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1741 Domineering, is to directly crush the past

"Boss Zheng?"

"Boss Zheng!"

In the office, after a few greetings, the atmosphere changed.

Zheng Ren was wearing casual clothes, and seemed to have the gloomy and cold spirit of the autopsy office, and walked in strode in.

Director Sun Chao was stunned for a moment. This boss Zheng is really domineering! He didn't ask about the condition and the patient didn't see him. He just said he went to the stage.

"Director Lin, Director." Zheng Ren greeted briefly and said, "Is this a patient's film?"

Shao Yongxiang nodded quickly.

Boss Zheng has quickly become a legend. Facing the legendary Boss Zheng, no one among the many doctors in 912 can't feel the pressure.

What is truly stress-free are the directors who come with Director Mao.

They didn't know who Boss Zheng was, so they had the same idea as Sun Chao.

I saw a young doctor strode in and directly deny doing ctpa.

Why is 912 so unruly?

Depending on the age, this person is less than 30 years old, and probably hasn't even graduated from graduate school. It's amazing that he is a doctor. How dare you deny the statements of the senior directors?

Sun Chao narrowed his eyes and asked, "Boss Zheng, is there something wrong with the CTPA diagnosis before the operation?"

Zheng Ren didn't know who was talking to him. He watched the movie with his arms around him, and it was indeed the same as the video data he saw in the system operating room.

Zheng Ren failed this operation many times.

Because that pulmonary artery embolism was so long, Zheng Ren saw that it was 12cm after dissection!

For interventional thrombosis, the other positions are fine, and those with high levels can be directly removed. However, pulmonary artery embolism is different.

The guide wire is entered from the inferior vena cava, through the heart, right atrium, right ventricle, and to the pulmonary artery section.

Because there is a valve, it is equivalent to crossing various gates. It is impossible to remove the thrombus intact. It needs to be crushed and pulled out bit by bit.

The operation time is very long and there is also the risk of re-embolic.

Even if Zheng Ren undergoes surgery for a 12cm thrombosis, it will take at least 2 hours!

The experimental subject could not last for so long and died of cardiopulmonary failure.

So the only way out now is to diagnose, confirm, and then open the chest surgery, and use surgical means to remove the thrombus.

The risk is great, but this is the only way to do it.

Zheng Ren's skill tree in cardiothoracic surgery is only the level of a master... Well, "just" the level of a master, and it failed 15 times before it found the possibility of success.

On the way, he had called Lao He, Professor Rudolph Wagner, Liu Zewei, and Xie Yiren, intervened in the hybrid operating room and prepared for emergency surgery!

But now, he wants to convince everyone.

After all, it is appropriate to do ctpa for preoperative diagnosis. However, for Zheng Ren, this is not a difficult task.

Originally, the level of reading movies was one order of geometric magnitude higher than others, and with the reverse thrust, you can see it more clearly.

Sun Chao expressed the thoughts of the others present, and the office was very quiet. Even Su Yun was watching the movie, a little confused, not knowing why his boss did not choose to intervene in the operation.

Is it because of my hobbies that I have to open my chest, dissect my heart, and undergo surgical treatment?

If so...

It’s impossible, how could that guy give up interventional surgery because of his hobbies and use higher risk surgical methods!

Su Yun stared at the film and fell into deep thought.

"Here!" Zheng Ren pointed at the viewing device with his fingers, and the translucent glass made a bang, like a war drum, passionate.

"Although the artifacts are very heavy and the internal structure of the heart is not clearly seen, combined with echocardiography, we can guess that the patient has a longer thrombus."

"Guess?" Sun Chao sneered and said.

Lin Ge looked at him and was a little confused. Is this here to smash the situation? Neither director of his own Mao Chi or Zhang Lin said anything. Who did he think he was?

"Who are you?" Linger asked.

"This is Director Sun Chao and Sun from the Department of Vascular Surgery of the Affiliated Hospital of Medical University. He came to attend the annual meeting and saw the emergency department together." Mao Ji had a cold sweat and quickly explained.

"The patient is a young female, and it is said that she has no health problems." Zheng Ren did not get angry, but explained.

But this time, he spoke very quickly and seemed a little anxious.

"Su Yun, look for the echo-heart-moving image." Zheng Ren said.

Su Yun quickly communicated with Mr. Shao.

"Sudden shock means that the condition is urgent and severe! In addition, after discovering it, there is a large amount of pleural effusion, which means that the patient's right pulmonary artery embolization is extremely high, and it will not be the case that can be solved by simple thrombolysis."

"In imaging, vague judgments have been given. If we are more specific, we need to find the answers from the echocardiac images." Zheng Ren talked happily, although his voice was anxious, he was not chaotic, and he felt a sense of maturity and stability.

"Boss Zheng, what do you mean is that from this ct, can you tell the severity of pulmonary artery embolism?" Director Sun Chao finally found a flaw and went straight to the attack.

Isn't this nonsense?

After doing it for so many years, can you still not know how to judge pulmonary artery embolism? The gold standard for clinical diagnosis is pulmonary angiography, and the gold standard is ctpa!

Can you tell it by one ct? Or is it a film with a lot of effusion in the right pleural cavity and a lot of whiteness.

This is simply irresponsible to the patient!

Sun Chao was a little angry. How could 912 make a young doctor so arrogant?

Uh... although he can do echocardiac reconstruction, although he can intervene in the removal of bullet embolism.

But doing this is too much!

Do you still need clinical diagnosis and treatment standards? Just say that, it denies the gold standard for diagnosis. Who do he think he is? Do you have the top student in imaging?

This academic master is definitely different from the academic master in the school.

The academic master in the school is just good at academic performance and dominates the exam. The academic master Sun Chao thought was the kind of Newton.

Anyone who says you will suppress you.

Is Breniz awesome? Newton said that it would be pressed, and the formula should start with Newton.

912 Is it that I want to cultivate a top student?

Sun Chao was a little angry. Even a top student could not joke about the life of a young student!

He looked at Zheng Ren angrily.

Zheng Ren didn't say anything, and he saw Su Yun calling. He probably wanted to upload more video materials in an echoic manner, and this was exactly what he needed.

"Boss Zheng?" Lin Ge asked in a low voice.

"The diagnosis is very certain. Echocardiogram will be uploaded later. I will explain it to everyone."

When Zheng Ren said this, Sun Chao was even more furious.

Do you treat yourself as a medical university student? Also explain! Tell me about yarn!

"Are the patient's family here? Can you sign it?"

"President Zhang of the Medical University is probably coming soon, and the parents are definitely not here, so Principal Zhang is fully responsible." Director Lin said.

"Okay." Zheng Ren said, "Preparing for the operation. After Principal Zhang comes, I will explain and sign it."

"..." Everyone was stunned.
Chapter completed!
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