Back in 2002 as a doctor
Page 429
Director Xu burst into tears.
Zhang You, who is in his 50s, has no experience, and Han Chufei wants to find Zhou Congwen, who is in his 20s, to solve the problem. These words are too absurd, absurd to the extreme.
Did Director Han feel anxious and wanted to make trouble for himself, so he said that.
Moreover, Director Xu didn't think it was a problem caused by the bone cementing. It was just that he was unlucky and happened to meet a patient with "atrial fibrillation" who had a heart attack and developed a blood clot.
In fact, he was even more disapproving of having surgery, but Director Xu didn't want to be slapped in the face again by medical records in front of all the orthopedic surgeons.
The other two directors also thought the same, but it was nothing to do with themselves, they changed their clothes in silence.
"Let's take a look, you should be fine if you found out." Zhou Congwen said.
Director Han was heartbroken.
Although he wasn't sure that Zhou Congwen could solve the problem, since he said so, it must be fine.
After changing their clothes, several people strode into the operating room.
There was a sense of tension and anxiety in the corridor of the operating room.
Zhou Congwen strode into the operating room and saw Zhang You watching a film in front of the CT, and a professor leading the team was disinfecting with the little doctors under him.
"Director Zhang." Zhou Congwen greeted him.
"Xiao Zhou, you're here too?!" Zhang You was taken aback, no matter where he went, he could see Zhou Congwen.
But he caught a glimpse of Director Han immediately, and knew in his heart that the medical department must have found out the news and went to Zhou Congwen directly.
Do you really think that Zhou Congwen can cure any disease?Zhang You felt disdainful.
But if you think about it carefully, this guy really can do any kind of surgery!Zhang You was silent.
"Xiao Zhou, you came just in time, I can't understand the film." Zhang You said half-truthfully.
The image shows a white high-density shadow lying in the heart, which at first glance gives the impression of an artifact.
It may also be that there is a hard object on the patient's body, and it is impossible for a similar image to appear in the heart, at least Zhang You has never seen it.
He didn't want to have an operation at first, and he was thinking about how to shirk the patient with his mind on the lawsuit.
But Han Chu directly asked him to take him to the operating room, Zhang You was also very depressed.
"Oh, that's really the case." Zhou Congwen glanced at the film, raised his right hand, and rustled his small flat head.
"Xiao Zhou, what is this?" Zhang You asked cautiously and modestly.
"It was the bone cement that solidified in the heart and pierced the heart."
"Impossible, isn't the bone cement injected into the vertebral body? Even if the blood vessel is punctured, there shouldn't be so much bone cement leaking out."
"Open it and watch it." Zhou Congwen looked at the film while wearing a flat head, and didn't answer Zhang You's question, just dropped an old saying - open it and watch it.
Zhang You was puzzled.
According to Zhou Congwen's statement, it can actually be explained.But the cement walks in the blood vessels, and then condenses into a sharp object in the heart, piercing the heart directly...
This is too weird, I can't figure it out at all.
Zhang You was silent, the little monster in his heart suddenly appeared again, clamoring.
If Zhou Congwen was wrong, he would definitely use his words to kill him!Don't care who is standing behind him, don't care how you meet him in the future!
But the little monster only yelled, and a thought appeared in Zhang You's mind—could Zhou Congwen be wrong?
In Cleveland, Zhou Congwen was surrounded by so many people, with humble and fawning eyes.This kind of person... Zhang You's attention was successfully pulled away from the film.
Turning around, Zhang You's eyes straightened, and the three chief orthopedic directors stood behind him, like children who had made a mistake.
And the plump, ball-like Director Han stood behind, his eyes narrowed into slits, and Zhang You couldn't see where Han Chu's eyes fell.
Such a big show!
Zhang You was speechless for a moment.
It was embarrassing not to speak, especially Director Han was standing behind him, making Zhang You feel like he didn't know where to put his hands and feet.He thought for a while, greeted Director Han, and then went to wash his hands, get dressed, and spread the sheets with the group professor.
The operating room was quiet, and Zhou Congwen walked slowly to brush his hands after a few minutes.
Seeing Han Chu and Zhou Congwen leave, the hearts of the three orthopedic directors finally relaxed.Today, Director Han made it clear that he wanted to kill someone, and the three of them were as clear as a mirror, but for some reason, Director Han made a foolish move.
No one can talk back when talking about things based on the existing medical records. After all, they have done something wrong, and they can be beaten or scolded as long as they are not excessive.
But Han Chu actually gave up Zhang You, and trusted Zhou Congwen of the Academician Workstation almost unconditionally.
This is absolutely difficult for Director Han, who is scheming and has a delicate heart.
This is not counted, Zhou Congwen even said that the abnormal image in the heart is bone cement.
Director Xu was the person involved. He had been frightened for a long time, and his eyes wandered without focus.
Zhou Congwen glanced at it and saw that the sterile sheets had already started to be laid, so he said to Director Han, "I'll go brush my hands."
"I'll accompany you." Director Han followed Zhou Congwen and "rolled" out like a dog's leg.
The other two directors looked at each other at the same time, and the director of Gu Yi walked over to look at the film, curled his lips, "Director Zhang, the image in my heart must be at least 7 or 8 centimeters in size."
"About 9 centimeters." Zhang You said while spreading the sheet.
"Isn't it an artifact? Or is there a foreign object on the patient's body during the examination?" Gu Yi's director smiled and said, "A foreign object of 9 cm suddenly appeared in the heart, is it magic?"
Zhang You was silent.
"Yes, there will be no problem with bone cement getting into the capillaries a little bit. Our department has done nearly [-] cases of bone cement treatment for patients with lumbar disc compression fractures. The trauma is small and the recovery is fast. Generally speaking, there is no problem. Anything happened to any patient."
"That's right, even if the bone cement coagulates in the capillaries, the damage caused is very small. How could it flow into the heart?" the director of Gu Er continued to add.
Han was absent, and their minds became active, as if they were defending themselves.But if Han Chu was present, they would not dare to do this.
"Director Zhang, what do you think?" Director Gu Yi asked.
"do not know."
"Didn't you just say..."
"Yes, do you also think it's an artifact? It can't be bone cement at all, and it pierces the heart. The imagination is really rich. If you can't see anything when you open it, you must be dumbfounded."
Zhang You was silent all the way, put on the last layer of clothes after laying out the list, and stood obediently in the first assistant's position.
The directors of Bone One and Bone Two saw this scene, and the next words stopped abruptly.
Chapter 0735 The Sword Unsheathed!
Zhang You, the chief director of the Thoracic Surgery Department, took the position of the surgeon as a matter of course in emergency surgery.
But he was not "polite" at all, and he didn't even have the idea of being the chief surgeon. He directly stood in the position of the assistant, and honestly arranged the electric burner and suction device with the professor with the group.
A corner of the sterile sheet was nested, and the wires of the electric burner and the suction device were all entangled. Zhang You also asked for corner needles in a leisurely manner, and sewed two stitches on the outer layer of the sterile sheet with No. [-] thread. Group taught to tie knots to secure wires.
"Director Zhang, you have to take the helm!" Director Xu was stunned for a moment, and whispered to Zhang You, "If you let Zhou Congwen do one or two of the emergency operations, that's fine. I won't say anything. This is an emergency operation. What's not certain..."
In many cases of emergency surgery, we must rely on rich clinical experience.
Some unexpected situations have never been seen before, and few people dare to fool around.When I meet those people who are stupid and bold, they mess around and look good, and something will happen when they go down.
When rich clinical experience was needed, Zhang You hid, and Gusan's Director Xu panicked all of a sudden.
Usually Zhang You doesn't take care of things, why is it so urgent to give up the position of the surgeon to a young man? Isn't this nonsense.
"What are you talking about?" Zhang You scolded in a low voice, "Honestly, the surgery will work, it's all for your own good."
As he spoke, he raised his head, "Speak less, both of you, and don't cause trouble for yourself."
Director Xu's hands and feet were cold, his whole body was clammy, and he was on the verge of collapse.
In his view, Zhang You is evading responsibility.
After all, the image data of the patient lying on the operating table was very strange, and several directors of the orthopedics department did not believe that the foreign object in the heart could be bone cement.
Believe it or not, but they can't tell Ziwu Maoyou.
This kind of weird situation happens occasionally clinically, and Zhang Youbai took advantage of Han Chu's insistence on finding Zhou Congwen to escape.
What a cunning!No wonder Zhang You has the nickname Slippery in the hospital.
The directors Bone One and Bone Two lamented that Director Xu of Bone Three was the victim, and he couldn't escape, and he had vaguely seen a sad future.
"Generally speaking, this is the case. There are some small details in the operation of bone cement. After the operation is over, if Han Chu wants, I can talk to the orthopedic doctor."
Zhou Congwen's voice came.
For a moment, Director Xu felt that Zhang You's waist straightened a little, and he became more energetic.
"That's a lot of work for Professor Zhou. Some complications are rare and cannot be completely avoided without sufficient clinical experience."
Han Chu then said.
"Hehe, what I'm most afraid of is that I don't know how to perform surgery and don't go out to study, and let the people from the manufacturer take care of it. Han Chu, what do you think is all this?"
"..."
Several directors of the orthopedics department felt that Zhou Congwen slapped themselves in the face.
When he came to the surgery room, Zhou Congwen sterilized and put on his clothes, and he didn't stand directly in the position of the surgeon without a word of politeness.
"Knife."
Zhou Congwen stretched out his hand.
The equipment nurse took a peek at Zhang You, saw that his head was slightly lowered, and slapped the scalpel on Zhou Congwen's palm.
"Han Chu, remind the extracorporeal circulation team, and start the machine to prepare for the extracorporeal circulation immediately after arriving." Zhou Congwen said while opening his skin.
"Okay." Director Han "rolled" out like a ball.
Is the operation so fast?It takes at least four and 10 minutes from skin opening to establishment of extracorporeal circulation.
Several orthopedic directors gathered behind Zhou Congwen with question marks and looked at the operation area.
The light of the shadowless lamp is very bright, the scalpel is very thin, Zhou Congwen did it easily and freely.
The skin was opened, the bleeding was stopped, and the sternum was cut with a chainsaw.
A piece of bone fragments flew out, Zhou Congwen looked up at Zhang You with some dissatisfaction, and continued to lower his head to perform the operation without saying anything.
Zhang You was a little vain by Zhou Congwen's glance. He didn't understand why a senior director like himself was afraid of a young doctor like Zhou Congwen from the bottom of his heart.
Is it related to Mr. Huang?
No.
Even Mr. Huang would never interfere with the normal daily work of the cardiothoracic surgery department.
Pulling away the sternum, people from the extracorporeal circulation group trotted in, and started the machine without any nonsense to prepare for extracorporeal circulation.
"The fluid in the pericardial cavity is about 300ml." Zhou Congwen sucked up the blood in the pericardial cavity with a pericardial suction device, and said a value casually.
After cutting the heart bag, several orthopedic directors were stunned.
Under the shadowless light, it can be clearly seen that a hard object pierces the heart at the position of the right ventricular outflow tract of the heart, and the hard object outside the heart is about 1cm.
That hard object looked particularly glaring, quite glaring, and the piercing eyes couldn't be opened at all.
It was as if a sharp sword pierced the chest cavity and pierced the heart.
What the hell is this!
Cardiac trauma is very common, not to mention Zhang You, other doctors and nurses present have seen quite a few.
But ordinary heart trauma is from the outside to the inside, and it is usually a knife stab wound.
But the heart of the patient in front of me is from the inside out, like a magic trick... as if a vicious curse has been cast, something enters the body, and when it comes to the heart, it suddenly swells with a "bang". Open and pierce the heart.
All kinds of weird conjectures before came to light until now, and Zhou Congwen's guess was correct.
But how did this thing come about?
If it is 9 centimeters in length, there is no way for foreign objects to flow in the blood vessels.
"This is what the bone cement looks like after it solidifies." Zhou Congwen glanced at it and explained.
This time even Han Chu was silent.
Bone cement, heart, puncture, these keywords are difficult for Director Han to accept.
"Prepare to establish extracorporeal circulation." Zhou Congwen squinted his eyes at Director Han, "It seems that the situation is fine, the patient may survive."
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