Chapter 1357

"Professor Zhang is right. The operation is very difficult." Zheng Renxian made a positive conclusion.

When Professor Zhang heard Zheng Ren's opening remarks, his face softened, nodded slightly and smiled at Zheng Ren.

Professor Zhang knows that the sedan chair is carried by people.

"The patient is critically ill and the risk of surgery is great." Zheng Ren repeated again, then went to the film reader, pointed to the position of the aorta and said: "the adventitia of the aorta is eroded in a large area. Even without surgery, I estimate that within 24-48 hours, the patient will die of massive hematemesis due to aortic rupture."

The smile on Professor Zhang's face had not dissipated, and then it solidified.

"Surgery must be done, and it must be done in an emergency." Zheng Ren turned his face like a book and immediately took a clear-cut stand to show his different views from Professor Zhang.

Ringer sat in the middle of the office without expression. When he heard this, he lowered his head and recorded something in his book with a pen.

Professor Zhang looked at Zheng Ren with a serious expression and asked coldly, "boss Zheng also said that if you don't have surgery, the adventitia of the aorta will rupture at any time within 24-48 hours. It has become thin into a piece of paper. Do you want to destroy it artificially?"

"First of all, I think Professor Zhang is right." Zheng Ren repeated this sentence again. Zhao Yunlong suddenly smiled. Boss Zheng looked simple and honest, but he was also very bad.

"But because of this, the operation should be carried out as soon as possible." Zheng Ren said: "in view of the condition of thin blood vessel wall, I suggest that an aortic stent be placed first to support the intima. If the adventitia is broken, it can be repaired with a patch. In this way, the risk of death on the operating table can be avoided to the greatest extent."

Professor Zhang stared, suddenly stood up and began to refute Zheng Ren's words.

After all, he is a lecture professor with rigorous theory and clear logic. No matter what arguments and arguments are, they focus on the operation risk of patients without any deviation.

He did not lose his mind because of anger, nor was he taken away because he wanted to refute Zheng Ren's words.

All the focus is on the huge risk of surgery and must be cautious.

It seems that Professor Zhang is good at not only lectures but also debates.

Zheng Ren felt that if he didn't interrupt Professor Zhang, he could go after midnight.

A blood routine is enough to talk for three or five hours.

In fact, what he wants to say is obvious - it has nothing to do with me without surgery. After the operation, I must carry the pot.

This is a very helpless thing. Zheng Ren also understands Professor Zhang.

Just like the choice of the local hospital, the operation is too difficult. First, anti-inflammatory and conservative treatment. If it can be good, everyone will be happy; If not, push it to the superior hospital.

Treatment? No one wants the patient to die on the operating table. Cure the disease. Hello, I'm good. Hello, everyone. It's fun. If it's too difficult and uncertain, you'd better go to the superior hospital.

But local hospitals can do this, and 912 can't.

Where to push the patient? Concorde? Fuwai? Anzhen?

They are the top three hospitals in China. If you really want to send the patients, do you want to be shameless? Admit to be a subordinate hospital?

In the future, we will hold a national academic conference. When we meet, do we have to call professors in other hospitals teachers?

In that case, President Yan must suppress it with an iron fist. No matter which big man stands behind him, clean up the "black sheep" from 912 first.

Professor Zhang knew he couldn't push it out. He chose to delay as much as possible.

As long as you get off work, whoever you want to have surgery tomorrow is OK. Anyway, it's a good strategy as long as it has nothing to do with yourself.

Zheng Ren sighed. He really didn't want to resist a group professor of cardiothoracic surgery.

Not afraid, but unnecessary. Seeing Professor Zhang's eloquent words, Zheng Ren came directly to the system space to prepare for surgical training.

"Hello." Zheng Renxian said hello to the little white fox.

As expected, there was no response. The lifelike little white fox lies down in front of the thatched house, with a little flexibility in his smile.

Just saying hello casually, Zheng Ren didn't think that Xiaobai fox could reply. He clicks to buy operation training time and directly enters the system operating room.

An experimental body was lying on the operating table, the shadowless lamp was very bright, and the skin of the experimental body was a little pale.

Recalling the film, Zheng Ren positioned the experimental body and began surgical training.

Zheng Ren did not choose the combination of thoracoscopy, mediastinal meridian and esophagoscopy. Although the precedent of three mirror combined removal of fishbone in similar cases has been reported, endoscopic surgery is too time-consuming.

It's safer to open your chest.

Mediastinum is full of abscesses. Even for thoracotomy, you need to wear a microscope, let alone endoscopic surgery.

Exploration found that it was a hard fish bone that pierced the esophagus and plunged into the mediastinum. It didn't pierce the aorta. It was just breaking the adventitia.

Although it seems lucky, because the food residue also comes in, it forms an inflammatory infection in the mediastinum.

This leads to a large abscess in the outer layer of the aorta, which is constantly eroding, and the aorta will rupture at any time.

This is so... Zheng Ren sighed in his heart.

It's estimated that I got stuck with a thorn when eating fish, and then drank vinegar or tried to choke with steamed bread.

Results the fishbone was hard and directly penetrated the esophageal wall and tied to the aorta.

Twenty years ago, it was a serious disease with almost no solution. Even now, it is a particularly difficult condition.

It is absolutely impossible not to treat the abscess, because bacteria breed and constantly erode the blood vessel wall, and soon there will be huge wounds, leading to massive bleeding.

The aorta and azygos vein had inflammatory edema like changes. The rupture may not take 48 hours.

Over time, the difficulty of surgery will certainly become more and more difficult.

Cleaning up abscesses is a delicate job.

The lung needs to be sutured, the esophagus needs to be sutured, the abscess needs to be cleaned, and large blood vessels are involved, so the workload of operation is huge.

Zheng Ren started the operation, but he didn't hold the attitude of "once".

After all, the operation of cardiothoracic surgery is only at the master level, which is still far away from the master level.

There is a master's skill book, but Zheng Ren is not sure if he needs it. The difficulty of the operation is to remove the abscess and aortic stent. It is not particularly necessary for Zheng Ren to use books to improve his skills.

The aspirator sucks out the pus, and a large area of infection, wrapping and adhesion can be seen in the whole mediastinum. Some mediastinum and pleura are seriously infected, and it is estimated that there are problems in the lung.

After five failed operations, Zheng Ren could only accept this reality and reluctantly used the master level skill book.

……

"Director Lin, you presided over the consultation of the whole hospital. To sum up, that's my opinion." Professor Zhang said angrily, "if I had an operation, I wouldn't have it! It's irresponsible to have such an operation! It's murder!"

Zheng Ren had expected this kind of biting back.