Chapter Seventy-Nine: Bomb Removal Surgery

"Doctor Jing, are you going to hold the knife yourself this time?" Bai Qi lay on the hospital bed, his speech was not disordered, and he seemed to be quite conscious.

Sedum ignored him, but looked at the comprehensive test results again.

Blood flow is normal, heart rate is stable, blood pressure is normal, and ECG is normal.

After X-ray and TTE detection, as well as the four-chamber view, it can be accurately determined that the location of the sub-I bomb is on the white right ventricular diaphragm, surrounded by artifacts, the pericardial effusion is normal, and the tricuspid valve is mildly regurgitated.

Sedum knows that the location of the right ventricle is in the lower left front of the right atrium, which is a very important position.

But when he saw Bai Qi's sober face, Jing Ye felt that he needed anesthesia.

Soon, however, Bai Qi fell unconscious again.

Of course, this time the coma was not because of excessive blood loss, but because Bai Qi didn't sleep well last night and has been analyzing the case in the bureau.

Since he slept so deadly, there was no need for anesthesia, but an instrument nurse was prepared to be responsible for the handle.

"Section Chief Jing, when does it start?" the instrument nurse asked.

"Don't speak. ”

Jing Ye looked at the wound intently, and the operation of percutaneous bullet removal officially began.

The first step is deep venous catheterization, which punctures the leukocele vein in the right femur.

The main equipment items prepared are heparin-soaked hydrophilic coated guidewires, nylon-based intravenous catheters with multiple lateral holes, one-way gooseneck sleeves, terminal expansion stents, and sheaths for matching guidewires.

Because the device is not able to detect instruments and tools that match the model of Bai Qi's body, Jingye uses the standard matching model.

If it is not suitable, you can raise a model, although it may seem like a waste of time, but this is a common way for doctors, and there is no other way than this method.

After turning off the side tube switch, the dilator was also ready, in order to prevent accidents, in order to increase the flow rate of the subsequent contrast agent, Sedum once again habitually checked the catheter and sheath, and after confirming that it was a different model, it began to continue.

First, press the wound with your hand and make regular point pressure on the puncture point.

The other hand has begun to slowly push the sheath, and then intermittently inject into the guidewire to prevent synchronization with the catheter, and always pay attention to the fluoroscopy guidance, because blind delivery will lead to vascular damage.

It's just that when the guidewire is delivered, the mild regurgitation of the white tricuspid valve has been upgraded to moderate regurgitation.

Jingye was a little panicked.

But it doesn't matter, it doesn't affect the process of the second step.

As long as the second step is successful, then the operation is considered to be more than half successful.

However, if it fails, the sub-I bomb located in the right ventricle will be affected, and the sub-I bullet will be deflected to the groin.

In addition to using a multi-lateral catheter, in order to maximize the surgical effect in the initial state, Sedum began to obliquely cut the distal end of the sheath again, increased the flow of contrast medium again, and always paid attention to the tip of the catheter I to maintain left and right control to prevent perforation.

After everything was ready, the ring was finally prepared and the sub-I bomb was aligned.

"Section Chief Jing, are you sure you only use one ferrule?"

Because in this process, one ferrule can easily cause the sub-I bomb to slip off to the common iliac vein and the internal iliac vein, if two ferrules are used, then it can undoubtedly greatly improve the success rate.

"Yes. ”

But Jingye knew that the two rings would only damage Bai Qi's health again to the basic extent that they could have been successfully cured.

This is undoubtedly adding insult to injury.

As a doctor, it is necessary to ensure that patients avoid unnecessary secondary casualties within the scope of their ability.

I saw Jing Ye's hand, steady as a mountain.

But at the moment of catching the sub-I bomb, the hand speed was swift and gentle, and the precise ferrule of the sub-I bomb was successful like a dragonfly.

After taking it out, the instrument nurse next to him secretly marveled at Jing Ye's superb medical skills, and the time of the entire ring took only five seconds.

After listening to Jing Ye, she felt very sad for her thoughts.

I put a lot of thought into the success of this operation, and it cost me billions of brain cells just to select the key props, but she only paid attention to me for five seconds......

After the bullet was successfully retrieved, Jingye sutured the vein with No. 8 sutures, and as for some proper postoperative measures, it was handed over to the instrument nurse.

......

After the operation, Jing Ye hurriedly left, because there was indeed something very important to do in the prison.

If Chu Yunfei and the warden were really a gang, then Jing Chen's undercover operation would be seriously hindered.

In order to ensure the smooth implementation of the undercover plan, the first thing he has to do is to solve the problem of these two people.

Soon, he immediately drove back to the prison in his car.

"Section Chief Jing is really hard, while operating, while solving the case, while taking care of the bureau, and on the other hand, he has to take care of the prison, isn't he tired?"

"But compared to our white team, it's still far behind, you see that our white team is lying on the hospital bed in order to chase the murderer, fortunately he is fine, he is still our white team. ”

......

After returning to prison.

Seventy-nine crows are on a global tour.

Sure enough, trouble ensued.

First of all, the warden was invited to the office, saying that it was a heart-to-heart talk, but in fact, the warden had become smarter, and he suddenly felt that the last time he talked to Jingye, he not only felt that Jingye only had an extraneous meaning, but also something to say.

The warden asked in person: "Section Chief Jing, you said that I have a list of VIP members of Prison A, who did you listen to?"

Obviously, this problem makes Jingye a little difficult to ride a tiger.

After all, this person doesn't exist at all, it's completely made up.

But Jing Ye still made a decision and asked seriously, "Does the warden really want to know?"

"That's nature. ”

"But I have a colleague relationship with him, will it seem unkind and unjust if I tell him like this?" Jing Ye looked very entangled, "On one side is a colleague, and on the other side is the warden, I have a little difficulty in making a choice." ”

"But that only makes you more loyal to me. ”

"Chu Yunfei, Section Chief Chu. ”

Sedum said this in order to further test the warden's reaction.

After hearing this, the warden immediately stared at Jing Ye with a suspicious gaze, full of disbelief: "Section Chief Jing, you're not joking with me, are you?"

See.

Hooked again.

Jingye's heart is dark.

From this sentence, Jing Ye clearly understood that the warden and Chu Yunfei did have a common topic.

That's the list of members of Supervisor A.

So when Jing Ye said the name Chu Yunfei, the warden didn't believe it at all, he resolutely didn't believe that Chu Yunfei, a teammate, would fall into the trap for himself.

Although there is no evidence of Jing Ye, at least this stone that came out of nothing has begun to ripple in the warden's heart......

"Section Chief Jing, do you have any evidence?"

In order to be able to specifically judge Chu Yunfei's reliability to himself, the warden continued to ask.