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Chapter 146 An Accident During the Demonstration Operation
Chapter 146 An Accident During the Demonstration Operation
1Chapter 16 Accidents during demonstration surgery
The lecture hall is crowded with people, even the windows and corridors are full of people. It was supposed to be a teaching operation for students, but it turned out to be the best opportunity for doctors to observe and learn.
Although Qi Hong had seized the four seats long ago, she had already given up the seats to a few old professors at this time, becoming one of the people crowded at the edge of the corridor.
Thomson Henry, the name alone is enough to explain everything, the world's best neurologist and surgeon, the last time the brain tumor was removed, it caused a big sensation.This groundbreaking scientific research surgery has naturally attracted more experts and professors to study.
"The patient is 39 years old. She was 23 weeks pregnant. During the ultrasound at 19 weeks, a tumor was found at the tail vertebra of the embryo. Because the pregnant woman has antiphospholipid syndrome, the risk of surgery is very high. The presence of the tumor increases the risk to the mother and fetus! So! , we must choose the appropriate surgical method to solve the tumor in the placenta."
As the teaching experiment began, the red-bearded pirate-like surgeon showed an ultrasound picture of the patient. As the mouse moved, a tumor with a diameter of 10.8 cm appeared in the field of view. It looked large. Half the size of an embryo.
"Although this tumor is not a malignant tumor, it monopolizes the blood supply of the embryo, which weakens the embryo's heart and prevents the embryo from surviving to a fertile stage. The patient has always insisted on keeping the embryo, so our only option is to remove the tumor and let the embryo Keep healthy and develop normally."
"Unfortunately, the patient's antiphospholipid syndrome prevented her from undergoing long-term surgery, which caused the risk of blood clots and caused the patient to lose her life. Moreover, the patient had three miscarriage records and was an advanced maternal age, so the risk was even more serious."
"In the first step, I inject unfractionated heparin to control the risk of blood clots before the operation. Then I use the new technology that can monitor the transesophageal echocardiogram to monitor the patient's heart. If there is any problem, we can know the danger in advance. "
Professor Thomson demonstrated a new device that appeared on the screen with his stubby palm, which was one of the fundamental reasons why he agreed to perform the operation.Of course, another benefit comes from the medical device company. If the operation is successful, he can receive a valuable promotion "labor fee".
What Chen Qun told was not the scheduled operation, he was a little disappointed, but he still listened intently.
"In the second step, I used the most conventional way of caesarean section to complete this unusual operation. Perhaps many people think that conventional surgery is not very pioneering and novel, but they have forgotten one thing. The longer it exists Things, the more practice has proved the most feasible and safest way. The progress of any new technology is built on the foundation of old technology."
Hearing this statement, Chen Qun's impression of the red-bearded pirate doctor improved a lot.At least it can be determined that he is not teaching surgery to show off his skills.
"The umbilical cord is 50 centimeters long, and there is enough space for the embryo to lie on the mother's lower body, allowing me to complete the tumor resection. This is not a difficult task. Any trainee doctor here can complete this part of the content. Difficult The problem is that I need to remove the tumor and put the embryo back into the mother's body. So, it leads to a technical problem."
Thomson looked around at the crowds of people above, and pointed his fat finger at a piece of light and shadow on the screen.
"We can't overly involve the uterine wall, and we have to ensure that every stitch can be tightly stitched during the operation, completely matching the situation before the incision of the uterine wall. Make sure that the uterus can withstand that strong line in the next four to five months. The punches and kicks of the little life will not cause any damage. This requires rich experience and fine suture technology."
While speaking, the assistant brought over had already completed the preparations for disinfection and laparotomy.Thomson took the scalpel from the nurse and slowly made a long horizontal incision in the patient's abdomen.
Just past the blade, Zao took the surgical cotton and the assistant of hemostatic coagulant, quickly wiped the blood from the incision, and at the same time smeared hemostatic coagulant on the wound.
A nearly perfect open-belly exposure.
Chen Qun could see that Professor Thomson was old and powerful at a glance, and the assistant's cooperation was perfect, and he understood why the broken system always emphasized that surgery was the result of teamwork, and he simply didn't pretend to take notes. Stare at the big screen attentively.
"Pull the hook!"
Thomson used his sonorous voice to show that everything was under his control.
Before the sound fell, the alarm buzzer beeped.
"Transesophageal Echocardiogram Shows Decreased Anterior Wall Competence!"
"Systolic blood pressure 92, give me the flotation catheter!"
"The IV function was reduced and she had a sudden heart attack!"
A series of hurried sounds resounded throughout the teaching room.
Thomson made a decisive decision, "Sew up the wound immediately and terminate the operation!"
Almost at the same time, Chen Qun saw his and several colleagues' cell phones ringing at the same time.
"Ms. Huang asked us to go to the operating room below and immediately give a reliable rescue plan!"
As soon as Qi Hongcai picked up the phone, she immediately yelled at the guys around her.The sudden accident caused countless discussions in the lecture hall to rang out at the same time.
Liu Yang, who was sitting in the front row, stood up immediately, and said loudly into the microphone, "Everyone, be safe, all non-professors and below, please stop discussing immediately. If you want to speak, please raise your hand! We will immediately organize a team of experts and conduct an on-site consultation !”
Hearing these domineering words, Chen Qun couldn't help rolling his eyes.Xiangyun Hospital is really bullish. It is a professor and a doctor, and immediately loses the right to speak. As for the deputy chief physicians of other levels, they are even passers-by, and they don't even have a chance to speak.
"Come on, let's not visit an operation where 'the operation was perfect, but the patient died'. If we don't go on, Huang Shiren will eat people!"
The arrogant Tie Jun pushed Chen Qun, and rushed towards the door of the lecture theater in the first place.
Hearing these words of complaint, Chen Qun suddenly seemed to think of something in his mind. The bypass machine, the extracorporeal circulation in heart surgery, and the patient who became a vegetative state appeared in front of him like a revolving lantern.
Almost instantly, he came up with a brilliant idea.Looking at Qi Hong beside him with a dignified face, and his two big eyes showing a look of pity, he decided that there was no damn system task this time, and he would also treat it as a task to complete.
As soon as he squeezed out of the lecture theater, he immediately used the "time stop" skill that he possessed. He saw that this skill used one hundred hours of normal training time to exchange for one hour of still time.Only then did I realize that the system was being broken through various tricks to collect fees and embezzle the huge profits from his giant panda surgery video.
In the system space, the patient appeared on the operating table and almost succeeded the first time, but he solved the emergency problem the second time.
Regardless of the perfection of the operation, he immediately drilled out of the system space, allowing time to flow outside again.
"Since the patient cannot be treated with conventional surgery, perhaps we can use interventional puncture surgery to drain the tumor in the embryo. Zhou Lin, please check the information immediately. How risky is the interventional surgery for antiphospholipid syndrome? Tie Jun, you are so good Big, continue to open the way ahead, Zhou Lin, send a message to Mr. Huang, we are running down the stairs!"
Qi Hong remained calm, and gave orders in an orderly manner, glanced at Chen Qun, opened her mouth to say a few words, but stopped immediately.
(End of this chapter)
1Chapter 16 Accidents during demonstration surgery
The lecture hall is crowded with people, even the windows and corridors are full of people. It was supposed to be a teaching operation for students, but it turned out to be the best opportunity for doctors to observe and learn.
Although Qi Hong had seized the four seats long ago, she had already given up the seats to a few old professors at this time, becoming one of the people crowded at the edge of the corridor.
Thomson Henry, the name alone is enough to explain everything, the world's best neurologist and surgeon, the last time the brain tumor was removed, it caused a big sensation.This groundbreaking scientific research surgery has naturally attracted more experts and professors to study.
"The patient is 39 years old. She was 23 weeks pregnant. During the ultrasound at 19 weeks, a tumor was found at the tail vertebra of the embryo. Because the pregnant woman has antiphospholipid syndrome, the risk of surgery is very high. The presence of the tumor increases the risk to the mother and fetus! So! , we must choose the appropriate surgical method to solve the tumor in the placenta."
As the teaching experiment began, the red-bearded pirate-like surgeon showed an ultrasound picture of the patient. As the mouse moved, a tumor with a diameter of 10.8 cm appeared in the field of view. It looked large. Half the size of an embryo.
"Although this tumor is not a malignant tumor, it monopolizes the blood supply of the embryo, which weakens the embryo's heart and prevents the embryo from surviving to a fertile stage. The patient has always insisted on keeping the embryo, so our only option is to remove the tumor and let the embryo Keep healthy and develop normally."
"Unfortunately, the patient's antiphospholipid syndrome prevented her from undergoing long-term surgery, which caused the risk of blood clots and caused the patient to lose her life. Moreover, the patient had three miscarriage records and was an advanced maternal age, so the risk was even more serious."
"In the first step, I inject unfractionated heparin to control the risk of blood clots before the operation. Then I use the new technology that can monitor the transesophageal echocardiogram to monitor the patient's heart. If there is any problem, we can know the danger in advance. "
Professor Thomson demonstrated a new device that appeared on the screen with his stubby palm, which was one of the fundamental reasons why he agreed to perform the operation.Of course, another benefit comes from the medical device company. If the operation is successful, he can receive a valuable promotion "labor fee".
What Chen Qun told was not the scheduled operation, he was a little disappointed, but he still listened intently.
"In the second step, I used the most conventional way of caesarean section to complete this unusual operation. Perhaps many people think that conventional surgery is not very pioneering and novel, but they have forgotten one thing. The longer it exists Things, the more practice has proved the most feasible and safest way. The progress of any new technology is built on the foundation of old technology."
Hearing this statement, Chen Qun's impression of the red-bearded pirate doctor improved a lot.At least it can be determined that he is not teaching surgery to show off his skills.
"The umbilical cord is 50 centimeters long, and there is enough space for the embryo to lie on the mother's lower body, allowing me to complete the tumor resection. This is not a difficult task. Any trainee doctor here can complete this part of the content. Difficult The problem is that I need to remove the tumor and put the embryo back into the mother's body. So, it leads to a technical problem."
Thomson looked around at the crowds of people above, and pointed his fat finger at a piece of light and shadow on the screen.
"We can't overly involve the uterine wall, and we have to ensure that every stitch can be tightly stitched during the operation, completely matching the situation before the incision of the uterine wall. Make sure that the uterus can withstand that strong line in the next four to five months. The punches and kicks of the little life will not cause any damage. This requires rich experience and fine suture technology."
While speaking, the assistant brought over had already completed the preparations for disinfection and laparotomy.Thomson took the scalpel from the nurse and slowly made a long horizontal incision in the patient's abdomen.
Just past the blade, Zao took the surgical cotton and the assistant of hemostatic coagulant, quickly wiped the blood from the incision, and at the same time smeared hemostatic coagulant on the wound.
A nearly perfect open-belly exposure.
Chen Qun could see that Professor Thomson was old and powerful at a glance, and the assistant's cooperation was perfect, and he understood why the broken system always emphasized that surgery was the result of teamwork, and he simply didn't pretend to take notes. Stare at the big screen attentively.
"Pull the hook!"
Thomson used his sonorous voice to show that everything was under his control.
Before the sound fell, the alarm buzzer beeped.
"Transesophageal Echocardiogram Shows Decreased Anterior Wall Competence!"
"Systolic blood pressure 92, give me the flotation catheter!"
"The IV function was reduced and she had a sudden heart attack!"
A series of hurried sounds resounded throughout the teaching room.
Thomson made a decisive decision, "Sew up the wound immediately and terminate the operation!"
Almost at the same time, Chen Qun saw his and several colleagues' cell phones ringing at the same time.
"Ms. Huang asked us to go to the operating room below and immediately give a reliable rescue plan!"
As soon as Qi Hongcai picked up the phone, she immediately yelled at the guys around her.The sudden accident caused countless discussions in the lecture hall to rang out at the same time.
Liu Yang, who was sitting in the front row, stood up immediately, and said loudly into the microphone, "Everyone, be safe, all non-professors and below, please stop discussing immediately. If you want to speak, please raise your hand! We will immediately organize a team of experts and conduct an on-site consultation !”
Hearing these domineering words, Chen Qun couldn't help rolling his eyes.Xiangyun Hospital is really bullish. It is a professor and a doctor, and immediately loses the right to speak. As for the deputy chief physicians of other levels, they are even passers-by, and they don't even have a chance to speak.
"Come on, let's not visit an operation where 'the operation was perfect, but the patient died'. If we don't go on, Huang Shiren will eat people!"
The arrogant Tie Jun pushed Chen Qun, and rushed towards the door of the lecture theater in the first place.
Hearing these words of complaint, Chen Qun suddenly seemed to think of something in his mind. The bypass machine, the extracorporeal circulation in heart surgery, and the patient who became a vegetative state appeared in front of him like a revolving lantern.
Almost instantly, he came up with a brilliant idea.Looking at Qi Hong beside him with a dignified face, and his two big eyes showing a look of pity, he decided that there was no damn system task this time, and he would also treat it as a task to complete.
As soon as he squeezed out of the lecture theater, he immediately used the "time stop" skill that he possessed. He saw that this skill used one hundred hours of normal training time to exchange for one hour of still time.Only then did I realize that the system was being broken through various tricks to collect fees and embezzle the huge profits from his giant panda surgery video.
In the system space, the patient appeared on the operating table and almost succeeded the first time, but he solved the emergency problem the second time.
Regardless of the perfection of the operation, he immediately drilled out of the system space, allowing time to flow outside again.
"Since the patient cannot be treated with conventional surgery, perhaps we can use interventional puncture surgery to drain the tumor in the embryo. Zhou Lin, please check the information immediately. How risky is the interventional surgery for antiphospholipid syndrome? Tie Jun, you are so good Big, continue to open the way ahead, Zhou Lin, send a message to Mr. Huang, we are running down the stairs!"
Qi Hong remained calm, and gave orders in an orderly manner, glanced at Chen Qun, opened her mouth to say a few words, but stopped immediately.
(End of this chapter)
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