1560 40cm large tumor
23×18.6cm!
Such a large tumor is extremely rare, and it took less than a month.
The Department of Cardiac and Thoracic Surgery at the Affiliated Hospital of Imperial Medical University seeks consultation with relevant departments, undergoes preoperative examinations, and prepares to take the time to undergo surgery.
Because it is considered an SZ-derived tumor, chemotherapy was given in the preoperative examination a few days, and the director of the thoracic surgery department also hopes that the tumor will be smaller.
Unfortunately, it didn't.
Under the action of chemotherapy drugs, the tumor still grows wildly.
In just a few days, the maximum diameter has increased from 23cm to 35.5cm. Lung function tests show that due to the heavy pressure on the heart and lungs, it is only one step away from "death of breath".
The young patient was pushed into the operating room while sitting on the hospital bed.
At this time, in the operating room of the young patient, the elite institutes of various departments of the Affiliated Hospital of the Imperial Capital Medical University gathered into an elite team to consult on the stage.
No one has seen such a big tumor growing so rapidly. After a discussion, just like no discussion, I can only take one step at a time, hoping that the surgery will be successful and postoperative chemotherapy can work.
But who knows, can the patient's body still allow chemotherapy after such a large tumor be cut off?
The operating room was silent, and they were doing their own jobs.
All clinical practice knows that when no one drives during surgery, even the footsteps of the nurses in the tour will be light, they will definitely encounter problems.
After several rounds of discussion before the operation, the director of the thoracic surgery department believed that all the situations he could think of were already thought of, and made corresponding plans. The surgery should be able to remove 60-70% of the tumors by itself, and then radiotherapy and chemotherapy to observe the changes in the condition.
Hope everything gets better.
But just as the anesthesiologists began preparing for anesthesia, the scene they didn't want to see happened.
Maybe the heart and lungs are overwhelmed, or maybe the mental tension causes tracheal spasm. The young patient just sat on the operating table. Before the anesthesiologist could help him lie down, and before the tracheal intubation was in the middle of the patient, the young patient suddenly fell down and his breathing cycle suddenly stopped!
Although the doctors were prepared for possible accidents during the operation, no one expected that the anesthesia had not started and the circulation had not yet been established, and the patient suddenly "didn't die."
Director Ding of the Department of Thoracic Surgery had no choice but to start emergency rescue.
After all, the patient died suddenly in the operating room, and the rescue level here is comparable to that of IICU. As long as there is still a chance, it can always be "recovered".
Director Ding had two big heads at that time, and his ears were buzzing.
He certainly cannot have had CPR, but no one has done this kind of CPR under extremely special conditions.
A young patient has such a big tumor on his chest and routine cardiopulmonary resuscitation cannot be carried out at all. How should he rescue him?
Director Ding gritted his teeth and asked his assistant to work together to help the young patient up and sit upright 90 degrees, like a leaning over the left side of the wall to relieve the pressure on the tumor on the heart, while grasping the strength and implementing cardiopulmonary resuscitation.
Because whether it is lying flat, prone, lying on your side or sitting upright is useless; you can only use this posture and this angle, which is the only position that can effectively relieve the tumor of compression.
Director Ding knew that the operation had failed and was doomed to fail before it even started.
He was striving for CPR, not to "retrieve" the young patient, but an unwritten rule - the patient should have a breath and take advantage of this time to explain to the patient's family.
If the patient is pushed to the operating room and dies, the person will be cold. Let’s explain to the patient’s family two completely different concepts: having a breath.
The cardiopulmonary resuscitation in the strange position adopted by Director Ding played a role. The young patient's heartbeat was barely restored. The anesthesiologist intubated the tracheal tube and used a ventilator to assist breathing, and his vital signs were barely maintained.
Although people are "living", Director Ding knows that this is only temporary. Not to mention the chest cavity, even if there is a large tumor of nearly 40cm in the abdominal cavity, the patient will not be able to survive.
He could only seize the time and before he could even change the surgical gown while the young patient was breathing a sigh of relief, he hurried out of the operating room and explained his condition to the patient's family.
The patient's family began to feel a little excited. Director Ding only said a few words and before he could explain the serious consequences, the patient's mother fainted.
Before Director Ding found someone to rescue him, the bones in the patient's father seemed to have been pulled away. He sat slowly on the ground with his eyes blank and had no chance of life.
After panicked rescue, Director Ding returned to the operating room in distress.
He did not go to the surgery room, and the patient's family members were both in a state of mind and were still rescued, and they were unable to accept the news of his second son's death.
But do you have the ability?
Director Ding thought of the patient's mother fainting, and his father's bones were pulled away by an inexplicable force, and his face was pale and his eyes were moist.
In clinical practice, Director Ding has seen countless dead people and rarely empathizes with the emotions of the patient's family.
But this time Director Ding couldn't stand it anymore and his emotions were a little broken.
He sat in the locker room, seemingly avoiding everything he was about to face.
After less than a minute of stunned silence, Director Ding made a decision. He picked up his cell phone and made a call.
"Old Huang." Director Ding said hissing.
"Xiao Ding, what's wrong?" Old Huang's voice came over. Director Ding's eyes were originally white, but at this moment there was a trace of light and shadow.
Director Ding reported the patient's condition concisely in the simplest words.
He has found Mr. Huang. If he can't do anything, then there is really no way. He has tried his best, Director Ding thought to himself.
Looking for Mr. Huang is not about having a clear treatment, but about seeking psychological comfort.
Although Director Ding is not a family member of the patient and has no feelings for the young patient, at such a special time point, his heart was also seriously traumatized and needed comfort.
Mr. Huang is the only person in China who has this ability.
"Save it first, I'll go there now." Old Huang said without hesitation.
"Old Huang, thank you for your hard work."
Director Ding didn't finish a word, but Mr. Huang hung up the phone.
After a few seconds of stunnedness, Director Ding sighed deeply and turned back to the art room.
"Director Ding, what should I do?" asked the anesthesiologist.
Director Ding saw the anesthesiologist holding the trachea intubation, and the professor and the young doctor under his command were holding the patient. His posture was so weird that he had never seen him before.
"Call Mr. Huang and he will arrive soon."
"Old Huang of 912?" asked the anesthesiologist.
Director Ding nodded.
The anesthesiologist hesitated for a moment and suggested in a low voice, "Director Ding, it shouldn't be said that even Mr. Huang may not be able to have a solution in the patient's condition. In this position, how can you open your chest? Besides, what can you do if you open your chest?"
Director Ding understood what he said, but Director Ding could only sigh.
Chapter completed!