Live Surgical Broadcast

Chapter 727 Are You Su Yun?

Su Yun ran out excitedly, and Zheng Ren smiled inwardly. The cardiothoracic surgery doctor followed him in general surgery and interventional surgery for several months. It was really not easy.

In the No. 1 Hospital of Haicheng City, there have been cardiothoracic surgeries performed, but only a handful of them.

It's 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, and he walked over directly. Outside the operating room, dark green sterile gowns were scattered here and there, and several tired doctors lay directly on them, curled up and fell asleep.

Here, instead of the cleanliness and solemnity of the past, it is a little more tired and hectic.

But there is no way, I have the energy potion, and now I am almost collapsed. And these doctors, they can't hold on at all. How is Su Yun? The body is good enough, but it is not the same.

Zheng Ren carefully walked past the doctor who was resting in the corridor of the operating room, making the footsteps as quiet as possible, so as not to disturb them.

When passing the third operating room, Zheng Ren glanced inside. Seeing that Su Yun had finished brushing his hands and was getting dressed. On the operating table, a doctor is operating.

Apparently, the doctor didn't expect that someone would jump over to set him up, and he was already prepared for the operation by himself.

"Doctor Zheng, the shelf is from Medtronic, are you used to it?" Director Chen asked.

"It's okay, as long as there is a frame. It's very simple abdominal aortic dissection, as long as it's a straight frame." Zheng Ren said.

Director Chen didn't ask to be on stage this time. He had seen Zheng Ren perform embolization surgery for severe pelvic fractures, and he knew the level of this cross-handed operation. Going on stage by yourself can't help much at all.

The patient's surgical position has been set, Zheng Ren brushes and disinfects his hands, and Director Chen exits the operating room.

"Director Chen, patients who need to be amputated, please bring them here," Zheng Ren said.

Director Chen nodded and started calling. He didn't go by himself, and he still had some doubts about Zheng Ren's diagnosis.

Although he convinced himself in the ward that this is a special period, and radiography can be regarded as a kind of diagnosis, Director Chen is still worried and wants to stay and have a look.

The air-tight lead door was closed, and Director Chen saw that Zheng Ren started to perform the puncture. After ten seconds, the guide wire catheter was already in place.

This speed... this confidence... Director Chen felt a little emotional.

The screen on the console lit up, just as Director Chen imagined, the guide wire catheter was already in the abdominal aorta.

On the radiography, Director Chen saw tear marks on the intima of the abdominal aorta, about 10cm in length!

In other words, a late diagnosis, or even self-doubt of the diagnosis, requiring a 64-slice CT examination of blood vessels, will lead to the death of the patient.

If the diagnosis is correct and timely, and the treatment is appropriate, the patient's life is likely to be saved.

Director Chen was very relieved and somewhat proud. Under such circumstances, how many people dare to trust Dr. Zheng without reservation?

The contrast agent hadn't completely diffused yet, but just after observing the length of the abdominal aorta intima tear, Director Chen saw Zheng Ren start to lower the shelf along the guide wire.

This kind of abdominal aortic dissection is countless times simpler than that of patients with thoracic aorta.

Type 1 dissecting aneurysm of the thoracic aorta with several branches, including the very important branches of the great 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 stepping down.

Type 1 thoracic aortic dissecting aneurysm, according to the location, can choose stent or surgery. As for the tear range up to 10cm, only surgery, such as aortic arch like nose replacement, can be taken.

As for the abdominal aorta, it is enough to get out of a few main branches.

Judging from the patient's angiography, this section happened to have no branches of large blood vessels.

A stent-graft opens and presses against the wall of the vessel, compressing the site of the abdominal aorta tear. Zheng Ren pushed the catheter in again, and carefully performed an angiography.

The abdominal aortic dissection disappeared and the blood flow was smooth.

The operation went well and was over in a few minutes. Director Chen knows that after interventional surgery enters the clinic, treatment is not the focus, but diagnosis.

Aortic dissection, no matter what type, is characterized by danger. Only timely diagnosis and appropriate treatment can save the patient's life.

It seemed that it was not meaningful for him to stay, so Director Chen began to call and urge the doctor to push the patient who needed amputation.

After the hemostasis was over, the next patient was pushed up.

Zheng Ren glanced and saw that Su Yun hadn't come out yet.

He knows that the operation time of thoracic surgery is relatively long. At the end of last century and the beginning of this century, before thoracoscopic surgery and electric cauterization, it took 1 hour to obtain 500ml of blood through thoracotomy.

At that time, an esophageal cancer operation basically took one day.

Su Yun's technique is fast, and he has the corresponding high-value consumables. It won't take so long to be an esophageal cancer patient, but it can't compare with his own.

Zheng Ren was busy. In the third operating room, Shao Hua, the chief resident of the chest department, had changed from a passive surgeon to an assistant.

The doctor who came to help was silent and opened his hands at full speed.

The patient in this operation was diagnosed with complicated blast injury, severe traumatic wet lung, lung rupture, and hemopneumothorax.

After opening the chest cavity, sweat broke out on Shao Hua's forehead.

There are a lot of holes in the lungs. If he didn't think the lungs on both sides were the same, he would have had a lobectomy.

While looking for the openings bit by bit and stitching them up one by one, the assistant came on stage.

Shao Hua didn't have time to ask which department the doctor who came to help him was from. Anyway, it was good if someone helped him pull the hook.

But when this person came up, he didn't have the slightest sense of pulling the hook. As soon as he stretched out his hand, the equipment nurse who prepared the stage handed him the retractor, but he directly patted the patient's leg.

He asked for a needle holder, a small needle and thin thread, and started sewing with Shao Hua.

Shao Hua was a little unhappy. As a temporary helper, couldn't he be a little bit compelled?

However, in less than three minutes, Shao Hua knew he was wrong.

The person who didn't know what to expect was not the strange doctor opposite him, but himself.

When I sewed a gap, I sewed three or five on the opposite side. The needle and thread walks at an extremely fast speed, but at the same time it is very stable, and even the arc is flawless, which is pleasing to the eye.

This is... Shao Hua felt a little uncomfortable, but more 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 cavity, the anesthesiologist began to inflate the lungs.

The door of the operating room opened, and a person rushed in hastily.

"Asleep, fell asleep, Xiao Shao, which step did you complete the operation? I'm sorry." The man said anxiously as he walked.

Before Shao Hua could react, the man walked behind him and took a look at the operation, and said in surprise: "The stitches are finished?"

As he spoke, he raised his head and glanced at Su Yun.

"You are... Su..."

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Live Surgical BroadcastCh.736/3097 [23.76%]