"Professor Zhang is right, the operation is quite difficult." Zheng Ren first came to a definite conclusion.
After hearing Zheng Ren's opening remarks, Professor Zhang's face softened, he nodded slightly, and smiled at Zheng Ren.
Professor Zhang knows that people carry people in sedan chairs.
"The patient's condition is critical, and the risk of surgery is very high." Zheng Ren repeated again, then walked to the reader, tapped the position of the aorta with his finger, and said: "The adventitia of the aorta is eroded over a large area, even if Without surgery, I estimate that the patient would die within 24-48 hours due to aortic rupture and subsequent massive vomiting of blood."
The smile on Professor Zhang's face had not dissipated, but then solidified.
"Surgery is a must, and it needs to be done in an emergency." Zheng Ren turned his face as if he were turning over a book, and immediately clearly stated his completely different views from Professor Zhang.
Lin Ge sat expressionless in the middle of the office. After hearing this sentence, he lowered his head and took a pen to record something in his notebook.
Professor Zhang looked at Zheng Ren with a serious expression, and asked coldly: "Boss Zheng also said that if no surgery is performed, the aortic adventitia will rupture at any time within 24-48 hours. It is already as thin as a piece of paper, is it still possible? Do you want man-made destruction?"
"First of all, I think what you said, Professor Zhang, is right." Zheng Ren repeated this sentence again. Zhao Yunlong suddenly felt a smile in his heart. Boss Zheng looked honest and honest, but he was also quite bad.
"But it is precisely because of this that the operation must be carried out as soon as possible." Zheng Rendao: "For conditions with thin blood vessel walls, I recommend removing an aortic stent to support the intima of the blood vessel. If the adventitia ruptures, a patch can be used Repair. In this way, the risk of dying on the operating table can be avoided to the greatest extent."
Professor Zhang stared, stood up suddenly, and began to refute Zheng Ren's words.
After all, he is a professor who lectures, with rigorous theory and clear logic. No matter what arguments or arguments, they all focus on the patient's surgical risks without any deviation.
He did not lose his mind because of anger, nor was he led astray because he wanted to refute Zheng Ren's words.
All the emphasis is placed on the huge risks of surgery and the need to be cautious.
It seems that Professor Zhang is not only good at lecturing, but also in debating.
Zheng Ren felt that if he didn't interrupt Professor Zhang, he could talk until late at night.
A blood test is enough to teach for three to five hours.
In fact, what he wanted to say was very obvious - if I don't do surgery, it has nothing to do with me. After the surgery, I will definitely take the blame.
This is a very helpless thing, and Zheng Ren understands Professor Zhang relatively well.
Just like the patient's choice of local hospital, the operation is too difficult. Anti-inflammatory and conservative treatment should be given first. If it gets better, everyone will be happy; if it doesn't, just push it to a higher-level hospital.
Treatment, no one wants the patient to die on the operating table. The disease is cured, you are well, I am well, everyone is well, and it is a happy time. If it is too difficult or uncertain, it is better to go to a higher-level hospital.
But local hospitals can do this, but 912 cannot.
Where do you push the patient? Concord? Fuwai? An Zhen
They are all top tertiary hospitals in the country. If you really want to send patients there, why are you so shameless? Do you admit that it is a lower-level hospital
When we hold national academic conferences in the future, do we have to call professors from other hospitals “teachers” when we meet
If that happens, Dean Yan will definitely suppress it with an iron fist. No matter which boss is standing behind him, he will first clear out the "black sheep" from 912.
Professor Zhang knew he couldn't push it out, so he chose to do everything possible to delay it.
As long as you get off work, anyone you want to have surgery tomorrow will do. Anyway, as long as it has nothing to do with you, that's a good strategy.
Zheng Ren sighed inwardly. He really didn't want to resist a leading professor of cardiothoracic surgery.
It’s not that I don’t dare, it’s that it’s not necessary. Seeing Professor Zhang talking eloquently and emotionally, Zheng Ren went directly to the system space to prepare for surgical training.
"Hello." Zheng Ren first greeted the little white fox.
As expected, there was no response. The lifelike little white fox is lying in front of the thatched house, with a hint of agility in its smile.
It was just a casual greeting, and Zheng Ren didn't expect the little white fox to reply. He clicked to purchase surgical training time and entered the system operating room directly.
An experimental subject was lying on the operating table. The shadowless lamp was very bright, and the skin of the experimental subject was a little pale.
Recalling the movie, Zheng Ren positioned the experimental subject and began surgical training.
Zheng Ren did not choose to use a combination of thoracoscopy, mediastinal meridian and esophagoscopy. Although there are reports documenting the use of three-endoscopes to remove fish bones in similar cases, laparoscopic surgery is too time-consuming.
It is safer to open the chest wider.
The mediastinum was full of abscesses, and even a thoracotomy would require a microscope, let alone a laparoscopic surgery.
Exploration revealed that it was a hard fish bone that had pierced the esophagus and penetrated the mediastinum. It did not puncture the aorta, just enough to rupture the adventitia.
Although it seems lucky, food residue also comes in, forming an inflammatory infection focus in the mediastinum.
This then leads to a large abscess in the outer layer of the aorta, which continues to erode, and the aorta may rupture at any time.
What the hell... Zheng Ren sighed inwardly.
I guess a thorn got stuck while eating fish, and then I drank vinegar or used steamed buns to try to choke it in.
As a result, the fish bone was relatively hard and directly penetrated the esophageal wall and stuck on the aorta.
Twenty years ago, this was a serious disease with almost no solution. Even now, it is a particularly difficult condition.
It is absolutely impossible to leave the abscess untreated, because bacteria will grow and continue to erode the blood vessel wall, and huge wounds will soon appear, causing the patient to bleed heavily.
The aorta and azygos vein have undergone inflammatory and edematous changes. It may not even take 48 hours to rupture.
As time goes by, the surgery will definitely become more difficult.
Cleaning an abscess is a delicate job.
The lungs need to be sutured, the esophagus needs to be sutured, the abscess needs to be cleaned, and major blood vessels are also involved, so the workload of the operation is huge.
Zheng Ren started the operation, but he did not have the attitude that it would be done in one go.
After all, cardiothoracic surgery is only at the master level and is still far away from the master level.
There is a master's skill book, but Zheng Ren is not sure whether he needs to use it. The difficulty of the operation is to remove the abscess and aortic stent. Zheng Ren doesn't think there is any special need to read books to improve his skills.
The suction device sucked out the pus, and large areas of infection, encapsulation, and adhesion could be seen throughout the mediastinum. Part of the mediastinal pleura was severely infected, and there was probably a problem with the lungs as well.
After five failed surgeries, Zheng Ren could only accept the reality and reluctantly used the master-level skill book.
…
"Director Lin, you are presiding over the consultation of the whole hospital. In summary, this is my opinion." Professor Zhang said angrily: "If it is an operation, I will not do it! This operation is irresponsible! Yes kill!"
Zheng Ren had already expected this kind of backlash.