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第三章 你来关胸吧(1 / 2)

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当江枫的手伸进患者胸腔部位,摸到已经跳不太动的心脏时,江枫这才明白为什么时天俞刚把匕首拿走,心脏就大出血。

匕首除了破坏主动脉外,还直接一串二,把左右心腔给连通起来,划开一个大口子。

尤其是里头的三尖瓣和二尖瓣,损伤更是严重。

只要有一点点改变,那都会发生血崩。

哪怕时天俞已经处理的够小心,还是无济于事。

不过,时天俞的反应也是够迅速,处理问题十分果断,但凡犹豫一些,患者可能都等不到江枫洗完手,便会一命呜呼。

随着抽吸器不断将刚才涌出的血液抽吸出去,再加上一旁不断有低温生理盐水对心脏处进行冲刷,心脏的全貌终于展现在众人面前。

众人不由地倒吸一口凉气!

虽然早有心理准备,但真的没有想到会如此的严重啊!

时天俞要了把镊子,轻轻的翻看着患者的心脏,心也是一点点沉下去。

无它!

难度太大了!

不仅仅是手术的难度,还有能否挺过围手术期,走出医院的难度。

“时主任,患者心脏的损伤情况比我们想象的要严重的多,这三尖瓣、二尖瓣已经用不了了。”

“那得做瓣膜置换加腔隙缝合了!”

“患者主动脉的损伤也严重,强行缝合的话,效果不好,我建议行主动脉血管置换。”

“又做主动脉置换,还做瓣膜修复,再加上患者身上的气胸、肺部粘膜损伤、肝脏部分切除、脾脏切除……患者能挺过围手术期么?”

“那难不成要分两次手术?先修补,再行置换?”

“能一次解决的事情,别想着两次解决!万一患者挺不过去,那就没有时间了!”

……

对患者主动脉和瓣膜进行修补,手术时间短,难度低,但会对患者造成二次伤害。

而直接进行主动脉和瓣膜的置换,手术时间长,难度高,但可一劳永逸。

两个手术方案各有优缺点,参与手术的众人激烈的讨论着,但谁也说服不了谁。

众人明白继续僵持下去也不是个事儿,纷纷把目光聚焦在时天俞身上。

因为,最后决定权在时天俞这个主刀身上。

时天俞并没有做出决定,而是将目光移向身旁站着的江枫:“小江,你能坚持多长时间?”

一语惊醒梦中人!

无论是修补,还置换,那都是得建立在江枫把血给止住的条件下。

一旦江枫体力不支,没有办法完成止血,那无论那种手术方案,都不会成功。

作为当事人的江枫也是立马明白了时天俞的意思,回答道:“时主任,我会坚持到您手术做完的那一刻。”

听到江枫的回答,时天俞点了点头:“我需要至少一个半小时。”

当主刀做了决定,剩下的人即便不理解、不赞同,那也是要服从的。

这就跟行军打仗一样,下级必须无条件听从上级的命令。

手术剪剪断破损的主动脉!

缝合新的主动脉血管!

剪断破损的二尖瓣、三尖瓣!

缝合新的二尖瓣、三尖瓣!

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