Back in 2002 as a doctor

"En." Professor Chen nodded subconsciously, but immediately took a deep look at Zhou Congwen.

Could he be a little tricky? !

Doctor Xiao Zhou probably doesn't know what to ask him for!

“肺动脉发育指标里McGoon比值小于0.9，肺动脉指数170mm2/m2。由于患者的McGoon明显偏小，一般来讲McGoon要大于1.2才能安全完成完全修复手术。”

Professor Chen's unhappy thoughts were interrupted by Zhou Congwen's series of professional statistics.

These data were exactly what he thought in his mind, because they were too complicated for Chen Houkun to communicate with others, but he did not expect to hear them from Zhou Congwen.

"I'm going to try it out. I have to prepare for the operation with both hands. If the right ventricular pressure is too high after complete repair, the ventricular septal defect will be preserved. After complete repair, the child's right ventricular pressure / left ventricular pressure is about 0.3." Chen Houkun whispered Said.

"Yes, I think there is basically no problem, 0.3 can be reached."

The two began to communicate on the operating table. Zhang You was dumbfounded, and the other professors who led the group were also dumbfounded.

Can the theory in textbooks become reality?It is said that after the operation, the right ventricular pressure/left ventricular pressure reaches 0.3, which is 0.3?Are they old and young dreaming?

"Preparation for extracorporeal circulation."

After the two chatted for nearly 2 minutes, Zhou Congwen said lightly.

The style of painting in the operating room did not know when it began to change. After waiting for almost 24 hours, the cardiopulmonary bypass teacher stood up from the ground and looked at Director Zhang and Professor Chen blankly.

Zhou Congwen was also a little nervous. It wasn't that he hadn't had surgery, but that his techniques were poor after returning to 2002, and he couldn't achieve the effect he wanted at all.

This is a very tangled operation. Zhou Congwen is no longer as calm as the operation with the knife, but automatically switches to the top expert mode. As soon as he comes on stage, he tries to reverse Chen Houkun's thinking and control the operation process.

Logically speaking, with Zhou Congwen's current status, he might not even be able to say a word, and no one would listen to him.

But he didn't think about the communication and communication between people at all.Conversations with Chen Houkun are not communication, but when you encounter extremely difficult congenital heart disease, you always have to say a few words to the doctor standing opposite you, knowing what the other person is thinking, so as not to burden yourself during the operation.

Any powerful surgeon or doctor has extreme trust in himself, but rarely trusts others.

It's like when an academician performs radiofrequency ablation surgery, he has to direct his closed disciples to do it, and he absolutely doesn't trust anyone other than himself.

"But the pulmonary artery is missing..." Professor Chen didn't want to be so embarrassed, especially in front of Zhou Congwen's powerful momentum, he was a little frustrated, and explained in a low voice.

"Professor Chen, it doesn't matter." Zhou Congwen interrupted Professor Chen, "Some patients have better postoperative results than expected because of the absence of pulmonary arteries."

Having said that, Zhou Congwen stretched out his hand.

For a few seconds, his hand was still empty.He woke up suddenly, and he was now a...young doctor.

Chapter 0050 Perfect Match

Zhou Congwen sighed secretly, feeling embarrassed now.

I am not the only king in the operating room who stood on top of all living beings in the past, but a small doctor in a "basic" hospital.

"Professor Chen, you...do you think my suggestion is okay?" Zhou Congwen looked at Professor Chen and asked in a low voice.

"The patient didn't even have a pericardium, and the aorta straddled more than 50%. How did you know about the effect of this surgery?" Although Professor Chen felt that Zhou Congwen was a "confidant", he still asked strangely.

In the third hospital, Xiao Zhou was doing trauma surgery by himself, but he was not at all proud, as stable as an old dog. Chen Houkun always thought that Zhou Congwen was young and mature.But I didn't expect to show my sharpness after coming to the Second Hospital of Medical University. It seems that what I did at that time, especially writing the medical records, may only be aimed at Wang Chengfa.

Still young at heart.

"Oh." Zhou Congwen sighed softly again.

Professor Chen looked at the young doctor in front of him in confusion. He vaguely felt that Zhou Congwen was not satisfied with the medical university's diagnosis.

On the contrary, it should be that the professor of the medical university is very dissatisfied with the diagnosis and treatment of the lower-level prefecture-level hospitals. When will it be the turn of a grass-roots doctor to point fingers.

"Professor Chen, I just took a look. The patient has Goldenhar syndrome."

"What the hell?" Professor Chen blurted out.

"It is also called children's eye-ear-spine syndrome. It is a congenital disease that was first named in 1952."

"..."

"Patients with Goldenhar syndrome and tetralogy of Fallot are rare, and we can say that this time we hit the jackpot."

"Typical features are developmental abnormalities of the eyes, ears, unilateral face, and spine, which may be concurrently accompanied by malformations of the cardiovascular system, urinary system, and central nervous system. The main problem of the small patient in front of me is...Professor Chen, you...you didn't Did you notice that he looks weird?"

It looked weird, and Professor Chen was taken aback.

It's a bit weird, but when I went to see the patient before, I thought it was the child's poor heart function, which was caused by lack of oxygen since childhood.

Moreover, it was not his own patient, and Chen Houkun did not study it carefully.

"In the 2006...1998 issue of The Lancet, Dr. David Thompson made a postoperative summary of 14 cases of Goldenhar syndrome associated with cardiovascular disease."

"..."

Everyone in the operating room looked at each other.

"The Lancet", this top journal, at least half of the people in 2002 didn't know what it was.The remaining half of the people have only heard of the magazine name, but never read it.

The name of the high-level magazine is so weird coming from a doctor in a lower-level prefecture-level hospital. Coupled with weird words like Goldenhar syndrome, people can't understand what the hell he is talking about.

Everyone didn't believe what Zhou Congwen said, even if it sounded true.

"There is no other way, except to close it now. How about the patient's family? Do you understand?" Zhou Congwen asked softly, looking down at the surgery area.

One sentence touched everyone's uneasy hearts.

"Oh." Professor Chen sighed, "Go ahead. Remember the operation process, and cooperate well."

Zhou Congwen nodded.

"Xiao Chen, start?" Director Zhang You asked anxiously.

"No way, first follow the procedure for tetralogy of Fallot." Professor Chen said helplessly, then looked up at Zhou Congwen, "Doctor Zhou, just help me pull the hook."

Zhou Congwen nodded silently.

After the extracorporeal circulation was established, Director Zhang You and other doctors stood behind and watched the operation eagerly.

Strange to say, the little doctor in Jianghai City clearly did nothing, but the process of establishing extracorporeal circulation went smoothly.

None of the directors and professors present had performed thousands of operations, and they all knew the importance of assistants in their hearts.

Although this little doctor talked a lot, he really had something on hand.Read on, the operation has just begun.

The ascending aorta was blocked, and the root of the aorta was perfused with HTK solution. After the child's heart stopped beating, the right atrium was cut, and left heart drainage was placed through the atrial septum.

The operation was done step by step, each step was delicate and smooth.

Zhang You frowned more and more, and he stared at Shuye without blinking.

When did Chen Houkun's surgery reach this level? !

An inexplicable sense of crisis suddenly rose from the bottom of my heart.

In the past, Zhang You knew that Chen Houkun did a good job in surgery, and it has reached a level comparable to his own.

But this alone is not enough. As the chief director, if a professor who leads a group under him has only this level, he will not pose a threat to him.

After all, I occupy the position of director, as long as I have a good relationship with the school, it is easy to suppress a professor who leads a group.Moreover, Chen Houkun is an ordinary person no matter whether it is his own family or his mother's family, and he has no chance to meet big shots.

But Zhang You never expected that Chen Houkun's surgery had almost reached the point where he couldn't understand it.

Tetralogy of Fallot, this is tetralogy of Fallot!

Chen Houkun's movements were simple and clean, and he quickly repaired the ventricular septal defect via the right atrium-tricuspid valve route.

Zhang You began to regret what he promised Chen Houkun before.

If Chen Houkun is allowed to set up a heart disease area, it will be a return to the mountain!

"Gore-Tex single flap."

Zhang You's thoughts were suddenly interrupted.

"What do you want?" The equipment nurse didn't understand, and asked in a daze.

Zhou Congwen paused, "Is the patch a bovine pericardium?"

"Yes."

"Prepare."

In 2002, there were no various high-value consumables in the future, and the patches were all bovine pericardial patches.That's the effect, but it's better than nothing.

Zhou Congwen repeatedly warned himself that it is now 2002, don't show any flaws again.Although the current doctors can't understand or remember things like Gore-Tex single-valve patch, but it's still not good.

And Chen Houkun was completely immersed in the operation, feeling the mysterious experience.

The operation went smoother than expected countless times. It seems that the doctor Xiao Zhou opposite is not only diligent in his hands and active in his eyes, he is also his own lucky star!

With him as an assistant, the level has improved by leaps and bounds!

Chen Houkun was completely unaware that the inexplicable surge in his surgical skills had aroused Director Zhang's hostility, and he was immersed in the joy of making further progress and couldn't extricate himself.

The operation went well. Chen Houkun made a longitudinal incision on the right ventricular outflow tract, cut off the abnormal hypertrophic muscle bundles of the right ventricular outflow tract, and observed the anatomy of the pulmonary artery.

Usually this step takes at least 30 minutes, but he just finished the whole operation in less than 10 minutes.

No matter what to do, the assistant exposed the surgical field in advance, as if Dr. Zhou was a roundworm in his stomach.No communication, not even eye contact.

This feeling of hydration is really great!

If this is a female assistant, I met him when I was young, and I will definitely marry her if I live or die.

After the preparatory work is done, the reconstruction method should be determined according to the deformity of longitudinal bilobes or transverse bilobes.

Tandem...Professor Chen is still pondering, the small hook in Zhou Congwen's hand has exposed the field of surgery to him.

have to!Don't even think about it, it's comfortable!

The junction is located directly below the incision, which is in the middle of the anterior wall of the pulmonary artery.

Chen Houkun directly incised the valve annulus at the junction and fused the valve junction.The patient speculated that the small retractor and hemostatic forceps had been exposed just now at the junctional fusion site.

Chen Houkun carefully ensured the integrity of the leaflets and the junction during the incision process, and the assistant was also very strong, and the stability of the hand was quite good without any trembling.

Match, perfect!

Chapter 0051 The hook is proficient... makes people feel distressed

"Line, patch." Chen Houkun didn't reach out, he straightened his waist, ready to rest for a minute.

It takes time for equipment nurses to prepare 6-0 Prolene, and 1 minute is short.

But just after he finished speaking, the needle holder with the small needle, 6-0 Prolene thread and bovine pericardial patch was photographed at hand.

"Uh~" Chen Houkun was taken aback, "Why so fast?"

"Doctor Xiao Zhou asked for it 5 minutes ago." The equipment nurse replied.

Chen Houkun raised his head and glanced at Zhou Congwen, without thinking too much, he just felt that it was a waste of money for this assistant to fall into Wang Chengfa's hands.

The bovine pericardial patch was aligned horizontally with the pulmonary valve annulus. Chen Houkun measured it and prepared to suture with a needle holder in his right hand.

"Professor Chen."

During the operation, Zhou Congwen spoke for the first time.

Chen Houkun looked up at him, "Doctor Xiao Zhou, what's the matter?"

"How many stitches do you usually like to sew?"

"..." Chen Houkun was stunned, how many stitches?Is there a fixed number for this thing?

It doesn't matter how you feel, it's almost fine.

What did Doctor Xiao Zhou mean?

"I'm just learning." Zhou Congwen narrowed his eyes on the sterile mask, thinking he was smiling.

"study?"

"I have seen similar articles in the literature. For this kind of large-diameter pulmonary valve, it is best to use 16 stitches, and the stitches are even."

As he spoke, Zhou Congwen clamped the bovine pericardium patch with hemostatic forceps and glanced at it, frowning slightly.

"No, another one, I'll trim it."

"No way?!" The equipment nurse raised her eyebrows straight up, "Do you understand!"

The nurses in the operating room are generally very irritable, which may have something to do with the operations and rescues they usually come into contact with.Working in the blood every day, people will be subtly influenced.