Zheng Ren did not have any emotional fluctuations and did not notice the other party's rudeness at all. He inserted the film into the video viewer.

Like the films seen in the system space, two X-rays in a standing position and one CT three-dimensional reconstruction.

The bullet enters about 1/3 of the medial side of the right clavicle. The x-ray of the chest shows that the bullet is in the shadow of the heart at the lower edge of the heart, without blood chest and pneumothorax.

The location of the clavicle fracture has undergone external fixation surgery, which can be seen very clearly.

However, the CT three-dimensional reconstruction did not find the specific location of the bullet.

Zheng Ren took a look at the movie and began to read the medical records.

According to the injured person's personal statement, when he was injured, he had a forward movement. The rest of his medical history was not of any reference value.

Looking through the surgical records of the Affiliated Hospital of Medical University, it still makes no sense.

Zheng Ren was a little confused.

In a flat film, the bullet is under the shadow of the heart, but the CT three-dimensional reconstruction does not exist. This is not a problem of technical level. I did the reconstruction in my mind and did not see the image of the bullet.

Heart color ultrasound, conventional four-chamber color ultrasound, there is still no bullet where it is located, only mild tricuspid valve regurgitation.

Zheng Renluo hesitated for a moment, and according to logic, the bullet was missing.

However, the two X-rays showed that the bullet did not change its position.

The patient's hemodynamics were stable, with a heart rate of 96 bpm, a blood pressure of 110/70 mmhg, and a breathing frequency of 17 times per minute. The blood indicators such as electrocardiogram and troponin t were normal.

Could it be that it is in the heart? Zheng Ren suddenly had this idea.

If you don’t see a bullet if you have an ordinary echocardiac, try to correct it.

m-type echocardiography is prone to distortion of detection results due to the misalignment of the ultrasound beam incident orientation.

There are questions about echocardiac azimuth errors and are looking for simple and effective methods to correct errors. There are special research, but they are rarely used in clinical practice.

The measurement of cardiac structural parameters must follow the orthogonal law. According to the mathematical principles of the left ventricular geometric pattern, it is proved that there is a functional relationship between the error value and the real value, which is a deviation from the azimuth angle cosθ.

This creates a mathematical expression for related correction errors, providing an easy way to correct errors with the cosθ function when measuring deviation angles.

Seeing Zheng Ren watching the movie silently, Director Tian curled his lips and said coldly: "Director Ma, if Mr. Gu doesn't come, we can go. What does it mean to bring a little doctor?"

"Director Tian, ​​you're enough!" Director Ma said angrily: "This is Dr. Zheng Ren and Zheng, the candidate for the Nobel Prize this year, and he is not a little doctor."

"Nobel Prize?" Director Tian was stunned for a moment, but still disdained, "It's the one who is involved in the interventional department? Nonsense, I can't win the Nobel Prize in clinical practice. This is like..."

As he said that, he sneered twice.

"It's just like that group bought the award at the National Music Awards, showing their faces and lip-syncing and dancing." said the professor who led the group beside Director Tian.

Director Ma really couldn't sit still.

He thought it was a high probability, but if you said it like this, and in front of the person involved, wasn't this a slap in the face?

What does it have to do with you if they are willing to sing or eating apples?

If you are willing to play these things, let others play them. If you want to do them, you have the ability to do them yourself! Is it meaningful to stand here and expose the emperor's new clothes directly?

If this matter is not handled well, two deans will definitely come forward in the end.

When the matter reaches that point, it will eventually go to the department...

Director Ma no longer dared to continue thinking.

This kind of fight has happened two or three times in the past 20 years, and each time it has shocked the entire medical community.

It is great to stand aside and watch the fun, but it is definitely not a pleasant thing to do when it comes to yourself.

"Director Ma, what do you mean?" Lin Ge said gloomyly, "Comrade Zheng Ren is a member of the health care team. He just went to Nanyang to carry out his mission and returned to China. Hezhe, your Affiliated Hospital of Medical University, either wants a consultation or can't find the problem. He asked us 912 people to vent their anger?"

"..." Director Ma was helpless.

This is a big deal, looking for opportunities will definitely kill the cardiothoracic surgery, making them so arrogant.

"CT looks okay, but the imaging is caused by overlapping images. After correction, you can confirm that the bullet is in the heart." Zheng Ren suddenly said lightly.

Linge was a little hesitant. If Boss Zheng couldn't find out where the bullet was, it would be useless no matter how fierce the situation was.

But Boss Zheng found the bullet and occupied the commanding heights, and he could not kill them himself!

As for what Boss Zheng said, Lin Ge doesn’t care. Based on his “rich” clinical experience, Boss Zheng never makes mistakes!

Zheng Ren still didn't care what the others were doing. After he discovered the problem in the three-dimensional reconstruction, he came to the system space, clicked on the purchase of surgery, and entered the system operating room.

The surgical training begins!

The chest is opened, the sternum is split, and the sound of the buzzing sternum saw echoes in the system operating room.

Zheng Ren felt a little dangerous while doing it, and the danger might come from Su Yun.

With such a big operation, it is still a removal procedure where the bullet is floating in the heart. If he doesn’t ask him, will he turn against him?!

Don't worry about this for now, you have to determine from the anatomy that the bullet is in the heart.

Open the mediastinum, Zheng Ren used an octopus to fix the heart and incised the right ventricle.

A yellow-young bullet appeared in sight.

It is not the imagined shotgun, but the standard bullet.

The bullet was placed in the right ventricle diaphragm, and the heart was sutured after being removed, and there was no active bleeding. The operation was announced to be over.

The surgery is not difficult for Zheng Ren.

The moment after the operation, another thought suddenly appeared in Zheng Ren's mind.

In this position, it seems that the bullet can be removed through interventional surgery without opening the chest.

Zheng Ren himself was shocked by incredible thoughts.

The originally "simple" surgery became extremely complicated after doing this.

Do you want to try it?

But this thought arose from the bottom of my heart, and Zheng Ren could no longer suppress his desire for this strange technique.

Try it?

Just try it.

Calm and calmed down, Zheng Ren recalled the location of the bullet and the possibility of taking it out.

It is still possible.

The patient was lucky to have no major injuries, which is considered a great fortune. But Zheng Ren still wants to cause less damage to the people working overseas, and even less.

Shouldn't it be right to take some time to experiment with new surgical methods?

It should, and it is very necessary.

Zheng Ren himself has a lot of respect for them, the state-owned enterprise employees who are traveling overseas. Although it seems a bit "wasteful", because surgery can solve the problem.

But he still wanted to give it a try.

The procedure was different from the previous procedure. Zheng Ren was guided by echocardiac with an echocardiac tube using a 16-fr e-shex tube for right femoral vein puncture under the state of awake and sedation.
Chapter completed!