Medical road Qingyun

The Department of Cardiac Surgery arranged for Gao Qian to come to participate in the linkage consultation of the hematology application.

Gao Qian was slightly stunned when she saw Zhao Yuan, and then couldn't help but smile at him.

Zhao Yuan took the initiative to greet him and explained, "Director Gao, hello. I recently worked in the haematology department.

Gao Qian remembered her wheel experience back then, but it was not as smooth as Zhao Yuan, and she couldn't help but feel a lot of emotion.

"Dean Chang really favors you, and the interns will participate in the rotation department, tsk.

After speaking, she walked towards Zhu Haixia.

In the face of the respected seniors, Gao Qian's attitude was very respectful.

"Dean Zhu, where is the patient?"

Zhu Haixia said, "Come with me to the ward." The

crowd came to the ward.

A boy was lying on a hospital bed, his face pale, his hair shaved and he looked very weak.

Xu Qin took the case and introduced the situation to the people involved in the consultation.

"The patient, a four-year-old man, was treated in our hospital for acute lymphoid leukemia and received an umbilical cord plus hematopoietic stem cell transplant, but he needed to continue multiple courses of chemotherapy after the operation, and a long PICC tube was implanted for him to facilitate the infusion of chemotherapy drugs.

Today, the patient's parents took him to the hospital for daily PICC tube maintenance and flushing, and the nurse who received him found that the PICC tube at the puncture port was broken and the slender tube was missing. He was then sent to the interventional department for examination, and it was found that the broken PICC tube was about 28 cm long, and the detached part had flowed into the heart with the flow of blood. "

X-rays performed in the emergency department showed that the tip of the PICC catheter had reached the right pulmonary artery and the end was left to the medial shoulder joint in the left subclavian vein.

Gao Qian looked at the medical records and examination reports, with a solemn look in her eyes.

"The beating of the heart will cause the heart to be repeatedly irritated by foreign bodies, and the patient will face the danger of arrhythmia, cardiac arrest, puncture of the heart, pulmonary embolism, etc., which will endanger the patient's life and require surgery as soon as possible. Now the question is what kind of operation to use.

Zhu Haixia's face was worried: "The child is too young, if thoracotomy is used, it is necessary to establish cardiopulmonary bypass to open the chest cavity and heart, the child suffers from blood system diseases, the risk of bleeding will be very high, and the body will most likely not be able to withstand thoracotomy surgery."

Gao Qian frowned, "If the interventional method is used, although the wound is small and the postoperative recovery will be faster, it will be very difficult." First, children's body organs are much smaller and their blood vessels are thinner. Second, interventional surgery requires special consumables, and as far as I know, the hospital does not have a suitable catcher for pediatric intervention. The

mother who was guarding next to the child heard Gao Qian say this, and immediately cried bitterly.

"Doctor, please save my son.

Gao Qian sighed slightly.

She is also a parent, and she can feel the mentality of the other party almost collapsed.

Originally, leukemia is a terminal disease, and hematopoietic stem cell transplantation is an extremely difficult operation, which requires not only luck, but also a long recovery.

Finally, my son completed a stem cell transplant, and the light of day appeared.

Who would have thought that fate would choke the throat again.

Although the child was in pain, when he saw his mother crying, he still squeezed out a smile, "Mom, don't cry, I will definitely get better." Gao

Qian has always felt cold and cold, and she can't help but have sour eyes at the moment.

Gao Qian took a deep breath and helped the child's mother up, "Don't worry, we will definitely do our best to make him better."

Gao Qian locked Zhao Yuan in the crowd, and Zhao Yuan stood at the back.

Gao Qian beckoned to him, "Doctor Zhao, what do you think?" Everyone

was surprised.

Zhao Yuan is a celebrity in Tianhua Hospital, and everyone knows that Zhao Yuan has been appointed to the emergency surgery department.

As a hematologist, at the bottom of my heart, I have some contempt for emergency surgery doctors.

Especially Xu Qin and Huang Gang. They are doctors, and they will have a sense of superiority in the face of doctors with undergraduate degrees.

Medical students from undergraduate to graduate students to doctoral students, unlike other industries, have studied for many years, with great intensity and deep research topics, which are tempered step by step and down-to-earth.

It is difficult for them to accept that the strength and talent of an undergraduate student will be above them.

Otherwise, wouldn't it be in vain to read the book for so many years?

Therefore, when Zhao Yuan pointed fingers at Yanyan's condition, the two were quite disdainful.

Gao Qian focused on asking Zhao Yuan at the moment, and the two of them felt even more unbalanced.

What constructive suggestions can an emergency surgery intern give to the difficult problems of cardiac surgery?

Zhu Haixia also looked at Gao Qian with a question mark on her face.

Gao Qian realized that her behavior was incomprehensible.

She hurriedly and patiently explained, "Dean Zhu, you don't know much about Zhao Yuan, although he is a medical student in emergency surgery, he is a good hand in cardiac surgery. Not long ago, I just underwent an interventional heart bullet removal operation, and the skills were astonishing.

Zhu Haixia suddenly realized that although the hospital did not report this matter in a big way, it would still reach her ears in a piecemeal way.

At that time, Zhu Haixia only knew that a young doctor had successfully completed this ultra-difficult operation, and did not know that Zhao Yuan was the young doctor.

Xu Qin and Huang Gang on the side were a little bad.

Heart bullet extraction, although it is not a cardiac surgery specialty, they know the difficulty!

Zhu Haixia nodded at Zhao Yuan, "Xiao Zhao, tell me about it."

Zhao Yuan stepped forward to give the boy a detailed physical examination.

Although Xu Qin had already introduced the patient's situation just now, Zhao Yuan had to go into battle in person in order to have a more accurate judgment.

This leads to the development of effective treatment options.

After Zhao Yuan's examination, the child's condition was very tricky.

He thought for a moment and suggested, "You still have to use the intervention method to try to remove the catheter." If you don't have a specialized catcher, consider making your own.

Gao Qian's eyes widened, revealing a look of surprise, "How to make it?"

Zhao Yuan took out a pen from his pocket, quickly drew a sketch on the notebook, marked the size, and handed it to Gao Qian.

Gao Qian is an expert, and she can see Zhao Yuan's thoughts at a glance.

"The long sheath is cut to the length that fits the child's torso, and a suitable catcher is made with the smallest guidewire. "

Interventional surgery uses a vascular sheath to enter the body and then uses a microguidewire to operate.

The vascular sheath group consists of a sheath group (a sheath, a dilator), a microguidewire, a puncture needle, and a syringe.

Since the

manufacturer did not provide special equipment, it would do it by itself.

How can a general surgeon have such courage?

At least at the level of a well-known expert, he can have such confidence.

Self-made equipment is common on the battlefield, and the equipment brought by military doctors is limited, but in extreme cases, it is necessary to use limited equipment and transform it into suitable equipment to treat the wounded.

However, now it is not a battlefield, it is in a hospital, if there is a problem with the modified equipment, resulting in the deterioration of the patient's condition, it will cause medical disputes, and few people dare to do this if they are not authoritative.

Gao Qian glanced at the little patient on the bed, and immediately made a decision, "Just follow your train of thought, you will be the chief surgeon!"

Huang Gang was taken aback.

Unexpectedly, Gao Qian directly asked Zhao Yuan to serve as the chief surgeon, which completely subverted his positioning of Zhao Yuan.

Isn't he an intern?

Cardiac interventional retrieval is a proper fourth-level operation!

Gao Qian's trust in Zhao Yuan was not a whim, it was based on many contacts and constant understanding.

In particular, Zhao Yuan used the intervention method to remove two bullets from the right ventricle.

Gao Qian already regarded Zhao Yuan as one of the best surgeons in Tianhua's interventional cardiac surgery.

Zhu Haixia noticed Xu Qin and Huang Gang's reaction, and couldn't help frowning slightly.

The two Ph.D. students she has brought have good potential.

However, the mind still needs to be sharpened.

They are usually a little arrogant and always feel superior.

Zhao Yuan, together with them, is a reserve talent valued by the hospital.

For Xu Qin and Huang Gang, it is also a good thing that they now have the opportunity to get to know the strength of their peers up close.

They are still far from the top, and they are actually quite far behind!