Zheng Ren quickly inserted the aortic stent.
The airtight lead door opened. Chu Yanran held the tracheal tube while Su Yun and Chief Wang positioned the patient.
The patient was in a supine position. Su Yun used a pillow to prop up the left side of his body.
"Boss, is one enough?" Su Yun took a look and felt that it was enough, so he asked again.
The assistant felt that it was not a good idea. In the end, it was still up to the person who performed the surgery to decide the position. But under normal circumstances, it was a fixed pattern, and there was no need to ask.
This patient's situation was special. Su Yun asked a few more questions. There was no harm in being cautious.
"Yes, no problem." Zheng Ren nodded and turned around to brush his hands again.
"Don't take off your gloves next time so you don't have to scrub your hands," Su Yun said as he positioned the patient.
"It's not strict," Zheng Ren said. "I still washed my hands. I feel at ease."
"Boss, you should go and have a look at your mental illness when you have time. How about I introduce you to a better psychiatrist? "Su Yun said.
"I'm mentally healthy, but your narcissism and chatterbox need to be checked." Zheng Ren ignored Su Yun's nagging and went to scrub his hands.
"I'm back for surgery. There's no background music. It's so quiet." After Su Yun adjusted his posture, he took a look and felt very satisfied.
"What kind of music is played in the capital?" Director Wang asked.
Speaking of this, he began to miss the 912.
"Old He, as long as that guy can catch up to the boss, he'll be lucky. The first time he heard it, he thought it was alright. Hearing too much about it really makes me break down. "Su Yun chose a spot, turned around and asked," Boss, the left fifth rib? "
"Sure." Zheng Ren's voice came from the bathroom.
Director Wang was a little surprised. The two of them did not seem to have changed much, but at the same time, they seemed to have changed a lot.
Since he was going to perform thoracic surgery, Su Yun naturally asked Boss Zheng about the position and surgical incision.
What happened in the capital during this period of time? Brother Yun actually wanted to ask Boss Zheng about thoracic surgery.
Chief Wang looked at Su Yun in surprise. He felt that it was strange.
He had seen Su Yun perform surgeries before. His style could be said to be domineering. Zhao Yunlong was scolded badly by Ling Ran. After a round of nagging, Zhao Yunlong no longer asked Ling Ran for surgery.
It could be said that a good surgeon was absolutely arbitrary on the operating table.
But looking at the situation in front of him, Director Wang had a guess. Although it seemed ridiculous, he had thought about it, and the rest was the truth.
Brother Yun admitted defeat in his heart.
A sterile sheet was laid and the surgery began.
Chief Wang did not go on stage. Su Yun had said that there was no need for him.
Chief Wang sighed emotionally as he watched Zheng Ren and Su Yun stand on the operating table. Boss Zheng's bearing was becoming more and more stable.
The last time he came back, he still called him Chief Zheng, but this time, he involuntarily called him Boss Zheng.
Zheng Ren reached out and the knife appeared in his hand.
He made a curved incision along the fifth rib to stop the bleeding. He cut it layer by layer and dissected it with blunt force before entering the chest.
Zheng Ren first found the internal thoracic artery, cut it, and ligated it.
Opening the chest cavity, Su Yun said: "This is the pericardium! It's really awesome. "
The pericardial cavity was about 800 ml.
The most eye-catching thing was that the distal end of the Kirschner needle was not far from the pericardium.
"This is the most sensible heart bag I've ever seen," Su Yun said.
"If not for the protection of the pericardium, I'm afraid his heart would have been pierced," Chief Wang stood behind Zheng Ren and said with a nod.
It was a pity that the stimulation time was a little long. The inside of the pericardium seemed to be wrapped in a layer of fiberboard, and the heart's pulse was a little limited.
The pericardium was no longer soft and slightly square. There were already signs of chronic constrictive pericarditis.
Chronic constrictive pericarditis was a chronic inflammatory process that involved the pericardial wall and viscera. It caused pericardial fibrosis and thickening, limiting the heart's diastolic activity and reducing heart function.
However, the patient in front of him had a constricted pericardium that protected his heart like armor to prevent the Kirschner needle from causing fatal damage.
However, it was not to say that the Kirschner needle was like the Sword of Damocles, which could be fatal at any time. A constricted pericardium alone was a fatal disease.
Once the symptoms and signs of chronic constrictive pericarditis appeared, the patient's lifespan was about 5 to 15 years before losing general mobility. When ascites appeared, the disease progressed rapidly, especially in children.
Zheng Ren used a sharp knife to make a small incision on the pericardium. The moment he left, the aspirator was stuffed in by Su Yun before the pericardial effusion could gush out.
He watched as the pale red bloody pericardial effusion was drawn out, but the pericardium did not deflate. The shape was strange.
"Dissection forceps." Zheng Ren stretched out his hand. As he spoke, he slapped a pair of forceps into his palm.
"Boss Zheng, what kind of forceps are these?" Chief Wang asked.
He was a doctor in gastrointestinal surgery and could not understand thoracic surgery. He asked casually so that he would not have to guess and also to make the air in the operating theater a little more lively.
"Look for the left phrenic nerve," Zheng Ren said.
Along with as much fat as possible, the pericardial tissue and the left phrenic nerve were separated. Zheng Ren cut the pericardium from the left ventricle and tilted it to the posterolateral side.
"Chief Zheng, when did you come back?"
Chief Zhou of the orthopedics department entered the operating theater and greeted him enthusiastically.
"Chief Zhou, long time no see." Zheng Ren only greeted him halfway and then said, "Take a look at the Kirschner needle."
"What's wrong?" Chief Zhou looked at the incision and knew that it was a thoracic surgery. He came over to take a look and his face turned pale.
"F * ck … There really is a situation where the distal end of the Kirschner needle is free!" Chief Zhou exclaimed.
"What? Haven't seen it before? "Zheng Ren was not in the orthopedics department, and he did not raise the orthopedics skill tree to any level.
He was not sure about the probability of the distal end of the Kirschner needle being free.
"There's this in the preoperative instructions. I also learned what my master taught me back then. Every time I explain it to the patient's family, I'll make a few gestures. " Chief Zhou's expression changed again and again. Just as he happily stretched his head to look at the operating area, he immediately thought of something.
"Chief Zheng, where did the patient have the clavicle fracture fixation surgery?" Chief Zhou asked nervously.
If he had done it himself, this matter would have been f * cking terrible.
Although there was a preoperative instruction, this kind of postoperative complication really existed. However, the probability was too small. Even he had never encountered it.
However, once it appeared in a certain patient, there was a 100% chance. It was fine if he met a reasonable person, but if he met an unreasonable one …
Chief Zhou thought more. The excitement of seeing a special case just now was instantly extinguished. His heart was perturbed, and his eyes were a little erratic.
"I didn't ask," Zheng Ren said. "Looking at the incision, it's probably at least three years."
"Why didn't you ask?" Chief Zhou sighed and complained slightly.
"What? You guys knocked out the Kirschner needle and the aorta was almost cut. Are you still reasonable? We were in a hurry to save the patient. Who had time to ask those nonsense? "Su Yun heard the complaining tone in Chief Zhou's words and directly retorted.
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