721 The Blood
Director Jiang has performed hundreds or thousands of circulating interventional surgery, and has seen more surgeries. Some have done it by themselves; some have been wearing lead clothes and standing behind the teacher to watch; some have sat in the operating room to watch the screen.
However, this is the first time Director Jiang has seen this perspective lying on the operating table.
On the upper left side of the field of view is the screen, the image on the screen is also the imaging after the thrombectomy surgery of a wounded patient. He knew that it would move soon, and what was happening was his coronary artery.
I will tell if it is an anterior wall myocardial infarction at a glance.
Not only that, he suddenly found that he could observe Zheng Ren's surgery from the patient's perspective.
Just as he thought of this, Director Jiang suddenly realized something that Dr. Zheng would have an interventional surgery in the circulatory department?
As this thought arose, the spirit that had just calmed down suddenly became nervous, and a stinging pain came from the front of the heart.
"Expand the crown!" Zheng Ren said immediately when he saw that the electrocardiogram oscilloscope displayed on the electrocardiogram monitoring began to be disordered.
The nurse who was assigned to the station immediately began to inject medicine to Director Jiang.
"Old Jiang, can't you be more honest?" Su Yun was a little impatient.
The main reason is that he is familiar with Director Jiang. Su Yun knew that the more casual he said on the stage, his nervousness would be relieved a lot. After all, he had never seen Zheng Ren undergone an interventional operation for the heart. If he looked like he was facing a great enemy, the consequences would be very serious.
But unexpectedly, there was an acute attack in myocardial infarction.
"I...I'm not...I wonder if Dr. Zheng would have done it." As the drug injection was completed, Director Jiang felt that the pain in the pre-heart area was healed.
"Lying down honestly. If he doesn't know, no one will know." Su Yun said contemptuously, "Nobel Prize judge, Dr. Mehal..."
"Don't talk about this, it will be even more troublesome when he is excited and has vasospasm, and another attack will occur." Zheng Ren said calmly.
"Excellent!" Su Yun glanced at Director Jiang and scolded.
After a few words, local anesthesia was performed in the radial artery of the wrist, and the arterial sheath was placed, and the guidewire catheter had been entered.
Zheng Ren began to cross the line and the contrast agent was infused into Director Jiang's coronary artery.
Director Jiang turned his head and looked at the screen, feeling moved, "This speed is as fast as ever. So, what are you worried about?"
Brother Yun said what the Nobel Prize was. Maybe Director Jiang no longer thought about these messy things and looked at the screen to empty himself.
But before he could emptie himself, his thoughts were immediately interrupted by the imaging on the screen.
The angiography revealed that localized severe centripetal stenosis proximal to the anterior descending branch of the left coronary artery, with almost 100% stenosis and the length of the lesion was about 10-15mm.
There was no obvious abnormality in the circumcision branch, and the moderate centripetal stenosis of the second section of the right coronary artery was about 50%, and the length of the lesion was about 15mm.
The judgment is correct, this diagnosis level is really awesome! Director Jiang admires it.
There are some tips on the electrocardiogram, but it is still difficult to make such accurate judgments.
"Boss, you said that it has been almost two hundred years since Bernard first inserted a catheter into the animal's heart in 1844. I feel that there has been no breakthrough in the interventional surgery of the heart." Su Yun looked at the image of Director Jiang's illusion and said completely different words.
"It shouldn't be calculated like this." Zheng Ren said while removing the angiography catheter: "If I start the calculation, I think it was the first time in 1929 that the German doctor Fosmann inserted a urethra cava from his elbow vein and sent it to the right atrium through the superior vena cava to the right atrium."
While speaking, Zheng Ren had already sent the 7fjl4.0 guide catheter to the opening of the left coronary artery through the blood vessel sheath, and first sent the 0.014″ptca guide wire to the distal end of the anterior descending branch.
"Pulse removal catheter." Zheng Ren said.
Wearing a lead suit, the nurse who came in handed over a catheter and Su Yun opened the outer packaging, "You said that within 20 years, robotic surgery can be performed, and there is no other progress except for not eating wires. In addition to chest, general use of Da Vinci robots for surgery is purely a fart after taking off his pants."
"It's enough to cure diseases. If it really solves the problem fundamentally, we need to study biochemistry and genetics." Zheng Ren sent the duct retrieval catheter near Director Jiang's anterior descending branch.
Director Jiang felt that this was the atmosphere in the operating room.
The surgeon and assistant chatted, it was simple and easy, instead of everyone doing surgery before, and countless wounded people were waiting for treatment, which made people collapse at any time.
Suddenly he felt as if his whole life was back on track.
But now I am a patient lying on the operating table, and everything is normal except that.
Oh, and there is something abnormal, that is, Zheng Ren’s hand speed is simply too fast!
After the duct removal catheter was down, he didn't see anything thinking. Director Jiang didn't even feel anything. The duct removal catheter on the screen started walking out with a black piece of stuff.
Is this done?
Director Jiang is so confused.
If you take this fresh emboss yourself... his technical level cannot be achieved, so he can only accommodate the thrombolysis of the tube.
If you can take it, you should also add a filter and be careful, for fear of breaking the fresh emboli and causing more unpredictable complications.
It’s not like Zheng Ren, who carelessly sends the duct retrieval catheter to the position, clamps the blood clot and walks out.
"Doctor Zheng, what method are you using here?" Director Jiang looked at the screen and asked blankly.
Fresh pills are as tender as tofu, and it is extremely difficult to remove them intact.
So Director Jiang has such a question.
Zheng Ren smiled and said, "Now is not the time to discuss. The earthquake relief and disaster relief are over. If you have time, you can come to the 912 Hospital to find me."
Director Jiang nodded. This was the second time Dr. Zheng agreed to go to 912 to study.
But this time, his mood changed a little.
Dr. Zheng, that's really awesome, it's not something that can be pretended or blown out.
Soon, the image of the duct removal catheter disappeared, and Su Yun used a piece of sterile gauze to catch the fresh duct.
On the white gauze, the purple-black pills about 1m look so ferocious.
It was just now, blocking the coronary artery and almost demanding Director Jiang’s life.
"Old Jiang, take a look." Su Yun stood up on the side of the gauze, and Zheng Ren was afraid that the plunger would fall down at any time.
But Su Yun is usually sure, so there should be no problem.
"You are like this bear, and you are still yelling at the rescue. You said you will delay the trouble." Su Yun's temper was terrible and his way of speaking had not changed.
Director Jiang rarely sees fresh blood clots. As for his own, this is really the first time.
He smiled and it turned out that it didn't hurt when the duct was removed.
"Boss, you said that the previous reduction was 100% blocked, why didn't he respond?" Su Yun asked.
"I'm so nervous. There is too much lactic acid accumulated in my body, and I don't feel the pain obviously... Uh, it seems that it's not right." Zheng Ren said, but couldn't continue.
These are not reasons. Zheng Ren himself finds it very far-fetched.
Chapter completed!