Back in 2002 as a doctor

Inject 100ug of nitroglycerin into the coronary arteries, and then inject iohexol for multi-position imaging.

Professor Qin did every step carefully and earnestly, trying not to let the guide wire affect the coronary artery.

The patient's condition is very serious, and the foreign body, the guide wire, is poking around in the coronary artery, which can easily lead to coronary artery spasm and aggravate myocardial ischemia.

The operation doesn't look like a bloody operation, but every step is dangerous. If one step is not done well, the patient will die on the operating table. The risk is not much less than that of surgery.

Professor Qin has done many similar surgeries, and he performed the surgeries carefully to avoid all possible dangers in advance.

Professor Qin did not do it quickly, because this is an operation, and it does not need to be fast, but more stable and the success rate is needed.

But because there is another patient in the next-door operating room, although I am not a foreign expert, since I saw the operation for a while, I went to the next door to take a look and do a favor.

That patient was lucky, Professor Qin thought to himself.

He operated as fast as possible while maintaining stability, and put all his life's knowledge to use in order to save one more patient.

The three coronary vessels of the patient were all blocked, the circumflex branch was the main one, and the anterior descending branch was slightly better, which was also blocked by about 85%.

Professor Qin calmed down and began to pass the anterior descending branch with a guide wire.

At this time, the anterior descending artery cannot be directly treated. Although it is blocked by 85% of the vascular lumen, there is still a little blood flow after all, which can ensure the most basic support of the myocardium.

Heparin 3300u was injected intravenously. Under the guidance of the "J" type guide wire, the 6F EBU3.5 guiding catheter was sent to the opening of the coronary artery, and a Runthrough guide wire was manipulated to enter the left anterior descending artery.

Professor Qin was secretly calming his emotions, avoiding the trembling of his hands, which would cause the guide wire to frequently touch the wall of the left anterior descending artery, causing vasospasm and causing irreparable consequences.

However, for Professor Qin, this is the most basic operation, and he dredged the left front descending branch without haste.

The surgery went well, and Professor Qin felt a little proud.

It has basically reached the best level of home surgery, and the patient should have no surprises.

After 47 minutes, the dredging of the left anterior descending artery was completed, and the blood vessel that was almost 100% blocked was stented. After angiography, he saw black contrast agent flowing on the screen. Professor Qin breathed a sigh of relief, and the patient should be alive.

"Professor Qin, amazing!" Although Dean Guan couldn't understand interventional surgery, he read his words and expressions, and read a relaxed mood from Professor Qin's face, so he praised it in a flattering manner.

"The operation is not finished yet." Professor Qin smiled slightly, ready to go in and continue the operation.

At this moment, the sound of a flat car came from outside the door.

Professor Qin was taken aback for a moment, but then felt sad.

No matter how fast I did it myself, the operation in the next operation room failed... Just now I was thinking that the patient's life seemed to be good.

But looking at it now, it seems to be very ordinary, and I didn't even have time to perform an operation by myself.

Forget it, one person, one life, just do your best, Professor Qin comforted himself in his heart.

To say that the level of the grassroots hospitals is really poor, and it is impossible to maintain a vital sign, Professor Qin secretly slandered.

Depressed for a few seconds, Professor Qin straightened his mind and continued to concentrate on the operation. Twelve minutes later, the sound of a flat car came from outside the door.

The director of the circulatory department of Baishui City No. [-] Hospital is really addicted to vegetables, so if he is not good enough, he will stop, but he always has surgery, so why can't he go for further training?Professor Qin felt helpless.

We'll have to wait until after the surgery to see if we have a chance to talk to Dean Guan about it.

If you don't study, you will know that you are messing around in a basic hospital!

Thinking about it, Professor Qin's hands trembled, his coronary arteries spasmed slightly, and the ECG monitoring started to call the police.

He quickly held his breath and used papaverine to relieve the convulsions.

The misoperation just now did not cause irreparable losses, but Professor Qin stopped thinking about the next-door operation room and began to concentrate on the operation.

The stent of the circumflex branch was put in, and the angiography showed that the blood supply to the heart was further improved. Professor Qin was very happy.

But before he continued to complete the remaining steps of the operation, the sound of the flat car came again.

It is estimated that the next door is doing radiography, and a tube is placed in it to create a contrast agent, and then the image data is left for the family members of the patient to take to the imperial capital and the magical capital for further treatment.

Professor Qin had his own guess.

He often sees this kind of patients in the imperial capital, otherwise why the operation next door is done so quickly.It's not treatment at all, it's just an inspection.

"Professor Zhou, just now..."

A voice came intermittently, but quickly disappeared.

Professor Qin was speechless after hearing this, Professor Zhou?Is it Zhou Congwen, the closed disciple Huang Laoxin took in?

The doctors in the thoracic surgery department of his own hospital were all guessing that this closed-door student was trained by Mr. Huang to do thoracoscopy. It is said that the level of thoracoscopy has reached perfection.

Cardiothoracic doctors are wondering whether this close disciple who has achieved general thoracic surgery can perform cardiothoracic surgery.

Professor Qin was slightly taken aback as he thought about it. According to the current situation, he would probably do a bypass surgery with a beating heart.

It is also the most basic operation to confirm the diagnosis by angiography in a short period of time, and then push it to the operating room.

The wave behind pushes the wave ahead, Mr. Huang is still powerful, and he can break the barrier of difficulty by training a young man "casually".

It is estimated that the sound of the flat car will not be heard again. The closed disciple of Professor Zhou and Huang Lao will come to the stage to build a bridge.

But Professor Qin guessed wrong again.

Ten minutes later, the flat car sounded again.

Um?How is this going?

Professor Qin's operation will be finished soon, and he is getting more and more curious.It is said that in the case of three-vessel lesions found by angiography, there are two treatment methods-interventional stent and bypass.

How many radiography does that closed disciple need to do?Why not just go on stage?

Or is he going to build three or four heart-pounding bridges overnight?

In 2 hours and 48 minutes, Professor Qin completed the operation.

The patient was clear and clear, and the angiography showed that the coronary arteries were unobstructed, and the myocardium had regained blood supply, and everything was in good condition!

Amidst Dean Guan's flattery, Professor Qin didn't go to change clothes for supper, but went to the surgery room next door.

He was very curious about what Huang Lao's closed disciple was going to do.

Maybe it wasn't him, it was his own misunderstanding.

When he came to the surgery room next door, Professor Qin glanced at the technician's screen and was stunned.

Three lesions!Almost all blood vessels are blocked!In Professor Qin's opinion, this operation is impossible!

And the doctor in the operating room seems to be dredging the circumflex branch with a guide wire...

Chapter 0630 What kind of fairy surgery is this

"Dean." Xiao Kai saw Professor Qin and Dean Guan coming in, stood up from the chair behind, and greeted with a smile.

"What are you doing?" Dean Guan asked.

"I received the emergency department at night." When Xiao Kai saw Professor Qin come in, his heart was clear.

He was a little proud but still suppressed his emotions, and said with a little humility, "According to Dean Guan's instructions, medical accidents should be eliminated in the bud. So after Professor Zhou came, I asked him to check it out. In the ward, a patient was found to have a hidden danger and needed surgery."

According to Dean Guan's instructions... The words made Dean Guan feel his throat get stuck.

And these are trivial things, the main thing is why Xiao Kai said that!

He seemed to have dug a hole for himself, Dean Guan looked at Xiao Kai, waiting for him to continue.

"I didn't expect that one emergency department after another, Professor Zhou worked tirelessly to take Director Zhang for surgery. This is already the fourth one." Xiao Kai said.

"Huh? Are there four channels?" Professor Qin was startled, as if he had only heard three voices.

"Yeah, this is the fourth one. With Professor Zhou here, the operation went smoothly, and some operations that couldn't be done normally have also been done smoothly." Xiao Kai smiled, "When the operation is finished, I will ask Director Zhang, if he thinks it will be rewarding, he can often invite Professor Zhou to come here in the future."

Tit for tat!

Dean Guan smelled a smell of gunpowder in Xiao Kai's plain words.

However, Dean Guan does not think that the operation is as fast as possible. Isn’t it normal to perform four appendicitis operations in the time of one combined pancreaticoduodenectomy?Can a doctor who can perform an appendectomy say he is better?

impossible.

Dean Guan didn't bother to talk to Xiao Kai, this guy usually didn't want to talk, and he stepped on him twice when he stepped on him, with a kind face.

What's going on today?It is estimated that Xiao Kai was trampled and hurt!

"Professor Qin, let's see the postoperative patients first?" Dean Guan said in a low voice.

After all, the patient is still observing on the operating table, which should take about 5 minutes, and it's time to go back and exchange some pleasantries, so there is no need to waste time here.

But Professor Qin didn't seem to hear Dean Guan's words. He leaned in front of the screen and watched the operation intently with his arms folded.

"Teacher, sit down." The technician quickly stood up and said to Professor Qin.

Professor Qin was distracted and sat down without saying a word of politeness.

And his gaze seemed to be attracted by a magnet, staring straight at the computer screen without blinking.

Dean Guan was taken aback.

What's going on here? !

Seeing Professor Qin's expression, Xiao Kai was determined.

He is the dean of cardiothoracic surgery director, and he has a much more thorough understanding of this business than Dean Guan.

As soon as the expert stretches out his hand, he will know if there is one.

As soon as Zhou Congwen got started with Xiao Kai, he could tell that Xiao Kai's level was really high, but to what extent, Xiao Kai didn't know, because he didn't know how to do interventional surgery.

Baishui City's medical community's understanding of cardiac interventional surgery is basically at the desert level, except for some simple operations, the rest is blank.

Zhou Congwen's surgery is indeed fast. For double-vessel disease or triple-vessel disease, no matter how many coronary vessels are blocked, he can perform the operation seemingly easily and easily.

Especially the angiographic image after opening the blocked blood vessel made Xiao Kai feel relaxed and happy.

The black contrast agent spreads, flowing like a river with vitality, and it seems that spring has come, and the withered tree in front of the door is full of vitality again.

It would be great if I had this kind of person under my command, Xiao Kai was so greedy that he salivated.

If Director Zhang had Zhou Congwen's level... no, half his level, he wouldn't have faced so many medical disputes.

But this feeling is only Xiao Kai's own feeling. He thinks his level is low, and he doesn't know what Professor Didu thinks.

Now seeing Professor Qin from the imperial capital looking at the screen with a bewildered expression, Xiao Kai knew that Professor Qin had instantly turned into an idiot, and was shocked by Zhou Congwen's surgery.

Thinking about it, I was too cautious, Xiao Kai thought to himself.

The operation next door is only three lesions at most, and the heart only has three main blood vessels, and the blockage of the blood vessels can only be blocked by 100%, and it will not be blocked by 120%.

How could there be more and more difficult surgeries?

There is no doubt that Zhou Congwen's level of cardiac interventional surgery is top-notch.Even Professor Qin, who came from the imperial capital, is concentrating on the surgery, needless to say? !

Like a "footnote", the top expert silently told Xiao Kai something.

For example, Zhou Congwen is so awesome. For example, he thinks the operation is good not only because he thinks so, but even Professor Qin proves that the operation is indeed good with his expression and concentration.

No one spoke in the operating room, and the atmosphere was extremely oppressive.

Through the leaded glass, Zhou Congwen and Professor Zhang could be seen talking while performing the operation in the operating room. The atmosphere was relaxed, and the operation went smoothly, as if there was no difficulty at all.

Indeed, the operation process seen on the screen is like flowing water. If you don't know it, you may think that the operation is simple and has no difficulty.

49′22″, the operation is over.

Looking at the time on the screen, Professor Qin was a little dazed.

How could interventional surgery for three-vessel disease be so simple!

In the next surgery room, the level of the three lesions surgeries that he had just completed was not perfect, but it was still remarkable.

Even so, it took nearly 3 hours to complete the entire operation.

Not only himself, but Professor Qin's mind went over all those who performed well in the interventional surgery.Everyone is at the same level. For such a difficult operation with three-vessel lesions, it takes 2-3 hours to sit down, so there is not much difference.

This is still a situation where it can be done. Many patients can’t do it at all. A person with vasospasm died on the operating table.

But such a remote and small city as Baishui City... what did I see!

Cardiac interventional surgery, the stents for the three lesions were completed in less than an hour!

What kind of fairy surgery is this?

"Dean Guan, the surgeon inside is the director of your circulation department?" Professor Qin asked hissingly.

"No, it's Professor Zhou who was originally invited to perform surgery on the leader. I invited him to make a ward round, just in time for the emergency patients to be more serious today, and the patients who should be properly blocked have not yet come on stage." Xiao Kai said with a smile, feeling Very proud.