Chapter 916： Press table

On the other side of the general surgery, Cui Lao has already finished the call. The patient was admitted to the hospital, the next consultation, and the preoperative explanation.

At the director of Kong, Cui Lao was also angry. For Zheng Ren to do an emergency operation, Director Kong has no opinion.

The stenting of the superior mesenteric artery is not difficult, and anyone in the interventional and vascular departments can do it. It depends on the strength and weakness between the technology and the department.

For patients with this kind of borderic nature, whoever does it is not a cross-line. Since Cui Lao called over, he did it, and Director Kong thought so.

Zheng Ren left the emergency department and thought about the words of Cui Lao all the way.

Looking at the ordinary, but the level of Zheng Ren, can listen to the key points inside - any details, may affect the patient's condition, can not be missed.

This is a slogan.

Although it is not a special treatment for certain diseases, Cui Lao told Zheng Ren in another way to hide something that a doctor should have, but the easiest to be forgotten.

Zheng Ren has been reminding me recently that you should not be lucky because you have a few surgeries.

Yes, when you are a doctor, you must not.

It’s not a big deal to plant a big heel. It’s a life that can be planted.

Be cautious, if you are on thin ice, it will be true at all times.

......

Back to the intervention department, Zheng Ren had to look at Director Kong first.

Although Director Kong has almost no requirements for himself, he is obedient, but the more he does, the more he should express respect for the old director.

"You will go up with wealthy children for a while, I will wait for Mu Tao below." Su Yundao.

"Well, the 3D model is taken over and I have to study how easy it is to say."

"You must not be a teacher." Su Yundao, "Give it to me."

Zheng Ren was a little surprised.

He was already guilty of this matter, Su Yun actually said that he can, he did not hear it wrong. However, this sounds very unreliable.

"Do you really do?"

"Required, do you think that the perfect innocent assistant is called casually?" Su Yun swears, said: "You belong to the boring type, and talk to smart people, it is ok. But people with qualifications, you have to use another a method."

Zheng Ren is sweating.

He can even imagine how Su Yun would talk in a different way.

Condescending, arrogant...

Is this really ok?

"Forget it, wait for me to come back and say." Zheng Ren refused.

"You don't understand, let you do this, you have to worry about death. I will try first, if you are not satisfied, you will come, the head office." Su Yun took a step back, but the tone was full of disdain, it was a person. Can hear it.

Zheng Ren was speechless and walked quickly to the office of Director Kong.

Knocking on the door, going in, Director Kong is watching the film on the computer.

Zheng Ren glanced at it and knew that it was the 64-row vascular CTA of the patient.

"Zheng boss, the position of this mezzanine is very deep." Director Kong did not look at it, directly said.

"Director Kong, I think the surgery can still be done."

"Super selection is very troublesome, and there are four big bends to get to the position of the mezzanine..." Director Kong did not continue.

What to say next, Zheng Ren definitely understands.

The initial segment of the superior mesenteric artery is relatively thick. It can only be said that if the arterial dissection occurs at this position, the operation is very good.

After the initial segment, the superior mesenteric artery will continue to spiral around, like the roots of old trees. While hovering, it sends out countless branches to supply the small intestine and most of the large intestine arterial blood.

The more down the position of the arterial dissection is, the harder it is to do it.

To put it bluntly, the more down, the less likely it is to have a mezzanine. After all, the layers are down, the pressure is getting smaller, and the possibility of rupture of the intima is getting lower and lower.

"You can try." Zheng Rendao: "Or we have teamed up with the general surgery, we really do not go in, do surgical resection."

This is the most law-abiding approach.

Director Kong nodded. "Let's get on."

"You can press the platform, I can be on the rich and the rich." Zheng Ren smiled and said.

The pressure platform is the saying of Haicheng. The general director let go of the little doctor to perform the operation, but he was not at ease. The practice of taking care of it below to avoid any medical accident was called pressing.

It is similar to the meaning of pressing the battle in ancient times.

Director Kong nodded and carefully watched the film for a few minutes, slowly closing his eyes.

He is in the process of simulating surgery, but those curved blood vessels that circling around, some of the position angles are almost right angles, and even the angle is negative.

This difficulty is really big. It is only about the difficulty of over-selection. It is definitely more than double the number of severe pelvic fractures.

"Then I will know with the general public. Let's try it first. It is the best. If it doesn't work, start a surgical resection together." Director Kong said.

Zheng Ren nodded, his face was gentle, and it was the most secure to tell Confucius in this way.

Director Kong contacted the general side, and finally consulted the patient to send the foreign surgery room to the surgery, and also needed general anesthesia.

After all, it is difficult to over-select, the patient is severely painful, and the body is constantly shaking, which will make the surgery a nightmare level.

General anesthesia, better effect If the interventional surgery is unsuccessful, you can also open the abdomen directly, and the two departments work together. Either the Meilan mark, or the embolization after ischemia, how can it be done.

This disease is an incurable disease in hospitals in primary hospitals and third- and fourth-tier cities. But in 912, it was only a rare disease, and even two rare words could not be said.

There are many ways to solve it. When you look at the situation, you can choose which method.

Soon, the general surgery completed the preoperative preparation, sent the patient to the stage, and telephoned the director Kong to go up.

"Go, Zheng boss." Director Kong put on a white suit, not tied, and walked out of the office with a hurry.

Zheng Ren is behind Mr. Kong, thinking in his mind... There is no relationship with surgery. He is thinking about ways to make TIPS surgery more understandable and more acceptable.

As for this operation, Zheng Ren feels that it is not difficult. The patient's various examinations have been seen, and in the CT room, the surgery has been thought of.

Difficulty, for Zheng Ren, medium... partial.

Going on stage, changing clothes, in the emergency operating room, Lao He squats with a little song, bringing a relaxed atmosphere to the operating room.

It’s not a big job, everyone is not so nervous, talking and laughing.

Seeing Zheng Ren coming in, Laohe’s face is more intense, and he asks: “Zheng boss, what are you listening to today?”

Director Kong snorted.

"Just casual, casual." Zheng Ren and good answer.

Lao He is very emotional. Look at the boss of Zheng, the level is high, and still a little shelf... If you don’t bring your own nurse to the stage, the shelf is really not big.

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