Chapter 1747

Only the most awesome experts and the experts with the worst temper will fall instruments and swear on the operating table.

But

Director Sun Chao felt that a stream of blood poured into his head. He didn't think it was a humiliation to himself. Yizhu should not know who was standing behind him.

But even a help is so angry. Do you touch your back and directly throw equipment and swear?

Typhoon 912 is really bad.

Sun Chao felt sick in his heart.

But after all, he touched someone's back, which may affect the stability. Sun Chao had nothing to say.

"Look at the operation area." Zheng rentou didn't lift his head. He didn't seem to care who Su Yun was scolding. It doesn't matter who you scold, even vice president yuan.

Now that the sky is falling, it is no more important than the patients in front of us, "take the bolt completely and pay attention to the elasticity of the bolt."

"Yes, I see." Su Yun became gentle again.

Complete bolt removal? Director Sun Chao's blood just poured into his head, but after hearing this sentence, another blood gushed up, and his blood pressure was so high that he almost bared it from the top of his head.

Isn't it mashed? Take it out with a suction device and stone forceps? Complete bolt removal? What operation is this!

Curious as he was, he dared not come any closer.

The director of the Department of the Affiliated Hospital of the National Medical University has a position in the academic circle of vascular surgery in China. He is more or less a palace level figure.

Kete was thrown and scolded by people on the 912 observation platform

Director Sun Chao saw the operator reach out and clap a small hemostatic forceps in his hand. Then he began to open his jaws and enter the operation area he could not see.

This is an attempt to remove the bolt completely. Young people are always willing to do some unexpected actions to show their importance. Director Sun Chao thought that he would fail soon, and then pushed an adrenaline, and then used an attractor and

The small hemostatic forceps disappeared in the field of vision for a short time, so that the idea in director Sun Chao's mind was only here. He saw that the hemostatic forceps appeared again in front of him with a purple black thrombus like an insect.

A white sterile gauze pad appeared on the right side of the operator. The operator's action was very slow. Everyone held their breath and watched him take out the thrombus bit by bit.

Really special is to take the bolt, complete take the bolt!

Everyone on the platform thought of this at the same time.

The operation of thrombus removal, which is called "removal", is actually the idea of director Sun Chao. Smash it and get it out with a suction device and gall bladder stone forceps.

Complete bolt removal

Or a 12cm long thrombus

Everyone was stunned.

Not only them, but also Zhao Yunlong, who stood beside Zheng Ren and acted as the second assistant, was stupid.

The beating frequency of the patient's heart is irregular, fast and slow. If you want to overcome the impact of heart beating and take the thrombus perfectly, it is not generally difficult.

Zhao Yunlong did almost nothing at this step, just looked at it. Boss Zheng and Su Yun had a tacit understanding that the thrombus was "pulled out" from the trunk of the right pulmonary artery, and the thrombus body was very complete.

As the thrombus spread out, Sun Chao noticed the action on boss Zheng's hand.

He was not motionless, but there were countless subtle movements mixed together to counteract the irregular beat of his heart.

A lot of operation. Isn't he tired? Is this what people do?

After 8 ″ 21, a purple black thrombus at the front and bright red at the back was taken out and placed on a white gauze pad.

12cm long thrombus is so dazzling under the light of shadowless lamp.

"Remove about 20g of dark red old thrombus and light red fresh thrombus." Zheng Ren said in a deep voice.

Lao he began to record immediately.

After the thrombus was removed, red blood gushed out of the distal pulmonary artery.

Zheng Ren immediately tightened and ligated the purse suture. After careful observation, there was no bleeding in the pulmonary artery incision. The pulmonary artery perfusion recovered immediately after the thrombus was removed.

The hemodynamic parameters gradually stabilized.

"The operation is finished." Zheng Ren relaxed at this time. Even if he was like a stone, he felt a little tired at this time.

Unlike microsurgery, this operation is too urgent!

In the system operating room, the subjects died countless because of this damn time limit.

The disease is surging like a tide, which doesn't give people a chance to breathe at all. So when Zheng Ren was in neurosurgery, he seemed so overbearing and directly decided to take the stage.

Because he doesn't have time to explain too much.

This operation, Zheng Ren believes that the key to success is not in himself.

But... Because of Ringer.

Without ringer standing by his side unreservedly and unswervingly, the operation could not be done at all.

If the leaders of the medical department and the hospital do not give themselves almost unlimited trust, it will never happen.

Thanks to ringer, Zheng Ren felt at ease and thought of it. I have to pay attention to teaching.

The incision of the main right pulmonary artery was sutured, and there was no active bleeding. Zheng Ren interrupted the operation.

"Wait a minute and see how the heart recovers." Zheng Rendao.

With that, he picked up the big gauze pad and began to appreciate the 12 cm long thrombus on it.

"Boss, why is it so long?" Su Yun asked, "this should be the longest thrombus I've ever seen. The longest thrombus I've ever seen is only about 5cm."

"Go down and have time to ask the medical history. The patient is so young. What drugs should he take and have an impact on his body." Zheng Rendao.

"Boss Zheng, take it out and you'll be fine." Old he asked with a smile, "I thought I was going to stop beating. The ice mud is ready."

Ice mud is a just frozen mixture of ice and water, mainly ice.

When the heart stops beating, the effect of cooling with ice can not be maximized. The best use is ice mud, but it takes a lot of effort and experience to make ice mud.

Lao he is showing his merit, but Zheng Ren likes it.

You can make ice mud. That's your skill. It will be more convenient to do cardiopulmonary bypass with ice mud next time.

"It's too late." Zheng Ren said: "if the heart stops beating, the operation is better. It's just troublesome. We should do cardiopulmonary bypass first. But the thrombus blocks the right pulmonary artery too tightly and the perfusion is less. The heart will stop beating at any time."

"Er... Boss Zheng, can the third kidney stop?" Lao he remembered that isoproterenol was still pumping into the patient's blood vessels in almost the limit amount.

"Wait, don't worry." Zheng Ren said with a smile, "gradually reduce it by 2ml every 10 seconds."

This kind of operation is very troublesome. If you change someone else, you will not want to.

But old He Xi Zizi went to adjust the micro pump and didn't let the itinerant nurses start at all.

Vice President yuan didn't speak at first, but looked at the ECG monitor calmly.

The ECG gradually became sinus, and the heart rate was stable at about 108 beats / min. It was steady. He smiled at this time.