Back in 2002 as a doctor

Director Han didn't say anything too serious, but his question was as sharp as a knife, poking at Director Zhao.

Director Zhao said quickly, "Xiao Sun just made some comments, it's all right, it's all right, it's the best if Professor Zhou can do it."

"Prepare the hybrid operating table, first dissolve the thrombosis, and hope it can be dissolved." Zhou Congwen did not continue to chase the professor who led the team to fight, but shifted his attention to emergency surgery.

My temper has indeed improved in this life, Zhou Congwen sighed to himself.

If it was the past, we would definitely take advantage of the gap between sending the patient to the operating room to inquire about the principles of treatment, indications for surgery, and the continued treatment plan after thrombolysis fails.

These are all professional issues. If they don't understand, they will definitely be scolded.

Because Zhou Congwen was young, in his previous life he was often questioned because of this sharp-edged approach.

Every time, he would forcefully go back and never give the other party a step down.

Even if the professor leading the group brought his own ladder, Zhou Congwen would tear it up and burn it.

Then Zhou Congwen would confront each other in the case discussion and teach the other party how to behave.

But after being reborn, his mentality has changed a lot. Zhou Congwen paid more attention to patients, diseases, and even system tasks and little ones.

Seeing Zhou Congwen and Han Chu leaving in a hurry, Director Zhao let out a sigh of relief.

"Director, it's too much." The professor leading the group was terrified by a question from Director Han, and he complained with a mournful face, "It's okay to ask Director Jiang of the blood vessel to see it, but you also know that the academician workstation was established by Mr. Huang. Yes, it is..."

"It's you MB!" Director Zhao was furious, cursing like a shrew.

The professor with the group was startled.

He is Director Zhao's confidant, and Director Zhao has never spoken harshly to him, but what happened today?

"You know how to do it!" Director Zhao gave him a vicious gouged look, "Do you know how hard it is to find a liver source, and it is impossible to replace the liver. Once the thrombolysis fails, the patient will die! Just know how to add trouble ,go away."

Hepatic artery hemorrhage formation is one of the most common complications after liver transplantation, and it may also be secondary to hepatic artery stenosis, which is the main cause of postoperative graft function loss and patient death.

At the same time, because the hepatic artery is the main source of blood supply to the recipient's hepatic biliary system and the anastomosis, hepatic artery thrombosis can directly cause fatal biliary complications.

Therefore, hepatic artery thrombosis has received much clinical attention and is a hot issue in clinical research after liver transplantation.

Director Zhao has been studying liver transplantation techniques, and has always been careful about hepatic artery thrombosis.

Once the disease appears, as he said, the best solution is to do another liver transplant.

However, the limitation of liver sources has basically blocked this way out.

Then once the thrombolysis fails, the next step is the failure of the operation and the death of the patient.

"Hurry up and send the patient away!" Director Zhao sent out all the evil fire on the professor leading the group.

Until the professor with the group ran away to send the patient, Director Zhao cursed and said a lot of nasty words.

A few days ago, the liver transplant operation went smoothly, but a thrombus formed in the hepatic artery, which made all efforts in vain.

At this time, I don't care about the opinion of the sect. It is said that Director Jiang of the Department of Vascular Medicine praised Zhou Congwen very much and hoped that Zhou Congwen could dissolve the thrombus.

Director Zhao thought the same way, he desperately wanted the patient to be discharged from the hospital, so don't make any fuss.

Although the professor who led the group with negative opinions left, the anger in Director Zhao's heart did not disappear, and then unconsciously turned into worry and anxiety.

He subconsciously prayed, hoping that the gods and Buddhas in the sky would bless the patient's hepatic artery thrombus to be dissolved, and he must not become more clogged... If that was the case, he could only watch the patient die.

……

……

"Professor Zhou, you have worked hard." Director Han changed his clothes, looked at Zhou Congwen and said.

He is not polite, but quite serious and sincere.

"It's nothing to work hard, I hope it can melt away. Hurry up and go up and have a look, just don't make trouble."

Zhou Congwen said so, but he already had a clear answer in his heart.

It is extremely rare for the system to give tasks and even issue rewards in kind.

All this shows one thing - the probability of hepatic artery thrombus being dissolved by thrombolysis is not high.

But Zhou Congwen has a follow-up treatment plan. He has seen many similar cases and rescued many. The overall data is still very satisfactory.

"Professor Zhou." Director Jiang of the Vascular Department expressed his worry on his face, "Although I have never had a similar operation, I probably know how to do it. It's just that I don't care about the dosage of drugs and the guide wire in case the anastomosis is punctured. grasp."

"There is me." Zhou Congwen said with certainty.

Zhou Congwen's tone of voice was a little dignified, because he seemed to realize that there was something wrong with the little guy in the system.

Such an obvious cheating style is not a characteristic of the system. Zhou Congwen also counted on the boss to bring the newly developed equipment, but he did not expect the system to issue rewards directly.

Perhaps, this is the most critical step.

Chapter 0756 Severity

have me.

These words are simple, but there are very few people who can say such words at this time.

Director Jiang already knew that his level was much lower than Zhou Congwen's, but not all high-level people could do it at such a moment, and it meant taking responsibility.

There is no benefit, but he has to take responsibility. Director Jiang admires Zhou Congwen more and more.

This has nothing to do with technical level, but with character.

"Professor Zhou, come during the super-election." Director Jiang said frankly, "I have never done thrombolytic therapy after liver transplantation, and I am afraid that the anastomosis of blood vessels will be broken."

"Okay, I'll come." Zhou Congwen said, "You call the master."

"Huh? Can't we just do it?"

"What if it can't be dissolved." Zhou Congwen said, "We need to do a laparotomy, but then the operation will be serious, let's take it one step at a time."

Director Jiang was awe-inspiring.

Zhou Congwen's judgment on the condition was so severe.

But it's also a good idea.

The last time Wenyuan performed laparoscopic cholecystectomy and the high pneumoperitoneum pressure caused mesenteric arteriovenous thrombosis, Zhou Congwen dared to treat with a large amount of thrombolytic drugs.

But this time it is a patient after liver transplantation, the condition is different, the patient in front of him is more likely to have bleeding tendency, and the thrombolytic drugs will definitely not be given too high.

There are too many things to consider when entering the palace for the second time, and the difficulty suddenly increases. Director Jiang weighs in his heart and feels more and more difficult.

But what he was more curious about was what Zhou Congwen would do next.

"Professor Zhou, what shall I do with my professor?" Director Jiang asked.

"Let's see the situation first, and we'll talk about the rest when the time comes." Zhou Congwen walked in while wearing a sterile cap and a mask strap.

Director Han looked at Zhou Congwen's back and heaved a sigh of relief, "Fortunately, Professor Zhou is here."

Director Jiang is also concerned.

"Director Han, if the Academician Workstation has not been established, we will be in a hurry by now."

"Study hard." Director Han said, "I estimate that Professor Zhou will work at the Academician Workstation for at most 1-2 years. He is a disciple of Huang Lao, and he will definitely go to 912 when the time comes."

Director Jiang sighed.

I also want to learn, but learning takes time, but Zhou Congwen has no bottom, no matter what operation he picks up, he does it, and what he does is far beyond his imagination.

Just like the last thrombolytic therapy for mesenteric arteriovenous thrombosis, I couldn't imagine that the contrast agent and the hemostatic drug were mixed together and the needle was withdrawn while the contrast agent was contrasted.

Although the reason is very simple, I have never seen anyone who would think of that.

The two followed Zhou Congwen to the operating room.

"Chu Han, Professor Zhou doesn't look like a young man." Director Jiang whispered.

Director Han didn't speak, his eyes were fixed on Zhou Congwen's back.

"As doctors, we all know in our hearts that hands and eyes are at their peak when we are young, but what we lack is clinical experience. The best age is between 35 and 45 years old. Hands, eyes and body skills have not regressed too much, but clinical experience is already very rich. .But look at Xiao Zhou..."

Although Director Han was also a little puzzled, he still said, "If Professor Zhou has no place different from ordinary people, how could he be attracted by Mr. Huang and hired from Jianghai City to preside over the work of the Academician Workstation?"

"People are different. Who among you can perform more than 60 surgeries per week? Let alone 60 surgeries, I would be worried if it dropped to 20 surgeries. I am afraid that the wrong organs will be cut. You are looking at Professor Zhou. There are many details outside of surgery. You all have to think carefully."

Director Han said a few words, but did not expand.

Liver transplant patients are on the verge of life and death, like a big rock weighing heavily on their hearts. Director Han is not in the mood to talk to Director Jiang about the standardized process alone.

In the operating room, the patient was already lying on the operating table.

"All numb." Zhou Congwen said directly after entering.

"Huh?" Both Director Jiang and Director Zhao were taken aback.

"The patient's condition is not good. General anesthesia is the best choice now, regardless of whether a laparotomy is required or not."

After liver transplantation, the patient suffered from fatigue, fever, abnormal liver function, positive blood bacterial culture, and his overall condition was extremely poor.

General anesthesia will undoubtedly take a lot of risk.

But Zhou Congwen insisted, Han Chu nodded and arranged for anesthesia.

Zhou Congwen didn't stand in front of the film reader as usual, waiting for Xiaoping to think about how to do the operation.

He greeted the anesthesiologist, moved a stool and sat in the corner.

The reaction of the system this time is very strange, very strange, quite strange.

Based on Zhou Congwen's understanding of the system, if it were not for special circumstances, it would certainly not have used such obvious cheating methods.

What the hell is going to happen?Zhou Congwen closed his eyes and thought about it. Could it be that the system needs mechanical ascension?

Need to win the first place in the Cardiac Surgeon World Competition to have enough energy?

Zhou Congwen didn't believe in such illusory things as mechanical ascension.

But what Zhou Congwen can be sure of is that the system will definitely face a leap from quantitative change to qualitative change.

And the little guy can't wait for the completion of the long-term main task, it needs to complete a big task immediately and immediately.

What's more, the Cardiac Surgery World Series may have to face huge challenges.

challenge?Zhou Congwen smiled slightly.

In the last life, I have seen all the high-level cardiac surgeons in the world, and there are not many people who can threaten me.

Chu Yuntian is one, but he is still too young.

Thinking of this, Zhou Congwen smiled. He was young, but he was stronger in this life than in the previous life. Not only was his skill tree almost at full level, but he was reborn with future experience. Chu Yuntian probably had no chance.

The little guy in the system must be suffering from obsessive-compulsive disorder, anxious to the extreme.

You still have to have confidence in yourself, Zhou Congwen thought.

Just as he was about to laugh at the little guy with OCD, Zhou Congwen suddenly realized that something was beyond his control.

Different from other people's understanding, the surgery world competition is not a live broadcast, which is different from the demonstration surgery I performed at the annual meeting and society.

Record the video, and then send the video of the operation to the conference group.

The conference group will select some of the most authoritative old doctors in the world as judges, and select the strongest surgical videos and the strongest surgeons.

Since it is a selection, it means that there must be all kinds of tricks.

The system is still cheating like this. Could it be that they are ready to do it?Thinking of this, Zhou Congwen felt that things were a little difficult.

The gap between the top experts is only a few millimeters, just like watching a referee in a basketball game, the possibility of blowing a black whistle is extremely high.

Unless, like the boss did back then, the judging committee would be ashamed not to give it the world's number one title for the surgery videos they brought out; if they don't give it the world's number one, the authority of the judging committee will be questioned.

"Professor Zhou, I'm ready to make the list." Director Han's voice came.

Chapter 0757

Zhou Congwen put on a lead suit and brushed his hands. When he returned to the operating room, the sheet had been laid, and Director Jiang was doing femoral artery puncture standing on the assistant's seat.

Put on the surgical gown and stand at the operator's position, perform abdominal aortic angiography and superselective hepatic angiography under DSA.Zhou Congwen was very proficient in doing it, and he knew that this step was just a little bit of human affairs, and went through the process.

Normally, the 3-day liver transplantation thrombus can be dissolved by thrombolysis, but the system rewards the patient in front of him is too generous, Zhou Congwen predicted before the operation that thrombolysis treatment should not be possible, and surgery must be performed.

But this is just a guess. Guesses cannot be counted. You must follow the normal process.

As long as Zhou Congwen stands in the operating room or in the hospital, he will never be arbitrary, and speak with objective facts in everything.