Chapter 818: Double Jump (14,000 votes plus change)
"Huh!"
Emergency Department of Jiangzhong Hospital.
Since the installation of the new system, several doctors in the extrahepatic and orthopedic divisions, Xiao Yunheng and Wen Xueyi and others, will watch the live broadcast of the operation in the observation room at every turn.
For surgeons, the level is really to be improved all the time.
Sailing against the current, if you don't advance, you will retreat, these eight words are really very appropriate for surgeons.
All the doctors in major hospitals and medical research institutes around the world are constantly researching, trying to improve their skills, and trying to improve their procedures.
Especially in surgery, the development of medical standards is really quite rapid, often within three to five years, the original mastery of surgical procedures may become obsolete and replaced by new ones.
Often, the research and development of a new type of equipment may bring subversive changes to the entire surgical system.
As a surgeon, if you can't keep up with the times, if you don't want to improve your level all the time, you can only be constantly surpassed.
Since the emergency department has installed a new system, whenever they are idle, several surgeons will come around and see if there are any surgical videos to watch.
"I said Jiang Feng, will you not, don't move. ”
Jiang Feng tossed for a long time, and before he could get the picture, Xiao Yunheng couldn't help laughing and scolding.
"Don't worry, didn't you just start working on this thing, okay, it's out. ”
Jiang Feng adjusted as he adjusted, and a picture gradually appeared on the display, and then the picture gradually became clear.
"Is this a severed finger?"
"Dr. Lu is not here again, change another one. ”
Jiang Feng continued to tinker, and the picture changed.
"This is a signal from Yanjing Hospital, isn't it Doctor Fang?"
"Don't move, I'll see. ”
Xiao Yunheng glanced twice: "No, this is heart surgery, and cardiopulmonary bypass is being established." ”
"Heart surgery?"
Jiang Feng stopped, stood in front and watched: "I haven't seen heart surgery yet, let's see how to do it." ”
"I said that you are an orthopedic doctor, look at the energy of other people's hearts, do you understand yourself?" Xiao Yunheng scolded with a smile.
"Doctor Fang is not here for a while, this kid is a little heavenly. Wen Xueyi also interjected with a smile.
"Doctor Wen, what you said, I'm very well-behaved. ”
Jiang Feng hurriedly smiled, Xiao Yunheng He can not care, and Wen Xueyi He still has to care, Fang Han is not here for a while, and the bone injury division is basically a three-legged trend.
Wen Xueyi, Chen Yuan, and Lv Xinwen, Chen Yuan is the mainstay, Wen Xueyi and Lv Xinwen are supplemented, Chen Yuan is basically responsible for the division of bone injuries, but Wen Xueyi and Lv Xinwen are the main surgeons and can operate independently.
Whether Jiang Feng can have surgery depends on the face of Wen Xueyi and Lu Xinwen.
"Hey, is this chief surgeon Doctor Fang?"
The people in Jiangzhong Court were naturally the most familiar with Fang Han, they had seen Fang Han's appearance when he wore a surgical gown many times, and after a little glance, Xiao Yunheng recognized Fang Han coming.
"It's really Doctor Fang. ”
Jiang Feng's eyes were wide open, his mouth was slightly open, and he couldn't believe it.
"Are you sure this is heart surgery?" Wen Xueyi was also a little dumbfounded.
"So obviously the heart can't be seen, it's hanging the heart. ”
Xiao Yunheng stretched out his hand and pointed to the picture.
They don't know exactly what kind of heart surgery it is, but they still know that the heart is so big, and liver resection doesn't require cardiopulmonary bypass, right?
"The cow is big!"
Jiang Feng couldn't even find the right words: "Doctor Fang is really big, and he is doing outside the liver and doing outside the heart." ”
"I calculate, joint replacement, liver resection, heart surgery, ........"
Xiao Yunheng counted them one by one with his fingers like a primary school student: "There is also traditional Chinese medicine, acupuncture, bone correction, massage, ........."
Xiao Yunheng couldn't count it.
.......
"Perfusion of cold-blooded asystole fluid, lowering the heart temperature to 10°C, and perfusion of 1000ml for the first time. "
Wang Zhicheng helped while commanding at the same time.
For heart surgery, the temperature of the heart must be lowered to strengthen the protection of the right ventricle.
At this time, Wang Zhicheng was completely convinced, Fang Han's level was indeed not low, and it was not below him, although the operation had not yet reached the most critical part, it was possible to get a glimpse of the whole leopard, through the previous operation, Wang Zhicheng could see some things.
"Dr. Fang, cardiopulmonary bypass is operating normally and the patient is in stable condition. The itinerant nurse replied to Fang Han.
"Keep an eye on the data at all times. ”
Fang Han said as he began to continue the operation.
"Retractor reveals mitral valve ......."
As the mitral valve was exposed, Wang Zhicheng took a look at the situation and said, "This is much better than expected." ”
"The patient's mitral valve is still very good overall. ”
Previously, Wang Zhicheng only judged through examination, and Long Yaxin was caused by traumatic air force, so the situation was relatively rare.
Now seeing the mitral valve, Wang Zhicheng found that the real situation was much better than his judgment.
This is the case with surgery, and after the incision, the situation may be the same as predicted, or it may be worse than predicted, or it may be better than predicted.
Therefore, when doing some major surgeries, prediction is very important, beyond prediction, once the situation is more complicated, it is a great examination for doctors.
"Prepare non-invasive sutures, artificial chordae tendinae. ”
Fang Han was more aware of Long Yaxin's situation, after all, he had already simulated it, as long as there were no omissions in the process of cooperation, the entire operation would be the same as the simulated situation, and there would be no mistakes.
"The preceding chordae tendinae are ruptured, and the second-order chordae tendinae are very strong, which is indeed a good situation. Fang Han nodded.
Even if the chordae tendinae are ruptured, part of the chordae tendinae should be removed and replaced with an artificial chorda, and the secondary chordae tendinae will be strong, which is a very good situation.
........
"It's Wang Zhicheng from Yanjing Hospital standing on the side, right?" Guo Dingwen looked at it for a while and recognized Wang Zhicheng.
"It's Director Wang. Zhang Jiahao nodded.
"Wang Zhicheng didn't have a main knife?" Guo Dingwen was a little surprised.
"Fang Han's level is not below Wang Zhicheng. ”
Zhang Jiahao said while watching the operation video, and couldn't help but be surprised when he looked at it: "Fang Han is planning to fix the edge of the valve leaflet on the second-level tendinous cord......"
Union Hospital, Zhang Jiahao looked at the display intently.
After watching it for a while, Zhang Jiahao had already seen that Fang Han's heart surgery was very good, not worse than him at all, and even better than him in terms of prediction.
Of course, Zhang Jiahao didn't know that Fang Han's skills were copied from him, plus the simulation card, the level of Fang Han's performance at this time was indeed above Zhang Jiahao himself.
"Director Zhang, what do you mean by this?" Guo Dingwen didn't leave, and stood on the side watching at this time.
"The rupture of the first-degree chordae tendinae, which fixes the edge of the leaflet to the second-order chorda, has a relatively small impact on the patient, and the prognosis is good, and the recovery is almost non-existent, of course, the premise is that there are 1 or 2 thicker and stronger second-order tendons...... Of course, it is also a test of the doctor's level. Zhang Jiahao explained.
........
"Fang Han's level of sutures is quite high, which has great benefits for the patient's prognosis. "
In the observation room of Yanjing Hospital, Fang Haoyang said while watching the operation video.
Unlike liver resection, mitral cord tendinae repair has a considerable impact on the prognosis of patients with the level of sutures.
Incision is the key to hepatectomy, but sutures are the key to mitral chordae tendinae repair.
The higher the level of sutures, the better the patient's postoperative recovery and the less impact there will be after surgery.
"Yes, Fang Han's level of sutures is quite high, and his heart surgery is also very powerful, he is very measured in what kind of situation to take what kind of measures. ”
Xian Fen doesn't know how to express his feelings at this time, he has seen demons, but he has never seen this kind of demons.
At this time, Wang Zhicheng, who was standing next to Fang Han to help, didn't know what to say.
Before, he felt that Fang Han didn't let him have surgery because he looked down on him.
But at this time, he personally participated in the operation, and Wang Zhicheng knew that it was not that Fang Han did not choose him, but that Fang Han's level was higher.
Whether it is the prediction and process of the entire operation, or the sutures, Wang Zhicheng asked himself if he could compare to Fang Han.
At this time, Fang Han was silent, but focused on the operation with his whole body, and Wang Zhicheng watched seriously while helping.
At this time, he actually felt that he had learned something from Fang Han's operation.
This feeling made Wang Zhicheng's heart quite uncomfortable.
was compared to a young man.
Maybe Director Wang already had the same mood as Chen Peizhong at the beginning, of course, Director Wang is a little better than Chen Peizhong, after all, he is a helper......
"Heart Resupply ......."
It took a long time before Fang Han's voice sounded again.
"My heart is beating again......."
The assistant doctor on the side couldn't help but say in surprise.
The doctors involved in the operation today are also senior doctors outside the heart, usually follow Wang Zhicheng to do surgery, generally speaking, the heart is re-supplied, the heart will immediately re-beat, this is a very good situation, if the heart can not re-beat, you also need to shock the heart to make the heart beat again.
"Is this done?"
Zhang Xiaoquan just let out a long breath at this time, and looked at it in the observation room, it was really worrying.
Although it was Fang Han who did the operation, whether it was Yang Jianying, Fang Haoyang or Zhang Xiaoquan, their hearts were all in their throats.
"The heart is beating again, this is considered to be done, the operation went very well, all that remains is to suture the wound. Li Junxian said.
"Moreover, Dr. Fang's suture level is very high, the operation is perfect, and the delay time is shorter, and the shorter the cardiac arrest, the less damage to the heart. ”
"It's amazing, it's hard to look at it. ”
Xian Fen couldn't help but speak.
The liver resection is at a first-class level, and the heart surgery is done so well, except for the bull-force (broken sound), Xian Fen can't even find a more suitable word.