Brother Yun, look at what you said, this is a normal complication, not something we did on purpose. We all hope that the patient will be cured. Who can deliberately knock the K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S

"If you have the ability to go out and explain to the patient's family." Su Yun refused to give in.

"Boss Zheng, do you think Mr. Zhou is here now, or later?" Mr. Wang came to smooth things over.

I have been to Haicheng for a while and have communicated with orthopedics a lot. I know that Mr. Zhou is honest and a little bit slim.

Such a person, if he fights one-on-one, he will be bullied to death by Brother Yun. He will crush him one-sidedly, and finally make Mr. Zhou cry.

He didn't care about President Zhou's life or death, but if he wanted to die, he had to do the surgery first and then die.

"Well..." Zheng Ren pondered for a moment, "In a few minutes, the pericardial fiber tissue was peeled off. Please let Mr. Zhou take out the Kersey needle."

Only then did Mr. Zhou realize that the patient's Kristian needle was still there...

Yes, if you are not here, there will be no such big deal.

Generally, before the operation, we will tell you to take out the K-S-surgery after half a year. Even if it was done by yourself, Mr. Zheng estimated that it has been three years after the operation, and the patient has not come for the second phase of the operation. This should be something to say.

After a little shock, Mr. Zhou finally figured out the problem.

I was so panicked that Mr. Zhou blamed himself for his words.

When they were chatting, Zheng Ren had already cut the pericardium in the left ventricle area, and tried to be posterior and lateral to choose a calcification-free area.

Layering was seen below the incision, and the pericardial effusion had been sucked away.

Layers are found outside the epicardium, blunt separation is performed along the stratum, and gradually expand the scope.

Blunt separation is Zheng Ren's unique skill. It is also easy to separate the adhesion between the outer membrane of the heart and the fiberboard at this time.

"Mr. Zheng, why are you back?" Mr. Zhou looked at Zheng Ren during the operation, and suddenly remembered that Mr. Zheng had gone to the imperial capital. He didn't even think about it and asked in surprise.

As soon as he said this, Mr. Zhou immediately realized something was wrong and lowered his head directly to avoid facing Su Yun's contemptuous gaze.

But I can't deliberately block my ears if I look down.

"Mr. Zhou, are you traveling through time, or have you pushed open the door and seen the Truman world? A K-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S-S

"It's just a K-S. If our first hospital in the city has cervical spine surgery, wouldn't you be unable to sleep?"

"I'm missing home, come back and have a look." Zheng Ren said seriously, "Mr. Zhou, please go and try it."

"Ah?" Mr. Zhou was distracted and said in a daze.

"The operation is almost done. Come up and get the K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S-K-S

It’s still convenient for 912. After the operation, you can walk by shaking your hands. You don’t have to think about closing your chest or abdomen at all.

Before he knew it, Zheng Ren's thinking had become the thinking of a professor and director.

Close the chest and the abdomen? Is that the work done by the young doctor? What does it have to do with me?

Zheng Ren stripped the pericardium in order.

Try to remove the resection as much as possible. If myocardial rupture occurs, the peeled pericardial can be used to repair and stop the bleeding.

Of course, this is just a preventive measure. Zheng Ren just did it subconsciously and did not expect that this problem would occur with his master's level cardiothoracic surgery skills.

The pericardial slice on the right is separated from the atrioventricular groove on the left, and the upper boundary is to the lower part of the thymus. The upper boundary of the pericardial slice on the left is separated from the main pulmonary artery trunk, and the narrowing ring is cut off to avoid severe postoperative right ventricular pressure.

The lower boundary completely frees or removes the thickened pericardial outside the diaphragm bond; the posterior boundary completely frees the pericardial manifestation of the left ventricle as much as possible.

When separating the interventricular groove, Zheng Ren's hand speed was a little slower, so he took extra care not to damage the coronary artery branches.

But the heart, which is the size of a fist, is separated step by step in sequence, and is separated in an instant.

After the operation, Zheng Ren asked for warm salt water gauze and made an incision to cover it.

It is best to keep the chest open.

Otherwise, if the heroic operation of orthopedics is really a blind operation, Zheng Ren is afraid that Mr. Zhou will drill the patient's aorta all at once.

Changing the incision and paying attention to the sterile area, Zheng Ren took a look at the electrocardiogram monitoring.

The patient's vital signs are stable, and this difficulty should be overcome.

"Boss Zheng, how can the first symptoms of this heart problem be in the abdomen?" Mr. Wang recalled the patient's medical history. Although he didn't know anything about it, if he had received the patient's diagnosis, he would probably have never expected that he would have chest disease.

Ask Boss Zheng’s ideas, it will be a reference in the future.

"When you didn't see the surgery just now, what did the left diaphragm artery squeeze into?" Su Yun said: "The patients have gradually gotten used to it for long-term chronic injuries, so they just said they have chest tightness. However, the symptoms of abdominal gastrointestinal ulcers, bleeding, and nausea and vomiting are typical, and they are really easy to miss the diagnosis."

"Boss Zheng, Brother Yun, how did you two find out?" Mr. Wang said in admiration.

"It is normal for the patient to complain about chest tightness, shortness of breath, and auscultation and breathing sounds." Zheng Ren said casually: "Mr. Wang, you should do some simple big questions normally. You can't be careless."

Mr. Wang was stunned for a moment, then smiled bitterly.

According to regulations, physical examination is necessary, and it is a complete set.

But clinical matters are not that simple.

After one set of examinations, it is not enough to take half an hour. The emergency department is so busy, how can I have time to check in detail?

Besides, the situation is definitely not that simple.

A female patient came to diagnose appendicitis and insisted on performing breast and vulva examinations on people. Isn’t that a hooligan?

Many doctors who have just entered the clinic are trapped in this pit.

Mr. Wang could only smile bitterly when he said Zheng Ren. However, the patient complained of chest tightness and he should be auscultation himself, so he should be able to do so.

Mr. Zhou took the front-line orthopedic doctor to disinfect, lay out the orders, and began the operation.

Getting Kristian's needle is one of the smallest orthopedic surgeries, and it should have been completely no difficulty for Mr. Zhou.

But this surgery is extremely awkward.

He was cautious and almost did not dare to use violence.

But the K-Step needle is buried deep in the callus and cannot be removed without violence.

In the past, when orthopedics did not include the cervical lumbar vertebrae, they were called "carpenter".

A chisel, axe and saw, everything is available.

The operation was also heroic, and the knock-on and hit-on ended.

Seeing that President Zhou couldn't let go, Zheng Ren sighed.

I had to provide sufficient protection for Mr. Zhou in my chest, protect it with a large gauze pad, and then use the iron sheet of a large bend hook to block the Kercher needle. In this way, even if the Kercher needle moves violently, it will not cause too much damage.
Chapter completed!