world famous doctor

Chapter 62 He's Right
After staying for a while, the two interns came back to their senses.

They blinked their eyes, stared at the operating table tremblingly and continued to wait and see.

Seeing the interventional doctor use the suction fixator to lift the anastomotic site, Zhou Chen once again nodded in agreement with the correct choice of the doctors.

If the doctor has just adopted a compressive fixator, the impact on the left ventricular filling of the patient's heart will be relatively large.

More importantly, the use of compressive fixators has a greater impact on intraoperative hemodynamics, especially in those with posterior or lateral diseased vessels.

In comparison, the complete revascularization rate was 88.1% using suction fixators.

Moreover, the patency rate of its vascular graft can also reach the A-level standard.

Zhou Chen stepped forward and reminded the patrol in a low voice:
"Nitroglycerin can be infused continuously, which can prevent patients from coronary spasm."

The patrolman looked a little nervous, and he turned to look at the interventionist.

As the saying goes, if the doctor says a word, the nurse will break his leg.

Although nurses are under the supervision of the Nursing Department and doctors are under the supervision of the Medical Department, there is no superior-subordinate relationship, but nurses must follow medical orders.

And must only follow the doctor's orders of the hospital.

The intervening doctor replied without raising his head: "He's right, do as he said."

With the assistance of the first aid and the second aid, the interventional doctors used inotropic drugs and vasoconstrictor drugs in an appropriate amount at the same time to improve the patient's circulatory function.

Gradually, the heart rate of the patient's heart decreased and the beating amplitude also decreased.

After suspending and inverting the heart using a special cardiac fixation device, below, the coronary arteries are incised for distal anastomosis of the grafted veins.

The interventionist moves very slowly.

He found the right angle and placed a Swan-Ganzs catheter to monitor the pulmonary artery pressure and pulmonary artery incarceration pressure before the anastomosis, and transesophageal ultrasound to monitor the wall activity...

The intervening doctor took a deep breath and narrowed his eyes slightly.

To say which step of this bypass surgery is important, in fact, every step is important.

The patient's heart was still beating slowly. At this time, it was time to test the doctor's eyesight.

Doctors must obtain a relatively static surgical field to the greatest extent so as to better improve the quality of vascular anastomosis.

Since the coronary artery has been incised, the blood from the collateral circulation will inevitably affect the accuracy of the anastomosis.

At this point, steps must be taken again to improve the clarity of the operative field.

Under the order of the interventional doctor, the equipment nurse quickly handed over the carbon dioxide spray device.

There is also another option, an intracardiac shunt plug.

Two or more measures may cause the risk of vascular intimal dissection, so it is most appropriate to choose one of the two, or to use both to an appropriate degree.

Zhou Chen stood with his arms folded and watched.

That way, it looks like a big cow from the outer courtyard is guiding them to perform an operation.

But Zhou Chen didn't dare to be negligent, he had to stand there with a strong sense of responsibility, even though he didn't participate in the operation.

While supervising their operation, Zhou Chen also closely observed the patient's ECG, heart rate, blood pressure, blood oxygen saturation and other values ​​every minute.

If there is any abnormality, he will alert the doctor as soon as possible.

Seeing that their operation was carried out in an orderly manner, Zhou Chen awakened his immune system in the sea of ​​consciousness.

This time, what he wanted to calculate was not the probability of a successful operation.

Calculating the success rate of surgery takes too long and is slow to calculate.

Even if it is calculated, it is estimated that the operation has been completed.

Therefore, it is more important to use the famous doctor system to evaluate the curative effect of Yuan Lili's opcab operation.

The evaluation by the famous doctor system is the same as the curative effect evaluation commonly used at home and abroad.

The degree of myocardial revascularization, the severity of the inflammatory response, and the incidence of complications and mortality were all used.

But for the famous doctor system to give a corresponding evaluation, it needs to consume 3000 likes.

3000 likes?

Zhou Chen had no choice but to smile bitterly.

Thinking about it carefully, this kind of evaluation may not be necessary for Yuan Lili.

At this time, there is only one wish, that their mother and child are safe.

Everything else probably doesn't matter.

was thinking.

The doctor who intervened suddenly turned his head, cast his eyes on Zhou Chen, and asked a question.

I don't know if he couldn't make up his mind to ask Zhou Chen's opinion, or he wanted to test Zhou Chen's professionalism.

The interventional doctor asked: "Zhou Chen, in your opinion, the target blood vessel for this patient should be..."

Before he finished speaking, the clever Zhou Chen nodded and replied in a natural tone:
"This patient has a clear advantage in the right coronary artery, and the diameter of the right coronary artery is relatively large. Blocking the right coronary artery may cause severe bradycardia and disturb the hemodynamic stability at the same time. Therefore, PDA should be used as the target in this case. Blood vessel."

Zhou Chen's answer was rigorous in analysis, correct in words, and clear in thinking.

The intervening doctor nodded very satisfied.

He secretly deepened his impression of Zhou Chen's ability in his heart.

It is very rare that such a young man can have such an accurate judgment.

Even more rare, and even more incredible, how did Zhou Chen just predict that the PCI operation would definitely fail?
Now in the operating room, time is tight and it is not easy to ask.

Several intervening doctors thought, they must find a time later, and ask Zhou Chen what is wrong.

Step outside.

Kong Wenchao kept raising his hand to look at the time.

Up to now, my wife Yuan Lili has been pushed into intervention for more than six hours.

His heart was beating up and down, anxious and uneasy.

He crossed his fingers and kept praying.

I have never noticed that the passage of time is so slow, every minute and every second, days seem like years.

Every minute is a long torment.

Kong Wenchao turned his head to look at Gu Qing who had been standing silently, and asked:

"You... are you his friend?"

Gu Qing squinted at him: "Who are you talking about?"

Kong Wenchao pointed to the intervention room and said, "It's the young man who was called in by the nurse just now."

Gu Qing nodded: "He is my brother."

Kong Wenchao swallowed inexplicably, and couldn't help asking:

"Which hospital is he a doctor?"

"He works in a Chinese medicine clinic." Gu Qing replied.

"Chinese medicine hall?" Kong Wenchao scratched his head, showing worry, and asked again: "Is he a small Chinese medicine doctor?"

Unexpectedly, Gu Qing's answer was very direct: "No! He was doing odd jobs in the Chinese medicine clinic, and now he has nothing to do."

What?
Do chores?

And still doing odd jobs in a small Chinese medicine clinic.

After Kong Wenchao heard the words, he was even more worried.

After a pause, Kong Wenchao touched his nose, and then asked cautiously:

"He is a handyman in a Chinese medicine clinic, how could he be called in?..."

As he spoke, he raised his finger and pointed to the intervention room.

No matter what, he couldn't understand why the doctor in the interventional room would call in a young man who worked as a handyman in a traditional Chinese medicine clinic during the operation.

What is the purpose of the intervention doctor?
Does Zhou Chen also understand interventional surgery?

(End of this chapter)