Zheng Ren did not have any emotional fluctuations. He did not notice the other party's rudeness at all. He inserted the radiographic films into the radiographic film viewer.
It was the same as the radiographic films seen in the System space. There were two upright X-ray films and a CT 3D reconstruction.
The bullet entered about one-third of the inside of the right clavicle. The chest X-ray showed that the bullet was in the shadow of the heart at the lower edge of the heart. There was no hemothorax or pneumothorax.
The location of the clavicle fracture had been externally fixed. This could be seen very clearly.
However, the CT 3D reconstruction did not find the specific location of the bullet.
Zheng Ren glanced at the radiographic films and began to flip through the medical records.
According to the patient's own account, when he was injured, he had a forward movement. As for the rest of the medical history, there was no significance in using it as a reference.
It was still meaningless to look through the surgical records of the First Affiliated Hospital of Provincial Capital Medical University.
Zheng Ren was a little confused.
The upright plain radiographic films showed that the bullet was under the shadow of the heart, but the CT 3D reconstruction did not. This was not a problem of technical level. He did not see the image of the bullet in his mind.
The conventional four-chamber ultrasound still did not see the location of the bullet. There was only a slight tricuspid regurgitation.
Zheng Ren hesitated for a moment. According to logic, the bullet was missing.
However, the two X-ray films showed that the position of the bullet did not change.
The patient's hemodynamics was stable, his heart rate was 96
Bpm, his blood pressure was 110/70
MmHg, his breathing rate was 17
Times/minute. The electrocardiogram, troponin T, and other blood indicators were normal.
Could it be in the heart? Zheng Ren suddenly had this idea.
An ordinary echocardiogram did not see the bullet, so he tried to correct it.
The M-mode echocardiogram was prone to distortion due to the incorrect direction of the ultrasound beam.
There was a special study on the problem of the azimuthal angle error of the echocardiogram and to find a simple and effective method to correct the error, but it was rarely used in clinical practice.
The measurement of cardiac structural parameters had to follow the orthogonal law. According to the mathematical principle of the left ventricular geometric model, it was proved that there was a functional relationship between the error value and the true value of the deviation angle cosθ.
Thus, a mathematical expression for the relevant correction error was created, and a simple method to measure the deviation angle and use the cosθ function to correct the error was provided.
Seeing Zheng Ren looking at the radiographic films in silence, Chief Tian curled his lips and said coldly, "Chief Ma, if Old Gu doesn't come, we can go. What do you mean by bringing a junior doctor? "
"Chief Tian, that's enough!" Chief Ma said angrily, "This is Doctor Zheng Ren, a candidate for this year's Nobel Prize. He's not a junior doctor."
"Nobel Prize?" Chief Tian was stunned for a moment, but he was still disdainful. "The one from the Department of Interventional Medicine? Nonsense, clinical surgical methods could not win the Nobel Prize. This is like … "
As he spoke, he sneered twice.
"It's just like that group buying prizes at the American Music Awards. They go up to show their faces and lip-synch and dance," said the professor who was leading the group next to Director Tian.
Chief Ma could no longer sit still.
In his heart, he thought that there was a high probability of this happening, but you said it out loud in front of the person involved. Isn't this a slap in the face?
What does it have to do with you whether people want to sing Little Apple or eat Little Apple?
If the 912 was willing to play these games, then let them play. If you want to do it, if you have the ability to do it, do it yourself! Was there any meaning in standing here and directly exposing the emperor's new clothes?
If this matter was not handled well, the two deans would definitely have to step in.
If things got to that point, and the matter was brought to the Ministry …
Chief Ma did not dare to continue thinking about it.
This kind of fight had happened two or three times in the past 20 years. Every time it happened, it would shake the entire medical world.
It was excellent to stand at the side and watch the show, but when it involved himself, it was definitely not a pleasant thing.
"Chief Ma, what do you mean by this?" Lin Ge said sinisterly. "Comrade Zheng Ren is a member of the health care team. He has just returned from a mission in Nanyang. He Zhe, the First Affiliated Hospital of Provincial Capital Medical University either wants a consultation or can't find the problem, so you called us people from the 912 to vent your anger? "
"…" Chief Ma was helpless.
F * ck, he had to find an opportunity to suppress the cardiothoracic department to death. How dare they be so arrogant?
"The CT looks fine, but it's caused by the overlapping of the imaging. After correction, we can confirm that the bullet is in the heart, "Zheng Ren suddenly said lightly.
Lin Ge was a little hesitant at first. If Boss Zheng could not find where the bullet was, it would be useless no matter how fierce he was.
However, Boss Zheng found the bullet and occupied the commanding heights. He could not kill them!
As for what Boss Zheng said, Lin Ge did not care. According to his' rich 'clinical experience, Boss Zheng was never wrong!
Zheng Ren still did not care what the others were doing. After he found the problem in the 3D reconstruction, he came to the System space, clicked to buy the surgery, and entered the System's operating theater.
The surgery training began!
The chest was cut open, the sternum was split open, and the buzzing sound of the sternum saw echoed in the System's operating theater.
As Zheng Ren did it, he felt that it was a little dangerous. Perhaps the danger came from Su Yun.
Such a big surgery, and it was even a surgery to remove the bullet that had drifted into the heart. If he did not call him, would he fall out with him?!
Regardless of this, he had to confirm that the bullet was in the heart from the anatomical structure.
After opening the mediastinum, Zheng Ren used the octopus to fix the heart and cut open the right ventricle.
A yellow bullet appeared in his field of vision.
It was not the shotgun he had imagined, but a standard bullet.
The bullet was in the diaphragm of the right ventricle. After removing it, the heart was sutured. After checking that there was no active bleeding, the surgery was declared over.
The surgery was not difficult for Zheng Ren.
The moment the surgery was completed, another thought suddenly appeared in Zheng Ren's mind.
At this position, it seemed that the bullet could be removed through interventional surgery without opening the chest.
Even Zheng Ren was taken aback by the inconceivable thought.
What was supposed to be a "simple" surgery had become extremely complicated.
Should he give it a try?
However, as soon as the idea rose in his mind, Zheng Ren could no longer suppress his desire for this strange surgery.
Give it a try?
He would give it a try.
Zheng Ren calmed his mind and thought about the location of the bullet and the possibility of removing it.
It was still possible.
The patient was lucky not to have suffered any serious injuries from the gunshot wound, which was considered heaven-defying luck. However, Zheng Ren still wanted the overseas workers to suffer as little damage as possible.
Should he not spend some time experimenting with a new surgical method?
It should be, and it was necessary.
Zheng Ren had full respect for the state-owned enterprise staff who worked overseas. Although it seemed a little 'wasteful' because surgery could solve the problem.
Nevertheless, he still wanted to give it a try.
The surgical method was different from the previous ones. Zheng Ren used a 16-Fr E-sheath tube to puncture the right femoral vein while the subject was awake and calm.
The guide wire and catheter entered the femoral vein, then the inferior vena cava, and finally the right ventricle.
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