"Perfusion of cold-blooded stop jumping!"

"Heart Resupply ......."

"It's a rejump!"

In the operating room, Fang Han's voice sounded from time to time.

Solis does not understand Chinese, plus the nurses are not from the Solis team, except for Lin Xintong, the other nurses are temporarily transferred from the provincial hospital, so Fang Han and Solis have a tacit understanding, Solis is the main knife, but the order is given by Fang Han.

As far as cardiac surgery is concerned, the requirements for nurses are also quite high, the establishment of cardiopulmonary bypass, the risk is very high, whether the heart can re-beat after the re-supply of blood is very critical, Jiangzhong Hospital has not done cardiac surgery before, nurses have no way to operate the cardiopulmonary bypass machine, and it is impossible to keep up with the cooperation.

"It's a double jump. ”

Whether it is the main venue or the observation room of Jiangzhong Hospital, the doctors are in a mood with the rhythm of the operation.

"Dr. Solis's operation is really perfect. ”

"In addition to Solis, the teamwork is also quite tacit. ”

The doctors who watched the operation expressed their opinions.

Heart bypass surgery is a major operation, and there are quite a few doctors involved, several more than the doctors required for liver resection.

Compared with liver surgery, heart surgery involves the removal of bypass material during surgery.

Heart bypass surgery is a procedure in which a passage is created between the proximal and distal ends of the coronary artery stenosis so that blood can bypass the stenosis and reach the distal end, and the material of this passage is taken from a section of the patient's own blood vessel.

According to the different blood vessels selected, bypass surgery is divided into saphenous vein bypass, internal thoracic artery bypass, and radial artery bypass.

The first cardiac bypass surgery performed by Hopkins Hospital was the Great Cryptic Bypass, which was gradually used in the treatment of refractory angina, acute myocardial infarction, severe ventricular arrhythmias, and recurrent stenosis after catheter balloon dilation.

Saphenous vein bypass is followed by internal thoracic artery bypass and radial artery bypass, which is a process of continuous improvement of heart bypass surgery.

After the first case of saphenous vein bypass graft patients, through prognosis and statistics, it was gradually found that patients with saphenous vein bypass graft were more likely to produce vascular intimal hyperplasia, and in severe cases, the bridge could be blocked within 3 months, and most saphenous vein bypass grafts would have different degrees of blockage in 5 years after surgery.

In contrast, the radial artery is an ideal material for grafts, and the radial artery itself has a relevant anatomical and physiological basis.

This time, Solis used the radial artery bypass.

........

Although the nurse team is unfamiliar, with Fang Han, a doctor with a high level of heart surgery, as an assistant, the whole operation went smoothly and did not take long, and the operation was completed in two and a half hours.

After the first operation was completed, I rested for less than half an hour, and then the second operation began, and it was already half past one o'clock.

In the afternoon, there was a postoperative analysis, Fang Han, Solis and others went directly to the Binjiang Hotel for lunch, and arrived at the main venue at three o'clock in the afternoon.

When Fang Han walked into the main venue with Solis, the other experts and doctors were already in place, and many people exclaimed when they saw Fang Han coming in with Solis.

"That young man next to Solis is Ichisuke just now?"

"No, I'm too young. ”

"So young, twenty-five?"

Some people just began to question, and Zhao Manni's voice had already sounded.

"Dr. Solis and Dr. Fang from the Emergency Department of Jiangzhong Hospital, who served as an assistant during the operation just now, have arrived at the scene, and the afternoon is the postoperative analysis, if the experts have any questions or doubts, you can ask Dr. Solis or Dr. Fang on the spot......

"It's really a help just now. "

"Fang Han of Jiangzhong Courtyard?"

"I'll go, it's this young man who opened his chest just now, is he mistaken?"

"It's amazing how young people are now, so young, and the surgery is so good. ”

Many cardiologists who didn't know Fang Han before were a little incredulous.

Fang Han was wearing a mask during the operation just now, although many people also saw that Fang Han was young, but they never expected to be so young.

Fang Han and Solis sat on the main stage, with a microphone in front of them, and Zhao Manni sat diagonally opposite Fang Han and Solis in a cheongsam, and all three of them were diagonally facing the audience.

"Dr. Solis and Dr. Fang should be tired from having two surgeries in a row in the morning, right?"

Zhao Manni first asked in English and then in Chinese, and the female master's English level is still very high, and she can act as a translator.

"It's okay, longer surgeries are also often done for surgeons. Solis smiled, and there was no arrogance.

Solis seemed to be a little better off with Jon than Jon.

Of course, this relationship is also for the present, not the beginning.

When he first arrived in Yanjing, Solis was also quite arrogant, but after experiencing Yanjing's illness, poisoning, and long-term contact with Fang Han, and after half a month of visiting Jiangzhong Hospital, Solis's arrogance has gone a lot.

Solis has been in the country for almost two months, and this long time naturally feels different from Jon.

Zhao Manni asked a few questions about the opening remarks, and then got to the point.

"Before I ask a question, can Dr. Fang tell us about the operation just now, it seems that Dr. Solis used radial artery bypass surgery just now, I don't know much about this, and I don't know if it's right?"

"It's radial artery bypass. Fang Han nodded.

"Can Dr. Fang tell us about the advantages of radial artery bypass?" asked Zhao Manni.

As she asked, Zhao Manni also glanced at everyone in the audience and said with a smile: "We were all amazed by Dr. Fang's thoracotomy during the operation just now, but I heard that Dr. Fang also has a very high level in heart surgery. ”

In the postoperative analysis in the afternoon, in addition to random questions, the prelude is like a show, it is all scripted, what to ask and what not to ask, Zhao Manni is very clear.

In today's meeting, Solis is a gimmick, and Fang Han is the real protagonist.

Fang Han nodded and said, "Of course, I'm happy." ”

"Since the first case of heart bypass surgery, heart bypass surgery has also been continuously improved, from the initial saphenous vein bypass to radial artery bypass, it is a process of continuous maturity and improvement. ”

First, the radial artery is one of the main blood supply vessels of the forearm, except that the upper 1/3 segment is slightly deeper covered by the brachioradialis muscle, and the lower 2/3 segment is relatively shallow on average, which is easy to obtain during surgery.

At the same time, there are not many branches of the radial artery in the whole length, especially in the lower 2/3 segments, and the terminal branch and ulnar artery constitute the superficial and deep palmar arches, and the ligation or resection of the radial artery in most people will not cause insufficient blood supply to the fingers.

The radial artery is a small arteriole with a moderate diameter and wall thickness, and the distal inner diameter is about (2.45±0.32) mm, which matches the caliber of the coronary artery. At the same time, the radial artery is of moderate length, which can bypass any common target vessel, and even do sequential anastomosis to supply as many coronary branches as possible......."

Fang Han made a very detailed analysis and explanation.

"What is the origin of this Fang Han?"

"Jiang Zhongyuan, this is a lot of power. ”

"But don't say it, this young doctor Fang's knowledge and level really don't say. ”

When Fang Han explained the analysis, there was also a lot of discussion in the audience.

After Fang Han analyzed the advantages of radial artery bypass, Solis shared some of his experiences and experiences, among which there are still a lot of dry goods.

"This Solis was hidden when he was in Yanjing, but this time he was a lot more frank. Wang Zhicheng was angry.

In Yenching Hospital, Solis also had a few surgeries, and the operation was over, and he didn't bother to explain at all, it was up to you to understand how much you understood, where was it so easy to talk this time.

"Director Wang, I'm curious, why did Solis follow Fang Han to Jiangzhong?" asked Zhang Jiahao.

Zhang Jiahao has been curious about this question for a long time, even if Fang Han has done a heart retrieval and repair, it will not make Solis admire, right?

After coming today, Zhang Jiahao found a problem, Solis had no frame at all in front of Fang Han, and it can be said that he completely cooperated with Fang Han.

"If it weren't for Fang Han, this gringo would have almost gone to see their God. ”

Wang Zhicheng didn't hide it, and simply told the story, the dry goods that Solis said didn't mean much to them, and they didn't care, just chatted below.

"And this?" Zhang Jiahao laughed when he heard it.

"Don't say it, this little party is really incomprehensible, as if it can do anything. ”

Wang Zhicheng shook his head: "At first, I thought he was a Chinese medicine doctor, but after staying in the Chinese medicine department for two days, he went to the emergency department for liver surgery, and if he did liver surgery, he would do liver surgery, everyone was used to it, and he did heart surgery again......"

Zhang Jiahao also listened with a wry smile on his face.

Before meeting Fang Han, Zhang Jiahao has always been very proud, an extracardiac expert in his early forties, the top in China, young and high-level.

From Zhang Jiahao's point of view, he can come to today's position at the age of 40, and it can be said that he has already stood in a position that 90% of the country's doctors cannot reach in his lifetime.

But after meeting Fang Han, Zhang Jiahao always felt that he was a little wasted.

It's like when he was in school, he was originally the first in the village middle school, a top student, but when he arrived at the city's key high school, he found that there were many geniuses in other schools.

Of course, it is precisely because of the pressure of so many geniuses in the city's key high schools that Zhang Jiahao worked hard and became the first again, all the way up.

But back then, in the city, those geniuses were the same age as him, and they started at the same starting line, even if he fell behind because of the initial rural primary school and township middle school education, he could still catch up.

Can you face Fang Han?

It's like facing a skipping student, who jumps from the first grade to the fifth grade or even the sixth grade, and is still the first in the age, do you say you are convinced?