medical road high rise

Chapter 35 Coronary Surgery ([-])

Chapter 35 Coronary Surgery ([-])

The current Qin Feng is not a doctor in the first hospital, but a doctor in the second hospital. He can directly participate in the operation, but the latter needs to be reported.

Any doctor from another hospital comes to the first hospital for surgery, and the hospital will give a flying knife fee, but it is based on the doctor's standard. The flying knife fee for experts is more expensive, and ordinary doctors can get 1000 to 2000 yuan. Not bad.

But this amount of money was a surprise for Qin Feng. One to two thousand yuan was enough for Qin Feng to pay his salary in the second hospital in two months.

Although he has not officially joined the job yet, Director Dong of the Vascular Department has already nodded, and it is basically a matter of finality.

As for the task released by the system, Qin Feng also grasped a sensitive word, that is to complete a radial coronary interventional operation, not by himself.

Therefore, Qin Feng can completely use other doctors, as long as he participates in it.

You don't have to be as reckless as appendix surgery. You can lose the job by yourself when you only need to help Dr. Qi to complete the task.

This operation can be regarded as Lu Ming's endorsement to Qin Feng. As for Xu Ke who is beside him, although he doesn't trust Qin Feng very much, Lu Ming has already spoken, so he still has to give the face that should be given.

"Don't be brave, this operation is not a joke." Xu Ke reminded.

"Don't worry, you will only succeed and not fail." Qin Feng nodded.

Xu Ke took the lead in changing the lead clothes and went on stage to perform interventional surgery, because the patient's coronary artery needs to be inserted with a guide wire first, and the guide wire should be sent to the designated position before PCI can be performed.

Qin Feng and Lu Ming retreated into the operating room, watching Xu Ke's interventional surgery through the images in the operating room.

Xu Ke's operation was very stable. The 6F catheter was directly inserted into the LM opening, and the catheter was sent directly to the designated position with a slight shaking of the wrist.

Lu Ming saw this scene through the video, and praised: "Through a slight shaking, you can get rid of the tiny thrombus, and pass the designated point to reach the designated position smoothly. You are indeed a top student of Kyoto Medical University."

At first there was still some worry in my heart, but now that Lu Ming has put it in his stomach, this Xu Ke will definitely intervene in the operation, and the level of intervention is definitely not inferior to that of the director of the Circulation Department, and even a little better.

The interventional doctor who didn't see the circulatory department came over and said directly that he didn't know how to perform coronary interventional surgery, and the degree of difficulty of coronary interventional surgery is also ranked high in the interventional surgery.

"The balloon has started to be placed, and it's coming to you soon." Lu Ming looked at Qin Feng beside him, "Don't force yourself, if it doesn't work, just come down, this kind of operation can't be brave."

"Director Lu, don't worry." Qin Feng smiled.

Seeing Xu Ke's superb interventional surgery, Qin Feng is also full of confidence. All he needs to do is rotational atherectomy to dredge the blood vessels for Xu Ke's subsequent interventional surgery.

Moreover, Xu Ke also paved the way for Qin Feng. He used the most suitable 6F guide catheter for RA. The stretchability and bending guide of the 6F guide catheter can provide a better support for performing rotational atherectomy and avoid pushing it. met with resistance.

Otherwise, once the atherectomy drill encounters resistance, the atherectomy drill may directly eject the guide catheter from the ostium of the coronary artery, and the operation will start again.

"Qin Feng, get ready to go on stage." Lu Ming patted Qin Feng's shoulder.

Qin Feng went to the dressing room to change into a set of heavy lead clothes, pushed open the lead door and entered the operating room.

Xu Ke had already stopped what he was doing, and when he saw Qin Feng coming, he pointed to the patient, and took two steps back to give Qin Feng his position.

"Don't let us down." Xu Ke said from the first assistant's position.

Qin Feng didn't answer Xu Ke directly, but stretched out his hand and said, "1.5mm1 Burr."

Xu Ke froze for a moment, and quickly handed the rotary atherectomy drill in the tray to Qin Feng, who then sent the drill into the calcified lesion near the middle of the LAD.

At this step, Xu Ke looked at it and didn't say anything. After all, he had already sent the catheter to the designated location. If Qin Feng couldn't even reach here, then Qin Feng wouldn't need to do the subsequent surgery.

Qin Feng entered the operation state, started the interventional machine, and the atherectomy drill rotated at a speed of 15 revolutions. You can see that the small thrombus is caught by the small net behind the atherectomy drill. This small net is for To prevent various tiny thrombi that fall off from the thrombus during the rotational grinding process from entering the body, and then take itself as the main body again to form secondary thrombus.

The purpose of this net is to catch everything in one go. The size of the net has also been studied, and what can go out through the mesh can be excreted or absorbed along the body.

The rest is brought out directly when the atherectomy bit is removed, like a filter.

Xu Ke stood still for more than ten minutes, his neck was motionless, he raised his head and twisted it. When he lowered his head again, he found that Qin Feng's operation had been completed.

"Is your surgery done?"

Qin Feng put down the guide wire, looked at the formed balloon and nodded, "I have cleared all the embolisms in the coronary arteries, and it seems that I accidentally sent the stent in."

Qin Feng touched his head and looked at Xu Ke apologetically. He knew that his behavior might be a bit bad, but suddenly he was overwhelmed by the operation, and he forgot that he was in reality, not in the training room.

The atmosphere was suddenly quiet. Xu Ke looked at the stent that had been successfully attached to the wall in the video. There was no visible residual stenosis, intima tear, and even thrombus were cleaned up.

It's not that Qin Feng took his stage, but that Qin Feng's speed is really too fast, what kind of fairy speed is this.

Xu Ke remembered twisting his neck and thinking about how to wipe Qin Feng's ass in his mind. It's done now?
People's mouths can deceive people, but the images can't be faked. The images shown above are indeed the ones that have undergone surgery, and the ones that have been performed are particularly successful.

"Stop stepping on the line."

The equipment nurse went to turn off the X-ray, and Xu Ke looked Qin Feng up and down with his eyes, as if seeing his beloved item.

"What did you say your name was?"

"Qin Feng."

"Doctor Qin, who did you learn this interventional surgery from? This must be a master." Xu Ke has put Qin Feng in the same position as himself, and no longer speaks to Qin Feng in the tone of a superior doctor .

"Grandmaster?"

Qin Feng shook his head and said softly: "I studied interventional surgery in the Second Hospital, but so far, this should be the first interventional surgery I have done."

Xu Ke nodded when he heard the front. The level of interventional doctors in the second hospital is better than that in the first hospital. You can indeed learn a lot of interventional surgery in the second hospital.

Soon, Xu Ke's expression froze on his face and said, "What did you say?"

"Is this your first interventional surgery?"

(End of this chapter)