The Godfather of Surgery

At this time, Professor Liang was also nervous, and he was very confident in the operation.

But the current ECG waveform clearly indicates that the cardiac arrest is about to happen. In his experience, he can't last for three minutes.

No, look, the patient is dying?

Professor Liang immediately told his judgment to Professor Su and Professor Qin beside him.

Professor Su became even more nervous, grabbed his mineral water, twisted the bottle cap hard, took a sip, and was shocked.

Being able to do this step has pushed the level of this type of surgery to several steps! said Professor Su.

Su Nanchen and Song Yun, these young doctors, were completely immersed in the smooth operation of the operation, and the sudden changes woke them up like a dream.

What's wrong?

Huang Jiacai is not a doctor, but at this moment in the atmosphere of the venue, he also understands what is going on.

Fujiwara's father is afraid that he will die.

Lao Cheng was frightened by the sudden change in his heartbeat.

Several professors at the University of Tokyo also breathed a sigh of relief at this time.

Looks like the model is correct?

There's definitely something wrong with the model. Our simulation didn't get to this point at all, and the patient couldn't.

But the ending is the same!

With the continuous improvement of the model, the optimization of the algorithm, and the improvement of the data, there has never been a simulation failure in the past five years.

Between the previous lessons, Komori Daisuke and Mitsui did not shout.

Masao Fujiwara had already stood up. He looked at the screen and then at his uncle, who was covered with sterile sheets. The ECG was so erratic, he was afraid it was the last insistence. safe distance.

Clinical events sometimes evolve slowly, sometimes suddenly.

Fujiwara Masao is also used to it, they have to accompany their uncle on the last journey.

What's wrong? Miyuki asked in a low voice.

Masao Fujiwara grabbed Miyuki's outstretched hand and remained silent.

This sudden change, judging from experience, has no hope of going through the surgery safely.

I'm afraid -- that's it!

Professor Fujiwara!

Komori and Matsui came behind Fujiwara, and Professor Fujiwara waved his hand.

Go with the flow, in this case, any rescue is useless.

At this point, the compensatory capacity of the heart and medulla oblongata has been exhausted, and rescue is futile.

And the main surgeon is still immersed in surgery, so let's go with the flow.

Suddenly, the heart rate rose, which had dropped to a dozen times, and had been rapidly soaring to nearly two hundred beats per minute.

Everyone's heart followed the heart rate to the throat, and then, after less than two seconds, the heart rate fell like a cliff.

Finally, as expected.

Like an elevator that fell out of control, after the fall, there was peace.

All ECG waveforms disappeared, showing a straight line.

The entire heart stops electrical activity and mechanical contraction, the P wave and QRS complex on the ECG disappear, showing a straight line directly, the heart's outward pumping disappears, and the blood supply to all organs is interrupted.

It was like a power outage in a city, instantly plunged into darkness.

rescue?

Meaningless!

Everyone knows that the patient can't hold it anymore, but they didn't expect it to be so fast.

Miyuki leaned her head on Professor Fujiwara's shoulder, bit her lip, and Fujiwara patted her back: Be strong, what should come will always come!

Everyone felt that something was to be done at this time, but Yang Ping's hand didn't stop.

Song Zimo and Xu Zhiliang focused on following Yang Ping's rhythm.

Masao Fujiwara looked at Yang Ping silently, and was impressed by this focus, which was also respect for life, and truly went all out.

Komori wanted to tell Yang Ping that the patient had no signs of life.

Masao Fujiwara blocked Komori, shook his head, and signaled, Don't disturb him!

At this time, keeping quiet is the greatest respect for the chief knife and the greatest respect for the chief knife's efforts.

The entire operating room fell silent.

But the doctors and nurses on the operating table are still focused on the operation.

The instruments were handed over one by one, as if the patient were still alive.

Fatty Liang stared at that straight line and was about to speak.

Yang Ping spoke: Calm down!

Well! Calm down!

Fatty Liang sat down, habitually raised Erlang's legs, and tidied up the pipes of the anesthesia machine.

The exposed ankles made the Japanese hand-washing clothes look like cropped trousers.

The hanging liquid has stopped dripping, and there is no flow in the tubing of the infusion set. Zhou Can looks at Fatty Liang.

The fat man just said, Calm down!

Calm down!

Zhang Lin told Komori, Matsui and others to keep quiet.

Except for the word calm, Yang Ping never spoke again.

Time passed by minute by minute.

One minute, two minutes, three minutes—

When eight minutes passed and the heart stopped beating for ten minutes, everyone seemed calm.

The end is set!

Can be declared dead!

Whether he is the president of a generation of consortiums or a street beggar, he cannot escape the laws of life in the end.

——

Ten minutes! Death can be declared.

Ito let out a long sigh.

It has been very successful, and maybe in a few years, with this kind of case, he will be able to succeed.

Ikeda felt very sorry.

What a persistent young man.

Ito sighed.

In the rescue operation of a car accident patient, the injured person died of hemorrhagic shock during the operation. I knew that I was dead, but my hands couldn't stop, and I was still stopping the bleeding and stitching. I remember the director shouting at me--Ikeda , that's enough, stop, she's dead, she's been dead for a long time, you're a doctor, you should keep your profession calm and objective, stop, there are more people waiting for you to save, but I can't hear it, I can't hear it at all At that time, I couldn't stand the crying daughter of the wounded, the heart-piercing voice of the little girl in the emergency department echoed in my mind, at that time I only had one thought: I want to save her, I want to save her, I want to save her !—At that time, I should be thirty years old!

Ikeda looked at Yang Ping who was still persistent on the screen and recalled his experience when he was young. Tears welled up in his eyes, as if it happened yesterday.

Wipe your tears, the young people behind look at us.

Ito gave Ikeda a tissue.

As a doctor, you are respected wherever you go. No matter who you see me, you will bow and say Mr. In the world, some are the helplessness of human medicine, some are the helplessness of self-medicine, and some are completely my fault of judgment. I often think that if I were to do it again, some people could survive. Ikeda held the tissue, No tears were wiped.

Ito shook his head: This is the helplessness of all doctors. Human medicine is inadequate, doctors' medical skills are flawed, and even doctors make mistakes. As long as we are full of sincerity in our hearts, we don't need to blame ourselves. Just like Dr. Yang, he has Going all out, did not change the outcome, but progress has been made, medicine is like this, little by little accumulation, after a few years, maybe he, or someone else, will definitely succeed.

Are you going to announce the results? Ito remembered that now the patient was dead, and he looked back at the silent venue.

Ikeda shook his head: Wait, keep quiet and let Dr. Yang complete the operation.

The entire venue remained silent.

It has been ten minutes, and it is completely possible to declare death.

Brain cells have died, and cells of various vital organs have begun to disintegrate.

——

The persistent main surgeon still maintains the quality of the operation. Every blood vessel is handled perfectly. The tumor is dug out from the medulla oblongata and the upper cervical spinal cord. in the bend.

Thanks for your hard work!

Masao Fujiwara bowed deeply.

Check again under the microscope for bleeding, flush, close!

Yang Ping stood up and handed over the follow-up work to Song Zimo and Xu Zhiliang.

He turned to look at the ECG line on the screen and kept staring.

Dr. Yang?

Fujiwara Masao was grateful and reminded Yang Ping.

Yang Ping still looked at the screen: The operation was a success!

very successful?

The patient's heart stopped beating for twelve minutes!

There are 30 seconds left, and the heartbeat will recover. Once the heartbeat recovers, use the medicine according to the principles of advanced cardiopulmonary resuscitation. After recovery, there will be no neurological sequelae. Yang Ping said calmly.

This is an extremely low-probability strange event that it simulates countless times in the system space - Lazarus Syndrome!

This patient will dead and come back to life!

Since it was reported in 1982, there are currently only more than fifty cases reported worldwide.

Lazarus syndrome, after the failure of cardiopulmonary resuscitation, stop all rescue measures, including stop chest compression, ventilator-assisted breathing, stop infusion, stop the application of rescue drugs, and spontaneous circulation recovers for no reason, so it is also called delayed spontaneous circulation. recover.

In layman's terms, dead and come back to life!

There was once a patient who had been declared dead, was dragged to the morgue, and finally survived, climbed out of the morgue, and ate at a restaurant near the hospital. It happened to be seen by the doctor in charge and thought it was a ghost.

However, the probability of this dead and resurrection is extremely low.

Although this patient did not perform cardiopulmonary resuscitation and other rescue due to various reasons, and resumed spontaneous breathing after stopping for 12 minutes, it can also be classified as Lazarus syndrome.

Although I knew that Yang Ping's words were ridiculous, everyone was very heavy at this time.

Every doctor wants what he says is true.

Thirty seconds!

Fatty Liang stared at the monitoring screen and prepared the resuscitation medicines ready for application at any time.

When the thirty seconds comes, really, really!

The dead line began to move, moved a few times, and then began to wave.

Finally, clear P waves and QRS appeared!

Resurrection, really resurrected!

Fujiwara Masao looked at Yang Ping like a dream.

No measures were taken, and the patient on the operating table was revived.