Chapter 1651 Who Are You! (Leader Pig Calls Elephant Plus 1)
Elder Gu didn't say anything, changed his clothes and entered the operating room with Zheng Ren and others.
Zhao Wenhua waited in the operating room early, the nurses in the operating room were busy, Xie Yi people shuttled back and forth, preparing sterile bags and sterilized items for surgery, dancing like a butterfly.
"Boss, I'm going to disinfect." Professor Rudolf Wagner wanted to go directly to the operating room.
But Su Yun held him back and said, "Fugui'er, you can rest during this operation, and I will go with the boss."
"Brother Yun, this is an interventional operation." Professor Rudolf Wagner was a little aggrieved, but he seemed to have some psychological shadow on Su Yun, so he could only whisper.
"You're in Germany, and you have a chance." Su Yun was not polite, pulled the professor back, and went directly to wash his hands to disinfect, "Take a rest and see, I don't have your share."
The professor was even more aggrieved, but did not dare to differentiate. He looked at Zheng Ren and wanted to say something, but in the end he held back.
A few people entered the operating room, Zhao Wenhua suddenly saw Elder Gu, and was stunned for a moment, then "understood" that this was the foreign aid brought by Boss Zheng, and that must be the case.
After intervention, thoracic surgery was performed.
What a big deal, these tricks, I have already seen through! Zhao Wenhua felt proud.
"Elder Gu, you are here." Zhao Wenhua bowed slightly and said politely.
"Well, let's see Xiao Zheng's operation for pulmonary sequestration."
With that said, Gu Lao sat down on the chair in the operating room and faced the operating table. This is the best place to see interventional surgery, and Gu Lao does his part.
Zhao Wenhua snickered in his heart, although Gu Lao is already old, but the operation is still performed every day, except when he is not feeling well, he has never abandoned it.
With Mr. Gu around, the operation would definitely be no problem.
Just cut a lung lobe, a minor operation.
How does it feel to be seen through yourself? Through the lead glass, Zhao Wenhua looked at Zheng Ren, who was watching the movie with his arms in his arms, and thought triumphantly.
It's all a little trick, how can you be fooled.
Soon, disinfection is completed, sterile sheets are laid, and the operation begins.
Zheng Ren chose the femoral artery and vein dual approach, puncture, and placed a puncture kit.
Looking at the busyness inside, Gu Lao said: "The double puncture technique is rare."
Professor Rudolf Wagner was still aggrieved, watching the operation inside, reluctantly.
Feng Xuhui was standing in a corner, next to Liu Xiaojie, both of them were not as good as two big trolley cases.
Liu Zewei was very surprised that the simultaneous intubation and angiography of the femoral artery and vein is really rare.
And he has only seen this kind of technique in journals, but he has never operated it himself.
No wonder Professor Rudolph is so aggrieved,
No wonder Dr. Su is rushing to perform surgery,
It turned out to be such a rare technique.
Zhao Wenhua's eyes were straight.
To prove pulmonary sequestration, a puncture of the femoral vein is sufficient.
Boss Zheng is not only puncturing the femoral vein, but also puncturing the artery. What is this going to do?
Could it be that……
Does he really want to use interventional surgery to treat pulmonary sequestration? !
What Boss Zheng said turned out to be true!
Zhao Wenhua was so surprised that he couldn't speak. He silently looked at the image on the screen, his hands were numb.
Double puncture... Boss Zheng actually did this!
At this time, he would have thought that this was a "frame-up" and that he was the victim.
A guidewire was introduced, followed by an angiographic catheter to the thoracic aorta for arteriography with the nonionic contrast agent ioversol.
It shows an abnormally thickened blood supply artery on the right wall of the lower thoracic aorta, about 1 cm in diameter, running along the basal segment in the lower right lung.
The left inferior pulmonary artery can be seen after the branch, and it merges to form an abnormal return vein about 1.2 cm thick and drains into the right atrium.
Pulmonary angiography through the right femoral vein catheterization showed that the pulmonary artery in the basal segment of the left lower lung was absent.
After the operation has done this step, it has been determined that it is pulmonary sequestration.
It's time to extubate, Zhao Wenhua thought to himself. The tube will be extubated and surgery will be done.
However, he was disappointed.
The image on the screen shows that Boss Zheng is operating the guide wire and is in the process of superselection.
"Gu...Old, aren't you going to have surgery?" Zhao Wenhua asked.
"Surgery? What are you doing?" Elder Gu stared at the screen, "I can't wear lead clothes on my body."
"Pulmonary sequestration needs to be surgically removed!" Zhao Wenhua said anxiously.
"Aren't you studying?!" Elder Gu glanced at him and immediately turned his attention to the screen, "Last year, two French doctors who studied pulmonary sequestration performed interventional surgery on three patients, and they recovered well after surgery. , 7-day re-examination of the chest CT showed solid changes in the lesion site, and no hemoptysis symptoms were found in the follow-up for more than 6 months after the operation."
"..."
"It's no wonder that you don't study pulmonary sequestration." After all, Elder Gu was kind. Seeing that Zhao Wenhua didn't speak, he knew that he had no research on this disease, so he gave Zhao Wenhua a step down, "Little Zhao, the future interventional procedures will be more and more difficult. More and more, it is not enough for you to hold the interventional embolization of liver cancer."
Zhao Wenhua stared blankly at the screen, the super-selection was successful at one time, and Boss Zheng had already super-selected the catheter to the blood supplying artery.
It is not difficult to superselection, and you can succeed at one time yourself.
But this kind of surgery, which is rare in the world, should be cautious? And... is he really going to embolize the foci of pulmonary sequestration? !
Zhao Wenhua watched helplessly as the catheter was put into a vascular occluder with a diameter of 12-14mm, and the occluder was released in the main artery of the supplying artery. The angiography confirmed that the embolization of the abnormal supplying artery was satisfactory.
Angiography of the femoral vein was subsequently performed, and it was found that the draining vein had disappeared.
11'23", the operation is over.
"It's that simple," muttered Professor Rudolf Wagner.
"Fang Lin, look good?" Gu Lao turned his head, looked at Fang Lin and asked.
"Mmmm." Fang Lin kept nodding like a rooster pecking at rice.
"Next time you encounter a similar patient, remember to seek consultation with the interventional department." Gu said, "Don't always think about cutting lung lobes. The current trend of surgery is only minimally invasive. What kind of surgery is less traumatic, you should choose What kind of technique."
"Elder Gu, you're right." Zheng Ren came out of the operating room, took off his mask, and said with a gentle, honest smile on his face.
"Go, tell me if there is anything to say about the occluder." Elder Gu stood up and walked out.
Zheng Ren followed behind, explaining the use of the occluder in a low voice.
Zhao Wenhua looked at the screen stupidly, until now he has not recovered.
It's not the same as the script I imagined.
"Professor Zhao!" Su Yun's voice came from inside.
"what?"
"Come to oppress and stop the bleeding, don't you point to me to send the patient back. Who are you, do you have any points in your heart?" Su Yun's voice was filled with infinite contempt.
Zhao Wenhua's heart was bitter for a while, and his attitude was completely different from when he was rushing to have an operation before!
What kind of people are they who use their faces to face forward and don't need to face back!