Chapter 1560

Zheng Ren quickly put the aortic stent in.

The airtight lead door opens, Chu Yanran holds the endotracheal intubation, and Su Yun and President Wang pose the patient.

The patient took the supine position. Su Yun took a pillow pad and raised his left body.

"Boss, is one enough?" Su Yun took a look, felt almost, and asked again.

The assistant thinks it's OK or not. The final position still needs to be decided by the operator. But in general, they are fixed forms, and there is no need to ask.

This patient is in a special situation. Su Yun asked two more questions. It's no harm to be cautious.

"Well, no problem." Zheng Ren nodded and turned to brush his hands again.

"Don't take off your gloves next time. You won't have to brush your hands." Su Yun said while positioning the patient.

"Not rigorous." Zheng Ren said, "I still brush my hands and feel relieved."

"Boss, you have mental illness. You have to see it when you have time. How about I introduce you to a better psychologist?" Su yundao.

"I am mentally healthy, but your narcissism and nagging need to see." Zheng Ren, no matter how Su Yun grinds, brushes his hands directly.

"It's quiet to come back for surgery without background music." Su Yun took a look at the pose and felt very satisfied.

"What music is played in the imperial capital?" Mr. Wang asked.

Speaking of this, he began to miss 912.

"Lao he, as long as the goods catch up with the boss's desk, they will be lucky. I think it's OK when I listen to it for the first time. It's really breaking down when I listen to it too much." Su Yun chose the spot, turned back and asked, "boss, the fifth rib on the left?"

"OK." Zheng Ren's voice came from the hand washing place.

Wang was always a little surprised. They didn't seem to have changed much, and they seemed to have changed a lot.

To do chest surgery, Su Yun naturally asked boss Zheng about posture and surgical incision.

What happened in DIDU these days? Brother Yun had to ask boss Zheng about chest surgery.

Wang always looked at Su Yun in surprise and felt so strange.

He had seen Su Yun perform surgery before. The machine was arrogant and domineering. Zhao Yunlong let him scold the dog's blood. He came down and nagged for a while. He would never have an operation on him again.

It can be said that a good operator is absolutely arbitrary on the operating table.

But seeing the current situation, President Wang had a guess in his heart. Although it seems ridiculous, I've thought about it. The rest is the truth.

Brother Yun's goods are in a good mood.

Lay the sterile sheet and the operation begins.

President Wang didn't come on stage. Su Yun said it. I really can't use him.

Looking at Zheng Renhe and Su Yun standing on the operating table, Wang always felt some emotion. Boss Zheng's bearing is becoming more and more calm.

Last time he came back, he called him president Zheng, but this time he couldn't help calling boss Zheng.

Zheng Renyi stretched out his hand and clapped the knife in his hand.

Cut an arc incision along the fifth intercostal space, stop bleeding, cut layer by layer, blunt separation, and enter the chest.

Zheng Renxian found the internal thoracic artery and cut and ligated it.

When the chest opener opened the chest, Su Yun said, "this pericardium is great."

About 800ml can be seen with the naked eye in the pericardial cavity.

The most striking is that the distal free position of the Kirschner wire is not far from the pericardium.

"This is the most sensible pericardium I have ever seen." Su yundao.

"If it weren't for the protection of the pericardium, I'm afraid the heart would be punctured." President Wang stood behind Zheng Ren, nodded and said.

Unfortunately, the stimulation time is a little long. The inner side of the pericardium seems to be wrapped with a layer of fiberboard, and the heart beat is somewhat limited.

The pericardium is no longer soft, slightly square, and there are signs of chronic constrictive pericarditis.

Chronic constrictive pericarditis is a chronic inflammatory process involving pericardial wall and visceral layer. Cause pericardial fibrosis and thickening, limit cardiac diastolic activity, and reduce cardiac function.

But in front of the patient, the narrowed pericardium is like armor to protect the heart from fatal injury caused by Kirschner wire.

But not to mention that the Kirschner wire is like the sword of Damocles, it will die all the time. Narrowing the pericardium alone is a fatal disease.

Once the symptoms and signs of chronic constrictive pericarditis appear, the survival life of patients who lose general activity is about 5 ~ 15 years. When ascites appears, the disease progresses rapidly, especially in children.

Zheng Ren made a small incision in his pericardium with a sharp knife. The moment he left, the pericardial effusion had not gushed out, and the attractor was stuffed in by Su Yun.

Looking at the reddish bloody pericardial effusion being led out, but the pericardium did not shrink, and the shape was strange.

"Detach pliers." Zheng Ren stretched out his hand and clapped a pair of pliers in the palm of his hand while talking.

"Boss Zheng, what pliers are these?" Mr. Wang asked.

He is a doctor in gastrointestinal surgery and can't understand thoracic surgery. Ask casually so that you don't have to guess. It also makes the air in the operating room a little fresh.

"Find the left phrenic nerve." Zheng Ren said,

Together with as much fat as possible, pericardial tissue and left phrenic nerve were separated. Zheng Ren cut the pericardium from the position of the left ventricle to the posterolateral side.

"President Zheng, when did you come back?"

General manager Zhou of orthopedics entered the operating room and greeted warmly.

"Mr. Zhou, I haven't seen you for a long time." Zheng Ren only said a half sentence and then said, "look at the Kirschner needle."

"What's the matter?" President Zhou looked at the incision and knew it was a chest operation. He came over and looked at it. His face was white with fear.

"I'll go... There's really a free distal end of the Kirschner wire!" President Zhou exclaimed.

"Why? Haven't you seen it?" Zheng Ren didn't work in orthopedics and didn't raise the skill tree of orthopedics to any level.

He did not know the probability of distal dissociation of the Kirschner wire.

"There's this one in the preoperative explanation. I also learned as much as my master taught. Every time I explained to the patient's family, I had a competition." President Zhou's face changed again and again. Just looking at the operation area with his head in high spirits, he immediately remembered something.

"Zheng Zong, where did the patient do the clavicular fracture fixation operation?" President Zhou asked nervously.

If you did it yourself, it would be a dog's day.

Although there is an explanation before the operation, this postoperative complication is real, but the probability is too small to even encounter it.

But once it appears in a patient, it is a 100% chance. It's OK to meet reasonable people, but it's OK to meet unreasonable people

Zhou always thought more. The excitement of seeing the special case just now was suddenly extinguished. My heart is uneasy, and my eyes are a little erratic.

"Didn't ask." Zheng Ren said, "look at the incision. It's estimated that it's been at least three years."

"Why not ask." Mr. Zhou sighed and complained slightly.

"What's the matter? When you knock out the Kirschner wire, the aorta is about to be cut. We're in a hurry to rescue. Who has time to ask if there are any." Su Yun listened to the complaining tone in President Zhou's words and went back directly.