I can see health

Chapter 417 Let Me Try

"What?! He started operating again?"

Wan Jingshui turned around and looked at operating room No. [-].

Sure enough, Lu Chen moved again!

The chief surgeon also came back and pushed in the echocardiography equipment.

When Wan Jingshui saw the echocardiography machine, his heart was shocked, "Could it be..."

In the demonstration classroom, everyone who saw what had happened here did not leave, and sat back in their seats one after another.

From the beginning to the end, there was only one person who did not move, and that was Yao Jie.

She stared closely at Senior Brother Lu Chen on the screen, with joy that couldn't be hidden in her eyes.

……

Cath lab, operating room three.

"Student, are you sure you want to do this?" The chief surgeon looked at Lu Chen with an extremely serious expression on his face.

"Yeah." Lu Chen nodded, "I did this not all because of my assessment, but mainly because this patient, if he doesn't solve it all at once this time, he will have to undergo puncture, intubation and anesthesia next time. Why should I suffer this second sin?"

The chief surgeon was uncertain, "How about this, you use the echocardiogram to locate it first, I have already contacted Professor Qin, and he will be here soon."

"Okay." Lu Chen nodded slightly, and then took the echocardiography probe to locate the patient.

Why is an echocardiogram used?
Because Lu Chen thought of a feasible solution, which is to ablate from the opposite side of the endocardium, that is, the side of the epicardium, so as to achieve the effect of "internal and external pinching".

However, this solution requires a catheter to reach the outer side of the heart after pericardial puncture, which is extremely difficult and risky.

This is the only way Lu Chen can think of at the moment.

In the usual pericardiocentesis, patients generally have moderate to large pericardial effusions.

Although there are certain risks, as long as the positioning is good, the needle is inserted into the pericardium, and the effusion is drained.

With the current puncture, the patient does not have any pericardial effusion. After the needle is inserted into the pericardium, it is easy to injure the myocardial tissue.

Its difficulty and risk are several times higher than those with pericardial effusion!
And there is another point, is the current Lu Chen capable and qualified to do this kind of puncture surgery?

So much so that the chief surgeon had to contact the chief examiner, Professor Qin Sifeng, to make a next diagnosis and treatment plan.

……

Soon, Lu Chen performed an echocardiographic body surface marker, and Qin Sifeng also rushed to the catheterization room.

"What's the matter? Call me over in such a hurry?" Qin Sifeng walked in front of the crowd with his hands behind his back.

The surgeon in No. [-] operating room followed behind Qin Sifeng, and whispered: "The patient in No. [-] operating room is a bit special. I thought it was a routine premature ventricular ablation, but just now I found that the origin seems to be in the epicardium."

"Epicardium?" Qin Sifeng paused slightly, "We really don't meet many here! Which black-faced student got this case?"

"Looks like it's called Lu Chen." said the surgeon in No. [-] operating room.

"It's him?" Qin Sifeng was stunned and stopped listening.

In the eyes of all the instructors in the training class, Lu Chen's advancement to the next stage is a sure thing. I didn't expect Cheng Yaojin to be killed halfway!

After all, he has won the second place three times in a row. Whether it is the trainees or the instructors in the training class, everyone is very optimistic about Lu Chen.

"Did he give up?" Qin Sifeng said.

The chief surgeon in No. [-] operating room continued: "Professor Qin, he didn't give up, but came up with a way to insert a catheter through the pericardium through pericardial puncture."

Hearing this, Qin Sifeng frowned deeply, then smiled, "This kid really knows how to make troubles, it's not easy!"

"That's why we called you here." The chief surgeon in operating room No. [-] said.

"Okay, let's go and have a look." Qin Sifeng nodded slightly, and continued to walk towards No. [-] operating room.

……

In the third operating room.

Lu Chen has already marked the place near the right ventricle with an echocardiography machine.

As long as it is punctured from here, the catheter can be inserted, and epicardial ablation can be performed.

However, it was the first time for Lu Chen to encounter this kind of ablation without effusion.

Taking advantage of Qin Sifeng's arrival, he was already training in the system simulated operating room.

Pericardial puncture is one of the clinical skills that Lu Chen is familiar with, and his proficiency has reached about 90%.

Now he will deliberately remove the pericardial effusion and simply practice puncture without pericardial effusion.

Because of his previous foundation, Lu Chen's training process went relatively smoothly.

At this time, Qin Sifeng also arrived.

Wearing surgical gown and lead suit, he walked slowly into operating room No. [-].

"Professor Qin!" Lu Chen immediately stepped forward.

"Well, the origin point of your patient's morbidity is in the epicardium?" Qin Sifeng asked straight to the point.

"Yes." Lu Chen nodded helplessly, "I have ablated the endometrium many times, and it has a certain effect, but after removing the discharge, the chamber has long since recovered."

"So you think the origin of ventricular premature is in the epicardium?" Qin Sifeng glanced at Lu Chen.

"Well, to be more precise, the origin of premature ventricle is between the endocardium and epicardium, but it is closer to the epicardium, so it has a certain effect in the endocardium, but it cannot be maintained." Lu Chen said slowly.

Qin Sifeng nodded slightly when he heard the words, "It makes sense. This kind of premature ventricle originating from the epicardium is very rare, and this should be the first case encountered by our hospital this year!"

In the auditorium of the demonstration classroom, everyone was discussing.

At this time, on the big screen, there was only operating room No. [-], and the conversation between Lu Chen and Qin Sifeng was also broadcast.

"Epicardial ventricle?" Fang Ruzhang was astonished, "Director, it seems that we haven't encountered the three inner regions for several years."

Wan Jingshui nodded: "The last time, two years ago, was a case of epicardial premature."

"Director, how did you deal with it?" Fang Ruzhang asked again.

"A second operation was performed." Wan Jingshui thought for a while.

……

in the catheterization room.

Qin Sifeng looked at Lu Chen with a smile on his face, "You can see these things, it's not easy anymore, the next operation is completely out of line, you don't have to do it. As the chief examiner of this assessment, I will apply for you additionally An examination."

When everyone heard this, they were stunned.

Reapply for an assessment?

"Professor Qin, isn't this in compliance with the rules?" said the surgeon in No. [-] operating room, "Although none of us expected this situation, this is an assessment after all, and we need to bear these uncertainties."

"Really?" Qin Sifeng's eyes were burning, "Then what do you think is the significance of our assessment?"

"This assessment is to select a group of outstanding students." The chief surgeon in operating room No. [-] paused.

"You said it yourself, pick out a group of outstanding students, rather than baffle them!" Qin Sifeng snorted coldly, "Take this epicardial chamber as an example, if it was you, you would be able to diagnose it and do it Is there any appropriate treatment?"

The surgeon in charge was stunned for a while, and didn't reply for a while. He glanced at Lu Chen, thinking in his heart, if he encountered an epicardial ventricle, he could be as calm as Lu Chen, and successfully judged the failure of the ablation the reason?

The answer, is uncertain.

The chief surgeon in the No. [-] operating room, he can't even guarantee that he will be able to diagnose and treat it!

At this moment, Lu Chen suddenly said, "Professor Qin, let me try."

This voice was a bit abrupt in the eyes of everyone.

But Lu Chen's eyes were firm. He looked back at Qin Sifeng, and said in a deep voice, "I am sure about the pericardial puncture, and with the positioning of the echocardiography machine, the risk will be minimized!"

　At 9:[-], finish drinking with the leader and go home

　　
　
(End of this chapter)