Back in 2002 as a doctor
Page 670
"There are a lot of stones, and they are a bit broken. They look troublesome." Academician Chu suddenly said lightly.
The head nurse pricked up her ears, trying to hear the voice on the phone.
But no matter how hard she tried, she couldn't hear what was said there.
Academician Chu seemed to be talking to himself, and then changed his method, a more "weird" method to put the basket in.
This is because there is an "old lover", Academician Chu dares to try anything.
Obviously, Academician Chu was very unfamiliar with the operation, but he was full of confidence. His aura alone made everyone in the operating room believe that the operation would be completed smoothly.
9′23″, the Nets took the stone and ended.
Angiography of cholangio-obstruction was performed using a balloon to further confirm whether the stones in the common bile duct were removed.
unobstructed!
The invisible ice in the operating room began to melt.
"If the patient has a lot of stones in the common bile duct, or the operation time has been long and the patient is uncomfortable and it is difficult to continue to remove stones, nasobiliary drainage can be performed first, and stone removal can be performed after 3-7 days."
"Although the operation is simple, it is still necessary to take care of the patient's physical condition."
"It's okay if you can't finish it at one time. After all, we are using a duodenoscope. In principle, it has no effect on the body. If you can't do it once, just do it a few more times. Just take it easy and take it easy."
"Cough cough." Academician Chu coughed twice again, indicating that he understood.
"The operation is almost done. As for the broken guide wire, you can take it or not. If you are worried, you can try it. The guide wire is relatively thin, but the position of the common bile duct is relatively narrow, and there are still a few sand-like stones. It won’t float, just take it directly.”
Academician Chu smiled and coughed twice.
Zhou Congwen was as if he had witnessed the operation with his own eyes. In fact, there was nothing miraculous. There was a high probability of the existence of sand-like stones, and the broken guide wire was almost fixed in the stones.
Academician Chu now believes that the broken guide wire can really be discharged along the way, but he was distracted and still grabbed the guide wire with the catcher.
He made several mistakes in this movement, but finally he finished it by himself.
Zhou Congwen doesn't have any good suggestions for similar arrests, it depends on the specific operation method.
Unlike cutting the RT sphincter, that is a basic operation. Academician Chu has never been in touch with it and dare not do it.
The moment the catcher caught the broken guide wire, cheers came from the operating room.
Everyone was jumping for joy. In their view, the broken guide wire was the key point, and the operation of removing the stone just now was routine.
Academician Chu finally relaxed and pulled the guide wire out of his body little by little.
"The operation is over." Academician Chu took another radiography, took off the sterile gloves with a smile, turned around and walked out.
The door of the operating room opened, and Director Yang strode in.
"How is the patient? Is there bleeding?" Director Yang asked.
He was very anxious, but Academician Chu knew what this man was thinking.
Chapter 1142 Ataxia
Academician Chu smiled and gestured with his left hand, "Director Yang, wait for me for 2 minutes."
After speaking, he took his mobile phone and walked out of the operating room.
Director Yang watched the head nurse help the patient up, and asked in surprise, "Aren't you looking for a consultation?"
"Oh, academician Chu has already taken out all the stones." The head nurse also knew that Director Yang did it on purpose, so she said angrily.
"Then... what?" Director Yang asked vaguely.
After all, the patient is not under anesthesia, and many things cannot be said clearly.
"It was also taken out."
"Impossible!" Director Yang's pupils narrowed like pinpoints, his breathing was shallow and irregular, and if it was more serious, it would cause breathing to stop.
At the same time, his skin was clammy, his pulse was thready, his whole body became cyanotic, and his blood pressure dropped.
Before coming, Director Yang first learned about the situation of Academician Chu's surgery patients through various channels.
The diagnosis was clear - choledocholithiasis after cholecystectomy.
Director Yang has also encountered a similar situation, and has treated many patients, but the effect is not good.
If the stone is relatively large or the patient's condition is not good, you can try surgical treatment, but most surgeons will not make similar choices.
Surgery is not easy to do, this is one aspect.But on the other hand, the choledocholithiasis can be removed by surgical means this time, what about next time?
Choledocholithiasis does not occur only once.
So, this is a very difficult disease.
Director Yang doesn't believe that academician Chu, a physician, can make any breakthrough in the treatment of this disease.
The stones that I can't get out of the big surgery, you can solve the problem with medicine in your internal medicine.
As for the surgery Academician Chu has been trying, Director Yang even scoffed at it.
Physicians want to perform surgery, it is simply a joke in the world.
Although interventional surgery in the Department of Circulatory Medicine has been carried out on a large scale, Director Yang turned a blind eye to it, thinking that it is a special situation and cannot be applied to the liver and gallbladder.
It's fine if the operation can't be done. Academician Chu even broke the guide wire in the common bile duct.
The more Director Yang thought about it, the more he thought about it, the more he thought about it.
He was going to watch the excitement.
Because academician Chu is an academician after all, he has high prestige, and his status in the world is equally high.It's not okay to be sarcastic in front of Academician Chu, but it's okay to watch the excitement and pretend to be concerned.
If the patient's condition is not right, and there is bleeding in the common bile duct, then you can only go on stage and try it out.No matter how difficult it is, the ass that should be wiped must be wiped.
Anyway, it was to wipe Academician Chu's ass, and it was not my responsibility for what happened.
But if the patient is fine, I have to take a good look at Academician Chu's face.
But I didn't expect to hear the news that the operation had been completed and the broken guide wire was taken out after I came in.
This news hit Director Yang like a thunderbolt, causing his central nervous system to be suppressed in an instant, so that related physiological reflexes appeared.
"Where's the stone?" Director Yang still didn't believe it, he had to see it with his own eyes.
"Director Yang, here we are." A nurse who cleaned up the operating table said.
The head nurse and academician Chu's assistant had already helped the patient off the operating table. The patient put on the trousers of the hospital gown, tried it twice, and walked very steadily without any problems.
Director Yang looked at the patient's steps and was very confused.
Nothing happened, have the stones been taken out?
Is Academician Chu really not doing magic tricks?
Or design... No, this is a hospital, not a place for gangsters, so how can they use patients to set themselves a trap.
Moreover, Academician Chu's status in the world would not allow such a thing to happen.
Director Yang's gait was a bit weird, he was not as stable as the patient, which looked quite funny.
"Director Yang, are you too tired?" the nurse asked.
"Where is the stone, let me take a look." Director Yang is now focusing all his attention on the stone.
"Here." The nurse tapped the curved plate with the oval pliers, and the crisp sound was very pleasant.
"Let me take a look too, this little stone almost killed me." The patient was also curious, and walked to the bend with the support of the head nurse.
There are 7 or 8 stones with a diameter of less than 1cm placed in the curved plate. They are black with green, and there is a layer of "moss" left by an unknown secretion on them.
"That's all," said the patient.
"The common bile duct is so thick." The head nurse raised her hand and gestured, "That's it. Before you came, you were sweating because of the pain in your stomach."
The patient smiled and scratched his head, "Fortunately, academician Chu, he is indeed an academician. I went to another hospital, and they frightened me when they told me. The best thing is to have surgery, and it may not be possible to get it." come out."
"Let's go, do you want a wheelchair?"
"No, I think I can run back."
Running back was just a joke. The patient took medicine before the operation, and being able to walk back is considered in good health.
The patient and the head nurse walked out of the operating room, and Director Yang silently looked at the stone in the bend in a daze.
His blood pressure was rising a little bit.
Stones, he has dealt with him all his life.
However, surgery generally cuts out the gallbladder, and then opens the gallbladder in a curved plate to see the stones inside.
this time……
How did Academician Chu do it?
Director Yang looked at the stone blankly, his gaze was fixed, as if the orbicularis oculi muscle had restricted the movement of the eyeball like a wooden board.
There is also a guide wire on one side. Is this the broken guide wire just mentioned?
"This is..." Director Yang asked.
"Xiao Shao is inexperienced, and he accidentally broke the guide wire when he was pulling it outside." The nurse who cleaned up the operating room said, "It must be said that it was Academician Chu. He went out and made a call to calm down. Both the stone and the wire were taken out."
"Uh……"
Director Yang made a strange sound from his throat.
"Director Yang, I'm sorry."
Just watching, academician Chu walked in with a smile on his face.He had hung up the phone and walked briskly.
"I'm really sorry, I just started this technique, and when I saw the guide wire was broken, I didn't know what to do, so I called you to take a look."
Director Yang looked at the stones and guide wires that had been taken out, and felt that the blood vessels in the brainstem had burst, leading to brainstem hemorrhage.
The symptoms of pinpoint pupil constriction are getting worse and worse.
"But it's already been taken out. Fortunately, it's a good thing. I'm sorry to bother you." Academician Chu apologized very gently and said the scene.
Director Yang wanted to smile at Academician Chu to express his goodwill.But as soon as he turned around, his body developed ataxia, his movements were disordered, he could not maintain his balance, and almost fell down.
"careful!"
Academician Chu supported Director Yang.
The tendon reflexes seemed to have weakened, and Director Yang seemed to have been hit hard, Academician Chu thought with a smile in his heart.
Chapter 1143 Reconciliation or Surrender?
"Professor Zhou, what's the situation?" Xiao Kai asked after seeing Zhou Congwen hang up the phone.
"There was a little problem with academician Chu. It's okay, it's been resolved." Zhou Congwen said casually.
Minor situation?Hey.
Xiao Kai heard that the guide wire fell into the common bile duct, and with some scattered information, he has basically pieced together what happened.
Xiao Kai doesn't know what ERCP is, but he has seen circulatory interventional surgery, so he has a certain understanding of this kind of surgery with C-arm.
If the guide wire is broken when making a stent and left in the coronary artery...
Thinking of this, Xiao Kai's head turned into two big ones.Even though it was someone else's business, he still felt very scratching his head.
"Academician Chu is the same, let's talk about it after we come, why should we try it on our own?" Xiao Kai babbled.
Zhou Congwen suddenly looked sideways at Xiao Kai, stunned for a moment.
"Dean Xiao, do you still have opinions on Chu Yuntian?" Zhou Congwen asked with a smile instead of harsh words.
"Hey." Xiao Kai said, "It's hard to have no opinion. At the annual meeting last year, I hadn't come to the medical team yet, so I sat down and watched. Professor Zhou, do you know what the people around me said?"
Of course Zhou Congwen knew, but he didn't care.
"It's all over. Some time ago, Chu Yuntian also went to apologize to the boss. Academician Chu came to the Second Hospital of Medical University to establish an academician workstation, and he may cooperate for a while in the future." Zhou Congwen said, "He is an academician, don't underestimate him. The energy of an academician."
Xiao Kai was taken aback.
Zhou Congwen really wants to reconcile with Academician Chu?
Is this the legendary reconciliation of the century?
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