Back in 2002 as a doctor

People like Zhang You just don't deserve slaps, so let's slap him a few times to see if he can wake up.

With the buzzing of the chainsaw, the patient's breastbone was split in the middle.

It is now the end of 2002, not yet in 2003, and there is still some time before Wen Ziren's filming of the chainsaw.

Every time Zhou Congwen sliced ​​his breastbone with a chainsaw, he would think of the chainsaw horror.

I hope the operation goes well, and don't make any shocking scenes.

Even Zhou Congwen couldn't guarantee that the operation would be [-]% successful.

So after standing in the position of the surgeon, he concentrated on it, carefully and carefully performed the operation step by step, relying on the "rich" experience of two lifetimes to avoid any small mistakes.

Enter the chest cavity, see the heart, and cut the pericardium.

Teng Fei stood on tiptoe and looked at it, when suddenly Li Ran's voice came from behind him.

"Director Teng, here is the footstool."

Li Ran moved a footstool over, squatted on the ground and prepared to stuff it under Teng Fei's feet.

"Thank you." Knowing that Li Ran was a junior doctor brought by Zhou Congwen from Jianghai City, Teng Fei politely expressed her thanks.But she didn't say much, standing on the footstool, her vision was indeed much better.

Zhou Congwen's operation is really good!

After opening the pericardium and gradually entering the heart, Teng Fei sighed in his heart.

Just like the local anatomy class in school, Zhou Congwen took every step quickly, doing it cleanly and refreshingly.

After dissecting the heart, the right atrial appendage was seen without much bleeding.

There was slight bleeding in a gap that was completely invisible to the naked eye. After seeing this scene, Teng Fei was sure that Zhou Congwen's diagnosis was correct.

Because there is no communication between the aortic sinus and the right atrium, the patient was fine before, but something went wrong after he had an angiography.

Oh, how do you say that?

"Director Teng, such a simple operation as radiography can still pierce the heart, and your level is not good enough." Zhang You moved his sterile mask and said in a flat tone.

Zhang You dare not hate Zhou Congwen, don't you dare to hate Teng Fei?

Chapter 0609 listening to Jun's words is like speeding up the room

Teng Fei knew that Zhang You was beating herself.

Although Circulation is the upstream department of Cardiac Surgery, Teng Fei has already started to "rob" Cardiac Surgery, and Zhang You has been quite critical of this.

This time I was caught right...

Zhou Congwen felt happy.

The Second Hospital of Medical University is not used to having to wipe the buttocks of the circulatory department, and the doctors in the cardiology department even have to actively and pitifully wait outside the interventional catheterization room, preparing for surgery anytime, anywhere.

Zhang You's attitude seemed a bit inexplicable to Zhou Congwen.

"It's okay, Director Teng." Zhou Congwen comforted the slightly invisible wound with absorbable suture, "I just started doing interventional surgery, and it is inevitable that there will be mistakes. These are all reparable, not a big problem. Yes Once you have experience, just don’t do it again in the future.”

Gan!

Zhang You's hands trembled, and a voice echoed in his heart.

"The communication between the aortic sinus and the right atrium that has been reported in domestic and foreign literatures is more common when an aneurysm in the aortic sinus ruptures and enters the right atrium.

It is mainly due to the lack of normal elastic fibers and muscle tissue in the middle layer of the aortic sinus wall. Under the impact of aortic blood flow pressure, the sinus wall becomes thinner and expands outward extremely. "

Zhou Congwen said lightly.

"The level of interventional surgery in China is relatively uneven, and similar things are not uncommon." Zhou Congwen continued to explain, "During surgery, operate gently, you can't..."

After he sewed up the rupture between the aortic sinus and the right atrial appendage, he began to explore the coronary arteries.

Others do surgery by car, and it is easy. When the critical point is reached, the operating room is silent and concentrates on the operation.After the critical point, laughing and laughing again.

However, during the operation, Zhou Congwen complained about many mistakes in the interventional angiography, especially when Director Teng Feiteng was performing the angiography, the guide wire pierced the aortic sinus and entered the right atrial appendage.

Zhou Congwen knew how to operate and how to deal with difficulties, which did not affect the rhythm of his operation at all.

Teng Fei was a little unhappy at first.

Slapping someone in the face is fine, Zhou Congwen is fine, he slapped himself left and right by the collar, exhilaratingly slapped.

But after listening for a while, Teng Fei was fascinated unconsciously.

Teng Fei couldn't understand the surgery, but what Zhou Congwen said was simple and profound. Starting from the mistake of the cardiac angiography, it was as if he had seen it with his own eyes, and he explained clearly the problems Teng Fei encountered at that time.

And Zhou Congwen not only said, but also has various solutions.

For example, Teng Fei's way of exerting force was wrong at that time, what should be done to avoid mistakes.

Zhang You couldn't understand similar words, but Teng Fei had some experience and lessons, and what Zhou Congwen said hit the point.

The key is!

The key is! !

During cardiac surgery, the local anatomy is clear and clear. Zhou Congwen made simple gestures, and Teng Fei referred to the anatomical structure of the heart... Countless information flooded into his mind.

Why does Mr. Huang insist that interventional surgery in cardiac surgery is the best?

It's not just a matter of opinion, but the cardiology department is familiar with the anatomical structure, so it's easier to get started.

pity.

Now that Teng Fei has such a good opportunity, she blushed when she heard it, as if she was young and had a little lover whispering love words to her ear.

When Zhou Congwen started jumping and building bridges non-stop, Teng Fei had already heard it.

She felt a sense of enlightenment, her hands were itchy, and what Teng Fei wanted to do most now was to have an operation.

Listening to your words is better than reading ten years of books.

Reading is useless at all, listening to Zhou Congwen's words is better than doing twenty operations.

Because cardiac interventional surgery is a brand-new field in China, there are no lessons learned from the past, and everything is groping in the dark.

Teng Fei's distress in the past was that there were not many opportunities to communicate within the provincial capital, and even if there were opportunities, everyone would not speak out about what they did wrong.

So her interventional heart surgery grew very slowly. Although there was only a small "hill" in front of her, Teng Fei hadn't reached the top after several years of climbing.Even during the exploration, Tengfei suspected that she was going in the wrong direction countless times, and faintly doubted and wavered about herself.

Words like polar opposites appeared in Teng Fei's dreams countless times and woke her up with fright.

Zhou Congwen's words about the operation seemed to be a light in the darkness, pointing out the direction for Teng Fei.

The realm that had been frozen for a long time seemed to loosen slightly, and Teng Fei's heart was beating "thump-thump-thump", as if speeding up the room.

The operation was still going on, and Zhou Congwen performed the anastomosis of the anterior descending and circumflex branches wearing a tenfold mirror.

Even though he was talking all the time, he didn't seem to be distracted at all. These experiences and lessons flowed out of his heart without distracting his mind at all.

The operation was performed steadily, and the "difficult" heart-beating bridge was completed in less than 2 hours.

Rinse and check for active bleeding. Zhou Congwen observed the anastomosis for at least 20 minutes before closing the chest.

Because the patient used anticoagulant drugs before the operation, the blood coagulation mechanism has not been very good, which is the biggest difficulty of the operation.

Seeing the smooth end of the operation, Zhang You was completely convinced.

Zhou Congwen babbled about what Zhang You didn't know what it was, but the operation was really fast, especially when the heart kept beating and bridged, he wore a [-]x mirror and stitched stitches together, it seemed that there was no difficulty.

Without the fixed beating heart of the octopus, Zhou Congwen was as stable as ever, just like watching him undergo surgery at the Third Hospital of Jianghai City a few months ago.

And Zhang You had an illusion - Zhou Congwen's surgery was better!On the basis of making myself dumbfounded a few months ago, the operation has been done to a higher level!

This was simply unbelievable. Zhang You watched helplessly as Zhou Congwen checked the anastomotic blood vessels. Even though there was no bleeding, he still did not close his chest in a hurry, but waited.

Zhou Congwen was so cautious because of a problem with the patient's blood clotting mechanism.

Zhang You felt that he couldn't hate him.

It's not that Zhou Congwen's actions are not worthy of his hatred, but Zhang You dare not.

"I've seen a doctor perform an operation, and he seemed so happy after doing this step." Zhou Congwen seemed relieved, and began to chat leisurely, "After the examination, leave a drainage strip, close your chest and step off the stage. But go down There is always blood coming out of the rear drainage strip, Director Zhang, what are you going to do if you encounter this situation?"

Zhang You was taken aback.

How did Zhou Congwen start to "test" his own questions as soon as he opened his mouth like a doctoral supervisor?

"I..." Zhang You was so entangled in his heart that he couldn't answer, and it wasn't even if he didn't answer.

Facing Zhou Congwen, who was robbed of his own heart surgery, Zhang You burst into tears.

"Generally speaking, in order to avoid a second uterus, it is necessary to carefully check whether there is any further bleeding after the anastomosis during the operation. There may be problems with the stitches of the anastomosis. In extreme cases, you cannot step down. You need to..."

Hearing Zhou Congwen's tireless "beep beep" sound, Zhang You's mind went crazy.

In such a situation, we can only resign ourselves to fate, otherwise what else can we do?

The state of the patient does not allow to wait too long below, or else an acute myocardial infarction breaks out anytime and anywhere, and the person will be gone.But there are many contraindications to going on stage, just like the patient in front of me.

For similar operations, the doctor's level is one aspect, but the patient's life is another aspect.

Zhang You really didn't believe that Zhou Congwen had any good ideas.

Chapter 0610 Aura

"Generally, I won't say much. Hemostatic gauze and the like are routine operations." Zhou Congwen seemed to be just asking casually, and didn't expect to wait for Zhang You's answer. He continued directly, "There may be problems patients need a hybrid operating table."

"Uh..." Zhang You's big teeth were about to stick out, and the sterile mask couldn't stop them at all.

Hybrid operating table? !

It is commonly used in orthopedics. During the operation, a film is taken to see whether the internal fixation or other things are placed stably.

What are you using this thing for coronary artery bypass surgery!

Say it again!

Can a film be taken to stop the bleeding?

Zhang You felt disdainful.

Isn't that how I have a friend?Although Zhou Congwen is talented in surgery, but at that age, he could see a few patients in Jianghai City in the past!

It must have been fabricated by him to scare himself.

Zhang You thought disdainfully, let's see what flowers he can make!

"The boss once encountered a patient whose thrombin was not working at all, but the situation was special, so he had to undergo emergency surgery. Anyway, he would die if he didn't have surgery. If he did, he could still hope for hope." Zhou Congwen said lightly.

Zhang You was inexplicably sad.

I patronized Zhou Congwen's operation, and even regarded him as a very talented and inexplicably powerful surgeon.

Zhou Congwen can use the name of his boss anytime and anywhere, leaving people speechless.

What a friend, Zhou Congwen has a boss!

"After the bypass operation, blood continued to ooze from the needle hole at the anastomosis, and a piece of gauze would seep through in less than 5 minutes."

"Director Zhang, have you ever seen a similar patient?" Zhou Congwen asked.

Zhang You looked at Zhou Congwen blankly and shook his head.

"That is to say, my boss Yigao is bold. At that time, I guess the people who supported him were dumbfounded. The patient would die if he had the operation, or he would die if he didn't. He closed his chest tightly while watching, and let the family members of the patient take a look. "

"But the boss was not in a hurry, and called Director Deng to be the surgeon, and he went to do circulation interventional surgery."

"..." Zhang You was dumbfounded.

"..." Teng Fei was dumbfounded.

"..." Everyone was dumbfounded.

No one thought that Zhou Congwen went around in a circle and went back to cardiac interventional surgery.

"The boss operated it himself, and Director Deng looked directly at the newly anastomotic artery. The boss placed a few stents and used the stents to block the newly anastomotic stump, and then the bleeding stopped." Zhou Congwen seemed very happy, talking about Mr. Huang When speaking, the words are much lighter.

"But..." Zhang You was a little puzzled.

"But what Director Zhang?" Zhou Congwen asked.

"Xiao Zhou, it's not that I don't believe Huang Lao's method, but what I don't understand is that the ischemic necrosis in the place where the anastomosis was just performed after the stent is opened should be very serious, and the place where the stitches were stitched will be opened directly." Zhang You said honestly.

"Director Deng looked at it with the naked eye, and when the strength was almost the same, he called to stop, which is completely different from the way that the circulatory department uses a machine to look at and estimate the opening degree of the stent." Zhou Congwen said with a smile, "This is the advantage of our heart."