Chapter 437 Resurrection from the Dead
Ga!
A voice came out of Luo Hao's heart.
Is there a pulsation in the blood vessel above the clamp? ! Real or fake? Why is there pulsation!
Could it be that the patient really came back from the dead? !
Although similar situations are rare, it is definitely possible. Luo Hao did not hesitate or question.
Luo Hao turned around and hit Feng Zixuan's shoulder with his arm, causing Feng Zixuan to stagger.
"Connected to ECG monitoring, anesthesia, 100% pure oxygen." Luo Hao took a look and started giving medical instructions before anyone could react.
"Epinephrine, 1 mg, intravenously."
"New triplex, give it to one group."
While giving the doctor's orders, Luo Hao turned on the AI assistance and got a diagnosis! !
Damn, Lazarus Syndrome is really happening.
"Director Xu, continue the operation!" Luo Hao saw that the nurse's heart rate showed sinus rhythm after reinstalling the ECG monitor, 90 beats/min, and his voice became more rapid.
"Ah?" Bath Xu was stunned.
"People are alive."
Luo Hao turned around and brushed his hands.
Encountering such a hellish situation, Luo Hao was worried about whether Director Xu could handle it. He simply went to the stage. Since he encountered Lazarus Syndrome, he must make sure the patient survived.
This was the first time Luo Hao encountered this rare situation.
The operating room was quiet. Director Xu, who was explaining local anatomy just now, was staring at the ECG monitor in a daze.
Although the situation belongs to the urban legend of seeing a ghost, Director Xu still showed the basic qualities of a professional practitioner.
After Luo Hao gave a few medical instructions, Director Xu took over and continued to preside over the rescue.
Feng Zixuan's eyes were fixed. He did not look at the patient, but stared at Chen Yong's back.
It is said that this Jianghu nickname is Chen's little brother, and his status is not able to attract Chen Yong.
But usually he respects himself, obeys Luo Hao's advice, and knows how to behave even when he is joking. Chen Yong's performance was too ordinary and could only be regarded as an ordinary outstanding level, so that he actually ignored the legend.
How did he know? !
Feng Zixuan's eyes had narrowed and he was staring at Chen Yong.
But Chen Yong no longer calculated, but quietly stood behind Director Xu to watch the operation.
Looking at Chen Yong now, he looks like an ordinary clinical doctor. There is nothing magical about him at all.
Luo Hao finished brushing his hands and went directly to the stage.
No one raised any questions, and Isuke even gave up his position to Luo Hao.
Luo Hao was not polite and began to cooperate with Director Xu in cutting the thoracic aortic aneurysm.
"Anesthesia, how is your blood gas?" Luo Hao asked.
"It can't be measured." The anesthesiologist following the stage was dumbfounded and did everything based on instinct.
"Chen Yong, go draw arterial blood and measure blood gas at any time." Luo Hao said in a deep voice, "Just tell me if you feel you are brain dead."
"It still makes sense now." Chen Yong gave Luo Hao a positive reply.
Luo Hao thought so after considering the opinions of Chen Yong and the AI assistant.
The surgery continues.
After 20 minutes, the patient's blood gas analysis began to show numerical values.
"It is estimated that there will not be much damage to the nervous system and brain tissue." Chen Yong and Luo Hao expressed their thoughts.
Luo Hao did not question Chen Yong's statement at all, nor did he come up with a lot of theoretical refutations, but looked happy.
Then Feng Zixuan saw the speed of the operation speeding up.
He had never seen Luo Hao perform surgery at such a fast speed. The surgeon had unknowingly changed from Director Xu to Luo Hao, and Director Xu was a bit reluctant to be an assistant.
Luo Hao didn't rush. He increased the speed and then slowly slowed down, adapting to Director Xu's hand speed.
After the artificial aorta was anastomotic, Luo Hao breathed a sigh of relief and looked up at Chen Yong.
"It should be fine." Chen Yong gave Luo Hao a positive answer.
"Ronald, what's going on? Is it haunted?" Director Xu smiled bitterly, "I've seen cases where there was no spontaneous heartbeat after the heart was pressed for half an hour, and when I turned around to talk to the patient's family, the patient woke up directly. But this..."< br>
"Oh, Director Xu, I think it's Lazarus Syndrome." Luo Hao replied calmly.
"I really want to see this name. It comes from the Bible." Director Xu began to search for the bleeding point. He cut a piece of pericardium and prepared to sew it at the aortic anastomosis.
"Well, it does come from the Bible, the Gospel of John."
"Does it happen often?"
"Very few, only a few sporadic cases around the world."
"For example, a few recent cases-in 2014, a 91-year-old Polish woman named Yanina woke up in the refrigerated room of the morgue after being declared dead.
A 78-year-old man in Mississippi, USA, was found to have stopped pulse by a nurse at a hospice care facility and was declared dead after clinical evaluation. As a result, he crawled out of the body bag in the morgue the next day.
A 24-year-old Kenyan man committed suicide by taking pesticide orally, but he woke up about 20 hours later and knocked on the morgue to call for help, scaring several hospital nurses unconscious. ”
"What happened to Lazarus?" Director Xu asked while sighing.
"In order to prove his miracle, he predicted that the dead Lazarus would be resurrected.
Four days after his death, Lazarus emerged from the cave where he was buried.
Lazarus is therefore associated with the concept of resurrection from the dead.
"Lazarus syndrome" was first reported in 1982. Up to now, a review has reviewed 111,372 documents, of which 53 documents reported a total of 63 patients with this phenomenon. ”
"There are only 23 documents that I think are credible... now, it should be 24 documents." Luo Hao replied.
The patient in front of me is also a patient with Lazarus syndrome.
"Why? The person is obviously dead. We all saw it just now. This was a ruptured thoracic aortic aneurysm! Under the circumstances at that time, I don't think a thoracotomy was necessary." A doctor behind him asked in surprise.
"The mechanism of this situation has not been studied clearly. There are many speculations about Lazarus Syndrome in the industry, but they are just speculations. After all, most people have never encountered a similar situation. By the way, Chen Yong, put it All data is brought back.”
"Remembering." Chen Yong was busy and replied smoothly.
"One of the most mentioned theories is that hyperinflation leads to high levels of PEEPi, which increases intra-alveolar pressure and thoracic pressure, compressing the pulmonary circulation vascular bed, great blood vessels and the heart to a certain extent.
This situation may lead to obstruction of venous return and even cause cardiac arrest, resulting in Lazarus phenomenon.
After stopping cardiopulmonary resuscitation, these accumulated pressures will gradually be released to allow autologous circulation to resume, and the heart will beat again. ”
"The second theory is that it is the accumulation and hysteresis effect of the drug.
Researchers believe that the Lazarus phenomenon occurs because the patient's venous return is blocked, and it may take some time for rescue drugs such as epinephrine to reach the target organ with the blood circulation after being injected through the peripheral vein.
When the venous return is restored, the drug begins to take effect and the person is saved. ”
"A third scenario is that some patients who develop the Lazarus phenomenon also have hyperkalemia.
After the blood potassium returns to normal, it will still take some time for the high potassium in the intracellular fluid to be corrected. High potassium in the intracellular fluid can reduce myocardial contractility and self-discipline, thereby causing cardiac arrest. ”
"But the patients we met clearly had nothing to do with any of this."
Luo Hao explained while lowering his head to perform the operation.
Data and theories are at your fingertips, effortlessly.
Feng Zixuan looked at Luo Hao silently, and looked at Chen Yong silently, with a blank feeling in his heart.
Chen Yong no longer watched the operation, but went to the anesthesiologist to sort out the data.
Even...I don't know when Liu Yiyi came in. She was responsible for collecting information related to anesthesia.
Without Luo Hao's command, Chen Yong knew what Luo Hao needed.
Luo Hao's medical team had begun to operate without him realizing it. It seemed to be an organism, full of vitality.
Feng Zixuan doesn't care about Lazarus syndrome or anything.
Clinically rare diseases, as long as the patient is not pushed out or "resurrected" in front of the patient's family, it doesn't matter.
If you encounter this kind of thing once in your life, it will be overwhelming.
What Feng Zixuan noticed was that Luo Hao's medical team was like his second black, without even a rustle, it was already running with the pace of disowning relatives.
Paper +1?
Maybe.
But Feng Zixuan thought there was more to it than that.
However, after Xiao Luo came to the First Hospital of the Medical University, Feng Zixuan became a knowledgeable person. He didn't really care about the number of papers.
In less than a year, Luo Hao's medical team has already begun to "self-awaken". It has become self-aware and can operate on its own.
Feng Zixuan watched all this silently, with mixed feelings in his heart. It would be great if all medical teams could be like Luo Hao's medical team.
Not long after, the phone rang.
Feng Zixuan took a look and saw that it was a call from Dean Jin.
He left the operating room with his cell phone, answered the call and headed straight to the dressing room.
"Dean Jin, patient..."
"We are ready for the meeting, where is Ronaldinho?" Dean Jin asked directly.
"That's right, the patient you mentioned has a minor condition."
Feng Zixuan began to explain Lazarus Syndrome to Dean Jin. The patient "came back from the dead" and is now undergoing surgery.
Although he couldn't see the expression on the other side, Feng Zixuan knew very well that he made Dean Jin stunned for a moment.
There are many related rumors in the hospital about resurrection from the dead, but most of them are urban legends.
Today, Feng Zixuan himself witnessed a patient "resurrected from the dead."
He softly described the situation.
"This is not nonsense!" Dean Jin scolded, "The patient has been losing blood for a long time. Even if he is rescued, he is still brain dead. Don't think that I don't know what you are doing, so why don't you die on the operating table?"< br>
"Ronaldinho and Xiao Chen said there should be no neurological symptoms."
"No neurological symptoms?! Feng Zixuan! Are you a medical professional?" Dean Jin was angry.
"The operation is being performed and the patient's vital signs are stable." Feng Zixuan emphasized.
In fact, he has already said too much. In the past, Feng Zixuan would only listen to Dean Jin scolding him quietly and would never hold his tongue.
But today, for some reason, he suddenly said two more words.
"Okay, let me take a look." Dean Jin hung up the phone.
Feng Zixuan stared blankly at the sky across from the glass window, his mind in a mess.
..."Ronald, are you sure you are not brain dead?" Director Xu performed the operation stitch by stitch.
"I'm not sure, but I have to give it a try. Living alive and dying on the operating table are definitely different. And, what if. Click~~~" Luo Hao's hemostatic forceps clicked to death.
Director Xu immediately used No. 1 line to perform the ligation.
Although it was the first time for the two of them to cooperate in an operation, they had a tacit understanding. Those who didn't know it would have thought that the two of them had cooperated for more than ten years.
"This is really uncommon. This is the first time I have encountered it. In the past, I always listened to people tell it as stories." Director Xu was still frightened, "Ronald, have you ever encountered this when you were at Xiehe University?"
"I have never encountered this before. Xiehe still focuses on chronic diagnosis. By the way, I remember that starting in 2000, the Ministry of Health at that time required chest cardiac compression to last at least 20-30 minutes. At that time, many doctors had objections."
"Well, I had my objections at the time, but some patients were indeed pushed back." Director Xu said in a sullen voice, "Now, I have gradually accepted it. But this situation always feels like it is haunted. Now I just I’m doing the surgery based on instinct, my mind is empty.”
"After doing more clinical work, I become more and more superstitious." Director Xu sighed.
"It's okay. I also find it very incredible. Once all the information is collected, I will ask the clinical teachers in various groups to see what everyone thinks."
"Will there be a conclusion?"
"I don't know. It's possible. After all, everyone's experience is different. There may be teachers who have encountered similar situations and put forward constructive suggestions."
Luo Hao said and paused.
"But there should be no hope of reaching a conclusion about this. We can only talk about it as an individual case."
"Ronald, you did a good job in cardiothoracic surgery. I think your stitches were a bit tricky when anastomosing the artificial blood vessels." Director Xu praised.
"Director Gu from 912 brought me the yellow throat he bought when he was teaching me. I made the yellow throat bar for about 12,000 yuan. Now I feel sick when I see the yellow throat. When I eat hot pot, my fingers will move. I want to wear all my yellow throat.”
"!!!"
Director Xu was stunned. The scope and degree of the training operation could be measured in 12,000 yuan. This unit of measurement... I am afraid that Mr. Ying's coffin board would not be able to hold it.
But for a 12,000-yuan Huangthroat, the training intensity is indeed high. No wonder Ronaldinho is so skilled at anastomosis of blood vessels.
"How long did it take?"
"It took me more than a month to sew the yellow throat to shreds, and then I found the feeling that Boss Zhou said, like a cook trying to untie a cow."
"..."
Director Xu understood every word Luo Hao said, and he burst into tears.
I thought that I had worked hard and had enough rolls, but I didn't expect that Xiehe had already rolled up to the sky.
No, it's 912.
Director Xu was in a daze.
"Director Xu, Professor Luo."
Dean Jin's voice came.
"Dean Jin."
The two said hello.
"How are people?"
Director Xu didn't speak, and Luo Hao didn't speak either. The atmosphere in the operating room was particularly awkward.
"Huh?"
Luo Hao lowered his head for surgery without saying a word.
Not only Luo Hao, but also Liu Yiyi and other people in Luo Hao's medical team were busy, but since Dean Jin came in, Liu Yiyi disappeared without a trace as if he teleported.
Chen Yong was even missing.
Feng Zixuan is professional and has no laugh.
The people Luo Hao brought out were all more like dogs. When it was their turn to take the blame, no one said anything. They would dodge and dodge when they could, and they were determined not to stand out.
"Director Xu!" Dean Jin was a little angry.
"Now it seems that he can survive. No matter how much more, I can't say." Director Xu said bravely.
"How long did the patient's cerebral ischemia last?"
"..." Director Xu was speechless.
He probably knew that, but the patient's vital signs were now stable, so he couldn't just push it out with the chamber open.
Director Xu is a relatively kind and dull technical talent, and he is always like this, otherwise everyone wouldn't make fun of him with homophones like Bathing Xu.
Something was wrong, and Director Xu didn't know how to explain it.
He looked at Luo Hao with help-seeking eyes.
Luo Hao understood and looked up at Dean Jin, "Jin Hospital, the time should be just between edema and necrosis and no necrosis."
"!!"
"I think, given this old man's fate, he should be fine."
"What fate?" Dean Jin asked in a deep voice.
"Except for being rich and powerful, that kind of life is nothing. If you are really blessed, you can watch TV, tell jokes with your children and grandchildren, and disappear in the blink of an eye. This is great blessing."
"Today I encountered the extremely rare Lazarus Syndrome. The old man came back from the dead. Maybe he calculated the date wrongly. He might come back and extend his life for another ten years."
"Using medical theory, I think the probability of brain death is 50-50, but from a general perceptual point of view, I think it is definitely fine. Even Lazarus Syndrome can occur. If it is really brain death, it would be unreasonable."< br>
Dean Jin took a deep look at Luo Hao.
"Well, the descendants of Fuyin survived the catastrophe." Chen Yong suddenly flashed behind Dean Jin and said firmly.
"Oh?" Luo Hao was surprised.
At this time, using scientific theories can only be perfunctory. It is best to give a rough summary and Chen Yong can draw a conclusion.
"Let's just be perfunctory for now. The result will probably be there within 24 hours. Everyone is alive, so we can't cut off the ventilator now." Luo Hao said in a muffled voice while suturing.
"Okay." Dean Jin didn't know what the pressure was, so he came to the operating room to ask these questions.
"Ronaldo, I'll go to a meeting later."
"Jinyuan, I... don't have time."
"!!!" Dean Jin frowned and glared at Luo Hao fiercely, "There's no time, isn't it done?"
"The patient has suffered great trauma, so it is better to end the operation as soon as possible. Director Xu and I cooperate tacitly, and it is estimated that the patient can lie in the ICU with only two points." Luo Hao was also helpless.
"Here comes the TV station." Dean Jin said solemnly.
"As long as the director is here, I won't show my shame. I can't speak when there are a lot of people. My hands and feet are shaking and I want to go to the bathroom. I'm not afraid of your jokes. You can see that I can talk now, but when there are a lot of people, I can't talk. Please speak more. What you shouldn’t say will cause trouble in the hospital.”
Luo Hao said he wouldn't go.
"..."
Dean Jin sighed deeply.
Luo Hao is a bitch. It's really hard to catch him. He's so slippery that he can't hold back.
"You guys go ahead and go to the meeting when you have time." Dean Jin didn't want to say harsh words to Luo Hao, so he finished speaking lightly and walked away lightly.
Feng Zixuan looked back at Luo Hao and then left.
"Xiao Luo, is this really true?" Director Xu asked honestly.
"Ha, how is that possible?" Luo Hao said with a smile, "Director Xu, your back hand is a little higher, I can't see it."
Director Xu raised the back hand of the pliers.
"That's what I said, and I said something nice. If there are any sequelae in the future, the family members of the elderly will not be too disgusted when they see the elderly."
People's hearts are like this. Director Xu is transparent, but he didn't expect that Luo Hao is also transparent.
"They also said that my classmate's grandma really died like this." Director Xu sighed, "I watched TV at noon and said that my day was almost up. I got up and walked around the old house and came back to say goodbye to my children. , then take a shower, change clothes, and leave cleanly.”
"What a blessing!" Luo Hao praised.
"Yes, sometimes I really want to learn how to keep healthy, but I am afraid of being cheated. Xiao Chen, do you know how to do it?"
"Director Xu, I can't."
"Harm, I just want to learn how to maintain good health. Why are you so cautious?" Director Xu smiled slightly.
"Director Xu, he doesn't know how. I will go to Funiu Mountain in a few days to learn something from Taoist Qi and come back to discuss it with you." Luo Hao took over the conversation.
Director Xu nodded and began to concentrate on the operation and stopped chatting.
The excitement passed, and Director Xu gradually calmed down, but he was puzzled as to what the origin of Lazarus Syndrome was.
This thing sounds really close to metaphysics.
Moreover, in Luo Hao's example, someone came to life in a freezer.
It's incredible, like a fairy tale.
One hour and 42 minutes later, after the last stitch was sewn, Luo Hao cut the thread with the thread scissors hooked by the little finger of his right hand.
"Ronald, young people nowadays don't know how to open a chest, but you are so skillful in doing a large chest opening." Director Xu sighed, "When I do surgery with you, sometimes I feel a little dazed."
"I am more open-minded than what I learned from 912. After all, it is a military hospital, and simple and effective treatment methods must always be retained. Field hospitals do not have so many minimally invasive treatments. Moreover, 912 sends people to the United States every year to learn the treatment of gunshot wounds. Treatment." Luo Hao replied with a smile, "Director Xu, I'll give it a try and won't write any surgery records."
"Okay, you go ahead and I'll report to you if anything happens."
"Director Xu, you can't be joking like that. I will go to the ICU and report to you if I have any problems." Luo Hao bowed slightly and spoke in an extremely gentle tone.
Director Xu smiled.
This little guy Luo Hao is indeed interesting. No wonder Shen Zizai holds his head high when he goes to the Xiaozao cafeteria to eat.
In the past, Shen Zizai was not like this. No one listened to the words of a small department director who had no sense of his presence.
But now, it's completely different.
Shen Zizai was confident when he spoke, and his face was glowing, unlike before.
I really have to get closer to Ronaldinho when I have time. It seems that it was Ronaldinho's assistant Chen Yong who discovered that the patient "survived" at that time.
Director Xu was full of messy thoughts and sent the patient to the ICU.
Out of caution, we did not allow the patient to breathe on his own, so we were prepared to wait 12 hours and wait until early tomorrow morning.
After all, there was so much blood, so we had to be careful to prevent post-operative D.I.C.
……
Luo Hao changed clothes while Chen Yong waited in the locker room.
"Lao Fan and the others were taken back by the director." Chen Yong said with a smile, "You really didn't pick them up."
"It's annoying to have too many people." Luo Hao took a deep look at Chen Yong and said, "Tell me how you calculated it."
(End of chapter)