Back in 2002 as a doctor

The hearts of the doctors standing outside were beating wildly for some unknown reason.

When Dr. Conspiracy came out, he was even more unbearable, his eyes seemed to lose their vitality, supported by Li Ran, he staggered every step, and he didn't know what inhuman treatment he had suffered inside.

"How is it in there?"

"What's wrong with you? Low blood sugar? It's okay, drink gum quickly."

"What the hell happened?"

The door of the operating room was closed, and the orthopedic surgeons standing outside surrounded him, helping and asking questions.

Doctor Conspiracy didn't speak. Although he was wearing a sterile mask, his face exposed outside was extremely pale. It was not as pale as paper, but ashen and choked, which was indescribably ugly.

Was this beaten by Director Han?

"The operation is almost done." Li Ran explained, "The foreign body has been taken out."

"So long?" The orthopedic doctor gestured, about 8m.

"Do not."

"Hush." ​​Many people breathed out.

"About 9cm, a little longer than what you stroked."

"!!!"

Exclamation marks popped out from the heads of the orthopedic surgeons standing in the corridor, layer by layer, endlessly.

Before I dared to gesture, 6-7cm is already the limit of imagination, and this is all courageous imagination, more based on Han Chu's conspiracy theory ideas.

But Li Ran actually said it was 9cm!

how can that be!

"From the text, it is said that when the bone cement was injected, the needle tip fell into the thicker branch of the venous plexus, and a part of the bone cement entered the blood vessel and followed the venous channel to the heart."

"!!!"

Another bunch of exclamation marks popped up.

"The foreign body in the heart straddles the right atrium and right ventricle, and passes through the right ventricular outflow tract. There are breaches in the right ventricular outflow tract and the right atrium. The foreign body has been taken out completely from Congwen through the right atrium incision."

What Li Ran said was extremely unbelievable, but also very fluent, it didn't look like he was lying.

But the expressions, movements, and emotions of the conspiracy doctor seemed to become the background, silently proving that what Li Ran said was correct.

He witnessed it with his own eyes, and even couldn't bear such a big blow, his whole body collapsed.

"What does the bone cement look like in the heart?" Someone asked in amazement.

"It's not too thick, it looks like a toothpick, but it looks scary. Don't be afraid, Congwen said that the patient is fine and should be able to live." Li Ran said, "But don't rush to see it. Director Han said that he will organize people later. Go in batch by batch. After all, it’s a heart surgery, not a vegetable market.”

"!!!"

Exclamation points are flying all over the sky.

"It's okay. The meaning of the text is to take it out, and the patient will have no problems. Go to the ICU after surgery for anti-inflammation, anti-infection, cardiac strengthening, and intravenous nutrition support for a period of time to recover." Li Ran emphasized patient safety again. .

There was silence in the corridor of the operating room.

9cm, the toothpick-shaped bone cement pierced the heart. This thing sounds unreliable, but it should be true.

why?

why!

Everyone has a hundred thousand whys and countless questions in their minds.

"Take a break, I'll go in and take another look." Li Ran handed Dr. Conspiracy to the orthopedic staff, and turned back to the operating room.

As soon as the door was opened, Han Chu happened to be leaving.

"Director Han." Li Ran said respectfully, and then stood aside to make way for Director Han.

"Department of Orthopedics." Director Han came out and said indifferently, "A group of three people, starting with the professor leading the group, one for each department, come in to watch and change the group within 2 minutes."

After he finished speaking, he didn't turn around and go in, but stared at the orthopedic surgeons with indifferent and stern eyes.

The doctors immediately lined up, arranged according to their position, and each department sent a person to follow Director Han into the operating room.

2 minutes went by in the blink of an eye.

Groups of people went in to have a look, and then came out again.

It was fine when I went in, but I was confused when I came out.

No matter how many people go in, their emotions are exactly the same, there is no difference.

The 9cm, toothpick-like sharp bone cement is in the pathological basin, which is more magic than magic.

Chapter 0738 I will tell you later

"Professor Zhou, how did this come about?" Director Han couldn't figure it out, he had been looking at the toothpick-like bone cement foreign body, and asked after a long time.

Zhou Congwen's operation is being carried out step by step, the extracorporeal circulation has been stopped, and he is observing whether there is any active bleeding.

"Due to improper operation during the bone cementing operation, the trocar pierced through the paravertebral vein and formed communication with it.

When the bone cement was still in a semi-fluid state, the bone cement overflowed into the systemic circulation through the paravertebral venous system, and finally flowed into the right atrium, and then the cement solidified in the heart cavity, forming a white toothpick-shaped foreign body about 1 cm in size. "

"Why is there no coagulation in the blood vessel?" Director Han continued to ask.

Zhou Congwen shrugged his shoulders, "Insufficient bone cement polymerization during injection, excessive balloon expansion of the vertebral body, the needle path communicates with the paravertebral vein, causing the bone cement to enter the paravertebral vein and enter the systemic circulation."

"Once the bone cement enters the systemic circulation, even small emboli can be fatal after hardening. These emboli can cause cardiac perforation and cardiac tamponade if they lodge in the right atrium or right ventricle, or they can enter the pulmonary circulation and cause pulmonary embolism."

"What we're seeing this time is just one of a variety of possible scenarios, and there's also the possibility of clotting into an embolus in a blood vessel."

"Oh, that's right." Director Han looked at 9CM's white toothpick and squinted his eyes. No one knew what he was thinking.

"A linear bone cement block with a length of 10mm to 20mm can cause cardiac tamponade. Bone cement smaller than 10mm may enter the pulmonary circulation through the right heart system and cause pulmonary embolism. This... is also quite special. A bone cement of 9cm is really rare."

"The problem this time is that the surgeon was too rough when he applied the bone cement, and he didn't notice that the needle tip penetrated the vein and drove part of the bone cement into the systemic circulation."

"It shouldn't be. If this kind of medical malpractice is brought up to talk about it, there will be a lot of orthopedic people who can be killed."

Zhou Congwen sighed.

If the orthopedic department does it by itself, it’s okay. After the accident, it’s generally a technical accident, and it’s not a liability accident.The hospital will come forward to solve the problem and discuss a proper solution with the patient and the patient's family.

But the patient's surgeon... is actually someone from the manufacturer.Even if he had a license to practice, he couldn't say anything about it.

Director Xu lowered his head, and Zhou Congwen's every sentence and every word in his ear slapped his face like a slap.

Crackling.

"Surgeries still need to be done carefully, especially in some unexpected situations. Bone cementing...the surgery is relatively simple. Has no one gone out to study before?" Zhou Congwen asked.

"Go to France and look around. The three directors have all been to France." Director Han said.

"Oh, let's just play." Zhou Congwen smiled. "Actually, this kind of short-term training arranged by the manufacturer is not very meaningful. Local doctors don't know much about many complications."

"Well, after the operation, I will teach you a lesson. It shouldn't be that such a simple operation has such a big accident."

Director Han raised his head and glanced at the three orthopedic directors.

"Thank you Zhou...Professor Zhou." Gu Yi's director responded quickly.

The director of bone two began to agree, and director Xu of bone three had fallen into a state of deep confusion and confusion, unable to extricate himself. His sterile cap was already wet with sweat, and his whole body seemed to be sleepwalking.

The 9cm bone cement was like a nightmare, stuck in his heart, and he couldn't pull it out.

"Thanks for your hard work, Professor Zhou," Director Han said.

"In fact, the method to prevent and avoid similar complications is very simple. Add some contrast agent to the bone cement. When the bone cement is injected into the vertebral body, it is on the hybrid operating table, and it is difficult to cause accidents."

Zhou Congwen lightly explained a detail.

"What if it penetrates?" Director Han asked.

"If the needle tract communicates with the paravertebral venous system on fluoroscopy, reposition and insert gelfoam to compress the venous bleeding."

Zhang You stood opposite Zhou Congwen, keeping his head down and concentrating on the surgery. He was more serious, more careful, and cautious than when he was a surgeon.

Moreover, he didn't say a word during the whole operation, and devoted himself to assisting Zhou Congwen.

Although he didn't speak, Zhang You's heart was ups and downs with mixed feelings.

Zhou Congwen is very powerful, Zhang You already knew this when Geng Haoran's son had a congenital heart disease operation half a year ago.

Otherwise, he would not rush to find Wang Chengfa, and was going to either recruit him or press Zhou Congwen to death before his wings hardened.

But Zhang You knew that he made mistakes again and again, and underestimated Zhou Congwen time and time again.

It's not because I don't pay enough attention to it, but because the upper limit of my knowledge and skills is there, and I can't even imagine more things.

Zhou Congwen not only did thoracotomy well, but also did thoracoscopic surgery well;

Not only thoracoscopic surgery is done well, but percutaneous coronary intervention is also done well;

Not only is the percutaneous coronary intervention performed well, but the standard of heart surgery is also top-notch.

And now he is talking about a minimally invasive orthopedic surgery to the directors of the orthopedics department, and he speaks clearly and logically.

Things that he and others couldn't figure out became extremely simple in Zhou Congwen's mouth.

"But don't worry, heart cement embolism caused by bone cement leakage is a rare life-threatening complication after vertebroplasty. Generally speaking, it may not happen once in hundreds of surgeries. If contrast medium is used, it may not happen in thousands of surgeries." There can be an accident."

"Hahaha, I would like to borrow your auspicious words from Professor Zhou." Director Han said with a smile, "You can tell me about it in a while and give them a systematic training. It is estimated that there will be very few opportunities for me to wipe their buttocks."

"It's really tiring to be the director of the medical affairs department. You have worked hard, Director Han." Zhou Congwen said very seriously and politely.

Just as Zhang You was about to slander, he stopped immediately.

He subconsciously worried that Zhou Congwen could "hear" the voice in his heart.

Why did Zhou Congwen insist on coming to the Second Hospital of the Medical University? Isn’t it not good for the first and third year of the Medical University?

Zhang You felt more and more pressure.

Now that he is besieged on all sides, he has long wanted to raise the flag and surrender.

The general chest shrinks at a speed visible to the naked eye. If Zhou Congwen wanted to, he could have no surgery within three months.

Circulatory internal medicine and Zhou Congwenhao wear a pair of pants, MD!That old woman Teng Fei actually wore a pair of pants with Zhou Congwen!Zhang You couldn't help it, and slandered viciously.

It's even better now. Even Director Han has more trust in Zhou Congwen. This kind of emergency surgery, which he has seen once in eight lifetimes, Director Han doesn't believe in himself, but in Zhou Congwen.

Can I still have surgery in the future?

able!Zhang You encouraged himself.

All kinds of valvular disease must be able to!

Distracted, the large tweezers in Zhou Congwen's hand hit Zhang You's hemostat.

"Director Zhang, it's surgery, please concentrate."

"..."

Chapter 0739 Break it apart and crush it

After no active bleeding was detected, Zhou Congwen turned around and stepped down.

Zhang You felt bitter, but there was nothing he could do.One assistant works with one assistant, and after the operator steps down, the next job will be led by the first assistant.

Zhou Congwen tore off the sterile surgical gown and threw it aside, and glanced at the orthopedic directors standing beside him.

"The people in the factory can only do a little work, which is also the most basic operation." Zhou Congwen said lightly, "You can't rely on them to work all the time."

"Shame, show me." Director Han, as a perfect fan, added a sentence without losing the opportunity.

It's really embarrassing, but there are some things that can't be made clear. Once made clear... the ending is hard to predict.

Zhou Congwen glanced at Director Han, and knew that he had an evil fire in his heart today.

It wasn't necessarily anger, but Zhou Congwen could already hear the sound of sharpening knives.

In orthopedics, I think that surgery in the department does not touch important organs, there are very few emergency calls, and patients rarely have problems after surgery, so gradually they all feel slack.

"Director Xu, please communicate with the patient's family to solve the problem." Zhou Congwen didn't say anything harsh immediately, "Next..."

As he spoke, he looked at Director Han.