Medical road Qingyun

Chapter 155

The cardiac intervention was successful! The

projectile was really found! Everyone

had mixed feelings.

On the one hand, he was amazed

! Zhao Yuan's mind was too meticulous!

Wanting to discover that there was a projectile in the pericardium was not an imagination, Zhao Yuan relied on reasoning to draw conclusions, which was no different from an uncertain prophet.

Although they were all doctors, many of whom were experts in the field of heart and first aid, they did not have extensive experience in treating gunshot wounds.

There are 9 projectiles in a 12-gauge shotshot, which requires a certain basic knowledge of firearms.

In times of peace, it is rare to meet patients with gunshot wounds, and well-informed emergency surgeons will encounter blind spots and inexperience.

Everyone's doubts about Zhao Yuan are wrong judgments caused by lack of knowledge.

Therefore, there is shame in addition to amazement.

On the other hand, there is appreciation.

Zhao Yuan used cardiac intervention to find the bullet in the shortest time with the smallest trauma, and in the process, he showed solid basic skills.

Everyone realized that Zhao Yuan's level had reached the level of chief physician, and he was a chief physician of an extremely high level.

Everybody was wondering, what to do next?

One way is to cut the heart directly, take out the bullet, and then stitch the heart together.

Another way is to use a microwire to remove the bullet.

The first way is direct, but it is extremely harmful to the heart.

The second method requires strong operability and is not something that ordinary people can do.

"Controllable catheter sheath, snare device.

Zhao Yuan and the instrument nurse gave instructions.

Both of these devices are difficult to use in emergency surgery.

Generally, interventional surgery is used more.

Bai Xiaohu was stunned for a moment, and hurriedly coordinated with the itinerant nurse.

Zhao Yuan has had many interventional surgeries, and everyone knows that he has a high level of interventional surgery.

At this moment, the operating room became quiet, and there was no coughing sound.

Since discovering that there was a projectile in the heart, everyone tried to talk as little as possible, on the one hand, they were observing Zhao Yuan's operation, and on the other hand, they were avoiding distracting Zhao Yuan.

Gao Qian has found Jiang Qiang many times recently, thinking that Zhao Yuan has not come to participate in the training camp, which is not a good thing.

It's like an athlete on the football field, talent is not enough, you have to train regularly to make sure you are in good shape.

However, Gao Qian knew why Jiang Qiang was full of trust in Zhao Yuan at this time.

This young man's talent is beyond the comprehension of ordinary people.

Zhao Yuan twisted the ferrule, sent it into the catheter sheath, and soon entered the right ventricle, and an afterimage appeared on the screen.

Many people didn't understand what was going on, and Zhao Yuan locked the bullet with a ferrule.

Through extremely subtle feelings, Zhao Yuan captured the projectile and its surroundings.

He secretly breathed a sigh of relief.

Recently, the practice at home has been effective.

Through continuous strengthening exercises, the muscles have formed memories.

The situation is not so bad.

If the bullet is embedded in the inner wall, pulling out the bullet will definitely cause damage, and there will definitely be damage at that time, and the inner wall will have to be repaired later.

Now the bullet is free, so it will not hurt the inner wall when it is removed.

But the bullet is free, and trying to lock it is like catching a fish swimming in the water.

He rotated the catheter at an angle, operated cleanly, and the projectile was "locked" and dragged from the right ventricle to the right atrium.

Zhao Yuan hurriedly observed the patient's state, which was the most difficult step.

The patient was in a calm state and all signs were normal, Zhao Yuan breathed a sigh of relief and continued to manipulate the guidewire.

At the same time, everyone held their breath, observing the images that were not very intuitive, guessing which step Zhao Yuan had taken at the moment.

In the blink of an eye, the microguidewire enters the inferior vena cava from the right atrium and exits from the femoral artery.

The bell fell on the silver tray with another crisp sound.

The eighth projectile was taken out.

Still, the atmosphere was tense.

According to Zhao Yuan's judgment, there is still a projectile in the right ventricle, and the position is deeper, which means that it will be more difficult to take out.

......

The two senior attendees who treated the three groups of leavers have also been reported.

"Lao Li, start your performance, now that you have found the bullet, you can eat the bullet. "

Definitely luck and coincidence. Didn't you think it was unlikely?

"I didn't expect this Zhao Yuan to really have something. He actually guessed it. "

Zhao Yuan completely dominated this interventional operation. Although Director Jiang of the Department of Thoracic and Cardiac Surgery was present, he was only a bystander.

"Alas, in fact, Director Ren's departure from Tianhua is related to Zhao Yuan. Director Ren felt that if he stood still, he would be caught up by Zhao Yuan.

"Even if Director Ren is still here, I'm afraid I won't be able to do cardiac interventional surgery." WeChat

then began to fall silent....

......

Zhao Yuan is still continuing the operation, and with the first success, the next operation is familiar.

The guidewire dives all the way, and quickly finds the target not far from a bullet.

Zhao Yuan had experience, changed the angle, and easily lassoed the bullet.

Bell, the ninth bullet on the plate.

Everyone's mood relaxed.

The operation was carried out to this place, and at least the patient's life was saved.

Jiang Qiang smiled at Xie Changtian and said, "It seems that we can leave the field early." "

The intervention part of the heart has been done, and there is really no need for them to be present.

Xie Changtian nodded at Jiang Qiang, he could understand Jiang Qiang's mood at the moment.

In the past, Jiang Qiang put Zhao Yuan in the position of an excellent junior, but today's operation made Jiang Qiang realize that Zhao Yuan is not just an excellent junior, he is fully capable of independently operating cardiac interventional surgery.

The ever-changing techniques are actually the same in the final analysis.

Incision, entry, treatment, removal.

Since Zhao Yuan can remove the bullet by interventional means, it means that he can also intervene to place stents or remove diseased tissues...

Not only cardiac intervention, but also interventional surgery in other parts, Zhao Yuan is a good hand.

In addition, interventional surgery requires more delicate manipulation than open surgery.

Since Zhao Yuan can do interventional surgery, open surgery will be more handy.

After Jiang Qiang and Xie Changtian observed this operation, they had already realized that their position on Zhao Yuan was still too low before.

Can't be fooled by Zhao Yuan's youthful appearance.

From diagnosis to interventional treatment, every step is under Zhao Yuan's control.

Although Deng Yunlun was the leader of the treatment team, he was completely covered up in the light of Zhao Yuan.

Zhao Yuan is the conductor of a large-scale concert.

He controls everyone's rhythm and holds the core part.

Zhao Yuan's ability has reached the level of director! The bullet was

successfully taken out, and the patient's vital signs were stable.

Cardiac foreign bodies, bullet embolism, at least a few well-known experts have to go into battle.

Unexpectedly, Zhao Yuan took out the bullets in half an hour, and there were two.

Looking at the nine projectiles in the pathology tray, the people around them couldn't express their inner world at this moment.

This operation is enough to make Zhao Yuan "god"!