Chapter 721: Cavity blood
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The Surgeon’s Studio
- Black Ursa Prime
- 1269 characters
- 2021-04-11 11:31:21
Director Jiang has done hundreds of thousands of circular interventions and has seen more operations. Some do it by themselves; some are wearing lead clothes and standing behind the teacher; some are sitting in the operating room and watching the screen.
But this view from the operating table, Director Jiang is still seeing for the first time.
At the top left of the field of view is the screen, the image on the screen or the angiography of the last wounded person after thrombectomy. He knew that there would be movements soon, and what happened was his own coronary condition.
Whether it is the anterior wall myocardial infarction, you will know at a glance.
Not only that, he suddenly found himself able to observe Zheng Ren's surgery from the patient's point of view.
Just thinking about it, Director Jiang suddenly realized that he was doing a circular surgery intervention.
As this thought rose, the spirit that had just eased suddenly became tense, and there was a sting in the front of my heart.
"Expanding the crown!" Zheng Ren saw that the electrocardiogram shown on the ECG monitoring began to disorder, and immediately said.
The nurse with the desk immediately began to give the drug to Director Jiang.
"Lao Jiang, can't you be honest?" Su Yun is a little impatient.
Mainly familiar with Director Jiang, Su Yun knows that the more casual he said on the stage, his nervousness can ease a lot. After all, he has not seen Zheng Ren’s interventional surgery for the heart. If he is like a big enemy, he is afraid that the consequences will be serious.
I did not expect that the heart attack was an acute attack.
"I... I am not... I think Dr. Zheng will do it." With the completion of the drug injection, Director Jiang felt that the pain in the heart area was better.
"Let's lie down, if he doesn't, no one will." Su Yun said, "Nobel Prize judge, Dr. Mehar..."
"Don't say this, he is excited, blood vessels are paralyzed, and it is even more troublesome to attack again." Zheng Ren said calmly.
"The interest!" Su Yun took a look at Director Jiang, scolded.
A few words of effort, local anesthesia, arterial sheath, and guide wire catheter at the radial artery of the wrist have entered.
Zheng Ren began to step on the line, and the contrast agent was infused into the coronary artery of Director Jiang.
Director Jiang looked at the screen sideways, feeling heartfelt, and this speed was as fast as ever. Self, too, what are you worried about?
Yun Geer said what the Nobel Prize, perhaps, Director Jiang no longer thinks about these messy things, watching the screen empty.
But without waiting for him to empty himself, his thoughts were immediately interrupted by the angiography on the screen.
The angiography revealed localized severe centripetal stenosis at the proximal end of the left anterior descending coronary artery. The stenosis was almost 100%, and the lesion length was about 10-15 mm.
There was no obvious abnormality in the circumflex artery. The second segment of the right coronary artery was about 50% moderately concentric and the length of the lesion was about 15 mm.
The judgment is correct, this level of diagnosis is really arrogant! Director Jiang admire.
Some tips can be given on the ECG, but it is still difficult to judge so accurately.
"Boss, you said that from 1844, Bernard first inserted the catheter into the heart of the animal. It has been almost two hundred years. I feel that there is no breakthrough in the intervention of the heart." Su Yun looked at Director Jiang's angiography. The image, the mouth says something completely different.
"It shouldn't be like this." Zheng Ren removed the contrast catheter and said: "If you start to calculate, I think it was 1929, when German doctor Forssmann first inserted a catheter from his elbow vein through the superior vena cava. Sending to the right atrium is the beginning of a cardiac intervention."
In the speech, Zheng Ren has sent the 7FJL4.0 guiding catheter through the vascular sheath to the left coronary artery opening, and first sent the 0.014′′ PTCA guide wire to the distal end of the anterior descending artery.
"Take the catheter." Zheng Rendao.
Wearing a lead coat, followed by a device nurse handing over a catheter, Su Yun opened the outer packaging. "You said that within 20 years, you can carry out robotic surgery, and there is no other progress besides not eating the line. Extraordinary use of Da Vinci robots for surgery, purely off the pants fart."
"It can be cured if it can cure the disease. If it is fundamentally solved, it must be graduated and genetic." Zheng Ren sent the catheter to the vicinity of the former descendant of Director Jiang.
Director Jiang felt that this was the atmosphere of the operating room.
The surgeon and the assistant talked about the sky, simple and easy, instead of everyone doing the surgery before the boring head, countless wounded waiting for treatment, the pressure of people will collapse at any time.
All of a sudden he felt as if the whole life was back on track.
Only now is the patient lying on the operating table, except that everything is normal.
Oh, there is something wrong, that is the speed of Zheng Ren’s hand, it’s too fast!
After the catheter was taken in, the director did not see anything. Even Director Jiang did not feel anything. The catheter on the screen took a piece of dark stuff and began to go outside.
Is this done?
Director Jiang is so confused.
This kind of fresh emboss, if you take it yourself... his technical level is not enough, he can only accommodate tube thrombolysis.
Assuming that it can be taken, it is also necessary to add a strainer, carefully, for fear of breaking the fresh embolus, causing more unpredictable complications.
Where, like Zheng Ren, Daxie took the catheter to the position and clamped it to the outside.
"Dr. Zheng, what is your use here?" Director Jiang looked at the screen and asked.
Fresh emboli, as tender as tofu, is extremely difficult to remove completely.
Therefore, Director Jiang has such questions.
Zheng Ren smiled and said: "Now is not the time for discussion, the earthquake relief is over. If you have time, you can come to the 912 hospital to find me."
Director Jiang nodded. This is Dr. Zheng once again promised to go to 912 for further study.
Only this time, his mood changed a little.
Dr. Zheng, that is a real cow, but it is not pretending to be blown out.
Soon, the image of the thrombectomy catheter disappeared and Su Yun caught the fresh embolus with a piece of sterile gauze.
On the white gauze, the purple-black embossed around 1cm looks so embarrassing.
It was just that, blocking the coronary artery, almost ordered the life of Director Jiang.
"Lao Jiang ~ EbookFREE.me ~ take a look." Su Yun put the gauze pieces sideways, Zheng Ren are afraid that the emboli will fall off at any time.
However, this item of Su Yun is generally accurate, it should be no problem.
"You are all like this bear, and you are especially screaming at the rescue, you say you, more troubles." Su Yun's temper is gone, and the way of speaking has not changed.
Director Jiang rarely sees fresh blood clots. As for his own, this is really the first time.
He smiled and didn't hurt when he took the bolt.
"Boss, you said that the former downfall is 100% blocked, how can he not respond?" Su Yun asked.
"Too nervous, too much lactic acid accumulated in the body, the pain is not obvious... oh, it seems not right." Zheng Ren said and said no.
These are not reasons. To speak up, Zheng Ren feels very far-fetched.
In fact, what he thought was that supporting Director Jiang was a battle.