Seeing the patient coming in, Wei Haiyang and Zhao Zinong also followed.

"Has the shock passed?" Wei Haiyang frowned.

"Well, I guess there was a rupture on the surface of the lungs, and the gas discharged from the chest vial could not keep up." Ruan Bin said.

"It seems that you have to undergo closed chest tube drainage and exhaust surgery immediately! Otherwise, the patient will die of respiratory failure." Wei Haiyang said seriously.

"Yes." Ruan Bin nodded.

"I'll do it!" Wei Haiyang took the initiative to take charge.

"good."

Soon, the operation began.

Closed chest tube drainage and exhaust is just a minor operation.

Very simple.

Soon the closed chest tube drainage and exhaust was completed.

But everyone soon discovered that the patient's condition did not improve much!

"It's still very difficult to breathe, what's going on?" Zhao Zinong said in confusion.

"Is it because there are many and large ruptures on the surface of the lungs? The effect of drainage and exhaust of closed chest tubes is not obvious?" Wei Haiyang was stunned for a moment.

"If this is the case, emergency surgery will be required to prevent the air leakage!" Wei Haiyang's face became serious.

"If you have surgery, whether it is a pulmonary volume reduction or a bullectomy surgery, the risk is too high. The patient is a 90-year-old man with high blood pressure. It is not known whether he has other hidden diseases." Zhao Zinong shook his head and said.

Senior patients are contraindicated in surgery because elderly people face three major difficulties in surgery: first, the elderly have organ decline and poor tolerance for surgery and anesthesia; second, there are many underlying diseases, such as hypertension, diabetes, cardiovascular and cerebrovascular diseases, etc.; third, the recovery after surgery is slow, and infections are prone to occur, pneumonia and venous thrombosis. This is undoubtedly a severe challenge for doctors!

"If you want to consult someone from the respiratory surgery department, I remember that the current internationally advanced bronchoscopic one-way valve flap implantation has broken the restricted area for elderly patients with severe chronic obstructive emphysema that cannot be operated, and brings hope to elderly patients with this disease. Several directors of the respiratory surgery department in the hospital seem to have this surgery. I just don't know if there is a director-level duty there tonight!" Wei Haiyang said.

"Then I'll go find it now?" Zhao Zinong said happily.

If there is a way, that's fine!

"Dingdong... The system's temporary task: the fat and water will not flow to outsiders. Such surgery does not require other departments to do it. Complete the task and reward a lottery opportunity!"

"A chance to draw?" Ruan Bin was immediately delighted when he heard the sound of the system's tasks echoing in his mind.

"Maybe this draw will win Lamborghini?"

"No need to go! The general department is not our emergency department, so there is definitely no director on duty! When will it be when the directors come from home?" Ruan Bin waved his hand.

"Then go to other Demon City 101 Hospital?" Wei Haiyang looked at Ruan Bin and said.

The emergency department of Modu City 101 Hospital may be able to do it!

"No need to be so troublesome, I can do this surgery! So there is no need for consultation. Just start the preoperative examination and confirm that there is no problem, start the surgery directly." Ruan Bin said.

"Ah? You will have this surgery?" Wei Haiyang and Zhao Zinong were stunned.

"What, you don't know?" Ruan Bin asked back.

Wei Haiyang:...

Zhao Zinong:...

mmmp, this Ruan Bin is definitely Chill’s show-off! Absolutely!

If they could, would they still need to bring reinforcements?

They didn't ask why Ruan Bin did this surgery again, because this guy had tried it and had the evil one who would have the surgery once. Maybe he had studied this surgery a lot before, but now he has learned it without a teacher!

Soon, Wei Haiyang communicated with the patient's family before surgery, and Zhao Zinong arranged for a comprehensive examination of the patient.

Ruan Bin opened the system and prepared for krypton gold.

【System Points】23400

[Cyclop valve flap implantation]: Not introductory +

Now Ruan Bin has a huge sum of 230,000 yuan. So it’s not as distressing as before when he was krypton gold!

"Recharge 30,000 yuan and get in!"

"upgrade!"

"Ding Dong - 6,000 points were deducted, [one-way valve flap implantation] - Getting started +!"

"Ding Dong - 9,000 points were deducted, [one-way valve flap implantation] - Proficiency +!"

"Ding Dong - 12,000 points were deducted, [one-way valve flap implantation] - Director-level +!"

"Ding Dong - 15,000 points were deducted, [one-way valve flap implantation] - Expert level +!"

【System Points】: 00

Mainly doing surgery on such an elderly person, Ruan Bin thinks it is more stable to upgrade to the expert level!

Soon, the inspection results came out.

There is no coronary heart disease, no other major problems, and surgery is completely possible!

The main reason is that this one-way valve flap implantation is a minimally invasive surgery, which breaks the restricted area for elderly patients with severe chronic obstructive emphysema to be unable to operate. Therefore, the safety factor of this surgery is still very high.

Zheng Dajun heard that one-way valve flap implantation can be performed here, and his old father was in a critical condition and needed surgery in urgent need of surgery, so their family also signed and agreed to the surgery!

Soon, the operation began, Ruan Bin took the lead in the surgery and Wei Haiyang was the assistant.

In fact, the surgical process of one-way valve flap implantation is to place a check valve in the emphysema lung tissue area through bronchoscopy to collapse the emphysema area; inject fibrin glue into the bronchial to block it, causing local fibrosis and atelectasis of the emphysema; intrabronchial transfusion (window opening surgery), establishing the path between emphysema lung tissue and bronchial, increasing expiratory airflow, and reducing obstructive ventilation dysfunction caused by collapse of small airways.

Since the fiber bronchoscopy was performed before, Ruan Bin measured the inner diameter of the target bronchus and selected a single valve flap of the appropriate diameter to be pre-installed in the tube.

Then, guide through the fiber bronchoscopic biopsy hole, guide tube and guide wire to the distal end of the target bronchus, withdraw the guide wire, and introduce the exchange guide wire along the guide tube to the distal end of the target bronchus.

Then, the fiber bronchoscope is removed along the exchange guidewire and replaced with the dilation tube and the outer sheath tube to the target bronchial target. The dilation tube and the exchange guidewire are removed, and the single valve flap pre-installed tube is connected to the outer sheath tube. Use a pusher to push the bracket into the outer sheath tube and push it along the outer sheath tube to the target position to release.

After release, withdraw the pusher and outer sheath tube and start the single valve flap release.

At the expert level, all the actions are done in one go, flowing.

He also explained to Wei Haiyang: "According to the needs of the surgery, place about 4 single valve flaps!"

"The outer sheath of this device is relatively hard and cannot bend with the bend of the trachea. Since the valve in front of the single valve flap is made of polymer material, it is softer and the front end of the dilator is sharp, it is easy to damage the stent valve, or reverse the valve inward, losing the function of the flap..."

Soon, Ruan Bin implanted several single valve flaps about half a coin the size of a single valve in the air leakage lung section assisted by a bronchoscope to immediately prevent air leakage in the lungs!
Chapter completed!