medical road high rise

Chapter 412 Zhihe Doctor's Surprise

414 Zhang Zhi and the Doctor's Surprise

"You know how to operate on cardiac aneurysms? You are just a doctor in training." Doctor Zhihe scolded.

Qin Feng said lightly: "Although the trainee doctor is here to study, it doesn't mean that the trainee doctor will know nothing by then."

Qu Ping silently clenched his fists at the side. Qin Feng's harsh words had boosted his morale.

Even Shen Yue couldn't help but look at Qin Feng more.

"This doctor, are you really 100% sure?" The patient's son looked at Qin Feng.

"Yes." Qin Feng said.

Doctor Zhihe said quickly: "Mr. Jiuhe, this is just a training doctor in our hospital. He may not be able to do it."

"I signed the consent form for the operation, and I also took the risk. The doctor is sure, so I let him try it. After all, you also said that without surgery, the survival rate is zero." The patient's son said.

Dr. Zhihe could only grit his teeth and glance at Qin Feng, and then said nothing.

This is the right of the patients in Sakura Country. They can choose the surgeon and change it at any time.

Doctor Zhihe could only arrange the operation and let Qin Feng perform the surgery.

Qu Ping followed behind Qin Feng and asked curiously: "Doctor Qin, do you really know how to perform this kind of operation?"

"I have done a few in Ruijin before, and they never failed." Qin Feng said, "By the way, do you know how to perform cardiac surgery?"

"I'm just an orthopedic surgeon, I'm really not good at anything." Qu Ping shook his head.

"I still thought of you as my assistant." Qin Feng frowned.

An assistant who speaks the same language is much better than an assistant who speaks the language of birds.

Shen Yue suddenly said: "I have been lucky enough to be a second assistant several times in cardiac surgery, I think I should be your assistant."

Qin Feng glanced at Shen Yue and nodded, "That's fine, you can be my assistant."

After the discussion at Qin Feng's side, Doctor Zhihe came over, looked at Qin Feng with a displeased face, and said, "Now the surgery hasn't started yet. If you regret it, I can tell Mr. Jiuhe that I don't have the surgery now." The conditions are fine, if you fail, your opportunity to study this time will come to an end, and you will also be held criminally responsible.”

"Don't worry, if something goes wrong, I will take responsibility." After speaking, Qin Feng went directly to change his clothes.

Doctor Zhihe clenched his fists and gritted his teeth looking at Qin Feng's back.

"idiot!"

After entering the operating room, Dr. Zhihe found that he did not have the first assistant position because Qin Feng gave the first assistant position to Shen Yue.

As a professor, it was naturally impossible for Dr. Zhihe to compete for the position of first assistant, as that would be too disrespectful.

Standing in the position of first assistant, Shen Yue was still a little nervous. Although she had heard of Qin Feng's name, this was the first time she worked as an assistant for Qin Feng.

Qin Feng is looking at the patient's case, and the above situation is still very serious.

Respirations were 20 times/min, blood pressure was 116/68mmhg, breath sounds were clear in both lungs, no wet and dry rales were heard, and there was no edema in both lower limbs.

All routine examinations were normal, only the electrocardiogram showed sinus rhythm, right axis deviation, incomplete right bundle branch block, and ultrasound showed that the patient had left ventricle lateral wall pseudoaneurysm and mural thrombus formation.

"Start the operation, the patient is placed in a supine position, and local anesthesia is given." Qin Feng said.

Qu Ping conveyed his words to the anesthetist and nurse, and the two hurriedly prepared.

After waiting for anesthesia, Qin Feng took the right femoral artery and right radial artery as the puncture path, successfully punctured and constructed a sheath.

Doctor Zhihe’s expression was a bit stiff. There were too few interventional doctors who had a successful puncture in one interventional operation and built a sheath. At first, he was suspicious of Qin Feng. After all, the visiting doctors who came here were only the attending doctors of various hospitals, and they performed very few tertiary operations. of.

However, ventricular aneurysm belongs to the third-level operation, and it belongs to the operation that only the chief physician can be sure to do.

However, Qin Feng's puncture intervention made Doctor Zhihe think that this doctor from Huaguo could really perform this operation.

"6000u heparin."

The nurse handed over the heparin, Qin Feng injected it, and then guided the 5F pigtail angiography catheter into the left ventricle along the femoral artery sheath.

Looking at the image, Qin Feng accurately found the location of the ventricular aneurysm. The diameter of the tumor was about 10mm.

Shen Yue was holding the catheter throughout the whole process, so that Qin Feng could successfully intervene, which made Shen Yue a little confused, as it was different from the cardiac surgery she had done before.

Qin Feng opened the puncture set and introduced the 9F anti-fracture sheath into the femoral artery, but it did not directly reach the tumor body.

"No, this should be able to directly enter the tumor, why not?" Doctor Zhihe became a little anxious.

After entering the tumor, the operation is half successful, but what happened to Qin Feng's step?

Qu Ping also glanced at Doctor Zhihe, but he didn't expect that this doctor from Sakura Country was actually more nervous than Qin Feng now.

Regarding intervention, Qu Ping also has a good understanding. He can only say that interventional surgery is a major trend in the future, and he needs to learn more or less.

Qin Feng ignored Dr. Zhihe and continued to operate. He re-sheathed the left brachial artery, introduced a 5FJR 4.0 coronary angiography catheter through the left brachial artery sheath to the left ventricle, then adjusted the direction of the catheter to the aneurysm, and inserted a 0.035-inch The hardened ultra-smooth guide wire was sent into the tumor cavity.

"Fix the wire."

Qin Feng withdrew the catheter and sheath, and sent the 9F anti-fold sheath into the tumor. After the front umbrella of the occluder was opened and it was close to the epicardial surface of the left ventricular free wall, Qin Feng continued to withdraw the delivery sheath. After opening the posterior umbrella and repeating left ventriculography, it can be clearly seen that the shunt from the left ventricle to the tumor cavity has disappeared and the blocking position is good.

The operation was considered complete, and Qin Feng began to finish the work.

"Sao Ga, this is simply a genius idea." Dr. Zhihe looked at the operation in surprise.

Dr. Zhihe was also involved in the interventional surgery, so Dr. Zhihe fully felt how well Qin Feng did.

The 9F anti-bending sheath just now, everyone will feel that Qin Feng made a mistake, the force was too weak, and he failed to send the anti-bending sheath into the tumor.

Doctor Zhihe felt that he understood and understood Qin Feng's operation.

"A genius move. In order to prevent mistakes, the anti-fracture sheath was sent into the tumor body, and then the anti-fracture sheath was connected through the sheath through grafting. At the same time, the anti-fracture sheath was accurately sent into the tumor body. It can control the deployment of the umbrella body, and can precisely block the diversion area." Doctor Zhihe applauded.

Both Zhi and the doctor applauded, and the others naturally applauded.

After listening to the explanation, Qu Ping and Shen Yue showed their original expressions. They really didn't see Qin Feng's high-end operation, they just saw Qin Feng like this, and then the operation was completed.

In fact, although Shen Yue was a helper, Shen Yue felt like she had done nothing, like a waste.

"I'm suddenly looking forward to Dr. Qin's orthopedic surgery." Qu Ping looked at Qin Feng brightly.

The technique of a surgery performed by Qin Feng can convince a section chief of the Tokyo Hospital. The technique and technique of orthopedic surgery can be learned casually by himself. Wouldn't it take off after returning home?

(End of this chapter)