Chapter 483 Rescue! Rescue quickly!
The medulla oblongata is connected to the upper cervical spinal cord and is about the size of a fingernail, lying under the microscope.
There are large and small nerve nuclei inside, each of which is closely connected to life.
One wrong step with the scalpel and the patient died on the operating table.
Yang Ping began to move slowly, trying to minimize the damage to the tissue by the tip of the knife, and completed every step of the operation with the gentlest and most precise movements.
The laser knife cuts open the medulla oblongata and the cervical spinal cord tissue connected to it, and goes deep bit by bit, very slowly.
The data on the monitoring screen fluctuates up and down, including heart rate, respiration, blood pressure, blood oxygen saturation, etc. Each data represents the patient's vital signs.
Fatty Liang stared at the data on the screen closely, not daring to slack off at all. If there was any abnormality, he would report it to Yang Ping at any time.
Cardiovascular center, cardiac acceleration center, decompression center, cardiac inhibition center, respiratory center-——
Countless centers are all concentrated in this place the size of a fingernail, and the connections between them are intricate. Any slight damage may kill the patient.
You only live once!
The laser knife and bipolar electrocoagulation work perfectly together, and there is almost no blood visible in the surgical field.
This is truly a bloodless operation, the highest level of surgery.
"Every step is extremely dangerous. If it were anyone else, the operation would have stopped here and could no longer continue. Only in his hands can the 0.1 mm laser knife exert its true power." Ikeda muttered to himself.
Ito also held his breath. The more he learned about this operation, the more nervous he became because he knew the risks faced at every step.
The tip of the knife was impartial, cutting between two nerve nuclei, and the tumor was separated from the surrounding tissue little by little under the knife.
"The geomagnetism, celestial phenomena, ocean currents, and air currents of the Great Line are all in chaos. It is difficult for navigators to even confirm their own position, let alone find those islands. The navigation skills and experience in the past four seas are useless, and there is only a recording pointer. And the permanent pointer is trustworthy. Now we are facing this great route that does not even have a record pointer or a permanent pointer. How can we avoid the dangerous reefs and rapids and reach the target safely? ”
Ito gradually changed his mind, and it turned out that the young man was indeed the only one who could possibly complete the operation.
There is no need for anything to prove it. After this step, the patient's heartbeat is still there, which is the best proof.
"This is just the beginning of paradise. The new world in the second half is the most dangerous. If I guessed correctly, by then, the heart rate will be compressed to several times per minute, which is no different from death. It cannot be replaced by an artificial heart-lung machine. It cannot be replaced by an artificial heart-lung machine. Temporarily stopping the heart can only keep it in this state. In this state, the blood supply of the heart is far from meeting the needs of the body's important organs, especially the brain tissue. For two to three minutes, that is, Dr. Yang has to wait for two to three minutes. Within three minutes, after crossing the narrow dangerous zone, once delayed, the heart rate will finally drop to zero, forever zero!" Ikeda and Ito stared at the screen and talked in a low voice.
Ito said slowly: "There are seven magnetic forces extending from the Upside Down Mountain. No matter which one you choose, no matter which island the magnetic force starts from, once you choose, you cannot change it. You can only go along this channel one by one. The last seven The routes will all converge to the Chambord Islands, and you can choose another route when you arrive in the New World. The last island you reach is Lavdru, the end of the great channel. We have done countless experiments and dissected hundreds of corpse specimens to find these safe channels. , it’s a pity that none of them were found, but now he seems to have found them.”
"Probe imaging technology doesn't help him much."
"He should have his own positioning technology."
"What a pair of hands are these, so steady, so gentle, so delicate, so dexterous!"
"Hands made for surgery!"
The laser knife goes deep along this path, completing such delicate and complex operations on tissue as large as a fingernail.
——
Even the gentlest operation can easily cause subtle damage to nerve nuclei due to thermal damage, pulling, squeezing, and friction.
The tip of the laser knife in Yang Ping's hand has almost no contact during the whole process. The operation is completed by laser cutting, but thermal damage cannot be avoided.
That's why he was so slow, trying to avoid the accumulation of heat.
After the tumor's compression is relieved little by little, the external environment of the nerve nuclei will change, and this change will also cause some risks.
The heart rate is getting slower and slower. This slowdown cannot be intervened with drugs. Once it is intervened, it will be disrupted and cause the collapse of the entire life system.
Daisuke Komori and Sukeyu Mitsui had planned to work together to handle this case. They stared at the screen in the operating room and fell into deep silence.
With their strength, there is no way they can get to this point.
They are top professors from Dongda Hospital, not laymen. After seeing this, they understood a little bit.
——
The doctors from various countries at the conference seemed to have forgotten that they were here for the conference, as if they were here to see this operation.
Even doctors who are not in this profession are shocked by such superb surgical technology, which is the limit of human hands.
Dr. Lin Mingyuan from Singapore is communicating with doctors from Australia.
Professor Liang sat with Professor Su and Professor Qin and was very satisfied with this rising young student.
Professor Su was very happy, but he was confused as to why this girl didn't bring Xiao Yang home.
He couldn't wait to recognize this son-in-law.
The only one who is more depressed is Professor Qin. There has been no progress in recruiting people. The superiors are constantly putting pressure on him. He has done a lot of work, but it has no effect.
Many other young doctors have now become fans of Yang Ping, and everyone follows Yang Ping as an example.
For example, Song Yun of Xiehe University studied with Hu Guolin at Sanbo for a period of time and gained a lot. Now he has also joined Yang Ping's research on the experimental subject of spinal external fixation. Song Yun is one of the protagonists.
——
The patient's heart rate is getting lower and lower, has dropped below thirty, and is still falling.
The separation of tumors has approached the heartbeat center, and they still have some kind of adhesion, which is very difficult.
The probe imaging under the microscope can only play a rough identification role and is not helpful for the precise operations required by Yang Ping. However, Yang Ping is so familiar with the anatomy here that he can complete it accurately even without any assistance. Dangerous operation.
When the patient's heart rate dropped below 30 beats/minute, Mitsui and Komori's hearts trembled suddenly.
Every fall now means the patient is one step closer to death. They sat motionless next to him, while the patient lay not far away. They could really feel the approaching breath of death.
Japanese anesthesiologists, equipment nurses, and traveling nurses also set their sights on Mitsui and Komori.
Please ask if you need to intervene at this time. If you continue, your heart will definitely stop.
But at this time, Komori and Mitsui were powerless because they lacked experience in this area.
Even if Yang Ping calls them to the stage for rescue now, they don't know what to do?
Using a temporary pacemaker?
Replacing the work of the heart with an artificial heart-lung machine?
Or simply stop the heart and use extracorporeal circulation?
No, once these technologies intervene, the feedback mechanism between the heart, spinal cord, and brain is inhibited. Once inhibited, collapse will follow. Once collapsed, there is no way to recover.
Modern medical technology sometimes looks very powerful in front of the complex human body, but sometimes it seems very feeble.
Mitsui's eyes turned to Yang Ping, who was concentrating on the operation. Yang Ping didn't seem worried and seemed confident.
It seems that I often encounter this situation and it has become commonplace.
Finally, the heartbeat dropped to only a dozen times per minute, approaching the edge of death.
This is the narrowest area of the two nerve nuclei. It is so narrow that it is almost stuck together. The tumor squeezes through the middle and becomes thin.
Suddenly, the heart rate dropped to ten beats per minute and was still falling. It was no different from death.
Cells throughout the body enter a state of hypoxia, as if suffocated.
The Japanese anesthetist and nurse looked at each other. There was no movement from Mitsui and Komori. They were very anxious.
Heart rate dropped below 10 beats per minute.
"10 times!"
Fatty Liang started counting with a calm tone. It was obvious that this was not the first time he had encountered this situation.
10 times! ! !
Mitsui and Komori stood up almost at the same time and yelled.
rescue!
Rescue quickly!
Without resuscitation, the brain will suffer from ischemia and brain death will occur in eight minutes. A heart rate of ten beats will simply not be able to maintain perfusion of important organs.
Japanese anesthesiologists and nurses heard the shouts and acted reflexively.
There was a commotion in the operating room.
"Bagya Road!"
Zhang Lin stared angrily and roared angrily. He and Xiao Wu simultaneously blocked Komori and Mitsui, telling them to stay where they were and not to do anything drastic.
Tang Shun actually forgot how to translate.
Originally, Zhang Lin spoke Japanese, so there was no need for translation.
It was this powerful "Bagya Road" that played a huge role. Komori and Mitsui were stunned, and then forced themselves to sit down. Their foreheads were covered with sweat and they did not dare to move anymore.
The Japanese anesthesiologists and nurses who had just prepared to take action also stopped their actions under the roar of "Bagya Road".
Everyone wakes up.
The chief surgeon was not them, but the Chinese, and they only cooperated symbolically.
Screaming like this suddenly can seriously interfere with the operation.
Three minutes is the golden window period. There is only three minutes. The dangerous stage must be passed within three minutes, otherwise, the patient will die.
Not to mention three minutes, even thirty minutes, no one can complete this separation operation.
Mitsui and Komori's breathing was a little rapid, and the Japanese anesthesiologists and nurses were also anxious.
Unlike their nervousness and panic, the Chinese team seemed like nothing happened.
Yang Ping was completely unaffected by them. He was as steady as a mountain, breathing smoothly, and continued the operation.
Song Zimo and Xu Zhiliang were also unmoved.
The equipment nurse still sat there quietly, placing the equipment needed for the next step at a convenient place.
The anesthesiologist crossed his legs and stared at the screen.
(End of chapter)