He tilted his head while talking. Perhaps this is a self-protection mechanism of the human body during times of stress.
In the operating room, after encountering an unexpected situation, you either throw the instruments and get angry, or you remain silent and depressed.
In the live broadcast room, there is no way to throw the equipment or vent your anger on the assistant, and the surgery is not performed by oneself. As people who eat melons, doctors have a relatively relaxed mentality.
The surgeon failed again. It cannot be said that there was something wrong with the operation, so he could only tell jokes for fun.
Outside the operating room, in the operating room, Professor Rudolf Wagner looked at the images with bright eyes.
It was hard for him to believe that this was Zheng Ren's first tip surgery.
He was so skilled. If it hadn't been for the patient's sudden vomiting of blood, the third puncture would have been done!
His talent is simply enviable, Professor Rudolf Wagner thought to himself.
Su Yun felt a little regretful, but not surprised.
He had already ignored Zheng Ren's skillful technique for his first tip surgery.
This kind of thing has happened so much that it has lost its novelty. If he was still surprised, Su Yun's jaw would probably drop in surprise.
He was numb and subconsciously thought that this was what he should do.
Perhaps, when others looked at me, they would also feel such helplessness in their hearts.
"Emergency surgery is just like this, don't worry." Su Yun comforted lightly.
"Yes." Zheng Ren nodded, indifferently wiping away the faint regret in his heart, and started moving and correcting the position of the guide wire again, preparing to puncture again.
Observing the image carefully, Zheng Ren found that the position of the guide wire did not deviate too far, and it could even be said that it did not move much.
It was probably when the patient was vomiting that Su Yun's hand moved along with the patient's movements. Other than that, there was no other explanation.
This assistant is really perfect. At least from Zheng Ren's point of view, there's nothing wrong with it.
"0.5cm forward, right hand at an angle of 25 degrees... 23 degrees." Zheng Ren estimated.
Soon, the guidewire was in place again.
In the system operating room, the experience gained from operating on experimental subjects was tempered in reality, and Zheng Ren had a feeling of sublimation.
It was almost this time. Although he experienced a failure, Zheng Ren had stronger confidence.
He did not comfort the patient and asked him to try not to move.
This is not an emergency room, and patients are not crying for their parents because of pretentiousness.
The rupture of gastric varices causes a large amount of venous blood to accumulate in the stomach. This biological stimulation cannot be controlled by humans.
Just like hiccups, just like fever, it cannot be controlled or changed by humans.
Only quick operation can be done while the patient is vomiting blood.
After a brief observation of the patient, I saw that the patient's breathing was very weak and fast, but there was no sign of restlessness.
Zheng Ren immediately pressed the puncture needle button.
The black shadow shown on the image by the puncture needle passes through the hepatic vein and appears in the liver branch of the portal vein.
"It's done!" Su Yun roared in a low voice.
"Steady." Zheng Ren was not in a hurry, as firm and steady as a ballast stone. In the stormy sea, let the boat row to the other side of victory.
"Yeah." Su Yun responded immediately.
Successful puncture is only the most critical step. If anything goes wrong later, the operation will inevitably fail and must be repeated.
So everything must be done carefully and on thin ice.
I went... and the piercing was successful on the fourth try! Awesome!
In fact, it should be successful the third time.
The surgeon once again exceeded my imagination. In my impression, our hospital has performed dozens of tip surgeries, all of which took more than 4 hours. It is estimated that the number of punctures should be about 20.
There was great joy in the Xinglin Garden. Even the doctors who had guessed that the operation would fail were relieved.
Although they were not Chinese, they did not hope that the operation would fail.
There are not many barrages. Although the most critical step is solved, the remaining one is also very important, the indwelling membrane stent.
There are two different views on the choice of brackets.
A stent without a membrane will have good stability. It is a barbed wire mesh that turns into a barrel shape and is fixed by the liver parenchyma in the liver. The friction force is very strong and it is difficult to prolapse after surgery.
But the problem is that the liver's regenerative ability is too powerful.
After a period of time, perhaps a year, perhaps a few years, the stent may be clogged by the regenerated liver, and the channel created by the tip surgery is re-closed.
As for the membrane-coated stent, because the friction between the stent and the liver parenchyma is insufficient, it avoids the possibility of re-occlusion of the channel after liver regeneration. However, higher surgical techniques are required to fix the stent as much as possible.
The beauty of application lies in one mind.
In the systematic operating room, Zheng Ren chose the covered stent after countless experiments and research on various literatures.
He was confident that he could keep the stent stably in the passage of the puncture needle.
In the operating room outside the operating room, Professor Rudolf Wagner was silent.
He firmly denied the claim that it was Zheng Ren's first time undergoing tips surgery! If Zheng Ren was so skilled when he performed tip surgery for the first time, how could tip surgery be called the crown jewel of interventional surgery? !
He has done too much of this technique. It is because of understanding that it feels incredible.
How much scolding did you receive when you first learned tips surgery? How many times have you failed? How happy were you when you succeeded for the first time
This scene was recalled in the professor's mind.
Impossible, it is absolutely impossible for Zheng Ren to undergo tip surgery for the first time.
Even now, when faced with vomiting blood in an emergency, it would be difficult for me to touch the skirt of the goddess of victory during the third injection.
Moreover, after the unexpected failure of the third injection, Zheng Ren's mood did not seem to be affected, and the position of the guide wire was also not affected.
The next fourth shot was an immediate success!
Professor Rudolf Wagner is the one who knows best how difficult it is.
Zheng really has a pair of hands of God, and his existence is simply for performing interventional surgeries.
The determination to take Zheng Ren to the research laboratory of Heidelberg University was once again solidified by the facts and became more determined, like a rock on the top of the Alps.
Zheng Ren held the guide wire and paid close attention to the patient's condition. If the patient vomits violently again at this moment, the guide wire will be pulled out...
That's a really fucked up thing to do.
The 10mm covered stent was inserted by Su Yun along the guide wire.
The two exchanged hands, and there were almost no gaps in their coordination. They were perfectly skilled and in perfect harmony.
The bracket went in smoothly.
Because it was the first tip surgery in reality, and the patient often vomited blood, was agitated, and the position deviated at any time.
So Zheng Ren kept stepping on the line in order to observe the condition of the guide wire and stent in real time.
The patient immediately vomited violently again, and a thick smell of blood filled the operating room.
The action of inserting the stent was forced to stop. Zheng Ren and Su Yun carefully held the guide wire, fearing that the guide wire would slip out a few centimeters and cause the operation to fail again.
It would be nothing to have another surgery.
However, given the patient's condition, if the problem of increased pressure in the portal vein and gastric fundus veins cannot be resolved quickly, death may occur due to massive bleeding.
This is a race against death, and every detail must be perfected.
Even so, doctors don't have any confidence that they can defeat death. Not only does it need to be perfect, it also needs to be fast!
the faster,
The better.
Finally, the patient's vomiting of blood that lasted for half a minute subsided a lot. He finally calmed down, as if he had no extra energy to struggle.
Zheng Ren glanced at the vital signs on the monitor and suddenly shouted: "Open the call!"
On the operating table in the operating room to the right of Yisuke, Su Yun was congratulating himself that the patient had stopped vomiting blood and the position of the guide wire did not seem to have changed.
At this moment, I suddenly heard Zheng Ren's roar, and subconsciously pressed the dialogue button on the console with a sterile film.
"Yanran, Yiren, come in wearing lead clothes, the patient aspirated vomit!" Zheng Ren shouted!
Because interventional surgery requires exposure to radiation, Zheng Ren would not let a few girls in whenever possible.
But... just when the stent was about to be lowered in, something happened.
The patient had just vomited violently, causing vomited blood to be aspirated into the respiratory tract.
Then, the monitor's alarm sounded frantically, extremely arrogantly.
People outside started to move.
Director Xia directly put on the lead clothes and entered the operating room with Xie Yiren and Chu Yanran.
Zheng Ren did not break the wire, he had to observe the position of the guide wire at all times.
As for the moment when the door was opened, radiation spilled into the operation room... A small amount of radiation has no major impact on the human body.
After all, x-rays are direct rays...
"Sputum suction device!" Chu Yanran shouted while putting on sterile gloves.
An unexpected incident, an unexpected situation, not only did everyone move three points faster, but the decibel level of their voices was also three points louder.
They almost always spoke in a yelling manner. Everyone was afraid that their intentions would be submerged in the other's anxious mood and ignored.
Chu Yanran put her hand into the patient's mouth and first took out the remaining blood clots in the mouth piece by piece.
On the other side, Mr. Xie quickly opened the prepared sputum suction device and inserted a sputum suction tube along the corner of the patient's mouth.
"It's not enough." Director Xia said loudly, "Give it to me."
She grabbed the sputum suction tube from Xie Yiren's hand, then glanced at Zheng Ren and said, "I want to insert the sputum suction tube from the patient's nasal cavity. There may be agitation."
"Wait a minute, give me ten seconds!" Zheng Ren said in a deep voice.
Entering the sputum suction tube through the nasal cavity will induce severe irritation, causing the patient to cough, retching and other symptoms.
For a guidewire that has just been successfully punctured, it is like a small boat that will be submerged by huge waves at any time.
The patient's condition basically left Zheng Ren no time for the next puncture, and his blood pressure was already in critical condition.
The successful rescue of this aspiration may mean the failure of the rescue of the patient who vomited blood.
Director Xia looked at Zheng Ren in surprise and confusion.
The patient is already suffocating. Does he have to wait ten seconds before rescuing
Is he so sure that the operation will be successful within ten seconds
burden
Between the lines.
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