Chapter 1071

The anesthesiologist is OK. The operation is really on.

Jiang listened to Xu's calm command:

"disinfect the skin."

The assistant started immediately:

"yes."

After the skin was disinfected, Jiang Tingxu opened his mouth again:

"scalpel."

The assistant handed over the 22 piece scalpel for thoracotomy.

At first, we still had doubts about the sudden emergence of a young Chinese woman doctor, but the layman watched the excitement, and the expert looked at the way of doing things, and then we knew that people were really powerful.

The scalpel cut the skin at once, quickly and decisively. Basically, it's the old master with many years of experience.

"Tweezers with teeth."

...

"electric knife."

The electric knife cuts through the subcutaneous tissue and muscle layer, and the sound of zizizi sounds vividly, even with the smell of barbecued pork kebabs.

Assistant does not need to prompt, dry gauze swab blood.

"Right angle pliers."

Calm, serious, solemn, at this moment, all jump in the face of the woman who is undergoing thoracotomy.

At this point, no one in the team questioned anything.

After the sternum was separated, the connective tissue was loosened.

Quick, hard, accurate!

It's really admirable.

"Sternal saw, one helps bone wax to fill the bone marrow cavity to stop bleeding, and the other helps periosteum electrocoagulation to stop bleeding."

“ok！”

“ok！”

Skilled with the sternum saw, find out the location, and then directly start to cut the sternum longitudinally.

As soon as the sternum saw began to work, the roast pork seemed to grow stronger and stronger.

No wonder surgeons seldom order barbecued pork kebabs outside.

This TM eat can think of the operation when the skin is raw, blood dripping picture, who can still eat big heart?

"Chest brace."

The sternum has been sawn, and the next step naturally needs to be opened to see the situation inside, so as to proceed to the next step.

The assistant had the ground cardiac forceps, tissue scissors and electric knife. Although it was the first time to cooperate, all the staff on the scene were very experienced. Therefore, there was no case that they could not cooperate with each other.

Jiang listened to Xu's movements a lot lighter. He carefully separated the loose connective tissue on the pericardium surface and thymus to the aortic pericardial fold. After that, the pericardium was completely opened.

"7x17 round needle, 4 silk thread."

The assistant again handed over what Jiang Tingxu needed.

The open pericardium needs to be suspended.

Until now, the operation is really the official start.

"Heparin was given intravenously to establish cardiopulmonary bypass. The dosage of heparin was 3mgkg, and was pushed into the central vein

"Copy, heparin 3mgkg, central venous push in."

After that, the aorta was intubated, sutured and perfused, the superior and inferior vena cava were blocked, and the purse string was sutured.

After cutting the adventitia of aorta with forceps, the aortic cannula was inserted, the purse string was tightened, and the blocking tube and aortic tube were fixed. After exhausting, the cardiopulmonary bypass machine was connected.

"Cardioplegia was infused with 10-15 ml kg cardioplegia, and the heart surface was covered with ice for cooling."

"Yes, cardioplegia perfusion, 10-15ml kg, heart ice cooling."

Assistants and nurses work together, and some columns are done very quickly.

"Scalpel 11, heart forceps."

At this point, the incision is started, and the tissue shear expands the incision.

When you see that the heart really has seven holes, although you have already known in color Doppler ultrasound, you can really see it, and all of them are shocked.

Seven holes, some are "living holes" will have blood through, which requires medical surgery to block.

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