Chief Jiang had performed hundreds of thousands of circulatory interventional surgeries and had seen even more surgeries. Some of them were done by himself; some of them wore lead aprons and stood behind the teacher to watch; some of them sat in the operating room and looked at the screen.
However, this was the first time Chief Jiang had seen such a perspective while lying on the operating table.
On the upper left side of his field of vision was the screen. The image on the screen was still the angiogram of the previous patient after the embolectomy. He knew that there would soon be movement there. What would appear was the situation of his coronary artery.
Whether it was an anterior wall myocardial infarction or not, he would know at a glance.
Not only that, but he suddenly realized that he could observe Zheng Ren's surgery from the patient's perspective.
Just as he thought of this, Chief Jiang suddenly realized something. Did Doctor Zheng know how to perform interventional surgery in the circulatory department?
As this thought rose, his mind, which had just calmed down, suddenly tensed up. There was a sharp pain in the anterior region of his heart.
"Dilate the crown!" Zheng Ren immediately said when he saw that the electrocardiogram on the ECG monitor was beginning to become chaotic.
The nurse at the support table immediately began to inject medicine into Chief Jiang.
"Old Jiang, can't you be a little more honest?" Su Yun was a little impatient.
It was mainly because he was familiar with Chief Jiang. Su Yun knew that the more casual he spoke on stage, the more his nervousness would be alleviated. After all, he had never seen Zheng Ren perform interventional surgery in the heart. If he looked as if he was facing a formidable enemy, the consequences would be very serious.
However, he did not expect it to be an acute myocardial infarction.
"I … I'm just … wondering if Doctor Zheng knows how to do it." After the injection of the medicine, Chief Jiang felt the pain in the anterior region of his heart ease a little.
"Just lie down. If he doesn't know how to do it, no one will," Su Yun said disdainfully. "The Nobel Prize judge, Dr. Mehar …"
"Don't talk about that. Once he gets excited, his blood vessels will spasm. If he acts up again, it will be even more troublesome," Zheng Ren said calmly.
"You're so useless!" Su Yun glanced at Chief Jiang and scolded him.
In the time it took for a few words, the local anesthesia at the radial artery of the wrist, the artery sheath, and the guide wire catheter had already been inserted.
Zheng Ren began to step on the line. The contrast agent was injected into Chief Jiang's coronary artery.
Chief Jiang turned his head to look at the screen and sighed. This speed was as fast as ever. It was the same for him. What was he worried of?
Brother Yun was talking about the Nobel Prize. Perhaps. Chief Jiang stopped thinking about these messy things and looked at the screen to empty himself.
However, before he could clear his mind, his thoughts were immediately interrupted by the imaging on the screen.
Angiography revealed severe concentric stenosis of the proximal anterior descending branch of the left coronary artery. The stenosis was almost 100% and the lesion length was about 10 ~ 15 cm.
mm。
The circumflex branch had no obvious abnormality. The second segment of the right coronary artery had moderate concentric stenosis of about 50%.
About mm.
His judgment was right. This level of diagnosis was really amazing! Chief Jiang was impressed.
The electrocardiogram could give some hints, but it was still very difficult to make such an accurate judgment.
"Boss, you said that it has been almost two hundred years since Bernard first inserted a catheter into an animal's heart in 1844. I feel that there has been no breakthrough in the interventional surgery of the heart." Su Yun looked at Chief Jiang's image and said something completely different.
"It shouldn't be calculated like this, right?" Zheng Ren removed the catheter and said, "If we start counting, I think it was 1929 when the German doctor Forssmann first inserted a urethral catheter into his elbow vein and sent it into the right atrium through the superior vena cava. That was the beginning of interventional cardiac surgery."
As he spoke, Zheng Ren had already sent the vascular sheath into the 7F
JL4.0 catheter to the opening of the left coronary artery. First, he sent the 0.014 ″ PTCA guide wire to the distal end of the anterior descending branch.
"Take out the embolic catheter," Zheng Ren said.
The scrub nurse, who was wearing a lead apron, followed him in and handed him a catheter. Su Yun opened the outer packaging. "You said that within twenty years, robotic surgery can be carried out. Other than not eating the thread, there is no other progress. Using the da Vinci robot to perform surgery in thoracic and general surgery is just bullsh * t. "
"It's fine as long as it can treat the disease. If we really want to solve the problem from the root, we have to study biochemistry and genetics." Zheng Ren sent the embolic catheter into the vicinity of Chief Jiang's anterior descending branch.
Chief Jiang felt that this was the atmosphere of the operating theater.
The surgeon and the assistant chatted. It was simple and relaxed. It was not like before when everyone was immersed in the surgery. Countless injured people were waiting to be treated. The pressure was so great that it could make people collapse at any time.
All of a sudden, he felt as if his whole life was back on track.
However, now he was a patient lying on the operating table. Other than that, everything was normal.
Oh, there was also something abnormal. That was Zheng Ren's hand speed. It was simply too fast!
After taking out the embolic catheter and putting it in, he did not see him think anything. In fact, Chief Jiang did not even feel anything. The embolic catheter on the screen carried a black thing and began to walk out.
Was it done just like that?
Chief Jiang was very confused.
If he were to take out this kind of fresh embolus himself … His skill level was not up to par. He could only allow the catheter to dissolve the embolus.
Even if he could take it out, he would have to add a filter. He was careful, afraid that he would break the fresh embolus and cause more unpredictable complications.
He would not be like Zheng Ren. He casually sent the embolic catheter to the position, clamped the thrombus, and walked out.
"Doctor Zheng, what technique are you using here?" Chief Jiang looked at the screen and asked blankly.
The fresh embolus was as tender as tofu. It was extremely difficult to take it out completely.
That was why Chief Jiang had such a question.
Zheng Ren smiled and said, "Now is not the time to discuss. The earthquake relief is over. If you have time, you can come to the Imperial Capital Hospital to look for me."
Chief Jiang nodded. This was another time that Doctor Zheng had promised him to go to the Imperial Capital Hospital for further study.
However, this time, his mood had changed a little.
Doctor Zheng was truly amazing. He was not faking it or bragging about it.
Soon, the image of the embolic catheter disappeared. Su Yun used a piece of sterile gauze to catch the fresh embolus.
On the white gauze, the purplish-black embolus that was about 1cm long looked so ferocious.
It was it that blocked the coronary artery just now and almost took Chief Jiang's life.
"Old Jiang, take a look." Su Yun stood the gauze on the side. Zheng Ren was afraid that the embolus would fall at any time.
However, Su Yun's hands were usually accurate, so there should be no problem.
"You're already like this, yet you're still f * cking yelling for help. Look at you, you're delaying things." Su Yun's temper was boundless, and his way of speaking did not change.
Chief Jiang rarely saw fresh blood clots. As for his own, this was really the first time.
He smiled. It turned out that when the embolus was removed, it did not hurt.
"Boss, you said that the anterior descending branch is 100% blocked. Why didn't he react?" Su Yun asked.
"He's too nervous. There's too much lactic acid accumulated in his body, so he doesn't feel the pain clearly … Uh, that doesn't seem right either." As Zheng Ren spoke, he could not continue.
These were not reasons. Zheng Ren felt that it was very far-fetched to say it out loud.
In fact, what he thought in his heart was that Chief Jiang was supported by his passion.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
