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Early in the morning, it rained heavily on the always warm island, and the strong sea wind blew the trees down. Liang Zirui turned his head from the window and happened to see Leon coming out of the intensive care unit.
"How is he doing?"
Leon made an "ok" gesture and patted Liang Zirui on the shoulder when he turned around: "Relax, my child."
Liang Zirui also realized that he might look too nervous, so his shoulders relaxed and he said with a smile: "I haven't had such a challenging surgery in a long time, so I feel a little unsure."
"Don't you Chinese often say that life and death are determined by fate? We try our best to do our part, and the rest depends on God's will. Don't put extra pressure on yourself. We are doctors. At this time, patients still have to rely on We, we have to be confident."
Liang Zirui pursed his lips and nodded towards him: "I understand."
At nine o'clock in the morning, Lu Shang was pushed into the operating room.
With Leon as the chief surgeon, Liang Zirui and President Liang as the first assistant and second assistant respectively, the internists, anesthesiologists and instrument delivery nurses have all been carefully selected and have worked together many times. The entire surgical team is almost impeccable. .
"How long have you been taking intramuscular morphine?"
"15 minutes."
"Wait a minute," Leon said, turning to look at the anesthetist. "We will need to deepen the anesthesia during the surgery, aortic intubation, extracorporeal circulation rewarming, chest closure and wire insertion. After tracheal intubation, the anesthesia will be deepened. Aprotinin or ulinastatin for blood protection.¡±
"OK."
"Perfusionist."
"exist."
"Remember, CPB has shallow to moderate hypothermia, mean arterial pressure is maintained at 50 to 70, and moderate blood flow dilution"
"clear."
"How long have you been taking intramuscular injections now?"
"29 minutes."
¡°What about ECG monitoring and intravenous access?¡±
"Everything is ready."
Leon glanced at everyone: "Let's get started."
Under the shadowless lamp, Liang Zirui glanced at Lu Shang's face: "Brother, try to be angry. Whether I can let go of my worries depends entirely on you."
Lu Shang lay quietly on the operating table, his eyes closed and his breathing still weak.
Thousands of miles away, Li Sui suddenly raised his head from the sink, looked at his face full of water marks in the mirror, and reached out to wipe it.
"Are you okay?" Xu Weilan turned on the faucet next to him and washed her hands.
Li Sui lowered his head, letting the water droplets flow down his face, and let out a muffled "hmm" in his throat. Although it was his arrangement to send Lu Shang away, he still felt worried from the bottom of his heart at the moment. His hands and feet were sweating non-stop. His mind was thinking about this and that. He calmed down a little with the icy cold water. Li Sui knew that he couldn't be distracted now, but with the dual pressure of the shareholders' meeting and surgery on his shoulders, he really couldn't show a relaxed look.
Xu Weilan stood in front of the mirror, straightened his tie, and said with emotion: "I never thought that I would be lucky enough to witness such a day after working at Dongyan for more than ten years."
Li Sui looked at him sideways, and Xu Weilan said, "Did Lu Shang tell you about Dongyan's development history?"
Li Sui shook his head. Lu Shang rarely talked about the past.
"Dongyan was originally founded by Lu Shang's father and several comrades who had fought together, including Liu Xingtian. At that time, they relied on the support of brotherly loyalty to establish this company. Over a long period of time, , it is one of the best local companies. However, people's desires have no bottom line. Once there is more money and over time, cracks will appear between people's hearts, especially after the next generation has washed away the contradictions. Gradually it began to expand.
"Later, someone realized this problem. In order to prevent shareholders from running away after making money, they made an agreement that any sale or transfer of shares must be approved by the shareholders' meeting. Anyone who wants to modify this must have the right to vote. Only two thirds of it will do.
"This agreement has indeed curbed Dongyan's division to a great extent, but at the same time, it has also hindered the development of the company. Under the current system, it has completely become a stumbling block. Our measures today can be regarded as Dongyan's A milestone on the road to reform.¡±
Speaking of this, Xu Weilan sighed: "I think of the brothers who were once close to each other and gradually turned into incompatible enemies. Every time I recall this period of history, I can't help but think about the changes of the times and the uncontrollability of people's hearts. Maybe There is nothing in this world that can truly resist the flow of time.¡±
Li Sui thought for a while: "There are still some."
Xu Weilan smiled: "Have you entered the state?"
&"No, my blood pressure has increased sharply."
"How many?"
"200210!"
Liang Zirui broke into a cold sweat and looked at Leon subconsciously.
Leon was also sweating profusely, with a serious look on his face, and kept moving his hands: "The aneurysm has ruptured, hurry up, prepare the electric pump."
"Anesthesiologist, inject anesthetic to stabilize blood pressure."
"Notify backup and prepare to start blood transfusion."
The entire operating room suddenly became busy, and the blood pressure monitor continued to sound an alarm, sounding like a reminder. Liang Zirui made a "tsk" sound and turned his head. The nurse was obviously anxious: "The blood pressure cannot be stabilized."
At this time, Dean Liang, who had not spoken a word, said: "Blood, exchange for that bag of blood."
The nurse understood immediately, quickly put on a specially marked blood bag, and tried the transfusion again.
Liang Zirui stared at Lu Shang with his eyes. For a moment, the nurse said happily: "It's starting to stabilize."
The alarm rang a few more times, like a crying child being soothed by candy, and then gradually subsided and returned to calm.
Liang Zirui breathed a sigh of relief and couldn't help but sigh: "It's really surprising."
"They are the best donor-recipient relationship." Dean Liang pointed out.
There is currently no medical research showing a direct relationship between the blood source of blood transfusion and the patient¡¯s surgical outcome. Liang Zirui thought that after the surgery was over, maybe he could try to open a new topic. He recalled what Li Sui said when he begged him to draw blood. Maybe Lu Shang really felt something. They were not just lovers, they were real blood thicker than water.
"The bleeding site has been sutured," Leon breathed out at the same time, "Are the artificial heart and lungs ready?"
"alright."
"Okay, we are going to repair the ruptured coronary artery. Izuku, you will intubate."
Liang Zirui stabilized his mind and said: "Yes."
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References cited in this chapter:
"Perioperative Nursing Care of Allotopic Orthotopic Heart Transplantation" Guan Nina
"Anesthetic Management of Heart Valve Replacement Combined with Coronary Artery Bypass Grafting" Li Tao
"Perioperative Nursing Experience of Heart Transplantation" Xu Yanghui
"Nursing Cooperation in Orthotopic Heart Transplantation" Chen Si
"Single-center Experiment on Heart Transplantation Using Brain-Dead Free Organ Donations" Xuan Yongbo
"Interpretation of the International Society of Heart and Lung Transplantation Guidelines for the Management of Heart Transplant Recipients¡ªSelection and Acquisition of Donor Hearts"
"Evaluation and Preoperative Management of Heart Transplantation"
Some terms for aneurysm removal surgery refer to the Japanese drama "Medical Dragon" 2 Episode 8 (remember the website address: www.hlnovel.com