medical road high rise
Chapter 406 The first domestic case
Chapter 406 The First Case in China
Chapter 4: The first case in China
Because of this flow, it takes several times for the blood exchanged by the patient to compare with that of a normal person every time the heart beats.
This will cause two consequences. The first is that the blood supply to other organs of the body may be insufficient. The second is that the heart will increase its power and try its best to supply blood, but it will cause the heart to bear more and more burdens, and heart function will be damaged over time. , and may even strike to stop the jump.
Therefore, the patient's disease is very serious, so serious that conservative treatment cannot be done at all, and surgery is the only option.
Taoshi Second Hospital also knew this, so they invited Qin Feng back.
If the patient is young or middle-aged, Taoshi No. 70 Hospital can do it by itself, but the patient is too old, in his [-]s, which is an advanced age.
And there is a lot of medical history, not to mention the doctors of Taoshi No. [-] Hospital, even the doctors of the provincial hospital dare not act rashly.
Elderly patients with multiple medical histories, this is a surgical bomb, and thunderstorms may occur at any time.
Thoracotomy surgery requires general anesthesia, extracorporeal circulation and cardiac arrest, and the patient may die after the operation is completed.
"Traditional thoracotomy surgery is definitely not possible. My idea is to use MITRACLIP (mitral valve clip) technology for minimally invasive surgery." Qin Feng said.
The director of the Cardiac Surgery Department of Taoshi No. [-] Hospital said directly: "Doctor Qin, which foreign technology are you talking about?"
"That's right, it's the minimally invasive surgery abroad that uses clips to reinforce the mitral valve." Qin Feng said.
"But I remember that this operation seems to have been blocked, and it has not been successfully introduced in China at present." The director of the Cardiac Surgery Department said.
If there is no introduction, it means that no one will, so how did Qin Feng do it?
"I happened to know a foreign medical association, so I asked him to teach me." Qin Feng lied.
It was impossible for Qin Feng to directly say that he would meet in the training room. Then no one would believe him, so he might as well make up the image of a foreign friend.
As for whether I learned it secretly or learned it from a teacher, no one will ask, as long as I know it.
Hearing what Qin Feng said, the director of the Department of Cardiac Surgery stopped talking, which proved that Qin Feng really knew how to do it.
After all, Ruijin Hospital is located in Shanghai, a major international provincial capital city, and one of the domestic economic centers. It is normal to have foreign doctors with this skill, and foreign doctors also need to make a living.
The blockade belongs to the blockade. Foreign doctors have to earn money just for food. As long as they are given enough money, they are willing to betray the country.
As for the equipment, Taoshi No. [-] Hospital went directly to Huamao, and the clips used were not special clips. Huamao had samples that could be used directly.
Moreover, Huamao's factory has already stocked up the corresponding goods. This technology will definitely not be sealed for a lifetime. It may be unsealed in a year or two, and this batch of goods will become a favorite.
Manufacturers of medical devices will also take a gamble and will not simply make a product. Simply making a medical device will only starve to death.
Now Huamao is one of the best medical devices in China, so there are some things that cannot be petty.
The provincial hospital also knew about this operation, and directly applied for Qin Feng to live broadcast it on the entire network, just like last time.
The last time was to prove Qin Feng's innocence, this time it was to show Qin Feng's technology.
Byte also directly sent people over to negotiate, and they provided the live broadcast equipment, and they wanted the exclusive live broadcast rights.
As for whether bloody violence will be involved, the auditors are internal to Byte, so why not open a green channel?
This is the first mitral valve clip operation in China, which is of great significance. In addition, it is minimally invasive, so the operation will not be bloody.
Byte made a high price, which made the second hospital directly compromise. A live broadcast of 100 million yuan, even a third-level hospital would not be able to afford it.
This is a trial live broadcast of Byte. As long as it succeeds, the income will be far more than the 100 million. Ten times or a hundred times is more than enough.
The TV station also came over. Although there is a live broadcast on the whole network, their news still needs to be written.
Qin Feng directly used this meeting to announce this technology. Isn't it blocked by foreign countries?Then I will directly disclose it without profit, what can you do with me?Hit me idiot.
If it is not profitable, even if it goes to court, it will not hurt Qin Feng at all.
This meeting was also broadcast live, and the Intranet and Byte were broadcast live at the same time.
Countless cardiac surgeons began to take notes. This is a brand new technology. After all, there are still many patients with mitral valve regurgitation in China.
This technology is also like a thorn in the heart of domestic cardiac surgeons. If it is not pulled out, it will be very uncomfortable.
After Qin Feng finished speaking, he went directly into the operating room and started the live broadcast on the whole network.
During the intervention, because the patient was allergic to the contrast agent, Qin Feng could only rule out contrast and use ultrasound.
Because once you are allergic, you will have symptoms such as skin allergies and even difficulty breathing.
It's just that ultrasound is still not as good as contrast, and there is no choice now. Fortunately, Qin Feng's technology in ultrasound is not bad, not inferior to contrast.
With the end of anesthesia, Qin Feng directly started the first operation in the country.
The eyes of countless medical staff across the country are on the screens of their mobile phones, and some hospitals even directly put them on the projectors. Everyone's eyes are full of excitement and anticipation.
Qin Feng found the large vein in the patient's thigh, directly inserted the catheter into it, passed the guide wire and catheter all the way through the vein, passed through the right atrium, left atrium, and reached the left ventricle to find the mitral valve.
Send the clip into it and clamp the two loose flaps. The whole operation process seems simple, but it took Qin Feng a full three to 10 minutes.
The difficulty of this operation is mainly due to the insertion of the catheter, and the fact that ultrasound is more blurred than contrast imaging, and the positioning is also difficult to grasp.
Finally, after the catheter enters the heart, how to adjust and how to fix each of them must be calculated accurately. If it is clamped in the wrong place, all previous efforts will be wasted and everything will have to start again.
Even if it is 1mm, there may be different situations.
If there are too many clamps, the channel will be blocked, and the downstream flow will be reduced, which will increase the heart's blood transfusion load.
With fewer clamps, the channel is still too wide, and the reflux problem is still not resolved.
From the very beginning, this operation was not something that ordinary doctors could do.
Qin Feng released the clamp, and the clamp became part of the mitral valve, just like something was added to a broken door to fix it.
The scalpel is not completely finished here, and monitoring is still needed to see if there is any reflux.
Accurately detect blood flow in blood vessels through ultrasound.
At this moment, everyone clenched their fists.
Qin Feng's hand firmly grasped the probe, scanning the position of the mitral valve.
Once, twice, three times.
For a full 10 minutes, the blood flow was stable and there was no regurgitation.
At the same time, the vital signs displayed by the patient's ECG monitor were also normal, which meant that Qin Feng's operation was successful.
"I declare that the operation was successful!"
(End of this chapter)
Chapter 4: The first case in China
Because of this flow, it takes several times for the blood exchanged by the patient to compare with that of a normal person every time the heart beats.
This will cause two consequences. The first is that the blood supply to other organs of the body may be insufficient. The second is that the heart will increase its power and try its best to supply blood, but it will cause the heart to bear more and more burdens, and heart function will be damaged over time. , and may even strike to stop the jump.
Therefore, the patient's disease is very serious, so serious that conservative treatment cannot be done at all, and surgery is the only option.
Taoshi Second Hospital also knew this, so they invited Qin Feng back.
If the patient is young or middle-aged, Taoshi No. 70 Hospital can do it by itself, but the patient is too old, in his [-]s, which is an advanced age.
And there is a lot of medical history, not to mention the doctors of Taoshi No. [-] Hospital, even the doctors of the provincial hospital dare not act rashly.
Elderly patients with multiple medical histories, this is a surgical bomb, and thunderstorms may occur at any time.
Thoracotomy surgery requires general anesthesia, extracorporeal circulation and cardiac arrest, and the patient may die after the operation is completed.
"Traditional thoracotomy surgery is definitely not possible. My idea is to use MITRACLIP (mitral valve clip) technology for minimally invasive surgery." Qin Feng said.
The director of the Cardiac Surgery Department of Taoshi No. [-] Hospital said directly: "Doctor Qin, which foreign technology are you talking about?"
"That's right, it's the minimally invasive surgery abroad that uses clips to reinforce the mitral valve." Qin Feng said.
"But I remember that this operation seems to have been blocked, and it has not been successfully introduced in China at present." The director of the Cardiac Surgery Department said.
If there is no introduction, it means that no one will, so how did Qin Feng do it?
"I happened to know a foreign medical association, so I asked him to teach me." Qin Feng lied.
It was impossible for Qin Feng to directly say that he would meet in the training room. Then no one would believe him, so he might as well make up the image of a foreign friend.
As for whether I learned it secretly or learned it from a teacher, no one will ask, as long as I know it.
Hearing what Qin Feng said, the director of the Department of Cardiac Surgery stopped talking, which proved that Qin Feng really knew how to do it.
After all, Ruijin Hospital is located in Shanghai, a major international provincial capital city, and one of the domestic economic centers. It is normal to have foreign doctors with this skill, and foreign doctors also need to make a living.
The blockade belongs to the blockade. Foreign doctors have to earn money just for food. As long as they are given enough money, they are willing to betray the country.
As for the equipment, Taoshi No. [-] Hospital went directly to Huamao, and the clips used were not special clips. Huamao had samples that could be used directly.
Moreover, Huamao's factory has already stocked up the corresponding goods. This technology will definitely not be sealed for a lifetime. It may be unsealed in a year or two, and this batch of goods will become a favorite.
Manufacturers of medical devices will also take a gamble and will not simply make a product. Simply making a medical device will only starve to death.
Now Huamao is one of the best medical devices in China, so there are some things that cannot be petty.
The provincial hospital also knew about this operation, and directly applied for Qin Feng to live broadcast it on the entire network, just like last time.
The last time was to prove Qin Feng's innocence, this time it was to show Qin Feng's technology.
Byte also directly sent people over to negotiate, and they provided the live broadcast equipment, and they wanted the exclusive live broadcast rights.
As for whether bloody violence will be involved, the auditors are internal to Byte, so why not open a green channel?
This is the first mitral valve clip operation in China, which is of great significance. In addition, it is minimally invasive, so the operation will not be bloody.
Byte made a high price, which made the second hospital directly compromise. A live broadcast of 100 million yuan, even a third-level hospital would not be able to afford it.
This is a trial live broadcast of Byte. As long as it succeeds, the income will be far more than the 100 million. Ten times or a hundred times is more than enough.
The TV station also came over. Although there is a live broadcast on the whole network, their news still needs to be written.
Qin Feng directly used this meeting to announce this technology. Isn't it blocked by foreign countries?Then I will directly disclose it without profit, what can you do with me?Hit me idiot.
If it is not profitable, even if it goes to court, it will not hurt Qin Feng at all.
This meeting was also broadcast live, and the Intranet and Byte were broadcast live at the same time.
Countless cardiac surgeons began to take notes. This is a brand new technology. After all, there are still many patients with mitral valve regurgitation in China.
This technology is also like a thorn in the heart of domestic cardiac surgeons. If it is not pulled out, it will be very uncomfortable.
After Qin Feng finished speaking, he went directly into the operating room and started the live broadcast on the whole network.
During the intervention, because the patient was allergic to the contrast agent, Qin Feng could only rule out contrast and use ultrasound.
Because once you are allergic, you will have symptoms such as skin allergies and even difficulty breathing.
It's just that ultrasound is still not as good as contrast, and there is no choice now. Fortunately, Qin Feng's technology in ultrasound is not bad, not inferior to contrast.
With the end of anesthesia, Qin Feng directly started the first operation in the country.
The eyes of countless medical staff across the country are on the screens of their mobile phones, and some hospitals even directly put them on the projectors. Everyone's eyes are full of excitement and anticipation.
Qin Feng found the large vein in the patient's thigh, directly inserted the catheter into it, passed the guide wire and catheter all the way through the vein, passed through the right atrium, left atrium, and reached the left ventricle to find the mitral valve.
Send the clip into it and clamp the two loose flaps. The whole operation process seems simple, but it took Qin Feng a full three to 10 minutes.
The difficulty of this operation is mainly due to the insertion of the catheter, and the fact that ultrasound is more blurred than contrast imaging, and the positioning is also difficult to grasp.
Finally, after the catheter enters the heart, how to adjust and how to fix each of them must be calculated accurately. If it is clamped in the wrong place, all previous efforts will be wasted and everything will have to start again.
Even if it is 1mm, there may be different situations.
If there are too many clamps, the channel will be blocked, and the downstream flow will be reduced, which will increase the heart's blood transfusion load.
With fewer clamps, the channel is still too wide, and the reflux problem is still not resolved.
From the very beginning, this operation was not something that ordinary doctors could do.
Qin Feng released the clamp, and the clamp became part of the mitral valve, just like something was added to a broken door to fix it.
The scalpel is not completely finished here, and monitoring is still needed to see if there is any reflux.
Accurately detect blood flow in blood vessels through ultrasound.
At this moment, everyone clenched their fists.
Qin Feng's hand firmly grasped the probe, scanning the position of the mitral valve.
Once, twice, three times.
For a full 10 minutes, the blood flow was stable and there was no regurgitation.
At the same time, the vital signs displayed by the patient's ECG monitor were also normal, which meant that Qin Feng's operation was successful.
"I declare that the operation was successful!"
(End of this chapter)
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