Chapter 1632 Forcing the Palace
After capturing the bullet, intraoperative echocardiography showed an increase in tricuspid regurgitation from mild to moderate, but the tricuspid leaflets and subvalvular structures were not mechanically affected.
This proves that the bullet is not "inlaid" in the heart.
The bullet is captured with a ferrule from outside to inside to ensure it fits into any structure; the Agilis catheter is then carefully manipulated and rotated counterclockwise into the right atrium.
After the bullet entered the right atrium, the echocardiographic response to tricuspid regurgitation decreased from moderate to mild.
This kind of post-operative change is predictable, Zheng Ren's hand is very steady, and he operates a little bit.
Step out of the right atrium and gradually pull the bullet to the groin. To prevent the bullet from slipping, Zheng Ren drew a figure-8 suture near the bullet in the groin.
This operation was very difficult. Zheng Ren failed 12 times in a row. Finally, he adjusted the shape of the snare to adapt to his own surgical technique before successfully completing it.
Subsequently, an assembly consisting of a 24-Fr sheath, a JR 5-Fr guide catheter, and a 15 mm gooseneck snare was selected to pass through the right femoral vein, and the gooseneck snare was processed within the right femoral vein.
Two ferrules were used simultaneously to capture the bullet, and the bullet was safely removed in the right femoral vein through a 24-Fr sheath, and the vein was finally sutured with No. 8 suture.
During the later surgery, Zheng Ren failed several times in succession.
The bullet swam and fell off multiple times.
Zheng Ren felt that the operation was extremely difficult. He was at the peak level of interventional surgery, and he had failed so many times.
If it was someone else, it wouldn't be possible at all.
In fact, Zheng Ren knew that it was the relationship between Changfeng's minimally invasive equipment.
If you switch to a foreign manufacturer...it's not very likely. Foreign manufacturers sell ordinary consumables in China, and they may not be able to sell the bullets themselves.
After more than ten hours of training, Zheng Ren finally took out the bullet three times in a row.
So be it, Zheng Ren let out a sigh of relief, and the surgical training was over.
Next, complete the surgery!
He came out of the system space, and immediately heard Director Tian sternly said, "That's impossible!"
"What's impossible?" Zheng Ren asked sideways.
"How could the bullet be in the heart!" Director Tian looked angry, "The echocardiography did not find the bullet!"
"But CT showed that the bullet was not in the mediastinum either." Zheng Ren smiled, pointed at the film, and said, "The bullet hit the clavicle, causing a fracture of the clavicle. The bullet entered the subclavian vein because of the decrease in speed caused by the position and the clavicle.
I know it's hard to figure this out, but it's the truth. "
The fingers tapped on the reader, making a thumping sound.
"Then the bullet entered the heart with the venous blood. Echocardiography showed that the valve had mild regurgitation, which was caused by the bullet entering the right ventricle." Zheng Ren said with certainty.
"impossible!"
"What else would you say other than impossible?" Linger stood up and said coldly, "If you thought it was possible, we wouldn't be here either. It's because you think it's impossible to find Boss Zheng to solve the problem. , can't do it!"
Director Ma was confused again.
Director Tian is a little bit clueless, but it's okay to beat and scold by himself, but he can't be beaten and scolded by the 912 people.
"Director Lin..."
"Director Ma, tell the truth, do you want Boss Zheng to have an operation? If necessary, we will stay. If not, we will leave with a pat on the buttocks and report back to the hospital. President Yan is hospitalized, but vice-president Yuan is in the hospital. Report this matter to the long meeting and the ministry." Linger didn't give Director Ma a chance to speak at all.
From Boss Zheng's eyes, he felt that Boss Zheng could solve this matter.
If you don't seize this opportunity to teach others a lesson, you might as well just quit your job and go home.
"..." Director Ma was speechless.
"It can't be in the heart, it's illogical." Director Tian defended.
"Then where did you say it?" Ringer asked with a sneer at the corner of his mouth. "The film is yours. I've watched it countless times. A bullet just disappeared? Is it a supernatural phenomenon or what?"
Director Tian was silent.
If you can't find it, you just can't find it. In the past few days, the film has been smashed, and I have not found where the bullet is.
Especially after a failed operation, Director Tian completely lost confidence in finding the bullet.
It's definitely not possible to drag it down. Bullets contain various metal components, which stay in the body and end up being a big disaster.
But in my heart, Director Tian really doesn't think so.
He was confused.
Boss Zheng of 912 gave a diagnosis, he wanted to say no, but he couldn't find where the bullet was.
Apart from the fracture of the clavicle and the rupture of the subclavian vein, there was no more trauma. Now that the young man is alive and kicking, he is rushing out of the hospital every day and returning to the foreign country. It is estimated that he can hardly hold back.
"Director Lin, let's..." Director Ma asked.
But halfway through his words, Ringo turned his head away from himself.
"Surgery, Boss Zheng, are you going to split your chest?" Lin Geli ignored Director Ma's words and asked back.
"No, it can be taken out through interventional surgery." Zheng Ren said.
intervention……
Operation……
take ammo...
All the men in the room fell silent.
There are no women, so no crying sounds.
Ringer has great trust in Boss Zheng, nonsense! The Massachusetts General Hospital sent letters asking Boss Zheng to be a tenured professor.
Although I don't know what happened in Nanyang, it was Massachusetts General Hospital!
Not to mention the various cases that I have witnessed with my own eyes, I can just gamble on this invitation letter.
If my clinical level is not enough, isn't it also possible for Massachusetts General Hospital?
The most important thing is that he has decided to live by hugging Boss Zheng's thigh. The Affiliated Hospital of Medical University doesn't directly show Boss Zheng's face, so do you still need to be polite?
"Okay." Lingo said without hesitation after 1.24 seconds.
Afterwards, he turned his face, faced Director Ma, and asked, "Director Ma, Boss Zheng is going to have an interventional operation."
"..." Director Ma was stunned.
Linger is a veteran deputy director of the medical department. What did he say, do you really know?
Is this a desperate gamble, or is it just for the sake of Director Tian?
After working in the medical department for decades, why are you still full of enthusiasm? This thing started to force the palace?
"If you agree, just do it in the Affiliated Hospital of Medical University. If you don't agree, I will report to Vice President Yuan immediately, negotiate with the department, and the patient will be transferred to our 912." Linger was aggressive, showing his cards directly, ready to turn his face.
Director Ma complained bitterly in his heart.
Although he absolutely did not believe that a bullet would be in his heart, what if?
It's shameful to be thrown into the ministry, although it's not a department directly managed, but... once the 912 operation is successful, the Imperial Medical University Affiliated Hospital will be shameless?
The reputation of the hospital is discredited, at least on the side of the superstructure, and the Affiliated Hospital of Medical University will definitely be considered to be of poor level.
He still thinks it's unlikely that the bullet will enter the heart.
Bullet, heart, these two words together mean - death!
But this kind of risk, even if it is only one in ten thousand, cannot be taken.
"I...I called the dean."