Chapter 1633: Forced palace

After capturing the bullet, intraoperative echocardiography showed a slight increase in tricuspid regurgitation from moderate to moderate, but the tricuspid leaflet and subvalvular structures were not mechanically affected.
This proves that the bullet is not "inlaid" on the heart.
Use a ferrule to capture the bullet from the outside to the inside to ensure it is suitable for any structure; then carefully operate the Agilis catheter and rotate it counterclockwise to the right atrium.
When the bullet enters the right atrium, the echocardiographic tricuspid regurgitation decreases from moderate to mild.
This post-operative change is foreseeable, and Zheng Ren's hand is steady and a little bit of operation.
Step out of the right atrium and pull the bullets gradually into the groin. In order to avoid the bullet slipping, Zheng Ren draws a figure-eight suture near the inguinal bullet.
This operation is very difficult. Zheng Ren has failed 12 times in a row. Finally, the shape of the snare has been adjusted to suit his own surgical technique before he successfully completed it.
Subsequently, a component consisting of a 24-Fr sheath, a JR5-Fr guide tube and a 15 mm gooseneck snare was selected through the right femoral vein and the gooseneck ferrule was treated in the right femoral vein.
At the same time, two ferrules were used to capture the bullets, and the bullets were safely removed in the right femoral vein through a 24-Fr sheath, and finally the veins were sutured using a No. 8 suture.
During the postoperative operation, Zheng Ren failed several times in succession.
The bullets swam away and fell off many times.
Zheng Ren feels that the operation is extremely difficult. He is a level of interventional surgery at the peak level and has failed so many times.
If you change someone else, can't you do it at all.
In fact, Zheng Ren knows that it is the relationship between Changfeng's minimally invasive equipment.
If it is a foreign manufacturer, it is unlikely. Foreign manufacturers sell ordinary consumables in the country, and they use bullets for their own purposes. They may not be able to sell them domestically.
After more than ten hours of training, Zheng Ren finally took out the bullets three times in a row.
That's it, Zheng Ren took a sigh of relief and the surgery was over.
Next, complete the surgery!
He came out of the system space, and immediately heard the director of the ear whispered: "That is impossible!"
"What is impossible?" Zheng Ren asked sideways.
"How could the bullet be in the heart!" Director Tian looked angry. "The heart color ultrasound did not find bullets!"
"But CT shows that the bullet is not in the mediastinum." Zheng Ren smiled and pointed at the film, saying: "The bullet hit the clavicle, causing a fracture of the clavicle. The bullet entered the subclavian vein because of the decrease in speed caused by the position and the clavicle.
I know this is hard to understand, but it is.

The finger tapped on the reader and made a squeaking sound.
"The bullet then enters the heart with the venous blood. Echocardiography shows that the valve has a slight reflux, which is caused by the bullet entering the right ventricle." Zheng Ren said with certainty.
"Impossible!"
"What else can you say besides being impossible?" Linger stood up and said coldly: "If you think it is possible, we will not appear here. Looking for Zheng boss to solve the problem is because you think it is impossible." Can't do it!"
Director Ma is entangled.
Director Tian is somewhat ignorant, but it is ok to fight for it, but it cannot be beaten by the 912 people.
"Director Lin..."
"Director Ma, you give the truth, do you want Zheng boss to do the surgery. We need to leave. No, we pat the and leave, go back and report to the hospital. Yan Dean is hospitalized, but Yuan Affiliated Hospital The long meeting and the ministry reported this matter." Linger did not give the opportunity to talk to Ma.
From the eyes of Zheng Boss, he felt that Zheng Bo can solve this problem.
This kind of heavenly opportunity to teach people, if they do not grasp, to export to Zheng boss, it is better to resign directly home.
"..." Director Ma is speechless.
"It is impossible in the heart, this is not logical." Director Tian argued.
"Where are you talking about?" Ringer’s mouth showed a sneer, and asked: "The film is your film, and it has been seen countless times. A bullet, it is so missing? Is it a supernatural phenomenon or something?"
Director Tian is silent.
I can't find it myself. In recent days, the film has been smashed, and no bullets have been found.
Especially after a failed operation, Director Tian completely lost confidence in finding this bullet.
If you drag it down, it will definitely not work. The bullet contains various metal components that remain in the body and are ultimately a major disaster.
But to say that in the heart, Director Tian really does not think so.
He is very tangled.
Zheng boss of 912 gave a diagnosis, he said that he was not, but he could not find where the bullet was.
In addition to the fracture of the clavicle and the rupture of the subclavian vein, there was no more trauma. Now that the young man is already alive and kicking, he is discharged from the hospital every day and returns to foreign countries. It is estimated that he can't hold it anymore.
"Director Lin, let's..." Ma said.
But just halfway through, Ringer turned his head and didn't look at himself.
"Surgery, Zheng boss, are you ready to do your chest?" Lin Geli ignored the words of Director Ma and asked back.
"No, you can take it out after the intervention." Zheng Rendao.
Intervene...
Surgery...
Take bullets...
All the men in the room are silent.
There is no woman, so there is no crying voice.
Linger is extremely trusting to Zheng Boss, nonsense! The Massachusetts General Hospital sent a letter asking Zheng Boss to serve as a tenured professor.
Although I don’t know what happened in Nanyang, it’s the Massachusetts General Hospital!
Not to mention the individual cases that you have witnessed, you can gamble on this invitation only.
Isn't your clinical level enough, and isn't the Massachusetts General Hospital not working?
The most important thing is that he has decided to hold the boss of Zheng boss to live. This side of the Medical University Affiliated Hospital does not directly give Zheng boss face, then you have to be polite?
"Good." Lingerton said after 1.24 seconds without hesitation.
Later, he turned his face and confronted Ma, and asked: "Director Ma, Zheng boss has to undergo interventional surgery."
"..." Director Ma was shocked~EbookFREE.me~ Linger is the deputy director of the old medical department. What did he say, do you really know?
Is this a desperate attempt, or is it for the director Tian’s affairs?
I have been working in the medical service for decades, how can I still have a experience? Has this started to force the palace?
"You agree, just do it in the Affiliated Hospital of Medical University. If you disagree, I will report to Vice President Yuan immediately, and negotiate with the Ministry. The patient will transfer to us 912." Linger is aggressive, directly highlighting the cards and preparing to turn his face.
Director Ma’s heart complained of bitterness.
Although he absolutely does not believe that bullets will be in the heart, but what if?
I lost my face and threw it into the department. Although it was not a direct management department, but once the 912 operation was successful, the Imperial Hospital Affiliated Hospital still has to be shameless?
The hospital's reputation is sweeping, at least on the upper floor, and it is sure that the level of the Affiliated Hospital is very poor.
He still believes that bullets are unlikely to enter the heart.
Bullets, the heart, these two words together mean - death!
But this kind of risk, even if it is only one in ten thousand, cannot be taken.
"I... I called the Dean."
??
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