Big Doctor Live Room

Chapter 1027 Global Live Streaming
Li Xinyu looked at the question prompts specially prepared by her fiancé on the table, and some of them were marked with symbols as important. Knowing that her fiancé did this on purpose to make her look more professional, she glanced directly at the first important question. It was read out as a repeater.

"May I ask what method Dr. Chen will use to collect blood vessels for bypass surgery in this case?"

Gu Ning knew that these technical issues were commonplace to a very small number of experts, but to most doctors they were just technical issues.If it were Chen Qun who explained it himself, most people would be drowsy within 10 minutes, and the remaining few would just be surgical geeks.

The reason why he listed them and let his wife pretend to be an expert is actually to please others.What's more, he is not afraid of being laughed at by other doctors about this matter. After all, Miss Dongfang is the volunteer nurse who is the most powerful in the hospital now.

"This problem is a specific analysis of specific problems. According to the current coronary angiography images of the patient, all of the patient's cardiac arteries are stenotic vessels. According to the characteristics of this vessel, Dr. Chen will adopt the most concise and most applicable method. Take nearby materials, directly cut off the internal thoracic arteries on both sides, and connect with the right artery.”

"Look at the screen, everyone. Dr. Chen has completed the chest opening, exposed the view of the heart, and started blood vessel collection. Please pay attention to the movement of Dr. Chen's left hand. He used the back of the scalpel to complete the blunt separation of blood vessels, not The use of hemostatic forceps and surgical forceps can certainly save operation time, but for ordinary doctors, it is not recommended to use a scalpel, because as long as a slight mistake, it will lead to unpredictable consequences. Well, in our few days In a word, Dr. Chen has already completed the vascular union. For most heart doctors, this speed is incredible, but for Dr. Chen, this is already a slowed-down teaching mode. As for Dr. Chen, the fastest The speed of the combination was completed in 57 seconds."

"Wait, Dr. Gu, I don't understand what you mean. You just said that Dr. Chen completed the combination in 57 seconds. What is the difficulty and significance of this? To me, it doesn't seem to be very difficult. Just put a few Pipes sewn together? Looks like I can do that too."

"Host, you made a mistake here. We seem to be able to achieve many things, but in fact we can't do it at all. It's like diving. In the same one-meter springboard diving, I can only do a stone falling into the water and become an irregular one." The ball falls into the water, but the athlete can do a somersault in the air and then dive into the water beautifully. These are all skills, not just words. Well, you have pulled the problem away, and come back to the present surgery."

"Okay, I'm just asking because I don't understand. Now I see Dr. Chen collecting blood vessels. What are the methods and requirements? Dr. Gu will introduce it to us."

"Look at the blood vessels, let me zoom in on the image a little bit, and you can pay attention to it through the small screen. Due to the infarction of the blood vessels on the anterior wall, the blood flow is hindered, so the survival rate of the cardiomyocytes will be reduced. To solve this situation, Dr. Chen uses the maneuver The left descending anterior branch is used to bypass the left descending anterior branch after the channel is created."

"I can understand every word you said, but when combined, I don't know anything. It looks like a mountain of interlacing. Then I saw that the introduction here said that the operation needs to cut the necrotic myocardium. Then how to judge which myocardium is necrotic, is it by looking at the color of the muscle?"

"With the advancement of science, there are many ways to judge the necrotic myocardium. But at this time, Dr. Chen is using the most traditional and simplest method to judge, which is actually the most difficult method, that is, to use the tactile sensation of his palms and Complete determination. The intact myocardium and the dead myocardium can be felt by touch."

As soon as Gu Ning finished speaking, he immediately swipe the picture on the computer to zoom in on the picture of Chen Qun's ongoing action. It happened that Chen Qun was buying meat gently and delicately in a "choosy" way. Lightly touching the wall of the heart, and occasionally pinching it lightly.

When Li Xinyu saw this scene, she couldn't help but take one of her palms and pinch the muscles on her other arm, as if she didn't notice any difference.

When Gu Ning saw that his fiancée, a rational woman, was showing such a childish attitude, he couldn't help laughing, and directly explained a little bit for her.

"Although this method requires very low requirements, it actually requires doctors to undergo long-term training to distinguish the stiffness and weakness of the necrotic part of the myocardium. Ordinary people cannot distinguish it in a short time. For our hospital, the most advanced imaging has now been adopted. The location of the lesion can be determined by comparing the data, while in the past, the lesion was determined through long-term observation of ultrasonic images."

Li Xinyu immediately caught the blind spot of this problem.

"Then ask why this demonstration operation is not determined by the most advanced method in the hospital? Is it convenient for demonstration, or does it take a long time?"

"You have asked the key question correctly. The reason why the tactile sense of the palm of the hand is used is because this method does not require any instruments and is simple and feasible. Many operations are performed in hospitals with insufficient equipment, and some of them are emergency operations. , so the external conditions are not so good. Therefore, Dr. Chen used the most traditional method to demonstrate, but also wanted to tell you a simple truth, that is, many traditional methods still have strong vitality in the face of high-tech and new technologies. Mi Jian. We don't need to eliminate!"

Gu Ning had just finished speaking when Chen Qun suddenly stopped any movement and issued an order.

"Check the cardiac color Doppler ultrasound and pay attention to the position of the mitral valve. Just now I felt a myocardial necrosis at the position of the mitral valve. This necrosis will inevitably lead to infection of the mitral valve, resulting in weak heartbeat and may even lead to rupture. Prepare immediately Extracorporeal circulation, mitral valve replacement surgery! Give me scissors and prepare two eccentric forceps! Xiaoxin, perform real-time imaging projection immediately!"

Chen Qun's words were not the least bit surprised, and he gave the order in front of countless doctors watching the live surgery.Then a washbasin-sized heart suddenly emerged from Chen Qun's side, as if a huge heart swelled out of the patient's chest, which shocked many people.

"Continue to enlarge the left ventricle!"

Chen Qun gave the eldest lady an order. He thought that this facility would not be needed, so he deliberately discarded it. In fact, he did not want to spark a debate that "instruments are more important than technology".

But now it is suddenly discovered that there is a problem with the patient's mitral valve. The simplest and clearest demonstration method is to ask the eldest lady to conduct a simulation demonstration. The subsequent actual video will also prove that his judgment is correct.

As Miss Dongfang tapped the keyboard a few times quickly, the heart swelled so that only the left ventricle was left, and the two mitral valves that stretched and contracted the atrium were obviously different. The cusp valve seems to be much thicker than the other one. No need to look at the long and narrow mitral valve, you can tell that there is a disease, and a part of it has shrunk, and it will break sooner or later.

"Infusion and drainage of blood vessels, OK, the connection has been completed, and the extracorporeal circulation is started. The reserved blood vessel access has been completed, and now it is time to start."

(End of this chapter)