"What is a guide wire?" Zheng Ren asked.
"Cook's."
"Okay." Zheng Ren didn't choose. He had studied several types of guide wires in private. When the surgery was done to Zheng Ren's level, the subtle elasticity difference between the micro guide wires was very obvious.
There is no difference between good or bad, only how you use it. There is a big difference in the subtleties, the size of the force, and the judgment of the angle.
Cook…
"Micro guide wire." Zheng Ren stretched out his hand.
Director Jiang moved a little slowly, and placed the guide wire in Zheng Ren's hand a few seconds late.
Zheng Ren inserted the microguidewire into the arterial sheath and began to guide the guidewire inside.
"Dr. Zheng, how were you when you went on stage to perform surgery on 912?" Director Jiang asked.
"Well, I just arrived at 912. I used to work at the No. 1 Hospital in Haicheng City, Dibei Province. I did a lot of surgeries. Don't worry, it's no problem." Zheng Ren crossed his left and right hands and said again before Director Jiang could react. : "Just step on the line."
Director Jiang felt as if he had just taken out the microguidewire from the sterile package. Not only had the microguidewire been inserted here, but also the microcatheter was inserted, so he had to step on the line
Interventional surgeons are generally reluctant to step on the line too much. Although they wear lead clothing, it is still good to eat less.
However, he was not an assistant, and the surgeon was a doctor who came from the front line. Out of respect, Director Jiang did not question Zheng Ren's words and began to step on the line.
Now that he was stepping on the line, he remembered what Zheng Ren had just said.
"Did you just go to the 912 hospital?"
"Yes." Zheng Ren looked up at the screen, but did not see the contrast agent appear.
"Apply medicine." Zheng Ren said helplessly. He really couldn't cooperate.
So fast? Director Jiang took one look and immediately started injecting contrast agent in a hurry.
Generally, the guide wire reaches the position, then goes into the catheter, starts to step on the wire, and observes the position of the catheter. Only when everything is properly prepared can the medicine be applied.
This is a good thing. For blind surgery, direct application of the microguidewire does not count. Instead, the guidewire and catheter are used for blind surgery on the branch segment of the internal iliac artery. Director Jiang could only be amazed that the operation was so successful.
The contrast agent dispersed, and Zheng Ren knew what was going on.
Before looking at the X-rays of the pelvis, Zheng Ren tried to mentally simulate the three-dimensional CT imaging of the pelvic blood vessels.
During the last operation in Nanchuan Town, he experienced death threats from strong aftershocks. He felt that he had made great progress and wanted to give it a try. The contrast-enhanced image in front of you seems to be a three-dimensional figure...
But this kind of operation is really not suitable for now. As soon as Zheng Ren just thought about it, he felt his head was burning.
He immediately suppressed his thoughts at that time.
If you have to do something that consumes so much energy, you will have plenty of time to do it when you return to the Imperial Capital. Now, it's just a matter of getting the surgery done.
"Um..." Director Jiang was startled for a moment, and looked up at the screen out of habit. He was about to ask Zheng Ren how many interventional embolization surgeries he had performed for pelvic fractures.
But unexpectedly, as soon as the idea came to his mind, he saw that the micro guidewire had entered a very thin internal iliac branch.
The speed is so fast that the contrast agent diffused in the front has not yet dissipated.
Super selected so quickly? Or was it a coincidence? Director Jiang was stunned for a moment.
While he was stunned, the microcatheter also entered.
There was silence in the operating room. Zheng Ren looked at the image opposite, focused and serious. Director Jiang was only thinking about why it happened so fast, and he didn't realize that he had reached the next step.
Not to mention super-selecting a small branch of the internal iliac artery, even if it is... Forget it, it's nothing. If I had done it myself, I'm afraid the arterial puncture wouldn't have been completed yet. The patient was in hemorrhagic shock, and the femoral artery was as thin as a piece of paper. Even if he used a syringe to aspirate, he had to be careful. It’s pretty good if you can successfully puncture three or five times. After thinking about it, Director Jiang became stunned again.
After a few seconds of silence, Zheng Ren felt helpless.
"Director Jiang, it's time to apply embolism." Zheng Ren said helplessly.
"Uh..." Director Jiang came to his senses and was about to press the injection button of the contrast medium in a hurry when he heard Zheng Ren's voice, "You pressed the wrong button. No need for contrast, it will be embolized directly."
"..." Director Jiang was completely confused.
So confident
This young man can do it. Where does this confidence come from
But Director Jiang did not question it. Instead, he picked up the syringe and started injecting the embolic agent.
After the embolization was completed, Zheng Ren continued to super-select.
Just like an F1 sports car with the accelerator pressed to the bottom, Zheng Ren's hand speed is definitely not something that Director Jiang can keep up with.
Director Jiang stood on the stage, gradually becoming confused.
I can’t do the surgery, but it’s not a big deal. After all, it is so unreliable to expect a doctor who performs cardiac interventional surgery to perform embolization of pelvic fractures.
But it doesn't matter. It's a bit too much if the stage can't keep up.
Gradually, Director Jiang moved closer and closer, and he found that the young Dr. Zheng was operating faster on his own than when he cooperated with him.
This was a very helpless discovery. Director Jiang felt that he had become a burden...and was disliked...
After the embolization of the four branch blood vessels was completed, Zheng Reng was about to withdraw the catheter. Director Jiang said doubtfully: "Dr. Zheng, why don't you do an X-ray to take a look?"
"Huh?" Zheng Ren moved his hands quickly and concentrated on it. After hearing this question, he was also a little surprised.
However, he immediately reacted, looked at Director Jiang, and said calmly: "Normally, angiography is required to confirm, but this is not the case with the patient. One less procedure can save some time. I am relatively sure here, whether to do angiography or not It’s not necessary.”
Having said that, Zheng Ren still operated and moved the microcatheter to the front of the branch segment of the internal iliac artery and started angiography.
As he said, there was no contrast agent leakage, and several severely damaged internal iliac artery branches were completely embolized.
The operation completion rate was 98%, Zheng Ren had already confirmed it. The big pig's hooves are still very powerful. If you don't use them now, when will you use them? !
The reason why the completion rate of the surgery did not reach 100% was because the best time for surgical treatment was missed. It was not because there was anything wrong with the surgery.
Zheng Ren has become accustomed to the big pig's hooves being picky.
"Uh..." Director Jiang subconsciously glanced at the electronic watch in the operating room and found that less than twenty minutes had passed.
Is it over? Is this the end
Setting up a table for Professor Mu over there seems to be an operation in about an hour.
At that time, Director Jiang was frightened by Mu Tao's level. He was astonished.
But facing Zheng Ren's hand speed and the completion of the operation, all his senses were sluggish and he even began to doubt his life.
It must be because I haven't had a good rest recently, that's for sure. None of this is true... It would be great if these were true... Director Jiang was very conflicted and confused.
"Director Jiang, find someone to send the patient down, and then send the next patient up." Zheng Ren said.
"Oh... Okay, okay." Director Jiang felt very upset, feeling that he had not been able to help at all, and wasted a bottle of purified water for washing hands and a set of sterile suits.
By the way, there is also a pair of sterile gloves.
"Boss, your skills are improving quickly." The airtight lead door opened, Su Yun walked in and helped carry the patient down, saying with a smile.
"Well, during the last operation, I was under the ruins. I was a little scared when the aftershocks first came. Later I thought, it's useless to be afraid. You don't have to run away from a small earthquake. If you can't run away from a big earthquake, you will die. Later, I concentrated on the operation, and it felt like touching We have reached a certain critical point." Zheng Ren said.
Ruins… surgeries… deaths…
Several keywords passed through Director Jiang's mind, roaring in Director Jiang's heart like a violent aftershock.
He couldn't help but remain silent.
If there weren't a lot of injured people waiting for surgery behind him, Director Jiang would really want to cry.
However, now he is not even qualified to cry. There are countless wounded outside waiting for treatment, crying? Even if I want to cry, I have to wait until the earthquake relief is over.
"Dr. Zheng, thank you for your hard work." Director Jiang carried the postoperative patient down and said, "Please rest for a while. I will send the next patient up. I will ask you to come up again after the disinfection is completed."
"Huh?" Zheng Ren wondered, "Why is there such a long gap in between?"
"..." Director Jiang couldn't keep up with Zheng Ren's rhythm and was stunned on the spot.
"Director Jiang, you send one patient in, then pick up the next patient, and arrange for someone to apply pressure outside to stop the bleeding. After this operation is completed, the surgeon will not step down, but will directly perform the next operation. Your people will be responsible for pushing the patient to the hospital. That's it." Su Yun explained Zheng Ren's meaning.