Su Yun ran out happily, and Zheng Ren smiled inwardly. The cardiothoracic surgeon followed him for several months to perform general surgery and interventional surgery. It was really not easy.
At Haicheng City No. 1 Hospital, we have only performed a handful of cardiothoracic surgeries.
It was really hard for him.
After changing his clothes, Zheng Ren walked into the operating room.
Director Chen stood at the door of the hybrid operating room and waved to Zheng Ren, who walked directly over. Outside the operating room, dark green sterile gowns were spread haphazardly, and several exhausted doctors lay directly on them, curled up and falling asleep.
Here, it is no longer as clean and solemn as before, but a little more tired and busy.
But there is nothing I can do. I have energy potions, but now I am almost collapsed. And these doctors, they simply can’t survive. How about Su Yun? My body is good enough, but I can't hold it any longer.
Zheng Ren carefully walked past the doctor who was resting in the corridor of the operating room, making the sound of his footsteps as quiet as possible so as not to disturb them.
When passing by the third operating room, Zheng Ren glanced inside. Seeing that Su Yun had finished washing his hands and was getting dressed. On the operating table, a doctor is operating.
Obviously, the doctor did not expect that someone would come running over to set up a table for him. He had long been prepared to perform the operation alone.
"Dr. Zheng, the stand is from Medtronic. Are you used to it?" Director Chen asked.
"It's okay, just have a frame. It's a simple abdominal aortic dissection, as long as it's a straight frame," Zheng Ren said.
Director Chen did not ask to come on stage this time. He had seen Zheng Ren perform embolization surgery for severe pelvic fractures and knew his skill in cross-handed operation. Taking the stage yourself will not help you at all.
The patient's surgical position has been arranged, Zheng Ren brushed and disinfected his hands, and Director Chen exited the operating room.
"Director Chen, please bring the patients who need amputation," Zheng Ren said.
Director Chen nodded and started making phone calls. He didn't go by himself, and he still had doubts about Zheng Ren's diagnosis.
Although he convinced himself in the ward that this was a special period and angiography could be considered a type of diagnosis, Director Chen was still worried and wanted to stay and take a look.
The airtight lead door was closed, and Director Chen saw Zheng Ren starting to perform puncture. After more than ten seconds, the guidewire catheter was already in place.
This speed... this confidence... Director Chen felt a little emotional.
The screen on the operating table lit up, just as Director Chen imagined, the guidewire catheter was already in the abdominal aorta.
During the angiography, Director Chen saw signs of tearing in the intima of the abdominal aorta, about 10cm in length!
In other words, a late diagnosis, or even oneself doubting the diagnosis and requesting a 64-slice vascular CT examination, will lead to the patient's death.
With correct and timely diagnosis and proper treatment, the patient's life will most likely be saved.
Director Chen was very relieved and a little proud. In that case, how many people dare to believe Dr. Zheng without reservation
The contrast agent had not yet completely diffused, but as soon as the length of the abdominal aorta intimal tear was observed, Director Chen saw Zheng Ren beginning to remove the frame along the guide wire.
This type of abdominal aortic dissection is countless times simpler than patients with thoracic aorta.
Type 1 dissecting aneurysm of the thoracic aorta has several branches, including the extremely important branches of the large blood vessels in the neck that supply blood to the head.
These branches must not be occluded, otherwise the patient will suffer from cerebral ischemia and die before he can step off the stage.
For type 1 thoracic aortic dissection aneurysm, stent or surgery can be selected depending on the location. As for the tear range of up to 10cm, the only option is surgery, such as aortic arch and trunk replacement.
As for the abdominal aorta, just leave a few main branches out of the way.
Judging from the patient's angiography, this section happens to have no branches of large blood vessels.
A covered stent is opened and pressed against the blood vessel wall, compressing the tear in the abdominal aorta. Zheng Ren inserted the catheter again and carefully performed an angiogram.
The abdominal aortic dissection disappeared and the blood flow was smooth.
The surgery went smoothly and was over in a few minutes. Director Chen knows that after interventional surgery for this disease enters clinical practice, treatment is not the focus, but diagnosis.
Aortic dissection, no matter what type it is, is characterized by danger. Only timely diagnosis and appropriate treatment can save the patient's life.
It seemed that there was no point in staying, so Director Chen started calling the doctors to urge the doctors to bring in patients who needed amputation.
The compression stopped the bleeding, and the next patient was pushed up.
Zheng Ren took a glance and saw that Su Yun hadn't come out yet.
He knew that the operation time of thoracic surgery was relatively long. At the end of the last century and the beginning of this century, before the advent of thoracoscopy and electrocautery, 500ml of blood could be obtained through thoracotomy, which took an hour.
At that time, an esophageal cancer surgery basically took only one day.
Su Yun's technique is fast and he has corresponding high-value consumables. It won't take that long to get esophageal cancer, but he can't compare with his own arrogance.
Zheng Ren was busy. In the third operating room, Shao Hua, the chief resident of the thoracic department, had passively changed from an operator to an assistant.
The doctor who came to help said nothing and used his hands at full speed.
The patient in this operation was diagnosed with complex blast injury, severe traumatic wet lung, pulmonary rupture, and hemopneumothorax.
After opening his chest, sweat broke out on Shao Hua's forehead.
There were a lot of holes in the lungs. If he hadn't estimated that both sides of the lungs were the same, he would have considered having a lobectomy.
While I was looking for the rupture bit by bit and suturing one by one, the assistant came on stage.
Shao Hua didn't have time to ask what specialty the doctor who came to help him was in. Anyway, it was already good if someone helped him pull the hook.
But when this man came up, he didn't have the consciousness to pull the hook at all. As soon as he reached out, the nurse handling the equipment handed him the retractor, but he slapped it directly on the patient's leg.
He asked for a needle holder, a small needle and a thin thread, and started suturing together with Shao Hua.
Shao Hua was a little unhappy. As a temporary helper, couldn't he be a little worried
However, in less than three minutes, Shao Hua knew that he was wrong.
The person who didn't care was not the strange doctor opposite, but myself.
In the time it took me to sew one crack, I had to sew three or five on the opposite side. The needle and thread move at extremely fast speeds, but at the same time they are very stable. Even the curvature is flawless and pleasing to the eye.
This is... Shao Hua felt a little uncomfortable, but more importantly, he was curious, who is he
In more than ten minutes, dozens of small wounds in the upper and lower lobes of the left lung were all sutured. After pouring warm saline into the chest, the anesthesiologist began to inflate the lungs.
The door to the operating room opened and a person rushed in.
"I'm asleep, I'm asleep, Xiao Shao, how far have you gone in the operation? I'm sorry." The man said anxiously as he walked away.
Before Shao Hua could react, the man walked behind him and took a look at the operation, and said in surprise: "Is the stitching finished?"
As he said that, he raised his head and glanced at Su Yun.
"You are... Su..."