Only the most awesome and bad-tempered specialists would throw their instruments and scold people on the operating table.
But …
Director Sun Chao felt blood rush to his head. He did not think that this was a humiliation to him. The first assistant should not know who was standing behind him.
But even the first assistant had such a bad temper. He just touched someone's back, threw the equipment, and scolded them?
The typhoon of the 912 was really f * cking bad.
Sun Chao cursed in his heart.
However, Sun Chao could not say anything since he had touched the other party's back, which might affect his stability.
"Look at the operating area." Zheng Ren did not even raise his head. He did not seem to care who Su Yun was scolding. It didn't matter who he scolded, even if it was Deputy Dean Yuan.
Even if the sky fell, it would not be more important than the patient in front of him. "Remove the embolus completely. Pay attention to the elasticity of the embolus."
"I know, I can tell." Su Yun became gentle again.
Complete thrombectomy? Department Director Sun Chao's blood had just rushed to the top of his head, but when he heard this, blood rushed to the top of his head again. His blood pressure was so high that it almost burst out of his head.
Wasn't it crushed and taken out with an aspirator and a pair of pliers? Complete thrombectomy? What kind of operation was that?
Although he was curious, he didn't dare to go any closer.
He was the department director of the First Affiliated Hospital of Provincial Capital Medical University. He had a high status in the academic community of vascular surgery in the country. He could more or less be considered a world-class figure.
However, he was f * cking thrown by someone at the 912 viewing platform and cursed …
Chief Sun Chao saw the surgeon reach out and slap a small hemostatic forceps in his hand. Then, he began to open the forceps and enter the operating area that he could not see.
This was an attempt to remove the suppository. Young people were always willing to do something unexpected to show their importance. Chief Surgeon Sun Chao thought to himself that it would fail very soon. Then, he would inject another dose of epinephrine, use an aspirator, and …
The small hemostatic forceps disappeared from his field of vision for a very short period of time. That was all Chief Surgeon Sun could think of when he saw the purplish-black, worm-like thrombus reappear in front of him.
A large, white, sterile gauze pad appeared on the right side of the host surgeon. The host surgeon's movements were very slow, and everyone held their breath as they watched him remove the thrombus bit by bit.
He was really removing the embolus, completely removing the embolus!
Everyone on the viewing platform thought of this at the same time.
Thrombectomy. Although it was called 'removal', it was actually Chief Sun Chao's idea. Mash it up and remove it with an aspirator and gallbladder lithotomy forceps.
Complete embolus removal …
Furthermore, it was a 12 cm long blood clot …
Everyone was dumbfounded.
It was not just them. Even Zhao Yunlong, who was standing next to Zheng Ren and acting as the second assistant, was dumbfounded.
The patient's heartbeat was irregular, sometimes fast and sometimes slow. It was extremely difficult to overcome the influence of the heart beat and remove the embolus perfectly.
Zhao Yunlong didn't do anything at this step. He just watched. Boss Zheng and Su Yun cooperated well. The thrombus was pulled out from the main trunk of the right pulmonary artery. The embolus was very complete.
As the thrombus slowly spread, Sun Chao noticed Boss Zheng's hand movements.
He was not motionless, but there were countless minute movements mixed together to counteract the irregular beating of his heart.
Wasn't he tired of so many operations? Was this something a human would do?
After 8 ″ 21 ″, a purplish-black blood clot with a bright red back was taken out and placed on a large white gauze pad.
Under the light of the shadowless lamp, the 12-centimeter-long thrombus was glaring.
"Remove about 20 grams of dark red old thrombus and light red fresh thrombus," Zheng Ren said in a deep voice.
Lao He immediately began to record.
After the thrombus was removed, red blood gushed out of the distal pulmonary artery.
Zheng Ren immediately tightened and ligated the purse-string suture. After careful observation, there was no bleeding from the pulmonary artery incision. After the thrombus was removed, the pulmonary artery perfusion immediately recovered.
The patient's hemodynamic parameters gradually stabilized.
"The surgery is done." Zheng Ren finally relaxed. Even though he was like a rock, he still felt a little tired at this moment.
It was different from microsurgery. This surgery was simply too urgent!
In the operating theater of the System, countless simulation mannequins died because of this d * mn time limit.
The condition was like a tidal wave, not giving people any time to breathe. That was why Zheng Ren was so domineering when he was in the neurosurgery department. He directly decided to go on stage.
Because he did not have time to explain too much.
Zheng Ren believed that the key to the success of this surgery was not on him.
It was … because of Lin Ge's existence.
Without Lin Ge's unreserved and unwavering support, the surgery would not have been possible.
He went on stage in such a hurry and did not even have time to do an angiogram. If the medical administration division and the hospital leaders did not give him almost unlimited trust, it would not have happened.
It was all thanks to Lin Ge. Zheng Ren was relieved and thought to himself. He had to pay attention to teaching.
After suturing the main incision of the right pulmonary artery and checking that there was no active bleeding, Zheng Ren stopped the operation.
"Wait a minute. Let's see how the heart recovers," Zheng Ren said.
After saying that, he picked up the big gauze pad and began to admire the 12cm long thrombus on it.
"Boss, why is it so long?" Su Yun asked. "This should be the longest thrombus I've ever seen. The longest I've seen before was only about 5cm."
"Go down and ask about the medical history when you have time. The patient is so young. He must have taken some medicine that has affected his body," Zheng Ren said.
"Boss Zheng, it'll be fine once it's taken out, right?" Lao He asked with a smile. "I thought his heart would stop beating. The ice mud is ready."
The ice mud was a mixture of ice and water that was frozen just right. It was mainly ice.
When the heart stopped beating, using ice cubes to cool it down would not be able to maximize the effect. The best one to use was Ice Mud. However, it took a lot of effort and experience to make Ice Mud.
Lao He was showing off, but Zheng Ren liked it.
Being able to make ice mud was a skill. The next time he performed cardiopulmonary bypass surgery for cardiac arrest, it would be more convenient to have ice slurry.
"There's not enough time," Zheng Ren said. "If the heart stops beating, the surgery will be easier, but it'll be more troublesome. We'll have to do extracorporeal circulation first. However, the thrombosis has blocked the right pulmonary artery too tightly. The perfusion is low, and the heart could stop beating at any time. "
"Uh … Boss Zheng, can we stop the isoproterenol kidney?" Only then did Lao He remember that the isoproterenol was still being pumped into the patient's blood vessels in an almost unlimited amount.
"Let's wait a little longer. There's no hurry," Zheng Ren said with a smile. "Gradually reduce the volume by 2 ml every 10 seconds."
This kind of operation was very troublesome. If it were someone else, they would definitely not be willing.
However, Lao He happily went to adjust the micro-pump and did not let the circulating nurse do it at all.
Deputy Academy Director Yuan did not speak at first. Instead, he calmly looked at the ECG monitor.
The electrocardiogram gradually became sinusoidal, and the heart rate stabilized at 108 beats per minute. Now that it was settled, he smiled.
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