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第1236章 夺命手术

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林紫施见院长走了,这才松了一口气,发现还愣在洗手台前发呆的杨伟与候辟谷,不由就问:“你们两个进不进去!”

杨伟与候辟谷想起刚才盛怒之下院长大人说的话,赶紧的摇了摇头。

林紫旋狠狠的鄙视着两人,“没骨气!”

正在这个时候,包心惠与卫松良从外面急匆匆的走了进来,二话不说就开始洗手。

候辟谷就道:“包医生,卫医生,你们别进去了,院长说了,谁进去他就开除谁?”

包心惠与卫松良互视一眼,什么话也没说,继续洗手,完了之后就径直进了手术室,仿佛完全没有听到候辟谷的话一样。

无影灯下,手术正式开始了。

古枫看了一眼墙上的时钟,刚好中午十二点整。

托拉夫在一边补血,一边给予心脏药物的双管齐下之下生命体征虽然低危,但堪堪保住了心跳。

在手术开始之前,严新月还是忍不住忧心忡忡的问:“古枫,你确定真的要做用不停跳搭桥吗?我的建议还是稳妥一点,建立体外循环吧!”

古枫想也不想的点头,“他的冠状动脉狭窄是遗传性的,心肌原本就缺血,如果一停跳,缺血的情况就会更严重,就算手术成功,以后也难免这样那样的并发症。而且刚才检查的时候你也看到了,他除了冠状动脉狭窄之外,并没有间隔穿孔,瓣膜病变,又或是畸形等病变存在,这是最有利于不停跳搭桥术的条件,所以我们要么不做,要么在不停跳的状态下做。老师,不用担心,不停跳心脏搭桥这种手术,咱们以前又不是没做过。”

严新月并不像他那么乐观,不停跳心脏搭桥术,就像是那个主动脉夹层瘤手术一样,她和古枫确实是做过,而且还不只一次两次,但绝不是在活人身上做的,而是在那些动物身上做的。

人和动物的区别在哪里,不用说大家都知道。

“好,就算这个勉强可以一试,那他的麻醉呢?恶性高热是完全用不了麻药的,因为一旦出现了高热,就算用丹曲洛林也未必控制得住,何况你现在还没有那种药物。”

这个问题,才是关键中的关键,如果没办法麻醉,再精湛的外科技术也是白搭。

不过这个纠结着所有人的问题,在古枫看来,完全不是问题。

只见他扬起了手,数根银针已经在无影灯下闪闪发光。

“麻醉不一定要用麻药的,我中华医术博大精深,针法如果用得巧妙适度,同样也可以起到麻醉的作用,不过时间有限制罢了,也正是因为这个时间很宝贵,所以我才决定用不停跳的办法来缩短手术时间,因为如果建立体外循环的话,手术时间会加长,银针的麻醉效果绝对拖不到做完整场手术的,所以我希望今天站在台前的兄弟姐妹们能劳记一点,在我给他做了麻醉之后,咱们必须争分夺妙又不出一点状况的完成这个手术。大家有信心吗?”

严新月看着古枫坚定的眼神,心里虽然还是觉得有点悬,但终不住他那慑人的眼神,微不可闻的点头应了一声。

杜蕾歆,包心惠,卫松良等人也跟着应了声。

“有!”

“我听不见!”

“有!”

“我还是听不见!”

“有!”

大声的回应使得整个密闭的手术室都嗡嗡作响,古枫这才满意的点点头,手上的银针不停,一根接一根缓缓的刺进了拖拉夫的身体。

银针一刺完,稍停了几秒钟,古枫就沉声道:“开胸!”

手一伸,刘诗雅就利索的递过了一把手术刀。

古枫接过刀,毫不犹豫在托拉夫的胸前划下……

不停跳心脏搭桥术虽然规避了体外循环的打击,但在手术中除了技术难度外,还是存在着极大的风险,如手术中心脏突然停止跳动,大出血,室颤,感染,围手术期心梗等等!

当然,巨大的风险付出后如果成功,那结果是喜而乐见的,术后病人的恢复是非常理想的,心绞痛,心肌缺血症状可以立即消失,也不会再有胸闷气促等表现,而且长期效果非常好。

一般而言,不停跳下心脏搭桥手术后,病人一般恢复都很快,术后一两天就可以搬入普通病房,三四天就可下地行走,一周可以出院。

手术如果成功,效果当然神奇,可是如果手术失败,像是托拉夫现在这样的状态,那绝对是必死无疑。

所以现在,古枫又是在和死神比速度了。

胸腔层层的被打开,当看见心脏的时候,密切关注着生命体征的卫松良就失声道:“古医生,不好,病人血压不稳,急速下降了!”

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