Chapter 1090

The thoracic aorta bulged, and the dark red hematoma looked so dazzling.

Director Ma murmured, "thoracic aorta... Well, did you go in under the stent?"

"Well, don't worry." Director Kong also saw the operation field behind him. He felt a strange feeling in his heart and whispered comfortingly.

Even if director Kong saw the big shelf go in with his own eyes, he was still frightened. If there is no support, it looks like it will be broken. People will be gone directly. What a fart!

Fang Lin carefully touched the position around the hematoma with hemostatic forceps, and could feel the hardness of the stent. In fact, as long as the stent is lowered and the position of the intimal breach is blocked, there is no problem.

He tried, with some questions in his mind.

Boss Zheng is very strong. When rescuing himself, I heard people say some process afterwards. The level of emergency treatment is first-class. But how did he know there was a thoracic aortic dissection?

Director Miao was injured and sent. He was the first to know the news. He trotted all the way. Boss Zheng's surgery was finished.

Not only abdominal surgery, but also special thoracic aortic stents.

Look at the extent of the hematoma. I'm afraid it will break at any time. Once broken, the rescue is over.

But the doubt belongs to doubt, but Fang Lin can't do anything about Zheng Ren.

"Director, the stent is perfect. If I don't feel at ease, it should be covered with a layer of hemostatic gauze..." Fang Lin whispered. He couldn't give it any more disposal.

The most serious rescue operation, boss Zheng had already finished before everyone came.

What a monster. Fang Lin stood in the position of Yizhu and looked up at Zheng Ren sitting by the door with his back against the wall.

Is boss Zheng so powerful? It's hard to imagine.

Director Ma nodded. We can't do too much here. If you go under the stent, you don't have to think about the operation of aortic replacement. In director Miao's current state, he can't bear the trauma of replacing the aorta.

Su Yun silently stood beside Lao he and looked at the operation field from the anesthesiologist's point of view. When the mediastinum was opened, he was the most surprised person.

Zheng Ren first used such a strange surgical method, which seems to prove something.

Femoral artery puncture, built-in double guide wire, two hands operation, one to remove the lower aortic stent and one to embolize the left hepatic hemorrhage.

In retrospect, these two operations are meaningful. I'm afraid later, director Miao died of either excessive bleeding or rupture of thoracic aortic dissection.

Su Yun saw that there was only a very thin layer of the adventitia of the thoracic aorta, which would rupture not at any time, but immediately.

It was only because of hemorrhagic shock that blood pressure could hardly be measured that a balance was maintained. If you cut the spleen and liver first to stop bleeding, I'm afraid if the blood pressure rises, director Miao will die on the operating table.

That's close... But how do you diagnose this product?

Su Yun immediately raised countless questions, both in front of him and in the past.

With his rich clinical experience, how could su Yun believe such words! In his opinion, I don't have such rich clinical experience. Can others have it?

But diagnosis is one thing, operation is another.

Although Su Yun watched director Ma and Fang Lin perform the operation, what appeared in front of him was the interventional operation of double guide wire and double operation.

His level is high enough, and Su Yun is not someone who has never seen international intervention. He was so familiar with Professor Rudolph Wagner that he knew what the level of international intervention was.

Su Yun judged that his level of intervention could rank at least in the top 50 in the world. This also includes visceral intervention, nerve intervention, vascular intervention, cardiac intervention and other branches.

But can you do it yourself?

I don't say that I can operate the double guide wire with both hands and do two different operations at the same time. I just say that I concentrate on doing the simplest thoracic aortic stent... The answer is obvious - I can't do it!

Although there were countless questions in his heart, Su Yun didn't say, but sealed them all.

Say what should be said and don't say what shouldn't be said. This is why Su Yun is willing to hate others, but he can live safely until now and has friends all over the world.

"The head injury is very light. It looks good inside now." The director of Neurosurgery put away his flashlight and breathed a sigh.

Different from extrathoracic surgery and general surgery, neurosurgery does not have the operation of craniotomy.

Without the cooperation of CT and MRI, no one dared to go on stage for surgery.

If you open the skull and the bleeding point is on the other side, it will kill you. There is no gap in the head, and even it is particularly difficult to judge the bleeding point. It is a bloody piece.

What they can do is to check the body first, mainly by observing the pupil to judge the possibility of intracranial hemorrhage. If extrathoracic and general surgery can be rescued to control hemorrhagic shock, you can go on stage again after CT.

"The pupils on both sides are equally large, and the light reflection is weak, but there is. It is estimated that even if there is bleeding, the amount is relatively small, and the problem is not big." When the director of Neurosurgery saw that almost everyone looked at him, he finally added and said a little positive news.

As long as the pupil does not appear and the light reflection disappears, it is the best.

Glancing at the monitor, the number above told everyone present that the blood pressure seemed to be stable!

60 / 40 mmHg, although still very low, but there is blood pressure. The time of ischemia and hypoxia in various organs of the body is not long, and it is estimated that it will not cause any irreversible damage.

The operation continued. Someone from the general surgery department took a look at the operation. Seeing his abdomen covered with warm saline gauze, Professor Yang brushed his hands on the stage and checked it again. The operation area of the whole abdomen is clean, with splenectomy, left lobe resection of the liver and no bleeding.

Boss Zheng's operation was good, and Professor Yang praised it in his heart. Not to mention finding and repairing the intestines, it takes at least 40 minutes to remove the left lobe of the liver.

This is not the time for laparotomy and hemostasis.

Looking at the left liver cut from the pathological basin, Professor Yang also had lingering palpitations. It's ragged. You can imagine how fierce the bleeding was at that time.

He carefully explored for nearly half an hour. Boss Zheng's operation was flawless!

The operation was perfect, whether it was resection, hemostasis or repair of the right half of the liver.

"Boss Zheng, it's all right. I'll close it here?" Professor Yang didn't decide without authorization, but asked Zheng Ren back.

"Trouble." Zheng Ren said softly, his eyes closed slightly, and his eyelashes trembled constantly. Although there was no expression on his face, it was difficult to hide the waves in his heart.

"Brother Yang, I'll give you a hand on the stage?" Su Yun asked.

"No, we have people." Professor Yang smiled and felt sad.

He didn't think Zheng Ren was too arrogant. He finished the operation at the first time and at least let director Miao lose 500-1000 ml of blood. This is a life-saving operation. I'm afraid I was nervous when boss Zheng rescued me. Now I'm too tired.

It's a big joke to save your family and no one comes on stage again.