Live Surgical Broadcast

Chapter 1791 Stupid! (Monthly Pass 13500 Plus More × 27)

Su Yun felt the hostility, he walked over to Zheng Ren and faced Professor Zhang directly.

Eyes like knives.

"That's right, Professor Zhang." Zheng Ren inserted all the films into the reader and began to speak. His voice was very gentle, as if he hadn't heard the sarcasm in Professor Zhang's words.

"What are the main problems of the patient." Zheng Ren held a ballpoint pen and tapped it on the reader, making a popping sound.

"First, the insidious onset in the patient's medical history, I think it is caused by myocardial insufficiency, secondary to transient cerebral ischemia."

"..." Professor Zhang was startled.

"It's a typical moyamoya disease, with infarction." Zheng Ren pointed at the messy blood vessels on the MRI film and said.

"Second, because of the hidden medical history, I think the patient's moyamoya disease is very serious. Here, there are tiny hemangiomas. There are also similar tiny hemangiomas, at least 5-6. Because the images are not clear enough, so..."

Professor Zhang took off his glasses, rubbed his eyes, and looked at the MRI film carefully.

A bunch of messy blood vessels, Boss Zheng said that there is a tiny hemangioma? Is this a high level of technology, or is it nonsense?

Anyway, Professor Zhang looked at it for a long time and was not sure whether there was a hemangioma.

This is not surprising, after all, Professor Zhang is a professor of cardiothoracic surgery, and it is normal that he cannot read neurosurgery films.

"I read the surgical records, coronary artery bypass surgery under cardiac arrest and cardiopulmonary bypass." Zheng Ren said: "Heparinization of the whole body is very likely to cause the microvascular tumor to rupture and bleed."

Professor Zhang's heart sank. Does this mean that his surgery was not done well? The spearhead is directed at bypass surgery where the heart stops beating.

"Fortunately, it's all right. Now, depending on the patient's condition, there should be no intracranial hemorrhage. However, during the process of de-heparinization, there may be bleeding at any time. I can't guarantee when it will be."

"What the hell are you talking about?" Professor Zhang asked angrily.

"You have also seen the patient's situation. With the maintenance of IABP, the heart load is still heavy. I recommend extracorporeal membrane lung!" Zheng Rendao, "However, the extracorporeal membrane lung will continue to increase the level of heparin, and the patient has a great risk of intracerebral hemorrhage."

"..." Professor Zhang was stunned. Boss Zheng, he wouldn't... wouldn't do neurosurgery.

It is not an ordinary operation, but a rare disease such as moyamoya disease.

Young people are so confident, Professor Zhang was frightened by his own guesses.

Diagnosis does have its own self-consistent logic, but neurosurgery... I am afraid that no one dares to perform surgery.

What are the patients like now, is it worthwhile for neurosurgery to perform surgery again?

"Su Yun, call Xiao Feng, Xiao Hu, and Lao He, and ask Yiren to come over." Zheng Ren suddenly said, "Let the legal department of Xinglinyuan come right away."

Although Su Yun didn't understand what his boss was going to do, since the boss said it, he could just do it.

In emergency rescue, one voice is enough, and it is useless to say too much.

"Boss Zheng, the patient's condition is not good. I think neurosurgery will not perform surgery." Professor Zhang pondered and persuaded.

"Look at the current life indicators. In this situation, if there is a slight disturbance, a person with ventricular fibrillation will be gone." Professor Zhang persuaded bitterly: "I know you want to save people, but when you encounter such a situation The situation is life or death.”

"Professor Zhang, the patient can actually try to rescue him." Zheng Ren also persuaded Professor Zhang hard, "Neurosurgery can solve the hidden dangers of moyamoya disease and cerebral hemorrhage, and extracorporeal membrane lung can allow patients to treat this most difficult time. Dangerous time has passed."

"You..." Professor Zhang didn't listen to the old man's words, and the expression in front of him suffered. He looked at Zheng Ren, was silent for a few seconds, and finally sighed.

"Boss Zheng, your surgery is really good, and this cannot be denied." Professor Zhang's tone became much colder, "But for the large-scale emergency rescue involving the cooperation of various departments, I think it is better to let the medical department get advice. "

"Well, Director Lin should..." Zheng Ren said and asked Su Yun, "Did Director Lin call?"

"I hit." Su Yun was staring at the monitor and the IABP's operation panel, adjusting certain parameters from time to time.

The machine is not placed there, just turn it on and run it. Countless kinds of parameters are arranged and combined, and there are countless ways to deal with them.

It is necessary to temporarily decide how to adjust the parameters according to the patient's condition, which requires profound clinical experience and theoretical basis.

Su Yun is Tongzigong, a boy who has been in medicine for more than ten years, plus his talent, Zheng Ren is very relieved when he stands there.

Do your best to convince everyone that you can't just do surgery on your own accord.

When the moon is full, it will be a loss, and the extreme will be broken. Zheng Ren understands these principles. The patient's condition should be maintained for a while under Su Yun's care.

It's time to explain to the patient's family, Zheng Ren thought, and Professor Zhang said on the other side: "The patient's family has agreed to sign to give up continuing treatment, Boss Zheng, I think we, as medical workers, need to treat the disease and save the patient at the same time. Respect the opinions of the patient's family."

"I will do the family's work." Zheng Ren said firmly.

Professor Zhang's eyebrows furrowed.

Is there really anyone in this world who is worried that their troubles are not enough?

idiot!

Just now, Professor Zhang and the patient's family explained the condition and observed the situation, and found that the patient's husband had no idea of ​​rescue at all.

Although the patient's daughter has this idea, she has no financial resources, or enough financial resources to support a major rescue.

Now I think about reversing the thoughts of the patient's family members, I am afraid that there will be a high probability of a medical accident.

Many family members of patients are like this. On the surface, they have a positive attitude of rescue. In fact, they wish that the patient would die sooner.

A sick person is actually a drag. Whether it is financial, or need someone to accompany you. It's been a long time... what's the old saying? There is no filial son in front of the bed for a long time.

Basically that's what it means.

This will be the case with biological sons, not to mention a step-wife.

This is also human nature, and it is not easy for anyone to live.

Knowing that there is a bottomless pit ahead, people who have ruined their families throw money into it, and people may not be able to save them in the end.

How to choose can be imagined.

Professor Zhang felt that Boss Zheng's clinical experience was not rich enough and he did not realize this.

He grabbed Zheng Ren and persuaded him sincerely: "Boss Zheng, the patient's family has decided to give up. You tell them at this time that there is still a chance, and if you can save it, people will not miss you. The problem, all anger goes..."

"Professor Zhang, thank you." Zheng Ren said seriously: "I'll try my best to see if it works or not. It depends on the opinions of the patient's family. How to treat it... I can't just watch the patients who can be cured die."

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