Chapter 282 anastomosis of left hemicolon artery to left anterior descending branch
An hour later, Chen Qun projected several pictures onto the large screen in front of him, pointed to a section of blood vessels specially marked by the computer in the middle, and explained to Cao Yumeng.
"Your niece's left main coronary artery has contracted by about 75%. If it continues to contract, it will lead to insufficient blood supply and life-threatening. Even in this case, surgery is needed immediately. What's more, from the test results of the Department of genetic diseases, her isobutyric acid, short chain fatty acid and isovaleric acid are higher than those of normal people, and her risk of heart disease is very, very high! "
Cao Yumeng immediately asked.
"Is it possible to cure it?"
"Severe proximal left anterior descending artery disease, accompanied by severe middle and posterior obstruction, requires a special angioplasty to solve the problem of vascular stenosis. If the vascular obstruction is too serious, it needs to do a left hemicolonic artery to left anterior descending artery anastomosis. I need to give Mr. Yang a look at the treatment plan, and I won't be able to reply to you until this afternoon or tomorrow. "
"Dr. Chen, I'm afraid I can't understand your terms. Can you tell me a little bit? I'll explain it to the parents and family of the child."
"In short, it's a heart bypass operation. But the child is very small, blood vessels have not fully grown up, the risk is higher than ordinary people. Of course, I'll ask Mr. Yang if there are any other solutions. "
"OK, thank you. I'll come back tomorrow afternoon."
Chen Qun looked at the figure out of the door and turned to Qi Hong, who was sitting opposite, with a bitter smile.
"When I was three years old, I had a bypass? Do you think this suggestion is like the words of a reliable doctor? "
Qi Hong put down the tablet computer in his hand and said, "do you have a better way? How about implanting a stent to relieve her arterial pressure? "
"Can't establish effective blood supply!"
Chen Qun shook his head.
Qi Hong looked at the paper that he had just checked twice in his hand and handed it to Chen Qun, pointing to an image to suggest.
"Maybe we can use the artificial blood vessel anastomosis technique that you used to repair Feng Qiuyun's cavernous capillaries last time to complete a similar operation."
"Here's the heart. The beating of the heart keeps the coronary artery moving up and down. It's hard to find the support for the operation. Unless you master the rhythm of the heart beat like a game, and secretly complete an action every time you beat, if you make a mistake, it will be very dangerous. "
"No, you may misunderstand me. I mean to slightly improve your operation sequence, first add a stent to build two bridges, and then implant an artificial vascular network from the inside of the artery to support the front of the reduced artery back to its original state. Even if the blood vessel is ruptured, there is no obstacle for a talented artificial blood vessel to be placed inside."
Chen Qun understood what Qi Hong meant, that is, he used his method of repairing capillaries to repair larger coronary arteries. It is feasible, but it is no less dangerous than coronary artery bypass grafting.
Now his online ratings and likes are soaring, giving him enough "money" to exchange for surgery time. In an instant, Chen Qun entered the system simulation operation space and did both operations once.
The result is a bit beyond his imagination, the more difficult micro interventional surgery, the degree of operation completion is 84%, but the coronary artery bypass graft directly failed. Needless to say, it's all the little girls' hyperlipidemia that leads to cardiopulmonary bypass problems.
Maybe we can reduce the operation steps a little. Chen Qun did another vascular anastomosis operation, and this time the completion rate became 77%.
In the face of this not rising but falling degree of completion, Chen Qun came up with a better method in his mind. At last, he took shape slowly and practiced it again without hesitation. The degree of completion is 89%!
According to Qi Hong's method of operation, this is also a good way to cultivate Qi Hong's confidence. Isn't the system saying that surgery is teamwork every day? That naturally can't exclude teammates.
Chen Qun returned to the real world from the system space, but he still did not forget to tell Qi Hong to do one thing.
"Since it's a family genetic disease, you invite their family to the emergency center, and then do some related tests to see if other people have similar symptoms! I'll write the treatment plan according to your method immediately, and then give it to Mr. Yang for review. "
This is related to his system task patients, given the task is family disease, that is at least two patients. If we find a child now, there may be a hidden patient, probably the parents of the child who did not come for examination.
Qi Hong agreed to Chen Qun's suggestion when he saw that he "didn't even want to think about it." he was also very happy. It was more clear that Chen Qun wrote the treatment process himself, which was much more detailed than his own.This operation must not fail!
Qi Hong prayed in her heart. It's the first time that she hopes that the operation will not make any mistakes. This is not only the first operation designed by herself, but also for the safety of the three-year-old girl's life.
However, she is more fortunate that Chen Qun is her partner. This guy has no airs at all. He never thinks that if I do a good operation, I have to listen to my advice. But which statement is better, he will follow which method.
Compared with the other boys in the group, they pay more attention to their operation. No matter how good their relationship is, they won't listen to outsiders. Especially when there is not much difference and difference between the two methods, we will not use other people's plan to carry out the operation.
After all, that's what surgeons care most about. Chen Qun adopts the operation method she suggested, so the next step is to design a simulation experiment to ensure that the operation is safe. If the operation fails, Qi Hong even doubts that she will have doubts about her whole life goal.
That's a three-year-old girl!
I don't know why, for the first time, Qi Hong, who has always been calm and calm, had a huge psychological pressure on her career, which made her more and more willing to complete the operation smoothly.
Get ready for training mode now!
Qi Hong immediately called out the parameter settings in the VR training machine template. Looking at a series of table parameters, she was a little silly.
The system only provides the general parameters of an adult. For a three-year-old girl, a lot of data are missing. If she takes the girl named Lulu for a comprehensive and thorough test, the cost of light test is tens of thousands of yuan.
Let's not talk about the cost, just a variety of tests will cause greater psychological pressure to the family members. It seems that she needs to go to pediatrics to get these accurate data.
"Chen Qun, I'll check the data of the child's physiological model. When you've finished your plan, just send it to me directly."
"You don't have to go. I've set the parameters. You just need to input them directly into the computer. The data of the broken computer system should also be upgraded. Many function calculations are wrong. No wonder Professor directors in major departments don't like that system, and they don't know which layman idiot designed it. "
Chen Qun make complaints about it, and he is somewhat annoyed.
Qi Hong's words scared him a lot.
"It was designed by your girlfriend, sister Xin!"
Chen Qun immediately closed his mouth and didn't dare to gossip. My heart is a little strange. Why does Qi Hong know so many details? By the way, as Qi Hong said, Xiao Xin is also a mathematical genius with scholar syndrome. She almost forgot about it.