Back in 2002 as a doctor

After finishing speaking, Lord Gou was still doing what he wanted, "Then with a twist of the wrist, the pigtail canal goes along the subclavian artery and enters the ascending aorta. It is absolutely impossible to always deviate into the aortic arch."

"But Xiao Zhou's blind exercise is finished." Chen Houkun was immersed in the realm of Zhou Congwen's helping hand, and did not notice how much his words offended others.

"..." Director Gou was about to refute, when he suddenly realized that Zhou Congwen had succeeded in blind sex.No matter how difficult it is to describe by myself, there is such an example there, and no one believes anything.

If it is just one time, it can be said to be a coincidence and good luck.

Director Jiang pulled out the pigtail tube, and it took more than 30 seconds for someone to put it in again. The pigtail tube that is usually disobedient should be as cute as possible.

Look at other people's pigtail tubes.

Director Gou was at a loss, when did the surgeon become so good.

Said Teng Fei sighed, "This operation, even my teachers in the imperial capital can't do it. If it's a DSA machine, it's still possible, but now it's a X-ray machine, it's amazing."

While speaking, the image suddenly disappeared, Director Gou was furious, "Where are the images!"

"..." The technician shuddered in fright, and then explained in a low voice, "Director Gou, the shadow agent has been created inside, you need to see the image."

So fast!Director Gou was at a loss.

……

"Director Jiang, the speed should be slower, you don't have to push it in with all your strength." Zhou Congwen watched Director Jiang act as a humanoid high-pressure injector, and kept beeping in his mouth, "The rate of contrast medium is 20m/ls, you calculate the time, This operation is not difficult."

Director Jiang burst into tears, the rate of the contrast agent is 20m/ls, of course he knows, but people are not as strict as machines.

Easier said than done?Another person, Director Jiang, must think so.

But the young man in front of him threw the pigtail tube in easily twice in a row, still blindly. This difficult operation alone has made Director Jiang highly suspicious of his skills.

Is the contrast medium velocity of 20m/ls considered manipulation?This is too difficult.

There are more and more things in my mind, and Director Jiang's operation is also a bit at a loss.

However, pushing the contrast agent was not too difficult, and the requirements were not that strict, so Zhou Congwen didn't tell him to stop.

After pushing the contrast agent, Zhou Congwen said with a smile, "Director Jiang, I'll go out and take a look, please help me, don't come out."

Chapter 0336 Is he a machine?

Contrast medium was injected in a total amount of 40-60ml. After identifying the true and false cavities of the dissection and the position of the dissection breach, Zhou Congwen measured and verified the parameters measured by CT again.

After all, without the blessing of the system, he didn't dare to further process the data. Fainting to death on the operating table is not fun.

But after all, with the experience of the previous life, the location of the patient's aortic dissection is not difficult, and Zhou Congwen returned to the operating room soon.

"Director Jiang, do you have any criteria for choosing a big man?" Zhou Congwen asked relaxedly after returning.

"Standard? Measure the diameter of the patient's blood vessels." Director Jiang thinks this is not a problem at all.

He watched helplessly as Zhou Congwen chose the large shelf brought by the consumables supplier.

The price of each large shelf is the price of a small car. When Vascular Intervention first talked about this, it always said how many cars were driven in today.

Seeing Zhou Congwen playing with the "car" casually, Director Jiang asked, "Doctor Zhou, how did you choose?"

"Choose a stent with an appropriate length and diameter. If the stent diameter is greater than 10% to 15% of the neck diameter, the length is generally the standard length, that is, the length of the covered stent is 14 cm, and the length of the bare stent is 1.5 or 2.0 cm." Zhou Congwen said With that, I chose the big shelf.

"Prepare sodium heparin."

A catheter inserted into the upper extremity was injected with 4000u sodium heparin and maintained at 1000u per hour.

Normally, a micropump should be used at this time, but there was no micropump in the Third Hospital in 2002, and Zhou Congwen had already compromised with the reality, and began to mentally calculate how many drops would be needed in 1000 minute for 1u per hour.

It's so troublesome, Zhou Congwen sorted everything out, "Director Jiang, how about the cutting technique?"

Director Jiang was already in a daze, he put his hands on his chest, without saying a word, turned around and back to back with Zhou Congwen.

This was to move a place for himself, and Zhou Congwen was not polite, standing at the position of the femoral artery of the patient's thigh.

After another sterilization, the transfemoral catheter was withdrawn and replaced with a 260 cm long Amplatz superstiff guide wire, and the femoral artery was cut.

Zhou Congwen's technique is proficient. Although it is not fast, it has a rhythm that makes people's heart beat.He didn't make any unnecessary movements, it was simple, clean and clear.

Because there is no useless work, the operation is performed normally without deliberation, but in the eyes of outsiders, he performs the operation very quickly.

Director Jiang was surprised, "Doctor Zhou, have you... studied interventional surgery? Or did you study in any hospital?"

In 2002, only a few years after interventional surgery was carried out across the country, everyone came here from another profession.

There are also a large number of doctors in the radiology department who put on lead clothes to perform interventional operations in order to get rid of the six words of doctors in the auxiliary department, and seek to rise up the ladder.

Now everyone's techniques are very rough, and it is considered awesome to be able to perform the operation, let alone the meticulous operation.

At least Director Jiang has never seen anyone who can do what Zhou Congwen just did.

"I studied it myself, so I can't say I know it, I just understand it a little bit." Zhou Congwen said lightly.

Slightly...understand...

If you understand this a little bit, you and Director Gou are really making a fool of yourself.

……

……

In the operating room, the directors watched in astonishment as Director Jiang and Zhou Congwen changed positions.

In other words, the operation was completely performed by Zhou Congwen.

"Director Li, has the thoracic aorta stent operation been carried out in your thoracic surgery department? Has the elephant nose replacement been carried out?" Director Gou asked with some doubts when he saw this scene.

Elephant nose surgery is a major surgery, almost the ceiling of thoracic surgery and vascular surgery.

Unexpectedly, the No. [-] Hospital of Jianghai City, a small, broken grassroots hospital, would have such thoughts and prepare to touch the ceiling.

Do they want to go against the sky?

Li Qinghua shook his head, "Director Gou, let alone our third hospital, the level of the People's Hospital is far from the Elephant Trunk Surgery. To tell you the truth, the third hospital doesn't even have an ICU."

"Then you don't have a dsa machine, how can you be so proficient at putting on airs?" Director Gou asked.

This was a question he couldn't figure out.

Li Qinghua was also speechless.

Zhou Congwen seems to be omnipotent, he can do surgery, laparoscopic surgery, gastroenteroscopy, and even the big airs of blood vessel intervention.

Not only capable, but also very good.

The ceiling of the province's vascular interventional technology strength is staring blankly here, and the most critical step is achieved within ten minutes.

this person...

Li Qinghua sighed, the doctors under him could be strong, he didn't think he was the kind of person who would be jealous of others.

But Zhou Congwen was simply too capable, so capable that Li Qinghua felt that he had been dreaming, so capable that he felt like a waste.

"Xiao Zhou is amazing! I told him to go to the second year of medical school to accompany me, and he didn't say anything. At this level, staying in Jianghai City is useless." Chen Houkun nagged.

"Old Chen, do you think Xiao Zhou can do cardiac interventional surgery?" Teng Fei already had the answer in her heart, but she still asked subconsciously.

Chen Houkun glared at her, "Don't rob me."

Li Qinghua didn't know whether to laugh or cry, you were the ones robbing me of talents, right?

……

Zhou Congwen followed the incision through the femoral artery and inserted the release catheter with the stent graft along the guide wire. When the stent reached the predetermined position, he said, "sodium nitroprusside."

"Ah?" Director Jiang watched Zhou Congwen's operation wholeheartedly, and he was completely immersed in it.

"Sodium nitroprusside to control blood pressure, isn't that how you use it? What kind of medicine do you use?" Zhou Congwen was a little puzzled.

"Oh, oh, I'm fascinated, I'm fascinated." Director Jiang immediately called the nurse to put sodium nitroprusside on the patient, and watched the adjustment speed.

Controlling the patient's blood pressure at 80 mm Hg, Zhou Congwen fixed the push rod and removed the outer sheath to release the stent.

"It's done, just take a look at the imaging." Zhou Congwen said easily.

Director Jiang was ashamed.

I and Director Gou are known as the peak level of vascular intervention in the province.

But the two were busy for nearly an hour, and Director Gou was so tired that he vomited blood, but he didn't even throw the pigtail tube in the first step.

According to the text, the operation was completed in less than 10 minutes.

Where to go to reason.

"I'll push the contrast agent once, please take a look." Zhou Congwen said with narrowed eyes, "Director Jiang, we often encounter situations where there is no high-pressure syringe and we need to do it manually. First, we need to push the empty 50ml syringe a few times. Try the resistance."

"There are several types of resistance. Some manufacturers of domestic syringes have settings..."

While preparing, Zhou Congwen explained to Director Jiang.

He talked "long-winded" for at least 10 minutes just about the humanoid high-pressure injector until the end of the radiography.

Director Jiang thought Zhou Congwen was showing off to himself at first, but he didn't expect Zhou Congwen to do it perfectly step by step.

For a moment, he felt in a trance that Zhou Congwen's hand-made contrast agent was more even and delicate than a high-pressure syringe.

Is this man a machine?

Chapter 0337 conditions are limited, so be it

Director Gou and Teng Fei both intervene and understand the difficulty of putting on airs.

Two 10 minutes to get it done, the time is too short, this is a kind of shortness that they can't understand at all.

Moreover, the surgery is still very difficult, and the machine is the most crude... It can't even be said to be a machine for interventional surgery.

To be able to do this is simply inhuman.

The contrast agent was pushed in, and the position of the large shelf was just right, perfect as if the blood vessel had been opened with a knife, and the naked eye was staring at what was put in, without any flaws.

Director Gou clenched his fists with both hands, and disappeared as if he was exhausted just now, his eyes were shining.

He is full of strength now, as if he is ready to rush in anytime and anywhere to have another operation with Zhou Congwen.

Teng Fei was not so excited, she looked blank, her lips moved slightly, as if she was talking to herself.

And all of this was within Chen Houkun's expectation, he smiled helplessly, Xiao Zhou was indeed so strong.

The lead door opened and Zhou Congwen walked out.

Of the people in front of the operating desk, only the technician was still awake, and he made room for Zhou Congwen.Director Gou and Teng Fei stared at the screen, already sleepwalking.

"Second directors, please let me go." Zhou Congwen said lightly.

There was no response, Director Gou clenched his fists and looked at the screen with gritted teeth, as if he was going to knock the screen.

"The two directors?"

Still no response.

Zhou Congwen kicked the chair leg, Director Gou shook his body, and then woke up.

"You two, the operation is over as soon as I take a look, and the patient is still lying down." Zhou Congwen said lightly.

"Oh oh oh."

"Oh oh oh."

Director Gou and Teng Fei responded repeatedly.

"Well, the location is okay. Alas, the conditions are limited, so let's do it like this." Zhou Congwen didn't seem to be very satisfied. After talking to himself, he turned and went in.

Director Gou and Teng Fei looked at each other, not satisfied with this, is he going to go to heaven?

"Bang~"

The door of the operating room was knocked open, and a middle-aged man rushed in crying.

"Where's my dad, where's my dad!"

"Xiao Wei, Xiao Wei, you are still here, don't cry. Isn't this going to be sent to the medical university? We don't have machines in Jianghai City." Dean Xiao tried to persuade Wei Ju's son from behind.

"You said it all, 120% of them will die on the way after getting on the 99 car. Woooooo~~~"

Everyone in the operating room was dumbfounded.

They had just seen a wonderful operation, so that they completely forgot that Dean Xiao went to communicate with the patient's family.