"Professor Zhang is right. The surgery is very difficult." Zheng Ren made a positive conclusion.
Professor Zhang's expression softened when he heard Zheng Ren's opening remarks. He nodded slightly and smiled at Zheng Ren.
Professor Zhang knew that people had to carry the sedan chair with them.
"The patient's condition is critical. The surgery is very risky," Zheng Ren repeated. Then, he walked to the radiographic film viewer and pointed at the position of the aorta. "The aortic adventitia has a large area of erosion. Even without surgery, I estimate that within 24 to 48 hours, the patient will die from secondary hematemesis due to the rupture of the aorta."
The smile on Professor Zhang's face froze before it could dissipate.
"The surgery must be done, and it must be done in an emergency." Zheng Ren flipped the page and immediately expressed his opinion that was completely different from Professor Zhang's.
Lin Ge sat expressionlessly in the middle of the office. When he heard this, he lowered his head and took a pen to record something in his notebook.
Professor Zhang looked at Zheng Ren with a serious expression and asked coldly, "Boss Zheng also said that without surgery, the aortic adventitia will rupture at any time within 24 to 48 hours. It's already as thin as a piece of paper. Do you still want to destroy it? "
"First of all, I think you're right, Professor Zhang," Zheng Ren repeated his words again. A smile suddenly rose in Zhao Yunlong's heart. Boss Zheng looked simple and honest, but he was also quite bad.
"But it's precisely because of this that the surgery must be carried out as soon as possible," Zheng Ren said. "For the condition of the thin blood vessel wall, I suggest that we put an aortic stent to support the intima of the blood vessel. If the adventitia ruptures, we can use a patch to repair it. This way, we can avoid the risk of dying on the operating table to the greatest extent. "
Professor Zhang's eyes widened and he suddenly stood up to refute Zheng Ren's words.
After all, he was a professor who lectured. His theory was rigorous and logical. No matter what argument or evidence it was, it revolved around the patient's surgical risk without any deviation.
He did not lose his rationality because of anger, nor did he want to refute Zheng Ren's words and go astray.
All the focus was on the huge risk of the surgery and the need to be cautious.
It seemed that not only was Professor Zhang good at lecturing, but he was also good at debating.
Zheng Ren felt that if he did not interrupt Professor Zhang, he could talk until midnight.
A routine blood test was enough to talk for three to five hours.
In fact, what he wanted to say was obvious — not performing the surgery had nothing to do with him. After the surgery, I will definitely be the scapegoat.
This was a very helpless thing. Zheng Ren also understood Professor Zhang better.
It was just like the patient's choice in the local hospital. If the surgery was too difficult, they would first use anti-inflammatory and conservative treatment. If the patient could recover, everyone would be happy. If not, they would push the patient to a higher-level hospital.
When it came to treatment, no one wanted a patient to die on the operating table. Once the illness was cured, everyone would be happy and harmonious. If it was too difficult or uncertain, it was better to go to a higher-level hospital.
However, local hospitals could do this, but the 912 could not do this.
Where should he push the patient? Concorde? Fuwai? An Zhen?
They were both top Class Three Grade A hospitals in the country. If he really sent the patient there, wouldn't he be shameless? Admit that it's a low-level hospital?
In the future, when he held the National Academic Conference, would he have to address the professors from other hospitals as teachers when he met them?
If that was the case, Director Yan would definitely suppress it with an iron fist. No matter which big shot was standing behind him, he would first get rid of the "black sheep" from the 912.
Professor Zhang knew that he couldn't push it away, so he chose to delay it as much as possible.
As long as he got off work, he could let whoever he wanted to perform the surgery tomorrow. In any case, as long as it had nothing to do with him, it was a good strategy.
Zheng Ren sighed in his heart. He really did not want to fight against a professor in the cardiothoracic surgery department.
It was not that he did not dare to, but there was no need. Seeing that Professor Zhang was talking eloquently and was in high spirits, Zheng Ren went straight to the System space and prepared to do surgical training.
"Hello." Zheng Ren greeted the little white fox first.
As expected, there was no response. The lifelike little white fox lay in front of the thatched hut, its smile a little lively.
It was just a casual greeting. Zheng Ren did not expect the little white fox to reply. He clicked on the purchase of surgical training time and directly entered the System's operating theater.
A simulation mannequin was lying on the operating table. The shadowless lamp was very bright, and the skin of the simulation mannequin was a little pale.
Recalling the radiographic films, Zheng Ren positioned the simulation mannequin and began surgical training.
Zheng Ren did not choose to use the combination of thoracoscopy, mediastinum meridian, and esophagoscopy. Although there were reports of similar cases using the three scopes to remove fish bones, laparoscopic surgery was too time-consuming.
It was safer to open the chest.
The mediastinum was full of abscesses. Even if it was a thoracotomy, a microscope would be needed, let alone laparoscopic surgery.
Upon investigation, it turned out to be a hard fish bone that had pierced through the esophagus and into the mediastinum. It did not puncture the aorta, but just the outer membrane.
Although it looked like it was lucky, because the food residue had also entered, it formed an inflammatory infection in the mediastinum.
This led to a large abscess on the outer layer of the aorta, which continued to erode and the aorta could rupture at any time.
This f * cking … Zheng Ren sighed in his heart.
It was probably when eating fish that a bone got stuck, and then tried to force it down with vinegar or a steamed bun.
In the end, the fish bone was harder and directly penetrated the esophagus wall and pierced the aorta.
Twenty years ago, this was a serious illness that was almost untreatable. Even now, it was a particularly difficult condition to treat.
It was absolutely impossible not to deal with the abscess because bacteria would grow and continuously erode the blood vessel wall. Soon, a huge wound would appear, causing the patient to bleed heavily.
The aorta and azygos vein had already shown inflammatory edema. It might not even take 48 hours for it to rupture.
As time passed, the surgery would definitely become more difficult.
Cleaning the abscess was a meticulous job.
The lungs had to be sutured, the esophagus had to be sutured, the abscess had to be cleaned, and the large blood vessels were also involved. The workload of the surgery was huge.
Zheng Ren began the surgery, but he did not have the attitude that he could do it in one go.
After all, the cardiothoracic surgery was only at the Grandmaster level. It was still far from the Legend level.
There was a Legend skill book, but Zheng Ren was not sure if he needed it. The difficulty of the surgery was to remove the abscess and the aortic stent. Zheng Ren did not think that it was necessary to improve the skill.
The suction device sucked out the pus. A large area of infection, wrapping, and adhesion could be seen in the entire mediastinum. A part of the mediastinal pleura was seriously infected. It was estimated that there was also a problem with the lungs.
After five failed surgeries, Zheng Ren could only accept this reality and endure the pain to use the Legend level skill book.
..
"Chief Lin, you are presiding over the consultation of the whole hospital. In summary, this is my opinion," Professor Zhang said angrily. "If it's a surgery, I won't do it! It's irresponsible to do the surgery like this! It's murder! "
Zheng Ren had already expected this kind of counterattack.
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