medical road high rise

Chapter 64 The operation is completed
Chapter 64 Surgery completed
"You don't want to do this surgery yourself, do you?" Zhao Qi suddenly remembered something and asked suspiciously.

"Yes, if you are my assistant, I will be 100% sure to perform this operation." Qin Feng nodded.

"Do you know what you are talking about? There is no director to help you now, and the consequences of your unauthorized operation will be very serious." Zhao Qi said, "I heard that you were expelled like this before. Do you want to do it again now?"

Qin Feng glanced at Zhao Qi in surprise, and quickly understood that as long as someone interested in asking about his affairs in the first hospital, he would know the result after investigating.

It's just that Qin Feng was surprised that Zhao Qi actually cared about him, shouldn't he just let him take action, and then report himself, so that he can be expelled.

"Don't you want me to be fired?" Qin Feng asked this sentence suddenly.

Zhao Qi was stunned for a moment and said: "I just want to prove that I am better than you. I never thought that you would be expelled. Your ability is more than enough to stay in the Second Court."

"I used to be too smooth, but then your vascular surgery made me instantly understand that the so-called honors and certificates are false, only my own ability is real." Zhao Qidao, "So I want to start from the level of surgery. The above transcends you, and not through small means.”

Qin Feng gave Zhao Qi a thumbs up and said: "Believe me once, this operation really cannot be delayed. The patient has acute isolated abdominal aortic rupture. If the delay continues, it will be too late even to replenish blood."

After all, Zhao Qi is a doctor who came back from the capital, and he was well trained in the hospital in the capital, so when he heard Qin Feng say that, information about the disease emerged in his mind.

This condition may be a rare case in the small place of Taoshi, and some doctors may not even be able to detect it, but the difficult and miscellaneous diseases in Kyoto will be considered as typical cases for discussion, and suitable surgical plans will be discussed.

Moreover, after getting along with each other for the past few days, Zhao Qi also has a general understanding of Director Jin's ability. If it is really an acute isolated rupture of the abdominal aorta, Director Jin may not be able to see it, and will spend a lot of money on it. plenty of time.

Zhao Qi had heard about this case from his teacher at the time. When the first case of acute isolated abdominal aortic rupture appeared, the doctors at the hospital died of excessive blood loss due to too long time for diagnosis.

Later, Kyoto Hospital did corresponding research and found that acute isolated abdominal aorta is rare in all cases of abdominal aorta, and it is a spontaneous etiology caused by hypertension.

"Could the patient be Marfan syndrome?" Zhao Qi asked his own question.

Qin Feng glanced at the time, and quickly answered: "The patient has a history of hypertension, and also has a history of interventional therapy, that is, neck and carotid artery surgery. Do you think this is Marfan syndrome?"

"The patient doesn't have much time for us. If you give me an accurate answer, will you do it with me?" Qin Feng stared at Zhao Qi and asked.

If it weren't for Zhao Qi's words, Qin Feng would have ignored Zhao Qi a long time ago and went in to do it himself.

Now Qin Feng is equivalent to giving Zhao Qi a chance to learn from him. After all, Qin Feng is 100% sure that he will perform this operation.

Seeing that Zhao Qi hadn't responded yet, Qin Feng turned his head and left.

Zhao Qi looked at Qin Feng's back, and he was in a tangle. He had to know that if he promised Qin Feng, he could indeed participate in a brand new operation, but the premise of this operation was that Qin Feng could complete the operation. Do it down instead of doing a half-baked operation.

If the operation is successful, Zhao Qi is sure to save both Qin Feng and himself. However, if the operation fails, something serious will happen to Qin Feng and himself.

This is a choice, you must know that Qin Feng is just a regular trainee!
Suddenly, Zhao Qi recalled Qin Feng's previous surgery. No one was optimistic about that surgery, but Qin Feng performed it flawlessly.

Zhao Qi is still amazed by the method of blood vessel reconstruction and suturing. Qin Feng can perform such a difficult operation.

So this surgery...

In Zhao Qi's heart, two villains are fighting. He may have some problems with his own behavior, but he still has a conscience in his heart.

"As a doctor, even if there is a hail of bullets ahead, when we are needed, we must step forward, otherwise we will be sorry for the white coats we wear."

Zhao Qi remembered that at the swearing-in meeting, when those old leaders in Kyoto gave speeches, they instilled the idea that doctors are great doctors.

Gradually, Zhao Qi's clenched hands relaxed, took a deep breath, and ran towards the locker room.

Qin Feng just changed his clothes and came out. Seeing Zhao Qi rushing into the dressing room, a smile appeared on the corner of his mouth.

After debugging the interventional equipment, Qin Feng was ready for the interventional puncture, and when he was about to interact with the left and right, Zhao Qi rushed in.

"What technique are you going to use for this operation?" Zhao Qi asked.

This is something that an assistant must know, and he can take corresponding measures according to the surgical procedure, so as to ensure faster and more accurate surgery.

"Intraluminal isolation of the abdominal aorta." Qin Feng said.

At present, there are only OSR (traditional open surgery) and endovascular repair for the treatment of abdominal aorta in China, but because of the large trauma and many complications of traditional open surgery, the requirements for the function of important organs of the patient are very high, otherwise it will be The supply cannot keep up with the overflow, which leads to the failure of the operation.

Gradually, the traditional open surgery was abandoned, and a new minimally invasive technique was adopted: endovascular repair, which is based on the vascular cavity to insert artificial covered stents to reconstruct new blood flow channels to isolate the abdominal aortic aneurysm and prevent the aneurysm from being damaged by the abdominal aorta. The impact of arterial high pressure blood flow results in massive bleeding.

"Prepare a group of antibiotics, I have placed the indwelling needle, just prepare for the operation." Qin Feng ordered.

Zhao Qi nodded, changed the patient's position to a supine position, and abducted his left hand.

"Sodium nitroprusside 50mg, 5% GS50ml, upper limb injection."

Zhao Qi prepared the medicine and injected it.

"Urapidil 100mg, 0.9%Ns30ml, injection."

Zhao Qi extended the infusion tube, and after injecting the antihypertensive drugs, he began to infuse fluid.

Qin Feng started the interventional operation. The guide wire entered in Qin Feng's hand very quickly, and a bare stent was directly implanted in it, and the contrast agent was injected for image viewing.

Qin Feng looked at the blood vessel like a tree root, found the designated position, sent the bare stent into it, and implanted the one-piece covered stent with the bare stent as the anchoring area.

"Okay, the operation is completed."

Qin Feng looked at the angiogram, which showed that the stent fit was particularly high, with no signs of endoleak, and the visualization of the renal artery and superior mesenteric artery was also normal.

Zhao Qi on the side had just finished injecting all the rehydration fluids and was slowly infusing fluids when he heard Qin Feng's words.

(End of this chapter)