Big Doctor Live Room

Chapter 1244 Rhythm
Of course, Qi Hong would not have thought that at the same time, a world-class difficult interventional surgery was being performed in the experimental surgery in the emergency center of Xiangyun Hospital. Gu Ning was the chief surgeon. The reason why he chose to perform it the next day was because It is also because he has practiced dozens of times, and finally he is more than [-]% sure to complete a risky operation that he dare not do.

Of course, another reason is that Missy's medical device company installed the PUP intervention ejection device designed by Chen Qun on the catheter.If it weren't for the computing synthesis of the eldest lady's supercomputer and the emergence of 3D printing technology, he would not have the equipment to complete a self-transcending operation.

Besides, when the patient's family sent the patient here from Xiangjiang Mercy Hospital, it was a dead horse as a living horse doctor, who came here with the last hope. As a doctor, he naturally had a duty to do so.

The operation was supposed to be performed tomorrow morning, and he was afraid that the child's condition would deteriorate again and miss the opportunity, so he started the operation as soon as the machine was refitted.

This time Yang Xiaoquan did not come to see him for the operation in person, except that Yang Xiaoquan himself was only limited to the level of understanding of this interventional operation, so he could not give him much support. Another reason was also well known by Gu Ning, that is, the master was in the hospital. After Aunt He's operation, he was completely relieved of him, and believed that he was fully capable of taking on the great responsibility of the cardiovascular department.

This kind of trust and tacit understanding is tacit between the master and the apprentice. As for the operation infringement and so on, it is not in his consideration. Even from the setting of the catheter, no one can find much similarity. To a certain extent, it is also Chen Qun's revised version, which makes the artificial valve easier to eject.Even if he applied for a new patent, it would be speechless.

"Mitral valve interventional surgery under cardiopulmonary bypass, start!"

Gu Ning stood at the chief surgeon's position and announced the operation. He didn't know when it would start. This teaching-style standardized instruction also spread to all departments. With the support of the directors of each department, he said the name of the operation to the camera before the operation started. , has also become the most basic requirement of any operation.After all, it is convenient for follow-up academic discussions and wrangling, and it is becoming a basic requirement of standard surgical procedures.

"Give me a B-ultrasound to determine the position of the patient's heart gap!"

Gu Ning issued a second command, shaking the probe of the B-ultrasound on the child's chest a few times, and the large floor-standing screen in front immediately displayed the entire picture.

"The mechanical arm fixes the B-ultrasound, Xiao Wang, you pay attention to the B-ultrasound all the way, and make sure that the position does not change!"

Following his instructions, a simple mechanical arm was pulled out from the operating table by an assistant. The structure deformed a little, and it became a square bracket, which fixed the B-ultrasound probe in the middle on the operating table. Patient's chest position.

Because this is a very delicate operation, the position of the patient is the key to the success of the operation, so the ten-year-old patient was fixed on the operating table early to ensure that the entire body does not have the slightest deviation. incline.

"Start instant imaging system!"

Gu Ning called out three commands. Although everyone knew that this system was not very useful to Chen Qun, the first user, but for a true technical expert like him, the instant imaging system was too powerful to ensure The key to the success of the operation is also on this system.

A simple three-dimensional diagram of blood vessel circulation immediately appeared in front of Gu Ning, and all the doctors found that there was a big gap between this and the lifelike image shown in front of Chen Qun.In fact, this is not because Chen Qun is no longer here and the image has been cut corners by the eldest lady, but because Gu Ning personally called the eldest lady to request it.

He is only used to seeing this kind of schematic diagram similar to two-dimensional images, not to mention that the key to the operation is to insert the guide wire device according to the closure of the foramen ovale of the heart in this schematic diagram, so, except for the vein from the thigh to the heart , there is only a lifelike heart left.

"The heart doubles in size!"

Gu Ning thought for a while, and decided to follow the way he practiced. He is not Chen Qun, he is too young to catch the opportunity.Of course, this simplified version was complained by the eldest lady, thinking that this unrealistic requirement was a waste of her hard work.

But for the eldest lady, the complaints are the complaints, and she directly came up with a simple method, turning off the display of other areas, and it was done, and it also saved the computer's power consumption, which was barely an answer.

Her heart, like a small watermelon, started to beat in the air. Gu Ning carefully observed and compared it, and saw that the image and the beating condition displayed on the B-ultrasound machine were exactly the same. Only then was she completely relieved, knowing that the eldest lady had a supercomputer set worth hundreds of millions of dollars. There is nothing wrong with the simulation.

Doing a heart intervention requires hundreds of millions of supercomputers to support it. If someone told him a year ago, he would definitely think that it would happen in a top foreign hospital, but now it happened to him, and because of this technology, Only then did he have the confidence to complete a miraculous time travel.

Without this technique, both he and his teacher Yang Xiaoquan agreed that after ten years he could barely complete this technique once or twice with experience, and half of it would have to be luck.But with the support of modern technology, he directly ruled out the luck part, and can rely on technology to improve his personal abilities.

"Guide wire!"

Gu Ning was energetic but cautiously inserted the guide wire into the patient's femoral vein, followed the blood vessel straight up, and finally arrived at the entrance of the heart on the [-]D real-time schematic diagram and CT picture, and stopped immediately.He also knew that if it was Chen Qun, there would be no need for this step of guiding the wire, but the catheter would be inserted directly, and the right ventricle could be reached directly in one step.

"Give me the catheter!"

A catheter shaped like a modified rocket head was handed over from the assistant. Gu Ning knew that the modified device, that is, the configuration of the rocket head at the front end was similar to that of the PUP stapler, and it was also hollow. Inserting the heart at a remote location is infinitely more difficult than PUP stapler surgery.

Holding the catheter with a steady and delicate palm, he followed the guidance of the guide wire and entered the heart step by step. In this process, Gu Ning spent more than four minutes, and then spent another 2 minutes to send the PUP stapler at the front end of the catheter to the heart. into the right atrium.The originally straight rocket head, with the twist of Gu Ning's palm, suddenly turned into a ninety-degree bend.

All he has to do is insert this angle into the foramen ovale, right through the interatrial septum, into the left atrium.As long as there is a slight deviation in the position, it will cause conduction pathway disorders, lead to cardiac abnormalities, and eventually the patient will die. This is also the root of world-class difficulty.

He must pass through the foramen ovale in the atrial septum when it reaches its maximum opening, so that it is possible to complete the next operation.

Gu Ning asked the assistant to place and fix the catheter at a slightly higher position on the patient's thigh, pinch the long and narrow part of the catheter with the thumb and middle finger of his left hand, and gently hold the end of the catheter with his right hand to shake hands, and gave another command.

"Turn up the volume, keep quiet in the operating room, and only listen to the heartbeat!"

After finishing the order, he looked at the three-dimensional projection diagram of the heart that had returned to a normal state, and stared at the opening and closing foramen ovale without blinking, only the beating sound of the heart remained in his ears.

Rhythm!

He did it to grasp the rhythm, which was the biggest gain he learned from Chen Qun, because only a top [-] heart expert like him knows how important rhythm is to heart surgery.

There is no success or failure, only Zhang He's foramen ovale in front of his eyes, and only the sound of his heart beating in his ears. He has only one chance, he is only allowed to succeed, not to fail!
(End of this chapter)