Chapter 1633

After capturing the bullet, intraoperative echocardiography showed that tricuspid regurgitation increased from mild to moderate, but the tricuspid lobe and subvalvular structure were not mechanically affected.

This proves that the bullet is not "embedded" in the heart.

Use ferrules to catch bullets from outside to inside to ensure that they are suitable for any structure; The agilis catheter was then carefully operated and rotated counterclockwise to the right atrium.

When the bullet entered the right atrium, the echocardiographic response of tricuspid regurgitation decreased from moderate to mild.

The change after this operation is predictable. Zheng Ren's hand is very stable and operates a little bit.

Go out of the right atrium and gradually pull the bullet to the groin. In order to avoid the bullet slipping, Zheng Ren drew an 8-shaped suture near the inguinal bullet.

This operation is very difficult. Zheng Ren failed 12 times in a row. Finally, he adjusted the shape of the trap to adapt to his own surgical techniques.

Subsequently, an assembly consisting of a 24 fr sheath, a Jr 5-Fr guide tube and a 15 mm gooseneck loop was selected to pass through the right femoral vein, and the gooseneck loop was treated in the right femoral vein.

At the same time, two ferrules were used to capture the bullet, and the bullet was safely removed from the right femoral vein through the 24 fr sheath. Finally, the vein was sutured with No. 8 suture.

During the later operation, Zheng Ren failed several times in succession.

The bullet swam away and fell off many times.

Zheng Ren thinks the operation is extremely difficult. He is the highest level of interventional surgery and has failed so many times.

If someone else came, it wouldn't be possible at all.

In fact, Zheng Ren knows that it is the relationship between Changfeng minimally invasive equipment.

If you change to a foreign manufacturer... It's unlikely. Foreign manufacturers sell ordinary consumables in China. They may not be able to sell things for bullets in China.

After more than ten hours of training, Zheng Ren finally took out the bullet three times in a row.

That's it. Zheng Renchang breathed a sigh and the operation training was over.

Next, finish the operation!

When he came out of the system space, he heard Director Tian's harsh voice say: "that's impossible!"

"What's impossible?" Zheng Ren asked sideways.

"How could a bullet be in the heart!" Director Tian looked angry. "No bullet was found in the heart color Doppler ultrasound!"

"But CT showed that the bullet was not in the mediastinum." Zheng Ren smiled, pointed to the film and said, "the bullet hit the clavicle, causing clavicle fracture. Because of the decrease in speed caused by body position and clavicle, the bullet entered the subclavian vein.

I know it's hard to figure it out, but that's the truth. "

The finger knocks on the film reader and makes a thump.

"Then the bullet entered the heart with the venous blood. Echocardiography showed that there was a slight regurgitation of the valve, which was caused by the bullet entering the right ventricle." Zheng Ren said with certainty.

"Impossible!"

"What else can you say except impossible?" Ringer stood up and said coldly, "if you think it's possible, we won't be here. Find boss Zheng to solve the problem because you think it's impossible and can't do it!"

Director Ma tangled up again.

Director Tian is a little ignorant, but he can beat, scold and scold himself, but he can't be beaten and scolded by 912 people.

"Director Lin......"

"Director Ma, to tell you the truth, do you want boss Zheng to have an operation? If necessary, we'll stay. If not, we'll leave and go back and report to the hospital. President Yan is hospitalized, but vice president yuan will report it to the Department." Ringer didn't give director Ma a chance to speak at all.

From boss Zheng's eyes, he felt that boss Zheng could solve it.

If you don't take this chance to teach people a lesson and give boss Zheng a breath, you might as well resign and go home directly.

"..." director Ma said nothing directly.

"It can't be in the heart. It's illogical." Director Tian defended.

"Where did you say?" Ringer sneered at the corner of his mouth and asked, "it's your film. I've seen it countless times. A bullet is so missing? Is it a supernatural phenomenon or something?"

Director Tian was silent.

If you can't find it, you just can't find it. In recent days, the film has been turned to pieces, and I can't find where the bullet is.

Especially after a failed operation, Director Tian completely lost confidence in finding the bullet.

You can't drag it down. The bullet contains various metal components, which remain in the body. Finally, it is a great disaster.

But in the heart, Director Tian really doesn't think so.

He is very tangled.

Boss Zheng of 912 gave a diagnosis. If he wanted to say no, he couldn't find where the bullet was.

In addition to clavicular fracture and subclavian vein rupture, there were no more injuries. Now the young man is already alive and kicking. He plans to leave the hospital every day and return abroad. It's estimated that he can't press it any more.

"Director Lin, let's..." director Ma asked.

But in the middle of the conversation, ringer turned away from himself.

"Operation, boss Zheng, are you going to split your chest?" Lingley ignored director Ma's words and asked back.

"No, it can be removed by interventional surgery." Zheng Rendao.

Intervene

Surgery

Take the bullet

All the men in the room were silent.

There are no women, so there is no sound of crying.

Ringer has great trust in boss Zheng. Nonsense! Massachusetts General Hospital sent letters asking boss Zheng to be a lifelong professor.

Although I don't know what happened in Nanyang, it's Massachusetts General Hospital!

Not to mention the various cases he has witnessed, just this invitation, you can bet.

Their clinical level is not enough, can't Massachusetts General Hospital?

The most important thing is that I have decided to live with boss Zheng. The Affiliated Hospital of medical university directly doesn't give boss Zheng a face. Do you want to be polite?

"OK." Ringerton said without hesitation after 1.24 seconds.

Then, he turned his face, faced director Ma and asked, "director Ma, boss Zheng wants to have an interventional operation."

"..." director Ma was stunned.

Ringer is a veteran deputy director of the medical department. What did he say? Did he really know?

Is this a desperate gamble, or is it for the sake of Director Tian?

I've worked in the medical office for decades. How can I still be warm-blooded? This thing began to force the palace?

"If you agree, do it in the Affiliated Hospital of Medical University. If you don't agree, I will immediately report to Vice President yuan and negotiate with the Ministry. The patient will be transferred to us 912." Ringer was aggressive, showed his cards directly and was ready to turn over.

Director Ma cried bitterly.

Although he absolutely didn't believe the bullet would be in his heart, what if?

Lose face and throw it to the Ministry. Although it is not a direct department, but... Once the operation is successful in 912, will the Affiliated Hospital of imperial Medical University lose face?

The hospital is discredited. At least on the superstructure side, it will certainly think that the level of the Affiliated Hospital of Medical University is very poor.

He still thinks it's unlikely that a bullet will enter the heart.

Bullet, heart, these two words together mean - death!

But this risk, even if only one in ten thousand, cannot be taken.

"I... I'll call the dean."