Back in 2002 as a doctor
Page 424
But he did not doubt or hesitate, but went all out to master the new technology.
A piece of white paper is easy to draw on, Shen Lang's piece of white paper is not bad, Zhou Congwen is quite satisfied.
Zhou Congwen opened the console, took out the conduit, checked for damage, installed the jet pump on the console, and closed the console drawer.
Then insert the needle into the saline bag, put the tip of the catheter into heparin saline, step on the foot switch to fill the catheter with heparin saline until the time displayed on the console display is 0s, and the system is ready for use.
"This video..." Zhou Congwen hesitated for a moment, then smiled, "Shen Lang, you want to stand on the same starting point and compete with the most powerful doctors in the world, are you afraid?"
"What?" Shen Lang was trying hard to remember Zhou Congwen's movements, when he suddenly heard him say that, he was slightly taken aback.
Standing at the same starting point, together with the most powerful doctor in the world...
What does it mean?
Shen Lang was speechless.
Zhou Congwen smiled slightly, but did not explain. Instead, he asked the nurse to dispense a contrast medium in American English with a rusty Great Lakes accent, which was connected to the other end of the Y-tube.
"Congwen, what are you trying to do?"
"The contrast agent goes in at the same time, and you and other doctors can see the process of flushing the coronary vessels with saline." Zhou Congwen said lightly.
"..." Shen Lang didn't quite understand Zhou Congwen's slightly awkward words.
"Simple, clear, and clear. The main purpose of this operation is to teach the operation."
Shen Lang felt a little dazed.
Facing the challenges of the world's top surgeons and the world's top multinational companies, Zhou Congwen still did not take it seriously. What he wanted to do was to teach surgery.
Is there such a big gap between the world's top practitioners and Zhou Congwen?
Shen Lang couldn't figure it out.
Two years ago, the two were assigned to the Third Hospital of Jianghai City. Why did Zhou Congwen suddenly behave like this?
This unscientific.
"There is a detail here - the passability of mechanical suction devices is not as good as that of manual suction catheters. Therefore, it is generally recommended to choose a guide catheter with stronger support, and if necessary, it can be inflated with a small diameter balloon before suction." Zhou Congwen calmly explained the technical details to Shen Lang.
Shen Lang nodded, concentrated on helping, and wrote down Zhou Congwen's words.
After thinking about it several times, Shen Lang slightly wanted to understand what Zhou Congwen said just now.
If it is a teaching operation, the doctors from all over the world who are watching the live broadcast of the operation in the exhibition hall must have more technical details than themselves with their rich experience.
Standing on the same starting line as the world's top doctors?
Shen Lang never dreamed of such a thing.
But who is afraid of whom?I am still young, when I am full of energy, I can learn things very quickly.
……
……
In the exhibition hall, there was deathly silence.
The machine was hooked up by the operator, ready to start suctioning.Manual suction is extremely difficult. When did the technology become so advanced?
Can the ever-changing coronary thrombosis be faced with mechanical procedures alone?
All the doctors present held their breath, their eyes fixed on the screen, and they refused to miss a single frame.
Olida's staff has been downcast since Professor Michael's live broadcast operation was successfully completed, but at this time there was a light in their eyes.
A thought that I never dared to think of appeared in my mind - Olida's new technology has surpassed Ranko, and has already stood at the top of this blue planet.
Lanke's staff, including the members of the board of directors at the scene, watched the live broadcast of the operation dumbfounded. They never expected that Olida actually had a "secret weapon"!
Nobody wants mechanization more than they do.
This means that the technical threshold for aspiration of blood clots has been greatly lowered, and they all know how big the leap is from relying on personal qualities to blue-collar technicians on the assembly line.
How many people can be saved has nothing to do with Lanke, but every operation requires related equipment and consumables. This is a big river of green paper flowing.
In addition, doctors are not willing to take the risk of trying other brands of products after they are used to using a certain manufacturer's equipment. In the future, there will be new equipment and new consumables, and the promotion will definitely get twice the result with half the effort.
Looking at the image of the machine next to the operator, the member of Lanke's board of directors' eyes were red, and he was extremely envious.
Originally, Lan Ke chased Olida to fight, and was going to beat Olida to the ground in one go, and was going to kill a competitor completely.
Even if he failed for a while, he still insisted on broadcasting the operation live, because he absolutely did not believe that the surgeon Olida invited would be stronger than Professor Michael.
But what I didn't expect was... the surgeon Olida invited was not only super stable, like a machine, but also brought out mechanical equipment of alien technology.
If it works...
Different meanings, different people have different ideas.
The director of Lanke almost didn't cry, why didn't you take out Zenith Star Technology earlier?
Everyone held their breath, concentrating on watching the operation while having their own thoughts in their hearts.Zhang You stood in the corner, forgetting his loneliness. He also watched the operation in a daze, but his mind was blank.
When the operator was selected again and inserted the guide wire from the proximal end, there was another commotion in the venue.
"Why do you walk close to your heart?"
"I don't know, what does the artist want to do?"
"I don't understand it at all. Shouldn't the embolus be taken from the distal end? Why did he do that!"
……
"The next step is another technical detail." Zhou Congwen began to super-select.
"Aspiration from far to near may cause the thrombus to be pushed to the distal end of the blood vessel before the suction, resulting in distal embolism and affecting the suction effect. When mechanically suctioning, it should start from about 10mm proximal to the thrombus, and start by Suction while pushing the catheter near and far."
Chapter 0727 hope never to stop
With Zhou Congwen's operation, with the jet of water in the machine, and with the objective laws of the world of Bernoulli's principle taking effect, the picture displayed in front of people's eyes is no one expected.
Physiological saline with heparin and contrast agent is sprayed out from the catheter, and the thrombus is like impurities attached to the sewer, and part of it is washed away in an instant.
Seeing this scene in front of them, everyone was stunned!
The image is simple and clear, and the old thrombus is taken away by the high-pressure water flow, and every step can be seen clearly because of the contrast agent.
But no one has done this before.
The surgeon is like a high god, afraid that mortals like himself will not be able to understand and question his operation, and use contrast agent to show everything that happens in the coronary vessels!
He showed it all and held nothing back.
Under the flushing of normal saline, the contrast agent is mixed in it, and the lumen of coronary vessels can be seen to become thicker with the naked eye.
The thrombus was being "melted" little by little, and the black image surged forward behind, unstoppable.
In the exhibition hall, the doctors watching the live broadcast of the surgery stared at the screen intently, with countless hands clenched into fists.
No matter what was in my mind before, as a doctor at this moment, there is only one thought in my mind - it really works!Must succeed!
The black image symbolizing arterial blood moves forward slowly, and the clogged lumen is gradually opened up.
Although the speed is not fast, it is firm, and nothing can prevent the surgeon from washing the emboli blocking the coronary arteries into pieces and then pumping them away.
After only 1 minute, a large part of the 5CM thrombus was "melted".
And all of this was done under the watchful eyes of everyone, everyone could see clearly, and some even felt that they were on the scene, not the screen of the exhibition stand in front of them, but the incarnation of hemoglobin watching the landslides and the earth cracking. With vicissitudes.
Zhang You clenched his fists and stared blankly at this scene.
What Zhou Congwen once said echoed in his ears—thoracoscopic surgery can be performed even better than thoracotomy.
Not only general breast surgery, he can even perform cardiothoracic surgery!
In Zhang You's consciousness, this section of blood vessel needs bypass surgery.
However, Zhou Congwen used an unimaginable method to show the picture of the thrombus being washed away in front of him. Zhang You's thinking seemed to be the same as the thrombus, washed away by the normal saline with heparin sodium, and was sucked away piece by piece.
This unscientific!
This is impossible! !
This is my own illusion! ! !
If this kind of blood vessel can crush and remove the embolus so "simplely", what else can cardiothoracic surgery do?
The living space was further compressed, and Zhang You felt as if a big stone was pressed on his chest, and even his own breathing became extremely difficult.
impossible!
All thoughts turned into these three words, echoing in Zhang You's mind.
But the facts are right in front of us. No matter how stubborn Zhang You is, he can't stop the rapid progress of the suction catheter.
This is true of Zhang You, and the doctors from all over the world in the entire exhibition hall also have general ideas.
The operator presents the microscopic picture in front of his eyes.
Witnessing a section of thrombus melting and pulling away like an iceberg, although they don't know that it is rooted in Bernoulli's principle, the principle is not important.
You don't need to know why this is done, as long as it can melt the thrombus and draw away the debris, so that the blood vessels can be unobstructed, it is enough.
Is it not?
Everyone was intoxicated.
The picture in front of me is the surgical procedure that doctors dream of.
Although not all the thrombus is completely removed, the blocked blood vessel can restore 80% of its diameter!
The postoperative effect of the patient must be particularly good.
This is enough!
Coupled with the maintenance of drugs, plus... There are many methods, and the surgeon has already reached the level in front of him, so what needs to be done next is relatively simple.
This scene is the dream of many doctors, and after they were overjoyed, they even had the idea of never stopping.
I will never get tired of watching it for a lifetime.
But everything has a beginning and an end.
The thrombus of a few centimeters was cleared in less than 3 minutes.
At the moment when the black image rushed through the lumen blocked by the thrombus, countless sighs came from every corner of the venue.
What should end will end.
Although I was reluctant to give up, the operation was a success without accident!
Watching the surgeon do the finishing work, no one whispered or spoke in the exhibition hall, and everyone was immersed in the scene just now and couldn't extricate themselves.
Zhang You felt weak all over. He sat on the ground with his back against the wall and silently watched Zhou Congwen perform a radiography, showing the results of the operation.
It's all true!
If coronary artery bypass surgery is performed, the patient will suffer a lot of trauma, the operation time will be long, postoperative recovery will be difficult, and there will be countless complications.
However, Zhou Congwen's interventional surgery broke through the previous technical barriers, shattered that wall, and made the impossible possible.
Like a thrombus, the wall protecting the cardiothoracic surgery department gradually melted under the washing of normal saline with sodium heparin and contrast agent.
The "private land" for coronary artery bypass surgery is less, and Zhang You knows it well.
The pressure Zhou Congwen brought to him has changed from invisible to tangible. Zhang You even felt that Zhou Congwen was washing himself with heparin sodium with a fire hydrant in his hand.
And I am gradually melting... gradually melting... gradually melting...
Scenes from the past flashed back in Zhang You's mind, like a revolving lantern before death.
The background is the final stage of the live broadcast surgery. For a while, the picture changes to Zhou Congwen calmly rescuing a ruptured heart, and then completes the bypass surgery without stopping the heartbeat; schematic diagram.
All kinds of things are intertwined, and Zhang You feels that life is really boring.
I worked hard for most of my life to become the director, but everything I could imagine was messed up by the rampant Zhou Congwen.
he!
Zhang You was exhausted and sat on the ground blankly.
No one around noticed Zhang You's strange movements. After a long silence, someone began to speak.
The excitement was full of adrenaline and dopamine, and the tension was extremely pleasant.
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