728 Are You Su Yun?
Su Yun ran out excitedly, and Zheng Ren smiled in his heart. The cardiothoracic surgeon doctor followed him to do general surgery. It was really not easy for him to do the interventional surgery for several months.
In Haicheng First Hospital, there are only a few cardiothoracic surgery I have performed.
It's really hard for him.
After changing his clothes, Zheng Ren walked into the Dawai Operating Room.
Director Chen stood at the door of the hybrid operating room and waved at Zheng Ren. He walked over directly. Outside the operating room, there were mixed dark green sterile clothes, and several tired doctors lay directly on it, curled up and fell asleep.
Here, there is no longer the tidyness and solemnity of the past, and there is a little more fatigue and chaoticness.
But there is no way. I have the energy and medicine, but now I am almost collapsed. And these doctors can't hold on at all. How about Su Yun? I'm in good health, I can't hold on until different things.
Zheng Ren carefully walked past the doctor who was resting in the corridor of the operating room, making the footsteps as small as possible, so as not to disturb them.
When passing by the third operating room, Zheng Ren glanced inside and saw that Su Yun had finished brushing his hands and was wearing clothes. On the operating table, a doctor was operating.
Obviously, the doctor didn't expect someone to jump over and provide him with a table. He had already prepared for the operation himself.
"Doctor Zheng, is it Medtronic's habit of using it?" Director Chen asked.
"It's okay, just have a shelf. It's a very simple abdominal aortic dissection, as long as it's a straight shelf," said Zheng Ren.
Director Chen did not ask to come to the stage this time. He had seen Zheng Ren undergo an embolization operation with severe pelvic fractures and knew the level of crossing left and right hands. He could not help at all when he came to the stage.
The patient's surgical position has been set up, Zheng Ren brushed his hands and disinfected it, and Director Chen withdrew from the operating room.
"Director Chen, patients who need amputation, please send them up." Zheng Ren said.
Director Chen nodded and started calling. He did not go by himself, and he was more or less worried about Zheng Ren's diagnosis.
Although I convinced myself in the ward that this was a special period and that angiography was also a type of diagnosis, Director Chen was still worried and wanted to stay and take a look.
The airtight lead door was closed. Director Chen saw Zheng Ren start to perform puncture. After more than ten seconds, the guide wire catheter was placed in position.
This speed...this confidence...Director Chen felt a little moved.
The screen on the operating table lights up, just like Director Chen imagined, and the guidewire catheter is already in the abdominal aorta.
During the imaging, Director Chen saw traces of tearing in the abdominal aortic endothelial cavity, about 10m in length!
In other words, if the diagnosis is a little late, or even if you suspect the diagnosis, and require a 64-line t-test of the blood vessel, it will cause the patient's death.
If the diagnosis is correct and timely and the handling is done properly, the patient's life is likely to be saved.
Director Chen was very relieved and a little proud. In that case, how many people dared to believe Dr. Zheng without reservation?
The contrast agent has not completely spread out, but just as the length of the intrinsic tear of the abdominal aorta was observed, Director Chen saw Zheng Ren starting to pull the shelf into the guidewire.
This abdominal aortic dissection is countless times simpler than that of patients with thoracic aorta.
A thoracic aorta type 1 dissection aneurysm has several branches, including the extremely important branch of the neck that supplies blood to the head.
These branches must not be blocked, otherwise the patient will die without waiting for his or her to step down.
For type 1 thoracic aortic dissection aneurysm, you can choose stents or surgery according to the location. As long as 10m, there is only surgery and the aortic arch and trunk replacement can be done.
For the abdominal aorta, just open a few main branches.
Judging from the patient's angiography, this section happens to have no branches of large blood vessels.
A membrane stent was opened and pressed against the wall of the blood vessel to compress the tearing position of the abdominal aorta. Zheng Ren then inserted the catheter and performed a cautious angiography.
The abdominal aortic dissection disappears and blood flow is smooth.
The operation went smoothly and ended in a few minutes. Director Chen knew that after interventional surgery entered the clinical stage, treatment was not the focus, but the focus was on diagnosis.
No matter what type of aortic dissection, it is characterized by danger. Only timely diagnosis and appropriate treatment can protect the patient's life.
It seemed that the meaning of staying was not much. Director Chen began to call the doctor to urge the doctor to push the patient who needed amputation.
The compression ended and the next patient was pushed up.
Zheng Ren glanced at him and saw that Su Yun had not come out yet.
He knew that the thoracic surgery was relatively long. Before thoracoscopy and electrochemical fever at the end of the last century and the beginning of this century, 500ml of blood was produced when the chest was opened, which took one hour.
At that time, an esophageal cancer surgery was basically a small day.
Su Yun has fast techniques and has corresponding high-value consumables. It will not take so long to have esophageal cancer, but it cannot be compared with his own behavior.
Zheng Ren was busy. In the third operating room, Shao Hua, the hospitalized thoracic department, had changed from a surgeon to an assistant.
The doctor who came to help did not say a word and opened his hands at full speed.
The patient in this operation was diagnosed with complex knock injury, severe traumatic wet lung, lung rupture, and hematophithorax.
After opening his chest cavity, sweat emerged from Shao Hua's forehead.
There were a lot of ruptures in the lungs. If it weren't for his lungs being the same, he would have done a lobe removal.
While looking for the cracks bit by bit and sew them one by one, the assistant came on stage.
Shao Hua didn't have time to ask which department the doctor came up to help him. Anyway, someone helped him to help him, so it would be great.
But when this man came up, he didn't even feel any sense of pulling the hook. As soon as he reached out, the nurse who was equipped with the table handed him the pulling the hook, but he directly shot the patient's leg.
He asked for a needle holder, a small needle and a thin thread, and began to sew with Shao Hua.
Shao Hua was a little unhappy. As a person who came to help temporarily, could he feel a little embarrassed?
However, in less than three minutes, Shao Hua knew that he was wrong.
The person who didn't know anything about it was not the strange doctor opposite him, but himself.
When I sewed a crack by myself, I sewed three or five of them on the opposite side. The needle and thread were very fast, but it was very stable, and even the arc was flawless and pleasing to the eye.
This is... Shao Hua felt a little uncomfortable, but more curious, who is he?
In more than ten minutes, dozens of small ruptures in the upper and lower lobes of the left lung were sutured. After pouring warm saline into the chest cavity, the anesthesiologist began to swell the lungs.
The door of the operating room opened and a man rushed in hurriedly.
"I fell asleep, Xiao Shao, what step did you do in the surgery? Sorry." The man said anxiously as he walked.
Before Shao Hua could react, the man walked behind him and took a look at the operation, and said in surprise: "Is the sewing done?"
As he said that, he raised his head and glanced at Su Yun.
Chapter completed!