Back in 2002 as a doctor

After chest surgery, a closed chest drainage tube should be placed in the 6-7 intercostal space. Pull out the tube first, and use a laparoscopic probe to go in and have a look. There is indeed no unnecessary damage to the patient.

And it's better to see it with your own eyes if there is nothing wrong than two directors standing in the operating room arguing.

But... my current identity and status are a bit embarrassing.

Chen Houkun hesitated.

Just as he was hesitating, Zhou Congwen's slightly stern voice came, "Brother Chen, once a heart hernia occurs, the patient will die after half an hour's delay. Although it is not your patient, it is human life."

"Okay!" Chen Houkun didn't worry too much, "I'll talk about it right now."

Chapter 0117 Alternative Use of Thoracoscopy

"Brother Chen, you are busy first, I will send you a WeChat message and you can take a look."

After Zhou Congwen finished speaking, he hung up the phone.

He took the phone and swiped his finger subconsciously.This action looks so ridiculous and ridiculous on the small Nokia screen.

Zhou Congwen was taken aback.

Alas, this is 2002, it would be nice to be able to send a text message, Zhou Congwen sighed.

Clicking on the SMS interface, he started editing.

【世界第1例心脏疝由Bettaman和Tannenbaum于1948年报道，至今全球约有100例左右，每年新增5~8例病例报道。

In patients with pericardial defect due to trauma, congenital pericardial defect, cardiac surgery, intrapericardial pneumonectomy, etc., cardiac hernia may occur when bilateral thoracic pressure is unbalanced due to coughing, body position changes, lung inflation, and thoracic negative pressure suction.

According to the medical history you described, I consider the possibility of cardiac hernia is relatively high. 】

The text message had to be edited twice before it was sent successfully. If 20 years later, the voice would be enough. Zhou Congwen was quite helpless about this.

……

……

Chen Houkun walked to the door of the operating room and heard the sound of arguing inside. He didn't go directly to "persuade the fight", but waited for Zhou Congwen's text message.

Xiao Zhou was also in a hurry, and called the text message WeChat, what a joke.The thought flashed through his mind, then was forgotten as useless spam.

Slip of the tongue? It's normal.

Although he was in Jianghai City, it seemed that Xiao Zhou was impatient, and all the text messages were called WeChat.

Soon Chen Houkun received the text message, he opened it and took a look, he was dumbfounded.

Zhou Congwen not only has excellent laparoscopic skills, but also has such a solid knowledge reserve!

In a few words, he told the past and present life of the heart hernia, added some possible induced diseases, and finally explained his judgment.

However, according to Zhou Congwen's statement, it seems that this is indeed the case.

The anesthesiologist changed the patient's position and sucked sputum to stimulate, and then there were violent fluctuations in vital signs.

Don't wait, although it is the worst choice for Chen Houkun to go directly to persuade the fight, but he actually has no choice now.

After all, it is a human life, and Zhou Cong Wensensen's voice echoed in his ears.

And for a moment, Chen Houkun thought of one thing - if he could prove in front of so many people that Zhang You had undergone surgery, he would be very happy to make Zhang You embarrass himself on the premise of saving a life.

Idle is also idle!While treating illnesses and saving lives, it may also embarrass Zhang You, so why not do it?Chen Houkun has made up his mind.

"Second directors, wait a moment, listen to me, okay?" Chen Houkun walked through the crowd into the operating room and stood between the two directors.

"Professor Chen...Deputy Director Chen, what do you want to say?" The director of the anesthesiology department still gave Chen Houkun some face respect.

"Hmph!" Zhang You snorted coldly, not knowing whether the object of the snort was the director of the anesthesiology department or Chen Houkun.

"Have you two considered the possibility of heart hernia?" Chen Houkun asked.

Zhang You stared fiercely at Chen Houkun, his eyes glowed blue like a hungry wolf.

Chen Houkun didn't back away, but poked his neck and said, "It's not a problem for the patient to lie here, why don't the anesthesiology department check the doctor's order and medication again..."

"We have been checking, and it has been checked three times. It's all right!" The director of the anesthesiology department emphasized.

"I know, I know, let's check it out again." Chen Houkun sighed, "As for our thoracic surgery department... I suggest going in for a laparoscopy."

"What?" Zhang You was stunned for a moment. He didn't have the idea of ​​having a laparoscopy at all in his mind.

"Pull out the chest tube, and the lens will go in along the incision of the chest tube without removing the sutures." Chen Houkun emphasized, "This way, the damage to the patient will be the least, and it will be quick to go in and have a look, and the answer will be available in a few minutes. Both of you The director is here, if there is a surgical problem, we will deal with it. If there is nothing wrong..."

Chen Houkun glanced at the director of the anesthesiology department.

"Take a look!" The director of the anesthesiology department also felt that there would be no end in this situation, so he agreed.

Zhang You has nothing to say.

What Chen Houkun said was reasonable, there were no unnecessary wounds, and it was over in ten minutes.

If he disagrees with this, once the patient has something wrong, the director of the anesthesiology department Cui will definitely hold the shit pot on his head.

Damn it, Chen Houkun is handing the knife to the anesthesiology department!

He could only take a look, and he gave Chen Houkun a vicious look, thinking that Chen Houkun was deliberately making trouble for himself.

Because the patient's condition was not stable, the tube was removed and inserted again. The patient was under anesthesia all the time, which saved a lot of trouble.

Pushing the machine in, Chen Houkun swiped his hands and came on stage.

After standing in the position of the performer, Chen Houkun still felt a little dazed, and his thoughts of embarrassing Zhang You when he came on stage had long since dissipated.

Alas, a life.

Ideals are ideals. After being rubbed by the society more times, most of the ideals in youthful youth have turned into instant enjoyment, muddling along, and drunkenness today.

But he still has a little idealism.

Xiao Zhou, it's interesting.

Chen Houkun cut the fixed line of closed chest drainage and pulled out the chest tube.

"Single lung."

"Professor Chen, you already have one lung." The anesthetist said hastily.

The title is still Professor Chen, Chen Houkun didn't care, he poked in the incision where the chest tube was stored, and then sent it into the camera.

It's really scientific. If there is no thoracoscopy, the patient will have to face at least one thoracotomy. Seeing is believing.But with a laparoscope, you can see with your own eyes if there is a surgical error in ten minutes.

Chen Houkun held his breath, his eyes fixed on the screen.

An abnormal situation appeared in the red background—the mesh-style suture pericardial defect was torn off, and the suture was pushed downward.

Zhang You's face turned pale when he saw the picture on the TV screen.

The light source continued to move forward, and soon Chen Houkun found the best position.

The images on the TV screen confirmed that the heart had completely entered the right chest cavity, the root of the superior vena cava and the right atrial appendage were obviously twisted into an angle, and the heart herniated to the right chest cavity through the pericardial defect.

"Director Zhang, prepare to have your chest opened."

After seeing it clearly, Chen Houkun turned around and said to Zhang again.

Zhang You nodded in despair.

How can the suture of the pericardium be torn off?What a strange thing.It's a pity that he was not allowed to quibble this time, and saw with his own eyes that the pericardial defect was torn off and the suture was pushed downward.

"It's really a heart hernia?" Director Cui of the anesthesiology department said in a daze.

He didn't expect that it was really a mistake in the operation. The previous argument with Zhang You was just a kind of instinct to protect the calf. There was normal conflict between departments and routine operations.

Chen Houkun pulled out the lens, wiped it with wet gauze, turned and stepped off the stage.Countless eyes fell on his back, and Chen Houkun's mood was a little complicated.

The patient had a definite diagnosis of cardiac hernia, but without increasing the secondary damage. This diagnosis is extremely beautiful!

This is the advantage of laparoscopic surgery, but the scope is too small. It would be great if we could actually do sleeve resection.

Thinking of this, Chen Houkun's yearning for Mozuan suddenly burned.

Chapter 0118 training surgery, that is borrowed!

After stepping down, Chen Houkun has been thinking about this matter.

He was very clear about the debate between Zhang You and Director Cui. The reason why Zhang You was unwilling to have a second thoracotomy was because the trauma of the second thoracotomy caused many doctors to hesitate.

If you were yourself, you would have to hesitate, and you might even delay the best time to rescue.

However, thoracoscopy can observe the lesion under direct vision, which is more direct, objective and clear than imaging diagnostic evidence such as chest X-ray or echocardiography.

It has proven to be a simple, quick and reliable diagnostic tool for diagnosing cardiac hernia after intrapericardial pneumonectomy.

Since he is unable to change the fait accompli, Xiao Zhou is sure that laparoscopy can even perform cuff cutting, so practice hard!

Chen Houkun was sitting in the locker room, holding his mobile phone in his hand, hesitating for a while, but still called Zhou Congwen.

"Xiao Zhou, the patient is indeed a heart hernia." Chen Houkun said straight to the point.

"Wait a minute, Brother Chen." Zhou Congwen's voice was a little cold, and Chen Houkun's heart skipped a beat.

"You didn't add anything. What Director Wang said in the end is right. To improve the professional level, I think especially the heads of departments need to improve the professional level. The old saying goes well, a raging soldier is a raging army, everyone is right Okay. Excuse me, I'll answer the phone."

Zhou Congwen's voice came out of the phone. It didn't look like a little doctor at all. Instead, it was majestic and heavy, full of energy without anger.

He talked about Director Wang, but he was pointing at Wang Chengfa's nose and cursing like a natural director... Chen Houkun shook his head helplessly.

"Brother Chen, has the chest been re-sewed up?"

"Well, thank you for your timely suggestion." Chen Houkun said something.

"Oh, it's a small problem, just see more." Zhou Congwen said indifferently.

"..."

Is this what a small doctor in a city-level hospital who can't perform surgery said to the deputy director of the provincial capital?It should be the other way around, Chen Houkun was in a daze.

"By the way, Xiao Zhou, I have something to do with you." Chen Houkun didn't worry about this, and hurriedly took the time to talk to Zhou Congwen while his heart was still warm.

"I can't go to the provincial capital recently, brother Chen, really."

"It's not about this, can you lend me your drill for a few days?" Chen Houkun felt very embarrassed.

Isn't it a joke to open your mouth to connect 50 devices.

The point is that the relationship between me and Zhou Congwen doesn't seem to be worth 50 yuan, so I should be rejected.

Sure enough, just as Chen Houkun thought, Zhou Congwen fell silent on the phone.

"Well, it doesn't matter if you don't borrow it, I have time to go to your place, you teach me." Chen Houkun gave himself a step down.

"Brother Chen, aren't you in charge of the thoracoscopy team?" Zhou Congwen stated a fact in a puzzled tone.

"Yes what's the matter?"

"Johnson, Olympus, Olida, didn't they come to you? Ordinarily not." Zhou Congwen asked in surprise.

"..."

"It shouldn't be. They should have known about such a major personnel change in the Second Hospital of the Provincial Medical University. Could it be that the regional managers of Johnson & Johnson, Olympus, and Olida are so slow? No, no."

Zhou Congwen talked to himself, and finally denied his own statement.

"Xiao Zhou, how do you know?" Chen Houkun was surprised.

"Uh... don't you need to know something about medical care. We have a drug manager who goes to Mr. Wang's house to clean the house every day, just like a nanny. Antibiotics, who doesn't use them?" Zhou Congwen typed a haha, " Did they find you?"

"I just talked to Olida's salesman about it."

"I refused the opportunity to study abroad. The level of laparoscopy performed by foreigners is very poor, because I have been in contact with it for a few years. If you want to learn, you might as well go to the People's Hospital of Imperial University to find Director Wang Jun."

"..." Chen Houkun was speechless.

"What is there to talk about with a sales representative? Let their manager come. Brother Chen, you will be the person who will do the most thoracoscopy in the province in the future. Whoever can survive in the province, Johnson & Johnson, Olympus, or Olida? It depends on your attitude."

"..."

Chen Houkun remained speechless, it was hard for him to imagine what Zhou Congwen described.

"Foreign companies are more restrained, er... except for orthopedics. You ask their sales managers, they don't want other opportunities to study abroad. Whoever buys the drill will use it this year."

"This year?"

"Yeah, a drill is only 50 yuan, do they still want to go to heaven?"