Big Doctor Live Room
Chapter 1396
Chapter 1396
Chen Qun knew the eldest lady's temper, and when she was happy, she liked to tell funny jokes, and she almost became a joker.
Now is also the time to make the eldest lady happy, come and sing a wife and husband, and make a harmless joke.
"Actually, compared to bullets, staying in the heart is a very safe place. Of course, the premise is that you believe it."
That patient was also a wonderful person, and he directly expressed it with his hands outstretched.
"Indeed, it's very safe for bullets, but I'm afraid it's not so safe for me. I'm afraid the bullets haven't considered my feelings."
Chen Qun smiled and said immediately.
"In fact, relatively speaking, the bullet stays in the heart. For you, this is the best situation, at least it will not cause any infarction. Of course, if it takes a long time, the bullet will flow along the artery to the lung, causing pulmonary embolism , that would be fatal. But at this time, the situation is special, the bullet happened to stay in the heart, if it did not enter the ventricle, I am sure enough to take it out."
"How to do it? Is it covered with a catheter? I seem to have heard of this method."
Chen Qun shook his head, pointing to a medical item next to him.
"We can take a modified angiographic wire, put it through the femoral vein, into your heart, and then use this wire to lasso your bullet. It's like a harness, with a little skill, you can get the bullet out .”
The patient stared at Chen Qun strangely, knowing that this is the best surgeon in the country or even the world, and he almost won the Nobel Prize in Medicine this year.Being able to say such words is also a sign of a high level of skill. After all, the bullet is very slippery and is still moving. If you want to trap it, the skills you need are no less than the hundred-step piercer, or even worse.
"So, at this time, do I just need to lie flat and sleep, and the operation will be completed?"
"The answer is correct. Look, the CT image has come out. The bullet is in your atrium. In order to prevent it from falling into the ventricle, which will greatly increase the difficulty of cannulation, I need to anesthetize you immediately!"
After Chen Qun finished speaking, he gave the anesthetist a look, and the anesthetist bluntly injected him with anesthesia and made him lie flat on the operating table.
Dongfang Wenxin patted Chen Qun on the shoulder, "The man who sets the horse is mighty and majestic. No, it should be the man who sets the bullet, meticulous and delicate. But why do I think you want to do a performance show? Maybe I feel wrong? "
Chen Qun gently squeezed his wife's little hand and admitted directly.
"You feel that you have never missed it. This time I really want to show off. If you can't get it out, you will have a thoracotomy to cut the heart. Let the surgical team on duty prepare the plasma, platelets and extracorporeal blood needed for the thoracotomy. Recycling machine, be prepared!"
Dongfang Wenxin looked at the high-spirited Chen Qun, and knew that he was probably confident to complete the operation, but she was always afraid of something unexpected, so she tilted her head and asked.
"If the bullet goes into the ventricle, can you still take it out?"
Chen Qun honestly admitted, "I'm sure. In fact, as long as you master this technique of perforation and extraction, there will be little difference in the ventricle and atrium. There will be some influence in the innermost part, but it just needs more patience and patience." It's just a matter of timing!"
Seeing this, the eldest lady didn't say much, and immediately turned on the real-time imaging system, and sent various data to the program of the supercomputer's small broom.Perhaps compared with other surgeries, the [-]D imaging system is only an illustration effect, but for this kind of heart perforation or taking bullets, the [-]D image can clearly reflect the three-dimensional position of the guide wire in space, allowing the doctor to immediately correct his position. It does not need to be tested by experience.
While the patient was under anesthesia, Chen Qun also made a simple cover with angiography thread and began to prepare for the operation.The eldest lady is not surprised at his hands-on ability. A guy who can carve a work of art on a grain of rice is simply overkill to make a collar.
Ten minutes after the patient was anesthetized, Chen Qun pushed the catheter into the right atrium of his heart in one go. Even the eldest lady was a little surprised by his proficiency.
With the start of the operation, a one-to-one three-dimensional diagram of the heart was also displayed on the three-dimensional projector next to it. The eldest lady and several nurses all focused on the three-dimensional image and gave hints.
"It's crooked, the position is a little bit crooked to your left, and it's over the head again. Aim right first. Hey, Chen Qun, did you find a reason? This bullet is hiding in the most difficult part of your guide wire. Instead of running to the tricuspid valve, this seems to have something to do with the principle of turbulence. Perhaps, my system needs to add this variable again."
"Xiaoxin, have you noticed that the tumbling trajectory of the bullet is almost exactly the same, can you divide the time to see the relationship between its tumbling trajectory and time, the most important thing is how long it takes to roll a circle."
Chen Qun pretended to be confused with understanding in his heart, and directly asked the young lady for nothing.Although the diagnostic panel in front of him has given all the perspective images, he does not need to look at the stereo projection next to him to capture them.But for the eldest lady, or other interventional doctors, this data is also very valuable for reference.
The only pity is that this kind of situation is very rare, and there are too many reference values and it is also a dragon-slaying skill, which is rarely useful.
As soon as Chen Qun thought of this, he didn't want to let the young miss continue to analyze and waste time. He pressed his left hand down slightly, and moved the position of the catheter with his right hand, so that the rope in the atrium was placed under the bullet. Slightly retracted a little.
At the moment when the bullet turned over, his right hand moved forward slightly, and at the same time, the switch of the noose hidden in his left hand was tightened.
Under everyone's attention, the bullet of the three-dimensional projector just fell into the noose, and was caught impartially, and then the noose suddenly tightened, and a knot was pulled.
"Pretty!"
A certain little nurse couldn't help but cheered loudly, then shrank her neck a little embarrassedly, and retreated into the crowd, daring not to make a sound like an ostrich.
Chen Qun didn't care about it at all, and immediately pulled the guide wire, and pulled out the bullet with three strokes.When the warhead made a crisp sound and fell into the small steel plate, everyone stared at it.But the only pity is that no one here is a military fan, and they can't recognize what kind of warhead it is.
"Three minutes and 17 seconds! Dr. Chen, you have set another record for the shortest heart surgery. Perhaps, we can ask the patient to treat us to a meal in the afternoon and blackmail him once."
"As long as you have a lot of tricks in a day, you can avoid extortion. Don't you see that there are several colleagues of his outside the door. If we blackmail, or we will be beaten into pigs immediately. Now you can take out the bullets and claim credit. Now, it is absolutely feasible to blackmail those guys with open flames."
The eldest lady snorted, and walked out with the small steel plate.For her, although the origins of these people were kept secret, her personal bodyguards were from similar departments, so she didn't have that kind of fear.
(End of this chapter)
Chen Qun knew the eldest lady's temper, and when she was happy, she liked to tell funny jokes, and she almost became a joker.
Now is also the time to make the eldest lady happy, come and sing a wife and husband, and make a harmless joke.
"Actually, compared to bullets, staying in the heart is a very safe place. Of course, the premise is that you believe it."
That patient was also a wonderful person, and he directly expressed it with his hands outstretched.
"Indeed, it's very safe for bullets, but I'm afraid it's not so safe for me. I'm afraid the bullets haven't considered my feelings."
Chen Qun smiled and said immediately.
"In fact, relatively speaking, the bullet stays in the heart. For you, this is the best situation, at least it will not cause any infarction. Of course, if it takes a long time, the bullet will flow along the artery to the lung, causing pulmonary embolism , that would be fatal. But at this time, the situation is special, the bullet happened to stay in the heart, if it did not enter the ventricle, I am sure enough to take it out."
"How to do it? Is it covered with a catheter? I seem to have heard of this method."
Chen Qun shook his head, pointing to a medical item next to him.
"We can take a modified angiographic wire, put it through the femoral vein, into your heart, and then use this wire to lasso your bullet. It's like a harness, with a little skill, you can get the bullet out .”
The patient stared at Chen Qun strangely, knowing that this is the best surgeon in the country or even the world, and he almost won the Nobel Prize in Medicine this year.Being able to say such words is also a sign of a high level of skill. After all, the bullet is very slippery and is still moving. If you want to trap it, the skills you need are no less than the hundred-step piercer, or even worse.
"So, at this time, do I just need to lie flat and sleep, and the operation will be completed?"
"The answer is correct. Look, the CT image has come out. The bullet is in your atrium. In order to prevent it from falling into the ventricle, which will greatly increase the difficulty of cannulation, I need to anesthetize you immediately!"
After Chen Qun finished speaking, he gave the anesthetist a look, and the anesthetist bluntly injected him with anesthesia and made him lie flat on the operating table.
Dongfang Wenxin patted Chen Qun on the shoulder, "The man who sets the horse is mighty and majestic. No, it should be the man who sets the bullet, meticulous and delicate. But why do I think you want to do a performance show? Maybe I feel wrong? "
Chen Qun gently squeezed his wife's little hand and admitted directly.
"You feel that you have never missed it. This time I really want to show off. If you can't get it out, you will have a thoracotomy to cut the heart. Let the surgical team on duty prepare the plasma, platelets and extracorporeal blood needed for the thoracotomy. Recycling machine, be prepared!"
Dongfang Wenxin looked at the high-spirited Chen Qun, and knew that he was probably confident to complete the operation, but she was always afraid of something unexpected, so she tilted her head and asked.
"If the bullet goes into the ventricle, can you still take it out?"
Chen Qun honestly admitted, "I'm sure. In fact, as long as you master this technique of perforation and extraction, there will be little difference in the ventricle and atrium. There will be some influence in the innermost part, but it just needs more patience and patience." It's just a matter of timing!"
Seeing this, the eldest lady didn't say much, and immediately turned on the real-time imaging system, and sent various data to the program of the supercomputer's small broom.Perhaps compared with other surgeries, the [-]D imaging system is only an illustration effect, but for this kind of heart perforation or taking bullets, the [-]D image can clearly reflect the three-dimensional position of the guide wire in space, allowing the doctor to immediately correct his position. It does not need to be tested by experience.
While the patient was under anesthesia, Chen Qun also made a simple cover with angiography thread and began to prepare for the operation.The eldest lady is not surprised at his hands-on ability. A guy who can carve a work of art on a grain of rice is simply overkill to make a collar.
Ten minutes after the patient was anesthetized, Chen Qun pushed the catheter into the right atrium of his heart in one go. Even the eldest lady was a little surprised by his proficiency.
With the start of the operation, a one-to-one three-dimensional diagram of the heart was also displayed on the three-dimensional projector next to it. The eldest lady and several nurses all focused on the three-dimensional image and gave hints.
"It's crooked, the position is a little bit crooked to your left, and it's over the head again. Aim right first. Hey, Chen Qun, did you find a reason? This bullet is hiding in the most difficult part of your guide wire. Instead of running to the tricuspid valve, this seems to have something to do with the principle of turbulence. Perhaps, my system needs to add this variable again."
"Xiaoxin, have you noticed that the tumbling trajectory of the bullet is almost exactly the same, can you divide the time to see the relationship between its tumbling trajectory and time, the most important thing is how long it takes to roll a circle."
Chen Qun pretended to be confused with understanding in his heart, and directly asked the young lady for nothing.Although the diagnostic panel in front of him has given all the perspective images, he does not need to look at the stereo projection next to him to capture them.But for the eldest lady, or other interventional doctors, this data is also very valuable for reference.
The only pity is that this kind of situation is very rare, and there are too many reference values and it is also a dragon-slaying skill, which is rarely useful.
As soon as Chen Qun thought of this, he didn't want to let the young miss continue to analyze and waste time. He pressed his left hand down slightly, and moved the position of the catheter with his right hand, so that the rope in the atrium was placed under the bullet. Slightly retracted a little.
At the moment when the bullet turned over, his right hand moved forward slightly, and at the same time, the switch of the noose hidden in his left hand was tightened.
Under everyone's attention, the bullet of the three-dimensional projector just fell into the noose, and was caught impartially, and then the noose suddenly tightened, and a knot was pulled.
"Pretty!"
A certain little nurse couldn't help but cheered loudly, then shrank her neck a little embarrassedly, and retreated into the crowd, daring not to make a sound like an ostrich.
Chen Qun didn't care about it at all, and immediately pulled the guide wire, and pulled out the bullet with three strokes.When the warhead made a crisp sound and fell into the small steel plate, everyone stared at it.But the only pity is that no one here is a military fan, and they can't recognize what kind of warhead it is.
"Three minutes and 17 seconds! Dr. Chen, you have set another record for the shortest heart surgery. Perhaps, we can ask the patient to treat us to a meal in the afternoon and blackmail him once."
"As long as you have a lot of tricks in a day, you can avoid extortion. Don't you see that there are several colleagues of his outside the door. If we blackmail, or we will be beaten into pigs immediately. Now you can take out the bullets and claim credit. Now, it is absolutely feasible to blackmail those guys with open flames."
The eldest lady snorted, and walked out with the small steel plate.For her, although the origins of these people were kept secret, her personal bodyguards were from similar departments, so she didn't have that kind of fear.
(End of this chapter)
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