Chapter 2052: I want to live surgery

Zheng Ren, are you sure? "Strice Dean asked very seriously."
Director Kong sat on one side and frowned.
Director Zhang Lin Zhang of the Department of Circulation is also the same expression. They are very strange to intrauterine intervention and have no idea.
"叮咚~"
Zheng Ren’s ear sounded at the task.
[Emergency mission: a new life that may be abandoned.
Task content: Successful completion of an intrauterine interventional procedure.
Mission time: 12 hours.
Mission reward: experience value 100000 points, skill point 20000 points, master level skill book × 1, lucky value +2. 】
See also the task of adding lucky value! Zheng Ren is a little excited.
Compared with the lucky value, Zheng Ren is more looking forward to the success of intrauterine interventional surgery.
The new operation, the safety of the mother and the child, the system stamping certification, means that you can go to the system to buy surgery training time to do surgery training.
In this case, Zheng Ren does not have to worry about going in, the system operating room is empty, nothing.
He bowed his head slightly, thinking about it and coming directly to the system space. Open the system store and click to purchase the surgery training time.
The operating room of the system rose from the ground, and Zheng Ren drilled directly into it.
Surgery is not done under X-ray, but is done under ultrasound guidance. Ultrasound, Zheng Ren's level is very high.
At least 912 director Qi is recognized by Zheng Ren.
After starting the operation, Zheng Ren discovered a problem, the same problem as the tube fell into the heart - he was alone, no assistant.
MD! Big pig's hooves don't know how to give them an assistant. Zheng Ren's heart is groaning.
However, although the difficulty is large, it is not like the last operation. It is necessary for the assistant to continuously cooperate with the bolus injection. The patient's heart will stop beating after a little relaxation.
Moreover, the level of Zheng Ren's right and left hands at the same time is very high. It is only a little difficult to do it by himself, but there is no problem.
Ultrasound was placed on the belly of the experimental body and began to search for the connection between the fetus and the experimental body - the umbilical cord blood vessels.
At 32 weeks of gestation, the umbilical cord blood vessels should have about 3-4 mm.
But I don't know what the reason is. The connection between the pregnant woman and the child is very thin, and the umbilical cord blood vessels are very thin. Zheng Ren repeatedly measures it, which is about 1.8mm.
The diameter is almost narrowed by half, which makes the difficulty of surgery increase again. It is almost impossible to achieve a successful puncture.
But for Zheng Ren, who is a mountain higher than a mountain after the peak, it is the same.
Waiting for the baby to turn over and change position, it takes a long time.
Zheng Ren is not in a hurry, knowing that all must wait.
Come up to find the best position, it is for adult surgery, definitely not for intrauterine surgery.
After 23'12′′, the child finally changed to a position that satisfied Zheng Ren. He directly punctures and hits the needle.
Then Zheng Ren began to use sedative drugs, so that the fetus does not move temporarily, fetal movement stopped.
Intrauterine surgery, if the fetus is constantly moving, there is basically no possibility of success. Even if it is successful, you have to work hard to see the child moving during the operation.
Therefore, it is necessary to give the fetus a certain amount.
The left side of the fetus, the fetal abdominal wall, uterus, left ventricular outflow tract formed a smooth path, Zheng Ren began to guide the guide wire.
The B-ultrasound position, the guide wire and the balloon came to the point of congenital stenosis, and Zheng Ren began to expand the balloon.
Accustomed to adult surgery, the balloon only expanded once, and the operation failed.
If the pressure is too high, the vulnerable blood vessels will burst directly.
Zheng Ren knows that he is careless, perhaps because of the reason in the system operating room.
This is quite bad, and Zheng Ren immediately conducts a self-review.
It must not be like this. If it is going to be operated outside, it will not take into account all aspects. Come up so suddenly...
Zheng Ren thought of this, and the sweat on his back would come down.
Start the operation again and wait for the fetus to switch to the left position. Puncture and guide wire enter.
The difficulty of other people in Zheng Ren’s view is not at all difficult.
The B-ultrasound level is master-level, and it can convert images from B-ultrasonic to X-ray images or even 3D reconstructed images.
This advantage is unparalleled.
Especially in intrauterine surgery, compared with other doctors, Zheng Ren had already reached the end of the race at the same time.
For Zheng Boss, the only difficulty is to adapt to the anatomy of the fetus and the hardness and elasticity of the wall.
The second operation was very smooth. The balloon was used to expand the position of the aortic stenosis. Ultrasound showed that the transaoral flow rate of the aorta was reduced to 3 m/s and the pressure difference was reduced to 36 mmHg.
This means that the severe aortic stenosis in the child has dropped to moderate-mild.
At this time, the large trotters gave a surgical completion of 96%.
If you stop at this time, there is no problem.
The child can wait until the birth of the child in the mother. Although there will be a small problem after birth, it is expected to wait until the aortic valve is performed after growing up.
Even so, Zheng Ren is still somewhat dissatisfied.
He continued to expand the narrow aortic valve with a slight movement, but it turned out to be counterproductive.
The operation time is a hurdle to walk forward.
The sooner the end, the less complications. If you insist on turning the aortic stenosis into a mild stenosis, the time spent is too long, and the uterus of the pregnant woman contracts once, causing the surgery to fail completely.
The accuracy of this type of surgery is so high that the fault tolerance rate is extremely small~EbookFREE.me~ Zheng Ren sighed and repeated several operations. This time he did not pursue perfection, but he received it when he saw it.
The completion rate of surgery is 96%, which is completely acceptable.
The guide wire and balloon were pulled out, and the amniocentesis showed no substance, meaning that there was no bleeding in pregnant women and children.
Successful operation!
Zheng Ren smiled slightly.
For him, the operation was not as difficult as the previous catheterization procedure at the Cancer Hospital.
But the significance of intrauterine surgery is extraordinary!
This gives an early treatment opportunity for children with congenital heart disease!
From the beginning of implantation, to the 8th week of pregnancy, the fetal heart development is basically stereotyped. Whether the heart of the fetus is normal, whether there will be congenital heart disease, what problems will be fixed, have been finalized.
Congenital heart disease will be revealed by the 11th to 13th week of pregnancy. The China Birth Defect Prevention Report (2012) mentions that there are 130,000 children with congenital heart disease each year, which is still the 2012 data.
You must know that the second child was not open at that time.
Now, the further growth of this figure is certain. Hundreds of thousands of fetuses need treatment, but clinicians are at a loss.
The use of interventional surgery for intrauterine treatment of children is of extraordinary significance. Regardless of the level of difficulty, at least the clinician can give a thought, rather than giving up.
Zheng Ren came out of the system space, looked up and looked straight into the eyes of the strict president. "President, I only have one request - surgery can be done, but live."
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