Chapter 713
Words:1990Update:22/06/27 09:07:34
"64-slice CT scan with 3D-image reconstruction?" Liu Xuzhi was stunned for a moment. Zheng Ren had already completed the puncture. His left and right hands crossed and began the blind operation of the micro-guide wire.
"Yes, the blood supply of the vertebral body is too rich. If we don't embolize it and directly remove it, the amount of bleeding will be about 5000ml. Therefore, we must perform interventional embolization to ensure the success of the surgery and reduce the postoperative complications of the patient, "Zheng Ren said as he began to step on the line. The micro-guide wire and micro-catheter had already been placed at the branch of the internal iliac artery.
"Medication," Zheng Ren said.
Liu Xuzhi moved in a daze. The high-pressure injector pushed the contrast agent and performed the contrast.
His mind quickly recalled that the live broadcast of the surgery had indeed done a 64-slice CT scan with 3D-image reconstruction.
However, Liu Xuzhi did not pay special attention to the 64-slice CT scan with 3D-image reconstruction. His attention was focused on the surgeon's operation in Xinglin Garden's live broadcast room.
According to Teacher Zheng, the 64-slice CT scan with 3D-image reconstruction was the key?
Zheng Ren said as he performed the superselection, "The 64-slice CT scan with 3D-image reconstruction can find many small blood vessel branches of the vertebral body to be removed and then perform a detailed embolization. It can ensure that the amount of blood lost during the surgery is less than 1000ml. If the surgeon's skill is high, it can reach 500-600ml. "
"Is that so?" Liu Xuzhi had no idea at all.
In Xinglin Garden's live broadcast room, only the embolization of the lumbar artery was broadcasted. The surgery to remove the vertebral body was not broadcasted.
Doctor Zheng said it with certainty, but was it true?
"It's about this number," Zheng Ren said as he continued, "Push the embolic agent."
"Oh, oh." Liu Xuzhi quickly picked up the syringe next to him, drew the embolic agent, and began to push it.
"The 64-slice CT scan with 3D-image reconstruction is a very important auxiliary examination method. I have to study and learn it well. This kind of reconstruction is especially helpful for interventional surgery. It can be clear about the approach and avoid blind surgery. "
After Liu Xuzhi pushed the embolic agent, Zheng Ren began the next step of superselection.
"Teacher Zheng, the surgeon in Xinglin Garden's live broadcast room also performed interventional treatment for liver cancer. I saw the information provided previously. There was a 64-slice CT scan with 3D-image reconstruction. Every blood vessel that fed the tumor was shown, "Liu Xuzhi continued to recall.
"Yes, that's why the 64-slice CT scan with 3D-image reconstruction is very important." After Zheng Ren finished the superselection, he instructed Liu Xuzhi to start the embolization again. Then, he said, "I did a scientific research with Chief Kong of the Imperial Capital Hospital's Intervention Department. It's about the interventional treatment of small nodules of liver cancer. The 64-slice CT scan with 3D-image reconstruction is a very important component. "
Zheng Ren completed the superselection of another blood vessel. As Liu Xuzhi pushed the medicine, he thought that perhaps these were too ordinary. There was really no way to compare them.
It was just like an appendectomy. No matter how fancy it was, it was still an appendectomy. What else could it be?
Out of instinct, Liu Xuzhi still wanted to protect the dignity of the surgeon in Xinglin Garden's live broadcast room.
Subconsciously, Liu Xuzhi had already regarded him as his mentor in his medical career.
This Teacher Zheng's standard seemed to be very high, but there must still be a gap between him and the surgeon in Xinglin Garden's live broadcast room. It was just that his standard was too low, so he could not tell where the gap was!
Liu Xuzhi was in a daze for a moment. He thought as he pushed the medicine.
The most awesome surgical method of the surgeon in Xinglin Garden's live broadcast room was definitely the new standard for diagnosis and treatment of TIPS surgery.
But should I say it out loud?
This was an emergency rescue. What if he really hit Teacher Zheng?
However, perhaps it could give Teacher Zheng an idea. When the earthquake relief was over, he could also go to Xinglin Garden to take a look.
Hmm, let's just say it.
After Liu Xuzhi finished pushing the medicine, he placed the syringe beside his hand. He saw that three of the four small bleeding branches of the internal iliac artery had been embolized, but he completely ignored them. He mechanically waited for the medicine to be pushed and then said.
"Teacher Zheng, the surgeon in Xinglin Garden's live broadcast room also has a new diagnosis and treatment innovation for TIPS surgery."
"Oh?" Zheng Ren said as he superselected, "Is it the kind that uses a special catheter to mark the portal vein?"
Liu Xuzhi smiled.
Finally, there was something that Teacher Zheng did not know. It seemed that the level of the surgeon in Xinglin Garden's live broadcast room was higher.
Creating a brand new surgical method was something that only a genius could do!
"No."
"Oh? Isn't it? Then could it be that he used nuclear MRI to determine the location of the puncture point? "Zheng Ren said lightly.
This simple sentence was like a thunderclap that directly struck Liu Xuzhi's head.
He … He … Didn't he not go to Xinglin Garden?
Then why did he know how to use nuclear MRI to determine the entrance of TIPS surgery?
Could it be that he was just casually saying that he was actually also a fan of the surgeon in Xinglin Garden's live broadcast room?
"Teacher Zheng, you must be joking. Are you also going to Xinglin Garden?" Liu Xuzhi said very gently. There was no need to argue with Zheng Ren.
"I'm not going. Prepare to push the medicine," Zheng Ren said.
"Then how do you know that the new TIPS surgical approach is determined by nuclear MRI?" Liu Xuzhi asked.
"Medication." Zheng Ren did not answer. He only told Liu Xuzhi to do it.
Zheng Ren did not take what Liu Xuzhi said to heart. He understood it literally and then used his words to relieve his fatigue and sleepiness.
Seeing that Liu Xuzhi had finished embolizing the last branch of the internal iliac artery, Zheng Ren withdrew the tube and said, "Because this method was pioneered by me … Later, Lil Fugui also gave me some advice."
Pioneered … Liu Xuzhi was stunned.
Was there a need to brag like this? Pioneered?! This Teacher Zheng really dared to say it.
He could only say it in front of him. These words could not be spread out. When it came to academic matters, it was very likely to attract the dissatisfaction of world-class experts.
Liu Xuzhi was also thinking too much, but he still tried his best to remain calm. He must not tell anyone about this matter. Doctor Zheng must be too tired, so he said it casually.
"Next!" Zheng Ren passed Liu Xuzhi, pressed the button on the intercom, and shouted.
Uh … So fast …
It was only at this moment that Liu Xuzhi noticed that the surgery was actually completed in a short period of chatting.
"Thank you. I'm a little more energetic now." Zheng Ren smiled. It affected the bruise beside his eye. After smiling, he frowned. It hurt.
"Teacher Zheng, you don't dare to talk nonsense about pioneering these things," Liu Xuzhi said seriously. He felt that he needed to remind Doctor Zheng.
"Uh … The latest issue of The
There's a paper in Medicine. It's already been published. Didn't you notice? " Zheng Ren said as he called for people to come in and carry the injured. "But I didn't see it. It seems to be from December last year. It shouldn't be the latest issue now."
"…" Liu Xuzhi was dumbfounded. There was already a paper? Could it be that what Doctor Zheng said was pioneering was true? Did the surgeon in Xinglin Garden's live broadcast room learn from him?
What was going on?
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