Big Doctor Live Room
Chapter 1002 Myocardial motion capture
Chapter 1002 Myocardial motion capture
Half an hour later, the ventricle volume reduction operation for the giant panda baby officially started. This time, although no doctor was watching from the observation platform, the atmosphere in the operating room was extremely dull and serious.Everyone knows that if this operation is successful, at least it can create an unprecedented record, which no one can challenge in hundreds of years.
As a heart expert, Gu Ning felt an unprecedented excitement welling up in his heart. He knew why the teacher let Xian abdicate. One of the reasons was that he didn't want his old thinking to delay the young people's progress.Although he is about to be [-] and has nothing to do with being young, but in terms of surgery, this age happens to be the head of a very young new generation.
The ventricle volume reduction of ordinary people is a very difficult type of fourth-level surgery. When the object of this operation becomes a newborn panda baby the size of a mouse, the difficulty immediately increases a hundred times, and then the heartbeat is maintained to start the operation. , the difficulty will increase a hundred times, and finally, this is an unprecedented minimally invasive operation, and the difficulty will continue to increase a hundred times.
If the operation is successful, he will immediately go out and buy lottery tickets!
For some reason, Gu Ning had this idea that had nothing to do with the operation pop up in his mind, and it was out of control.
"The blood transfusion line is complete and functioning normally. Begin to insert the loop!"
Chen Qun leaned his eyes tightly on the high-powered microscope hanging in front of him and issued the command.What is different from usual surgeries is that the operating table has become a half-meter-wide support that has just been built. It has more space and is convenient for several assistants to assist.
The original large extracorporeal circulation machine has also become a toy version of the laboratory cardiopulmonary device. The blood vessels are a little thicker than a hair, and they are connected to the arteries of the heart through the same small catheter. , it made Gu Ning amazed, and countless new ideas and ideas flooded in his mind.
Although this operation was not a teaching operation, Gu Ning strongly requested that the signal be transmitted to the Cardiovascular Department, and let several deputy directors organize doctors to study and observe, and learn as much as they can.
Of course, he did not expect that it was just an observation operation in the cardiovascular department, and it seemed to grow wings in an instant, spreading throughout the hospital. The signal was put on every TV screen through the network, let us experience the heart surgery of a giant panda baby together.
"Open the ring!"
Following Chen Qun's sound below zero, Zhou Lin immediately activated the device of the miniature extracorporeal circulation machine, and the blood flowed into the machine at once, making an almost inaudible buzzing sound.
This scene immediately shocked all the medical staff in the hospital staring at the big screen, whether they were doctors or nurses.After all, the simplest medical common sense is not lacking in everyone.
For heart surgery, it usually takes a little more than 13 minutes from opening the chest to starting the artificial heart-lung operation to sending the ring. Even the record set by Academician Yang Xiaoquan when he was young is a little more than 15 minutes. A catheter thinner than a matchstick can do the same job in only [-] minutes, which is amazing.
"Senior Brother Gu, let's start the resection of the lesion. I will manipulate the magnetic tweezers probe on the catheter to find the location of the lesion. You will operate the magnetic tweezers and perform the resection with maximum power!"
Chen Qun gave the most critical order. This time, Gu Ning, a heart surgeon who is close to the master level, is by his side as an assistant. Compared with others, it is of course much easier to control. Most of the time, it is just a glance, and everyone knows what to do. , there is no need for teaching instructions to waste time.
Of course, Gu Ning knew that this was the main event of dilated cardiomyopathy, because the myocardial tissue seldom has even lesions, and most of the lesions were found to be particularly severe in a certain part. The necrotic and degenerated part of the myocardium was excised, and then the left ventricle was shrunk. The normal myocardium is left behind, which greatly improves the success rate of the operation.
But the crux of the problem is that how to find and remove the diseased myocardium are two difficult problems. It is not easy to find it, and it is even more difficult to remove it.Although magnetic tweezers, a macromolecular resection instrument, can be used to remove any diseased muscle cells, in the absence of imaging, the search for necrotic parts can only rely on clinical experience.
I don't know how Chen Qun relied on his self-deprecating "rich clinical experience" to find the diseased part of this broad bean-sized heart?
"Xiaoxin, turn on the projection!"
When Gu Ning was stunned, Chen Qun directly gave instructions to his idle girlfriend. Dongfang Wenxin, who was the equipment nurse, immediately gave up her position to Zhao Xue, walked to the projector next to her, and quickly entered a few words. Only after giving an instruction did he stick out his little tongue and make an awkward expression.
"The system calculation is 90.00% complete, and it will take a few seconds to complete! This broken computer is too old, and the calculation speed is lagging behind."
As soon as the voice fell, a light red heart appeared on the projector, the size of a normal human heart, beating slowly and rhythmically in the air.
"Okay, the real-time projection is completed. The baby Jiu'er is too small, and its structure is somewhat different from that of a human, so it needs to be re-modeled and calculated!"
The eldest lady breathed a sigh of relief and explained to Chen Qun.
"It's done well, but wait is the most critical part, I need you to capture all the changes in the parameters of the heart!"
As Chen Qun said, he moved his finger slightly, and saw the position of the heart on the screen, and immediately a black shadow in the shape of a black earthworm appeared, circled slightly, and put a circle on the center of the heart. , and then lightly twisted around again, it became two small circles, gently wrapped around the heart.
This sudden move shocked not only the eldest lady, but everyone else stared at all this in dumbfounded, not knowing why Chen Qun had to wrap the guide wire around the heart.Of course, another idea popped up in more people's minds.
How can the guide wire be put on the heart twice?
This technique looks simple, but it is only when you actually do it that you know how difficult it is.This small action made some doctors in the interventional department and cardiology department who had equipment around them immediately find the same guide wire and wrap it around their fingers.
The movement is very simple, but it is almost impossible to complete it, especially when it is put on in the chest lightly, it makes people have to suspect that the guide wire is actually a deformed robot, which is automatically controlled.
It's the same action, but for all the bosses in the cardiology department, the thoughts that come to mind are different, and everyone has only one thought.
What is the purpose of doing this?
No one could understand Chen Qun's intentions, even the experienced Gu Ning. Just as he was about to ask, he saw the guide wire move slightly, gently wrapping and retracting towards the heart, and then gently opened it. .
Gu Ning suddenly realized that Chen Qun was using this action to move the heart muscle to capture the movement of the heart. He remembered that Chen Qun had a heart surgery and used CT images to determine the tissue structure in the heart muscle that did not belong to his DNA. It is flexible use, not rigid in any way.
(End of this chapter)
Half an hour later, the ventricle volume reduction operation for the giant panda baby officially started. This time, although no doctor was watching from the observation platform, the atmosphere in the operating room was extremely dull and serious.Everyone knows that if this operation is successful, at least it can create an unprecedented record, which no one can challenge in hundreds of years.
As a heart expert, Gu Ning felt an unprecedented excitement welling up in his heart. He knew why the teacher let Xian abdicate. One of the reasons was that he didn't want his old thinking to delay the young people's progress.Although he is about to be [-] and has nothing to do with being young, but in terms of surgery, this age happens to be the head of a very young new generation.
The ventricle volume reduction of ordinary people is a very difficult type of fourth-level surgery. When the object of this operation becomes a newborn panda baby the size of a mouse, the difficulty immediately increases a hundred times, and then the heartbeat is maintained to start the operation. , the difficulty will increase a hundred times, and finally, this is an unprecedented minimally invasive operation, and the difficulty will continue to increase a hundred times.
If the operation is successful, he will immediately go out and buy lottery tickets!
For some reason, Gu Ning had this idea that had nothing to do with the operation pop up in his mind, and it was out of control.
"The blood transfusion line is complete and functioning normally. Begin to insert the loop!"
Chen Qun leaned his eyes tightly on the high-powered microscope hanging in front of him and issued the command.What is different from usual surgeries is that the operating table has become a half-meter-wide support that has just been built. It has more space and is convenient for several assistants to assist.
The original large extracorporeal circulation machine has also become a toy version of the laboratory cardiopulmonary device. The blood vessels are a little thicker than a hair, and they are connected to the arteries of the heart through the same small catheter. , it made Gu Ning amazed, and countless new ideas and ideas flooded in his mind.
Although this operation was not a teaching operation, Gu Ning strongly requested that the signal be transmitted to the Cardiovascular Department, and let several deputy directors organize doctors to study and observe, and learn as much as they can.
Of course, he did not expect that it was just an observation operation in the cardiovascular department, and it seemed to grow wings in an instant, spreading throughout the hospital. The signal was put on every TV screen through the network, let us experience the heart surgery of a giant panda baby together.
"Open the ring!"
Following Chen Qun's sound below zero, Zhou Lin immediately activated the device of the miniature extracorporeal circulation machine, and the blood flowed into the machine at once, making an almost inaudible buzzing sound.
This scene immediately shocked all the medical staff in the hospital staring at the big screen, whether they were doctors or nurses.After all, the simplest medical common sense is not lacking in everyone.
For heart surgery, it usually takes a little more than 13 minutes from opening the chest to starting the artificial heart-lung operation to sending the ring. Even the record set by Academician Yang Xiaoquan when he was young is a little more than 15 minutes. A catheter thinner than a matchstick can do the same job in only [-] minutes, which is amazing.
"Senior Brother Gu, let's start the resection of the lesion. I will manipulate the magnetic tweezers probe on the catheter to find the location of the lesion. You will operate the magnetic tweezers and perform the resection with maximum power!"
Chen Qun gave the most critical order. This time, Gu Ning, a heart surgeon who is close to the master level, is by his side as an assistant. Compared with others, it is of course much easier to control. Most of the time, it is just a glance, and everyone knows what to do. , there is no need for teaching instructions to waste time.
Of course, Gu Ning knew that this was the main event of dilated cardiomyopathy, because the myocardial tissue seldom has even lesions, and most of the lesions were found to be particularly severe in a certain part. The necrotic and degenerated part of the myocardium was excised, and then the left ventricle was shrunk. The normal myocardium is left behind, which greatly improves the success rate of the operation.
But the crux of the problem is that how to find and remove the diseased myocardium are two difficult problems. It is not easy to find it, and it is even more difficult to remove it.Although magnetic tweezers, a macromolecular resection instrument, can be used to remove any diseased muscle cells, in the absence of imaging, the search for necrotic parts can only rely on clinical experience.
I don't know how Chen Qun relied on his self-deprecating "rich clinical experience" to find the diseased part of this broad bean-sized heart?
"Xiaoxin, turn on the projection!"
When Gu Ning was stunned, Chen Qun directly gave instructions to his idle girlfriend. Dongfang Wenxin, who was the equipment nurse, immediately gave up her position to Zhao Xue, walked to the projector next to her, and quickly entered a few words. Only after giving an instruction did he stick out his little tongue and make an awkward expression.
"The system calculation is 90.00% complete, and it will take a few seconds to complete! This broken computer is too old, and the calculation speed is lagging behind."
As soon as the voice fell, a light red heart appeared on the projector, the size of a normal human heart, beating slowly and rhythmically in the air.
"Okay, the real-time projection is completed. The baby Jiu'er is too small, and its structure is somewhat different from that of a human, so it needs to be re-modeled and calculated!"
The eldest lady breathed a sigh of relief and explained to Chen Qun.
"It's done well, but wait is the most critical part, I need you to capture all the changes in the parameters of the heart!"
As Chen Qun said, he moved his finger slightly, and saw the position of the heart on the screen, and immediately a black shadow in the shape of a black earthworm appeared, circled slightly, and put a circle on the center of the heart. , and then lightly twisted around again, it became two small circles, gently wrapped around the heart.
This sudden move shocked not only the eldest lady, but everyone else stared at all this in dumbfounded, not knowing why Chen Qun had to wrap the guide wire around the heart.Of course, another idea popped up in more people's minds.
How can the guide wire be put on the heart twice?
This technique looks simple, but it is only when you actually do it that you know how difficult it is.This small action made some doctors in the interventional department and cardiology department who had equipment around them immediately find the same guide wire and wrap it around their fingers.
The movement is very simple, but it is almost impossible to complete it, especially when it is put on in the chest lightly, it makes people have to suspect that the guide wire is actually a deformed robot, which is automatically controlled.
It's the same action, but for all the bosses in the cardiology department, the thoughts that come to mind are different, and everyone has only one thought.
What is the purpose of doing this?
No one could understand Chen Qun's intentions, even the experienced Gu Ning. Just as he was about to ask, he saw the guide wire move slightly, gently wrapping and retracting towards the heart, and then gently opened it. .
Gu Ning suddenly realized that Chen Qun was using this action to move the heart muscle to capture the movement of the heart. He remembered that Chen Qun had a heart surgery and used CT images to determine the tissue structure in the heart muscle that did not belong to his DNA. It is flexible use, not rigid in any way.
(End of this chapter)
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