After receiving the call, Zheng Ren, who was about to get off work, got into his car as fast as he could and rushed to the cancer hospital.
Because it was a foreign body in the heart, Zheng Ren was very cautious. He brought everyone along, including the anesthesiologist, Lao He.
The entire group of people sat in two carriages. When he got into the car, Zheng Ren was a little absent-minded. His medical team had inadvertently grown to such an extent.
Originally, Lin Yuan was supposed to stay behind to write the medical records with Chang Yue, but she insisted on following him no matter what. She even promised that she would work overtime to complete all the work after the surgery.
Zheng Ren was too lazy to manage them. He knew that he was not a qualified medical team leader. Since he did not have a strong desire to control himself, the doctors under him were basically free.
"Boss, what did they say?" After getting in the car, Su Yun finally had time to ask.
"It's said that the PICC pipe has fallen off, and the timing is unknown. Interventional surgery can't remove it."
"Could it be a pulmonary thrombosis? That would be troublesome." Su Yun frowned.
For example, during the rescue at the International Hospital, the patient had just fallen into the heart. The difficulty of the surgery was still controllable.
However, a foreign body falling off at an unknown time meant that the risk of surgery was huge.
Instead of discussing the patient's condition with Su Yun, he closed his eyes and prepared to head to the System's operating theater for surgery.
"Ding dong ~"
The long-awaited sound of a quest notification rang in his ears.
Urgent Mission: An interventional surgery that cannot fail.
Mission Details: Use interventional surgery to remove the disconnected PICC pipe. Because the patient was in the advanced stage of the tumor, the huge trauma of thoracotomy would cause the patient's immune system to continue to deteriorate. If the disconnected catheter could not be removed by interventional surgery, the patient would die very quickly.
Mission Time: 12 hours
Quest Reward: 100,000 EXP, 10,000 Skill Points, Grandmaster Skill Book x1]
This mission name …
Zheng Ren was stunned for a moment. He looked at the System panel and thought for a few seconds before understanding the logic behind it.
The logic was very simple. The patient was not someone who had been healthy in the past, but someone who had been diagnosed with an advanced tumor and whose flame of life had already dimmed.
Interventional surgery only required a needle hole, and the patient's body could still accept it. After all, interventional surgery had little to no impact on the patient.
However, if it was a thoracotomy where the sternum was split open and the mediastinum was opened, even if the surgical speed was extremely fast, the patient would still suffer considerable trauma.
In the words of the common people, this was called cutting open the chest and hurting the vitality.
It was hard to say how long he could live after the surgery.
It was possible that after the surgery, even if the surgery was smooth and successful, the patient's physical skills were too poor and could not withstand the impact of the surgery. Very soon, multiple organ failure would occur and he would die.
Surgery would not benefit the patient. Instead, it might shorten the patient's survival.
It was better not to do this kind of surgery.
But …
In short, this was a dilemma.
The title of the mission given by the System was cold and heartless — An interventional surgery that could not be failed. What the hell was that?
After reading the mission description, he entered the System's operating theater and chose to purchase the System's surgery time.
The System's operating theater rose from the ground. Worried that the chatterbox Su Yun would waste his precious surgical training time, Zheng Ren dove into it.
Upon entering the System's operating theater, Zheng Ren took a look at the patient's information.
All of a sudden, he was stunned.
The PICC pipe had been disconnected for at least a month!
Normally, PICC's pipeline maintenance was done once a week. Heparin sodium and other anticoagulant drugs were needed to prevent thrombosis from forming in the duct.
But it had fallen off for a month … Didn't they usually maintain it?
As for what happened to the patient, Zheng Ren did not think about it. It was useless to think about it. The most important thing now was to remove the disconnected PICC catheter.
Zheng Ren first placed the 6F sheath tube through the left median vein and guided the mesh basket catheter for ventricular septal defect closure. He placed it through the left median vein of the elbow to the left subclavian vein and grabbed the end of the PICC. The first attempt failed, but the second was successful.
For Zheng Ren, who was at the peak of interventional surgery, two attempts during the capture process was the most.
Any more was impossible!
Many people would fail at this step, but this did not exist in Zheng Ren's world.
However, after grabbing the PICC catheter, Zheng Ren exerted a little force, but the catheter seemed to be sewn by a suture and did not move at all.
This should be because the catheter had formed adhesion at the end of the heart. Zheng Ren immediately made a judgment. However, he did not give up. After all, this was the System's operating theater. He could make mistakes without restraint.
He exerted more force …
The surgery failed and the test subject died.
If one way did not work, he would change to another method.
During the second surgery, Zheng Ren tried to place the 6F sheath tube through the right femoral vein.
Using the right coronary angiography catheter as a guide, the mesh basket catheter was sent to the right ventricle. However, the proximal end of the PICC tube had already entered the right pulmonary artery. After many attempts, the mesh basket catheter could not capture the PICC tube.
However, this was not a problem for Zheng Ren. He sent the right coronary artery catheter into the right pulmonary artery and manipulated the catheter, wanting to pull the proximal end of the PICC tube back into the right ventricle.
However, this time, the operation failed again.
The proximal end of the PICC tube was deeply buried in the thrombus. There was no way to use the circular head of the mesh basket catheter to wrap the proximal end of the PICC tube with a rope loop.
Zheng Ren had no choice but to perform thrombolysis first. He used urokinase to flush out the thrombus and slowly used interventional surgery to remove the thrombus.
Then, he grabbed the PICC tube a little further away. After closing it, he used the front end of the mesh basket catheter to pass through the tricuspid valve and slowly rubbed against the adhesion of the catheter.
Atrial fibrillation … The test subject died.
The test subject died …
The test subject died …
The test subject died …
Zheng Ren did not know how many failed surgeries with the death of the test subject.
For him, who was at the peak of interventional surgery, it was unimaginable that he would fail so many times in a pure interventional surgery.
In other words, the patients in the cancer hospital should not be treated with interventional surgery at all. Instead, they should be treated with thoracotomy, open the heart, blunt dissection, and remove the PICC tube.
However, that was a patient with a terminal tumor.
Zheng Ren knew that he could admit defeat.
That way, he could save a lot of surgical training time. What he had to do was to go to the cancer hospital and tell everyone what the difficulty of the surgery was after the angiography.
This was the most 'economical', 'practical', and most in line with his own 'interests'.
However, life was not a game. He was not facing a test subject, but a living person, not a cold number.
No matter why the PICC tube had fallen off for a month, the patient and the patient's family still did not know. Since he had encountered it, he had to do his best to try to save the patient's life.
The surgical training time passed bit by bit. After the eighth failure, Zheng Ren began to dissect the test subject. He determined the anatomical structure and looked directly at the test subject's condition.
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