to death.

If used too much, the circulatory function will be inhibited, sufficient oxygen supply cannot be guaranteed, carbon dioxide will accumulate, and breathing will cease.

The most worrying thing is the danger that exists from beginning to end, and that is cardiac arrest.

Others can be corrected and rescued through equipment or drugs.

But this cardiac arrest was what they were most afraid of and least willing to see, because the equipment in this operating room was too crude.

However, Yao Youshi was lucky, Sun Xin and Li Chengzu were stable enough, and the operation actually entered the suturing stage without any major risks.

Now as long as the suturing is completed, the wound no longer bleeds, and the chest wall is sutured, Yao Youshi's life can be saved.

As the operation progressed slowly, everyone began to feel relaxed, and even the few people on the operating table who had been arrogant and dared not breathe gradually began to have sporadic exchanges.

Even while Li Chengzu was still taking action, he began to take the initiative to ask Director Liu Qiguang some questions on the other end of the phone.

"Didi didi didi"

Suddenly, the old-fashioned monitor beside him sounded a harsh alarm, and Sun Xin, who had already relaxed, staggered and stumbled forward.

Fortunately, Li Chengzu had strong mental endurance. His suturing hand stopped steadily, but his whole body seemed to have stopped, and his eyes were staring straight at the heart beside his hand without blinking.

watching.

It stopped moving, stopped jumping, this fucking thing stopped moving.

"What's wrong, what's wrong?" An alarm was also heard on the other end of the phone, and then an anxious inquiry rang out.

"Cardiac arrest?!" Sun Xin was still nervously checking the values ​​and Yao Youshi's condition. Li Chengzu, holding a 'needle and thread', hesitantly answered the questions on the phone.

Stop and stop, move and move, but it still sounds like you are unsure.

After hearing the answer, Liu Qiguang on the other end of the phone was silent for a second, and then quickly shouted, "Cardiac resuscitation, quick, do cardiopulmonary resuscitation."

Cardiac resuscitation?

What to do?

Put both hands on your chest?

The local doctors couldn't understand the words on the phone, and they looked at Li Chengzu and Sun Xin in confusion.

Li Chengzu and Sun Xin could understand, but they were also confused.

They understand cardiac resuscitation, which is cardiopulmonary resuscitation. They can use chest compressions, artificial respiration, electric shock, defibrillation and other techniques, plus some auxiliary equipment, to restore the patient's spontaneous circulation and breathing, and help them gradually restore their vital signs.

but...but...

Looking at the heart that was exposed in front of everyone, they couldn't find a suitable technique to apply to Yao Youshi from the first aid methods they already had in their minds.

Chest compressions?

My chest has already been opened, how do I compress it?

Artificial respiration?

Shouldn't this be combined with chest compressions?

Shock? Defibrillation?

Li Chengzu glanced at the defibrillator placed in the corner, and then looked at the heart that was still connected to the sutures. He was not sure, could he really use electric shock now?
To be continued...