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Chapter 740

Words:2000Update:22/06/27 09:07:40

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Su Yun ran out excitedly. Zheng Ren smiled inwardly. It was not easy for a cardiothoracic surgeon to follow him in general surgery and interventional surgery for a few months.

He had performed cardiothoracic surgeries in Sea City General Hospital, but there were only a few of them.

It must have been hard on him.

After changing, he walked into the operating theater.

Chief Chen stood at the entrance of the hybrid operating theater and waved at Zheng Ren. He walked over directly. Outside the operating theater, a few exhausted doctors were lying on sterile, dark green coats. They curled up and fell asleep on top of them.

This place was no longer as clean and solemn as before. Instead, it was filled with exhaustion and chaos.

However, there was nothing he could do. He had the Energy Potion, and now he was on the verge of collapse. As for these doctors, they could not hold on at all. How is Su Yun? His body was good enough, but he still couldn't hold on.

Zheng Ren carefully walked past the doctors who were resting in the operating theater corridor. He tried to keep his footsteps as quiet as possible so that he would not disturb them.

When he passed by operating theater three, he glanced inside. Seeing that Su Yun had finished brushing his hands, he was putting on his clothes. On the operating table, a doctor was operating.

Obviously, the doctor did not expect that someone would run over to help him. He was already prepared to perform the surgery alone.

"Doctor Zheng, the shelf is from Medtronic. Are you used to it?" Chief Chen asked.

"Don't worry, it's fine as long as you put on airs. It's a very simple abdominal aortic dissection. As long as it's a straight frame, it's fine, "Zheng Ren said.

Chief Chen did not request to go on stage this time. He had seen Zheng Ren perform an embolization surgery for a severe pelvic fracture and knew the standard of this left and right hand cross operation. If he went up on stage, he wouldn't be able to help at all.

The patient's surgical position was already in place. Zheng Ren washed his hands and disinfected them before Chief Chen left the operating theater.

"Chief Chen, send the patients who need amputation up," Zheng Ren said.

Chief Chen nodded and started to make the call. He did not go himself. He still had some doubts about Zheng Ren's diagnosis.

Although he had convinced himself in the ward that this was a special period and that radiography was also a kind of diagnosis, Chief Chen was still worried and wanted to stay and take a look.

The airtight lead door closed. Chief Chen saw Zheng Ren begin the puncture. Ten seconds later, the guide wire catheter was in place.

This speed … This confidence … Chief Chen felt a little emotional.

The screen on the operating table lit up. Just as Chief Chen had imagined, the guide wire catheter was already in the abdominal aorta.

During the angiography, Chief Chen saw that the intima of the abdominal aorta had a tear that was about 10cm long!

In other words, if the diagnosis was slightly late, or if the patient doubted the diagnosis and requested for a 64-slice CT scan of the blood vessels, it would cause the patient's death.

The diagnosis was accurate and timely, and the treatment was appropriate. The patient's life was most likely saved.

Chief Chen was very relieved and a little proud. Under such circumstances, how many people would dare to trust Doctor Zheng unreservedly?

The contrast agent had yet to completely disperse. He had only just observed the length of the abdominal aortic intima tear when Chief Chen saw Zheng Ren begin to move down the guide wire.

This type of abdominal aortic dissection was many times simpler than that of patients with thoracic aorta.

Thoracic aortic dissection type 1 aneurysm had several branches, including the most important branch of the great vessels in the neck that supplied blood to the head.

These branches must not be occluded. Otherwise, the patient would die of cerebral ischemia before he could even leave the stage.

Thoracic aortic dissection type 1 aneurysm could be treated with either a stent or surgery depending on the location. A 10-centimeter-long tear could only be removed through surgery and the replacement of the aortic arch with an elephant's nose.

As for the abdominal aorta, a few main branches could be removed.

From the patient's angiogram, there were no major blood vessel branches in this section.

A membrane stent was opened and pressed against the wall of the blood vessel, pressing against the torn abdominal aorta. Zheng Ren put the catheter in again and cautiously performed an angiogram.

The abdominal aortic dissection disappeared and blood flow was smooth.

The surgery went smoothly and was over in a few minutes. Chief Chen knew that after interventional surgery entered the clinic, the treatment was not the focus. The focus was on diagnosis.

Aortic dissection, no matter what type it was, was characterized by danger. Only by timely diagnosis and appropriate treatment could the patient's life be saved.

It seemed that there was not much point in him staying. Chief Chen began to call the doctor to push the patient who needed amputation up.

After the hemostasis was over, the next patient was pushed up.

Zheng Ren glanced at it and saw that Su Yun had not come out yet.

He knew that the thoracic surgery took a long time. At the end of the last century and the beginning of this century, before there was a thoracoscope and electrocautery, the chest was opened to get 500ml of blood, which took an hour.

At that time, an esophageal cancer surgery was basically a small day.

Su Yun's technique was fast and he had the corresponding high-value medical supplies. It would not take so long to operate on esophageal cancer, but it could not be compared to Zheng Ren's side.

Zheng Ren was busy. In the third operating theater, the thoracic department's chief resident, Shao Hua, had passively changed from a surgeon to an assistant.

The doctor who came to help did not say a word and moved at full speed.

The patient for this surgery was diagnosed with complex blast injuries, severe traumatic wet lung, lung rupture, and hemopneumothorax.

After opening the chest, sweat broke out on Shao Hua's forehead.

There were a large number of ruptures in the lungs. If it were not for the fact that both sides of the lungs were the same, he would have wanted to lobotomize them.

While he was looking for the ruptures bit by bit and suturing them one by one, the assistant went on stage.

Shao Hua did not have time to ask which department the doctor who came up to help him was from. Anyway, it was already very good that someone was helping him with the retractor.

However, this person came up and did not have any awareness of pulling the retractor. When he reached out, the scrub nurse at the side table handed the retractor to him, but he directly patted the patient's leg.

He asked for a needle holder, a small needle, and fine thread, and began to suture with Shao Hua.

Shao Hua was a little unhappy. As someone who came to help at the last minute, could he not have some self-awareness?

However, in less than three minutes, Shao Hua knew that he was wrong.

The person who did not have a self-awareness was not the unfamiliar doctor in front of him, but himself.

In the time it took him to suture one tear, the other side had sutured three to five. The needle and thread moved at an extremely fast speed, but at the same time, it was very stable. Even the arc was perfect, which was pleasing to the eye.

This was … Shao Hua felt a little uncomfortable, but he was more curious. Who was he?

In more than ten minutes, dozens of small ruptures in the upper and lower lobes of the left lung were all sutured. After pouring warm saline into the chest, the anesthesiologist began to expand the lungs.

The door of the operating theater opened and a person rushed in.

"I fell asleep, I fell asleep. Little Shao, how far are you in the surgery? I'm sorry, "the person said anxiously as he walked.

Before Shao Hua could react, the person walked behind him and took a look at the surgery. He said in surprise, "You're done?"

As he said that, he raised his head and glanced at Su Yun.

"You are … Su …"

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