Chapter 495 Tokyo Night (6)
At this time, Professor Liang also became nervous. He was already very confident in the operation.
But the current ECG waveform clearly indicates that the patient is about to stop, and based on his experience, it will not last more than three minutes.
"No, look, the patient is dying?"
Professor Liang immediately informed Professor Su and Professor Qin of his judgment.
Professor Su became even more nervous. He grabbed his own mineral water, unscrewed the cap of the bottle, and took a random sip to calm down his shock.
"Being able to achieve this step has pushed the level of this type of surgery to several levels!" Professor Su said.
Su Nanchen and Song Yun, these young doctors, were completely immersed in the success of the operation. The sudden changes made them wake up like a dream.
"What's wrong?"
Huang Jiacai is not a doctor, but he understands the atmosphere of the venue at this time and understands what is happening.
"Fujiwara's father is afraid that he will die."
Lao Cheng was frightened by the sudden changes in his heart rate.
Several professors at the University of Tokyo also breathed a sigh of relief at this time.
"It seems the model is correct?"
"There must be something wrong with the model. Our simulation has not reached this step at all, and the patient will not survive."
"But the ending is the same!"
"With the continuous improvement of the model, the optimization of the algorithm, and the perfection of the data, there has never been a simulation failure in the past five years."
Due to the previous lessons, Komori Daisuke and Mitsui did not make any fuss.
Masao Fujiwara had already stood up. He looked at the screen and then at his uncle who was covered by a sterile drape. The electrocardiogram was so erratic that it was probably his last insistence. After making eye contact with Miyuki, the two of them approached the operating table at the same time, keeping one meter away. safe distance.
Clinical things sometimes evolve slowly and sometimes suddenly.
Masao Fujiwara has also become accustomed to the fact that they have to accompany their uncle on his last journey.
"What's wrong?" Miyuki asked in a low voice.
Masao Fujiwara grabbed Miyuki's outstretched hand and remained silent.
Judging from experience with this sudden change, there is no hope of surviving the surgery safely.
I'm afraid - that's the end of it!
"Professor Fujiwara!"
Komori and Matsui came behind Fujiwara, and Professor Fujiwara waved his hand.
Let nature take its course. In this case, no rescue will help.
At this time, the compensatory capacity of the heart and medulla oblongata has been exhausted, and rescue is in vain.
Moreover, the surgeon is still immersed in the operation, so let nature take its course.
Suddenly, the heart rate, which had dropped to more than a dozen times per minute, increased and quickly soared to nearly 200 beats per minute.
Everyone's hearts rose to their throats along with the heart rate, and then, within less than two seconds, the heart rate dropped off a cliff again.
Finally, as everyone expected.
Like an elevator falling out of control, there is peace after the fall.
All ECG waveforms disappeared and became a straight line.
The entire heart stops electrical activity and mechanical contraction, the P wave and QRS wave complex on the electrocardiogram disappear, showing a straight line, the heart's outward pumping of blood disappears, and the blood supply to all organs is interrupted.
It was like a city having a power outage and instantly falling into darkness.
rescue?
It makes no sense!
Everyone knew that the patient could not hold on any longer, but they did not expect it to happen so quickly.
Miyuki leaned her head on Professor Fujiwara's shoulder and bit her lip. Fujiwara patted her on the back: "Be strong, what should come will always come!"
Everyone felt that they should do something at this time, but Yang Ping's hands did not stop.
Song Zimo and Xu Zhiliang were focused on following Yang Ping's rhythm.
Fujiwara Masao looked at Yang Ping silently and was impressed by this concentration. This was also respect for life and a true all-out effort.
Komori wanted to tell Yang Ping that the patient had no signs of life.
Fujiwara Masao blocked Komori, shook his head and signaled: "Don't disturb him!"
At this time, keeping quiet is the greatest respect for the surgeon and the greatest respect for the surgeon's efforts.
The entire operating room fell into silence.
But the doctors and nurses on the operating table were still focused on the operation.
The instruments were handed over one by one, as if the patient was still alive.
Fatty Liang stared at that straight line and was about to speak.
Yang Ping spoke: "Calm down!"
"Yeah! Calm down!"
Fatty Liang sat down, crossed his legs out of habit, and sorted out the pipes of the anesthesia machine a little.
The exposed ankles make Japanese washcloths look like cropped pants. The dripping of the hanging liquid had stopped, and no flow could be seen in the pipe of the infusion set. Zhou Can looked 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 ending is decided!
Death can be declared!
Whether he is the president of a generation consortium or a beggar on the street, he ultimately cannot escape the law of life.
——
"Ten minutes! You can declare death."
Ito let out a long sigh.
"It has been very successful. Maybe in a few years, he will be able to succeed in this kind of case."
Ikeda felt very sorry.
"What a persistent young man."
Ito sighed.
"A rescue operation was performed on a patient in a car accident. The injured person died due to hemorrhagic shock during the operation. I knew clearly that he was dead, but my hands couldn't stop. They were still stopping the bleeding and suturing. I remember the director yelling at me - Ikeda , enough, stop, she is dead, has been dead for a long time, you are a doctor, you should remain professionally 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 I couldn't bear the crying daughter of the injured person. The heartbreaking 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. ! ——I should be thirty years old at that time!”
Ikeda looked at Yang Ping who was still insisting on the screen, recalling the experience of his youth, and couldn't help but burst into tears, as if it happened yesterday.
"Wipe away your tears, the young people behind are looking at us."
Ito handed Ikeda a tissue.
"As a doctor, I am respected wherever I go. No matter who I am, they will bow and call me sir. Over the decades, I have saved many patients, but many patients have also slipped away from the knife and left this world forever. In this world, some are the helplessness of human medicine, some are the helplessness of self-medication, and some are completely errors of my judgment. I often think that if I do it again, some people can survive." Ikeda held the tissue and said. No tears were wiped.
Ito shook his head: "This is the helplessness of all doctors. Human medicine has shortcomings, doctors' medical skills are flawed, and even doctors will make mistakes. As long as we are sincere in our hearts, we don't have to blame ourselves. Just like Dr. Yang, he has already Going all out, the outcome has not been changed, but progress has been made. This is how medicine is. Accumulate bit by bit. In a few years, maybe he or someone else will succeed.”
"Do you want to announce the results?" Ito remembered that the patient was now 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's been ten minutes and he can be declared dead.
Brain cells have died, and cells in various important organs have begun to disintegrate.
——
The persistent surgeon still maintained the quality of the operation. Every blood vessel was handled perfectly. The tumor was dug out from the depths of the medulla oblongata and upper cervical spinal cord. One large one was accompanied by two small ones, one by one, and the two were gently placed. In the bend.
"Thank you!"
Masao Fujiwara bowed deeply.
"Check under the microscope again to see if there is bleeding, rinse, and close!"
Yang Ping stood up and handed over the follow-up work to Song Zimo and Xu Zhiliang.
He turned around and looked at the heart rate line on the screen and kept staring.
"Dr. Yang?"
Masao Fujiwara was grateful and reminded Yang Ping.
Yang Ping still looked at the screen: "The operation was successful!"
Very successful?
The patient's heart stopped beating for twelve minutes!
"There are still thirty seconds before 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 a strange event with extremely low probability that will occur after it has been simulated countless times in the system space - Lazarus Syndrome!
This patient will "resurrect from the dead"!
Since it was reported in 1982, there are currently only more than 50 cases reported worldwide.
Lazarus syndrome: after cardiopulmonary resuscitation fails, all rescue measures are stopped, including stopping chest compressions, ventilator-assisted breathing, infusion, and rescue drug use, and spontaneous circulation returns without cause, so it is also called delayed spontaneous circulation. recover.
In layman’s terms, “resurrection from the dead”!
There was once a patient who was declared dead and was pulled to the morgue. Finally, he came back to life, crawled out of the morgue, and ate in a restaurant near the hospital. He happened to be seen by the doctor in charge and thought he had seen a ghost.
However, the probability of this kind of "resurrection from death" is extremely low.
Although this patient did not receive cardiopulmonary resuscitation or other rescue services due to various reasons, he stopped breathing for 12 minutes and then resumed spontaneous breathing. This can also be classified as Lazarus syndrome.
Although we know that Yang Ping's words are ridiculous, everyone is very heavy at this time.
Every doctor hopes what he says is true.
Thirty seconds!
Fatty Liang stared at the monitoring screen and had all the resuscitation drugs ready for use at any time.
When the thirty seconds are up, really, really!
That lifeless straight line began to move, moved a few times, and then began to fluctuate.
Finally, clear P waves and QRS appear!
Resurrection, really resurrection!
Fujiwara Masao looked at Yang Ping as if he was dreaming.
No measures were taken, and the patient on the operating table came back to life.
(End of chapter)