I can see health

Chapter 559 The crime is heinous!

Whether it is in the cath room or outside the cath room, everyone's heart is in their throats.

"Professor Qin, are you really not going to perform this difficult septal puncture yourself?"

Some young doctors around asked, from their point of view, Lu Chen, who was on the stage at this time, was younger than them, and it was fine to do some simple electrophysiological operations. Today, he encountered this kind of septal puncture, but Even the deputy chief physician with general qualifications dare not do it.

Everyone stared at Qin Sifeng closely, while the female doctor on the side was ready to prepare the surgical lead suit for him at any time.

Qin Sifeng smiled indifferently, and said calmly: "Today, you all watch it well, study hard, and prepare the video equipment. Today's operation operation will be regarded as a teaching video."

"What?" Everyone was shocked when they heard Qin Sifeng's words.

Kyoto University School of Medicine, this is not a pheasant school, if it can be used as a teaching video here, it is almost the ceiling of surgical operations in the whole country!

Why is Qin Sifeng so confident in the young man in front of him?

Everyone had a big question in their hearts, staring at the operating table in front of them, not daring to look away easily.

……

In the cath room at this time.

Lu Chen removed the echocardiography machine and wiped off the couplant on the patient's skin.

Xiao Shikang has been staring at Lu Chen nervously.

As long as Lu Chen is ready to start the puncture, he will assist in the operation at any time, and contact the Cardiac Surgery Department as soon as possible, so that the Cardiac Surgeon will be on call at any time.

Because once the heart is at risk of perforation, the patient must be converted to open-thoracotomy immediately.

"Mr. Xiao, prepare an electrode tube."

At this time, Lu Chen suddenly said. .

"Electrode tube?" Xiao Shikang was taken aback, "Don't you already have one?"

Lu Chen stared at the contrast image in front of him, and said slowly: "Please prepare another one!"

Xiao Shikang was a little confused, but he did as he did, and ordered the graduate student on the side to take another electrophysiological electrode tube.

Lu Chen got the electrode tube and directly implanted it into the patient's ventricle through the catheter.

When everyone saw this scene, they were very surprised, "He, what kind of operation is he doing?"

Only Qin Sifeng smiled faintly, "Lu Chen wants to further determine the location of the fossa ovalis."

"Didn't you use an ultrasound just now?" The young female doctor at the side asked suspiciously, "And, with this electrode, how can I determine the location?"

While staring closely at Lu Chen's operation, Qin Sifeng explained: "Because everyone's heart is different, and some of them are a bit translocated. If you judge by the upper edge of the coronary sinus, there may be errors, or you may think that every patient will be different. There is jumping, but it is not, some patients do not jump, at this time, it is very important to find a suitable place and puncture, and the selected position is very important."

"Adding an extra tube and a ventricular electrode will help determine the highest position of the tricuspid annulus. By adding a corner of the ventricular electrode, the height of the fossa ovale can be initially judged."

After listening to Qin Sifeng's explanation, everyone showed suddenly enlightened expressions.

However, Qin Sifeng also had some doubts in his heart.

This method of adding electrodes to determine the fossa ovalis is not very common in China.

One is that this kind of difficult surgical disease is not common, and the other is that this method is mainly popular in foreign countries, and it has only been introduced into China in recent years.

Where did Lu Chen learn these skills?
How many undiscovered things are there in this young man?
……

Cath 3 room.

After Lu Chen put the electrode into the patient's ventricle, Xiao Shikang knew his intention.

"Lu Chen, do you want to determine the location of the fossa ovalis?"

Lu Chen nodded slightly, "The anatomical site of the true fossa ovale and the turn of the ventricular electrode are the same as the high position of the tricuspid valve, that is, the level of the His bundle is a little bit behind, so we can judge the ovum by adding an electrode. The height of the nest, I personally think it works quite well.”

Lu Chen spoke calmly, but Xiao Shikang's eyes widened.

This hand operation is really wonderful!

An inconspicuous electrode tube can actually play such a huge role in the ventricle.

Xiao Shikang thought, why didn't he think of this method before?

However, just knowing the location is not enough, the next puncture is the top priority!

All the preparations made before are for the accuracy of the puncture.

Make sure you have a 100% success rate!

Because here, once it is below 100%, it is 0%!

"Do you want to start piercing?" Xiao Shikang stood beside Lu Chen, ready to go.

Unexpectedly, Lu Chen shook his head again.

Under Xiao Shikang's surprised eyes, he picked up the catheter and injected a little contrast agent into it.

At the same time, Lu Chen's voice sounded, "In an unclear or unfamiliar situation, if you feel suspicious, don't try to puncture, first push a little contrast agent to have a look, if there is no resistance, it is likely that it will In the cavity."

Looking at Lu Chen's skilled operation skills, Xiao Shikang couldn't help but recall the dry pericardial puncture that Lu Chen also performed in this cath lab a year ago.

The same amazing people, the same convincing.

At this moment, the graduate student standing beside Xiao Shikang was stunned.

I thought that someone as small as him came to the catheterization room, but I didn't expect it to be a big boss!
Hearing the conversation between Lu Chen and teacher Xiao Shikang, he found that this operation has become a one-sided teaching operation!
Who is this person?

He has been in the cath lab for more than half a year, and he has never seen such a person. He looks as old as him, or even younger than him!
……

catheter outside.

The smile on Qin Sifeng's face became even stronger. He stroked his slender beard and laughed loudly: "You should learn from Lu Chen's bold and careful operation. During the puncture, don't be stingy with the contrast agent. , even if you haven’t worn it, you will know where you dyed it.”

Everyone was a little disdainful when they heard this.

Pushing the contrast agent, this simple operation, everyone knows it!

There's no need to praise Lu Chen so bluntly, right?

Qin Sifeng saw the expressions on everyone's faces and knew what they were thinking, so he snorted coldly: "You young doctors, don't take it seriously! I saw a doctor who encountered a patent foramen ovale when he was doing septal puncture. But at that time, the puncture needle had already reached the left atrium, and he wanted to pursue a sense of breakthrough at that time, but when he saw the staining of the posterior wall when he created the contrast agent, he felt very scary at that time, and immediately suspended the operation!"

"It doesn't matter if you make mistakes, but the patient suffers!" Qin Sifeng's face turned cold, "Because of your carelessness, causing harm to the patient is a heinous crime!"

(End of this chapter)