949 ANGER (ROMATOTTI PLUS 1)
The airtight lead door had already been closed, and the screen lit up as Zheng Ren's blind election ended.
The micro guidewire has been blindly selected to a very deep position, and Zhu Liangchen knows that if he does blind selection by himself, he will definitely not be able to get here.
Inadvertently, he has recognized the standard of Zheng Ren's surgery. If you can't even do a good job in superselection, can you be recommended as a Nobel Prize project?
Then the overselection depends on the technical level.
The microguidewire enters the next hepatic artery without delay, no matter how weird the angle is, no matter how thin the lumen is, it does not hinder the entry of the microguidewire.
The level is really high, Zhu Liangchen looked at the superselection process of the micro guide wire, and was stunned.
Boss Zheng really not only did the TIPS surgery well, but the overall intervention level was much higher than his own level.
Maybe he can stop the bleeding smoothly, Zhu Liangchen can't be sure, he can only hope that Zheng Ren will succeed.
Every doctor, under normal circumstances, never wants the surgery to fail. No one thinks that way, no one thinks so.
It's just that Zhu Liangchen secretly pondered in his heart that the risk of the second-stage surgery was too high, or just a stent. Anyway, I have already mastered the selection of first-phase TIPS surgery, and I will not make such risky attempts in the future, so I can always do it.
Although there is a risk of elevated blood ammonia and hepatic encephalopathy, it is always much better than bleeding from secondary surgery.
Just watching, Zhu Liangchen suddenly saw that the micro-catheter stopped at a certain point, and the micro-catheter went in.
Over here......
The location seems to be a bit shallow.
Although for the vast majority of interventional doctors, including themselves, they are very lucky to be able to be selected here, and they have to feel explosive.
But before Zheng Ren's super-selection, there was no trace of difficulty, and Zhu Liangchen felt that he would definitely be able to do further super-selection.
After hesitating for a moment, I saw that the microcatheter had already reached its position, and if I didn't ask any more questions, it would be embolized immediately.
Although Zhu Liangchen didn't want to talk to Zheng Ren, like a child who had made a mistake, he didn't want to face it directly, but he was still ruthless and pressed the button on the walkie-talkie.
"Boss Zheng, please come out of trouble. Zhu Liangchen said in a deep voice.
Zheng Ren knew what Zhu Liangchen meant, and there was no way to say this kind of thing out loud. The patient is under local anesthesia and can hear everything clearly.
Although the state has not changed, the bleeding point of the liver is pressed by the stent, and there is not much blood, and it is still far from hemorrhagic shock. It was only a few hours of lying down, but the patient was clearly already a little impatient.
Especially with the change of surgeons.
Local anesthesia surgery, this is the worst.
Zheng Ren stopped stepping on the line, glanced at Director Kong, and whispered, "I'll go and explain the situation to Teacher Zhu." ”
Director Kong nodded.
Opening the airtight lead door with his feet, Zheng Ren raised his hands in front of his chest and came to the operation room.
"Boss Zheng, the over-selected position is a bit shallow. ”
"Teacher Zhu, you can't go any further. Zheng Rendao.
"Why?" Zhu Liangchen blurted out of question.
"Because of the operation you just did, it caused a large area of contusion to the liver parenchyma, and there was capillary bleeding. Zheng Ren's voice was very calm, just a simple statement of fact.
No anger, no accusations.
But even so, every sentence and every word was like an invisible hand, slapping Zhu Liangchen's face.
Zhu Liangchen's face was red and white alternately, his hands were clenched into fists, and he wanted to refute, but he couldn't find what to say.
Why do you want to learn TIPS surgery?!He roared in his heart, but he couldn't yell at Zheng Ren.
"If it's okay, I'll go for surgery. Zheng Ren said peacefully.
Zhu Liangchen didn't say anything, but turned around and looked at the screen.
Zheng Ren returned to the operating room, closed the airtight lead door, and the operation continued.
Director Kong did not question Zheng Ren's operation, and with years of rich clinical experience, he had vaguely guessed what Zheng Ren meant. In particular, he has a trust in Zheng Ren, Zheng Ren's approach is reasonable, as long as it is not too out of line, it is up to him to do it.
Forty-two minutes later, the delicate embolization of the six arterioles was finally completed.
Zheng Ren finished the second-stage TIPS surgery, waited for 10 minutes, and had another imaging.
In the liver parenchyma, there were no signs of massive bleeding, and the operation was over.
"Hard. Director Kong said.
"It should. Zheng Ren smiled, tore off the sterile surgical gown, threw it in the medical waste bin, and turned to take off the lead gown.
The two took off their lead clothes and returned to the operation room.
At this time, the little doctor under Zhu Liangchen was doing compressions to stop the bleeding, and then sent the patient to the problem, and Zheng Ren didn't have to worry about it.
"Thank you. Zhu Liangchen looked at Director Kong and said, "It's time to eat, let's go out for dinner." ”
Director Kong didn't speak, and glanced at Zheng Ren.
"You go, I'll go back and take a look at the absorbable splenic omentum, Ming'er has a live surgery, be cautious." Zheng Ren smiled and rejected Zhu Liangchen's invitation.
Although Zhu Liangchen also pinched his nose and said this invitation, he was very tired of eating with Zheng Ren in his heart, but after all, people were here to put out the fire, and he went back like this without even eating a meal, which was too unusual.
Hearing Zheng Ren's refusal, Zhu Liangchen had mixed feelings in his heart.
Angry that a young doctor had refused his invitation,
It's easy not to face this person, not to face your own mistakes.
Zheng Ren turned around and said, "Director Kong, I'm going to change my clothes." ”
Director Kong nodded and said, "Boss Zheng, you can call a car back by yourself, I have a little low blood sugar, eat a bite to eat and then leave." ”
"Okay. Zheng Ren went directly to the locker room and changed clothes.
When Zheng Ren left, Director Kong looked at Zhu Liangchen and was speechless for a long time. Hypoglycemia or something, just an excuse, everyone knows this.
Zhu Liangchen was at a loss when Director Kong looked at him.
After a long time, the patient was sent back, and Director Kong sighed, patted Zhu Liangchen's shoulder, and said, "Let's look at the patient." ”
"Hmm. Zhu Liangchen nodded and said.
"Old five, alas. Endless words, all in a long sigh.
……
Zheng Ren changed his clothes and walked out of the gate of the Imperial Capital Hepatobiliary Hospital with brisk steps.
Director Zhou Chunyong has already issued an invitation to himself, and he has been out of the clinic in the past few days to focus on patients with liver cirrhosis and portal hypertension.
It is said that some patients have been admitted, and Zheng Ren did not take the initiative to contact Zhou Chunyong for the specific number, and he did not know.
This kind of tertiary specialized hospital in the imperial capital, if it is open to receive, ten or twenty surgeries a day is the same as playing.
However, Zheng Ren didn't go to Zhou Chunyong, after all, he was here to save Taiwan, and he couldn't explain to Zhou Chunyong.
Although he thinks that Zhu Liangchen is an average person, Zheng Ren is not the kind of person who falls into the ground.
Walking out of the hospital, Zheng Rencai picked up his mobile phone.
I was going to send a message to Xiao Yiren, asking what he was going to eat at night, whether he was going to take the subway home or wait for Yiren to pick him up.
Unexpectedly, there were seven or eight missed calls on the phone.