Chapter 1897 Blood Pressure Is Stable? Something Is Wrong!

Chapter 1897 Stable blood pressure is not right!

"Boss, I think two hours is almost enough."

"But he couldn't stand it for two minutes. His biceps had already started to spasm involuntarily. The lactic acid level in his body was too high. It's not good for him to persevere." Zheng Ren glanced at Professor Zhan and said.

"Hehe, can you still see the lactic acid level? Tell me how to judge it." Su Yun was talking, but his head remained motionless, and his finger movements were subtle, matching Zheng Ren's free movement.

"It must be a disorder of the sodium and potassium pump in the body. If you do a serum ion test now, the potassium ion should be above 5."

Professor Zhan was speechless.

Usually I would joke like this, talking nonsense about some specious things.

It's just that Boss Zheng and his assistant are doing an almost impossible operation on the operating table in front of them, why do they still have such thoughts.

"Director Ma!" Zheng Ren called out, and then asked in a low voice, "Is it Director Ma?"

"right."

"Oh, I was busy with surgery just now, so I didn't listen carefully."

Ma Liang threw Dean Li aside and ran over in a hurry.

"Boss Zheng, what are your orders?"

Dean Li looked at Ma Liang helplessly, he didn't look like a senior director, but a doctor in training.

"Change to a young and strong person to pull the hook. Keep your hands steady and insist on changing for 30 minutes." Zheng Ren said, "Find more, the operation may take a long time."

"Oh, okay!" Ma Liang immediately went to arrange the matter.

But the first one to come up was Ma Liang himself.

Ma Liang would not miss this opportunity.

He replaced Professor Zhan, opened the internal organs, exposed the surgical field, and asked, "Boss Zheng, do you think this is okay?"

"The back hand should be higher." Zheng Ren said.

"Oh, okay." Ma Liang immediately followed what Zheng Ren said.

But the back hand is higher, but there is no change in the operation area.

He was a little puzzled, and asked, "Boss Zheng, what's the benefit of doing this?"

"Haven't you pulled the hook?" Su Yun asked.

"It was pulled more than twenty years ago."

"Your current posture can make your hook more stable, less labor-intensive, and last longer, probably around 4′12″. "Zheng Ren continued the operation and explained to Director Ma Liang.

Ma Liang didn't question Zheng Ren's statement, even if it was accurate to the second, he still didn't doubt it.

The operation continued, Zheng Ren and Su Yun were freeing the tumor tissue, but the hookers kept changing.

Microsurgery, there must be no trembling.

It is possible that the assistant just changed the shape of the hand, and the operation failed.

After 3 hours and 34 minutes, the hemostatic forceps in Su Yun's hand finally took out a piece of dark abnormal tissue from the patient's abdominal cavity.

"It's going well. Hey, have you made an appointment to freeze during the operation?" Su Yun asked.

Professor Zhan nodded quickly.

The fatigue from pulling the hook just now has not recovered after a few hours.

"A date, a date."

"I think it's a retroperitoneal paraganglioma, let's send it to be frozen." Zheng Ren said, and then began to deal with the surgical stump.

Seeing that the tumor tissue had been removed, everyone cheered up and gathered around to see the operation.

In the operation area, the dark tumor tissue disappeared, and there was no blood stain, and a section of the inferior vena cava seemed to be a little thinner, but there was no bleeding.

Dean Li was puzzled, and asked in a low voice: "Professor Zhan, why is there a free tumor tissue? Isn't it heavily adhered to the inferior vena cava?"

"Some parts of the adventitia of the inferior vena cava separated by Boss Zheng have reached the media, and the outer layer of the media has also been dissociated and cut off at several points." Professor Zhan looked at the operation area and guessed to his heart's content.

"Uh... what if the pressure of the inferior vena cava is high?" Dean Li asked.

Professor Zhan looked at him speechlessly, sighed, and said, "Dean Li, a stent with a membrane was inserted just now."

Only then did Dean Li realize how stupid his question was.

Just stop talking, it's a joke.

He glanced at the ECG monitor, and the values ​​on it told him that Director Jin's vital signs were stable, he was fine, and he should be able to step down alive.

Zheng Ren also looked up at the blood pressure, without saying a word.

The next step is to prepare for the abdominal closure, Dean Li judged.

But Zheng Ren sighed and said, "Give me a look at the pre-operative film."

"Uh..." The doctor on this side froze for a moment.

"Hurry up, the operation time is already very long." Zheng Ren was a little unhappy.

No matter what I say, I can't do it immediately. I remember that the medical level in the provincial capital is quite high. Why is it different from what I imagined?

"Boss Zheng, are you considering transferring?" Professor Zhan asked.

"Hmm." Zheng Ren looked at the values ​​on the ECG monitor, "After the resection of the retroperitoneal paraganglioma is often accompanied by a drop in blood pressure, it still needs further expansion."

"If persistent hypertension after tumor resection, or if blood pressure does not drop, suggests that there may be another tumor or metastases, metastatic lesions should be found and removed as much as possible to reduce functional tumor tissue. Extensive surgical resection is necessary."

"Oh, the blood pressure is still stable, and there is probably tumor tissue."

This news is simply bad news. I thought the operation was over, and it was clean and beautiful, which can be called perfect.

But the magician actually said that it's not over yet...

The film was hung up, and Zheng Ren put his hands under his armpits and began to read the film.

Su Yun also leaned over and followed along to watch.

Strangers are not allowed to enter within half a meter around the two of them.

Surgery encounters unexpected situations, and the surgeon is generally irritable. And now it should be regarded as an unexpected situation. What if I get close and encounter a sterile gown? !

The operator became irritable and must have scolded him.

"Boss, the lower pole of the right kidney doesn't look right." Su Yun said.

"Well, I can only cut it." Zheng Ren said: "Old Gao!"

Gao Shaojie remained silent the whole time. He couldn't understand surgical operations, so he didn't participate too much.

"Here, Boss Zheng." Gao Shaojie immediately agreed.

"Bleeding after nephrectomy, you have undergone embolization operation." Zheng Ren asked.

"I did." Gao Shaojie immediately gave Zheng Ren an affirmative answer.

"Then let's cut the kidney segment. The damage should be as small as possible." Zheng Ren then glanced at Professor Zhan and asked, "Tell the patient's family before the operation to observe during the operation. Is it possible to cut the right kidney or part of the right kidney?"

"said."

Zheng Ren was quite relieved, as long as the most basic things were not missed.

Back to the operating table, began to do nephrectomy.

The operation was fast, and there was no such care as in the previous removal of the tumor tissue adhered to the inferior vena cava, but a drastic resection.

Although Professor Zhan had some doubts, he did not speak, but kept observing the patient's blood pressure.

After cutting it off and cutting it off, the blood pressure suddenly dropped from 110 mm Hg to 75 mm Hg.

Seeing the drop in blood pressure, Zheng Ren was not worried, but heaved a sigh of relief, "Shut up!"