0164 Speed of Life and Death (I)
Many people felt regret in their hearts, why did the recording of the operation have to be cancelled? If there was a recording, the operation would have to be reviewed 100 times regardless of whether the operation was successful or not.
γHybrid Surgery...... I've only heard of it, but I've never seen it. γ
[Fortunately, at least you've heard of it.] I just learned about the existence of hybrid operating rooms when I was in Baidu. γ
[Only large tertiary hospitals in big cities will have hybrid operating rooms, and they have to be newly built. Before the expansion, there were no hybrid operating rooms in Xiehe, Fuwai, and Huaxi. γ
There were few barrages, and the young doctors who were on the barrage didn't have the heart to chat, and watched the operation intently.
In the field of view of the live broadcast, a pair of hands appeared steadily, the left and right hands were crossed, and the speed of the right hand twisting the micro guide wire was very fast, and it seemed that in less than a minute, the field of vision was changed to the field of view of the screen in front of the operator.
The microguidewire is in place, the microcatheter is entered, and the imaging is subsequent.
There is no over-selection to the third and fourth level blood vessels, as in the past. In the live broadcast footage, the catheter is injected with a contrast agent in the aorta.
Was it in a hurry? Or was it because of what?
After the high-pressure syringe was injected with the contrast agent, Zheng Ren stopped the operation and looked intently at the image opposite.
Because the location of the bleeding is not known, it can only be used this way.
Although it will delay a little time, it will save a lot of time during the overall surgical process and increase the probability of a successful operation.
10 seconds......
20 seconds ......
As time passed, the X-ray imaging equipment turned on, converting the flow of contrast agent in Miao Xiaohua's body into images, which were presented in front of Zheng Ren's eyes frame by frame.
Over here!
Finally, in the 23rd second, Jung in found the bleeding point.
Left gastric artery!
After removing the surgical sheet for interventional surgery, Zheng Ren and Su Yun began to re-lay the sterile sheet as quickly as possible, brushed their hands, and prepared to open their abdomen.
In the apricot grove garden, many people were puzzled.
[Pancreatic pseudocyst? A rare disease, what is the surgeon looking at just now?]
[If you don't understand, ask the same question.] γ
[I guess the surgeon is looking at the bleeding point.] Looking at the location, it is the left gastric artery hemorrhage, and the surgeon will contrast to check the bleeding location, but because the patient's blood pressure is too low, the bleeding location is too weak, and it can only be judged by experience. γ
[I'll go...... The patient's blood pressure cannot be measured, his heart rate is already 160 beats per minute, and he has atrial fibrillation, and it is estimated that his heart will not be able to hold on. The thought of this kind of rescue gives me a headache. γ
Why not embolize next?]
[Brother, this is the left gastric artery, if you directly bolt the main trunk, most of the stomach will die.] If the embolic agent drifts into the superior mesenteric artery and most of the colon dies, this is not a rescue, it is a homicide. γ
[Is it going to be an open abdomen next? Can surgery still do this? It's amazing. If we are here, we will have to open a laparotomy to see if we can find the bleeding point quickly...... It's really a matter of fate. γ
[It's okay, I just came back from the imperial capital for further study, and in half a year, I have also seen a few hybrid surgeries. However, I have never encountered such a crisis situation faced by a practitioner. γ
In the live broadcast room of the operation, the barrage flew wildly, the patient's rising heart rate, and the constantly decreasing blood pressure affected the hearts of every doctor who watched the live broadcast.
Empathize, the doctors who watched the live broadcast were more or less involved in the rescue of critically ill patients, and everyone substituted themselves, and couldn't help but feel that their heart rate soared with the patient's heart rate, and their palms were full of sweat.
The more nervous you are, the more you have to be skinny.
Otherwise, the tense atmosphere in the operating room will crush people.
This is a habit that doctors who are watching live broadcasts have developed over the years.
β¦β¦
Haicheng First Hospital, in the interventional hybrid operating room.
Zheng Ren quickly tore off the sterile gown, threw down an incision next to the left rectus abdominis muscle, took off the lead garment directly, and brushed his hands again.
The operation of the pancreas, Zheng Ren has only been briefly exposed to it in the system space, and has not studied it systematically.
At present, the surgery for acute pancreatitis and chronic pancreatitis has been fundamentally treated because of the successful development of 14-peptide somatostatin.
Conservative treatment with drugs is more effective than surgery, and who wants to risk a 30% mortality rate to go to the stage for surgery?
So Zheng Ren didn't expect that one day, he would need to face pancreatic surgery.
Fortunately!
Zheng Ren, who is like a little squirrel in the winter, has stored a lot of skill points and experience points.
Although the system has not issued missions recently, Zheng Ren still has experience points to squander.
The moment he brushed his hands again, Zheng Ren brought the radiation ray energy conversion lead coat back to the system space, and then began to quickly take stock of his "inventory".
These days, the main quest has done a few more rounds, and the general surgery skill has 3246 points, and the inventory can be free skill points 2025 points.
Zheng Ren did not hesitate and clicked 1754 skills on the general surgery skill tree.
With a gust of breeze blowing on his face, Zheng Ren felt his body lighter, and there were countless familiar pictures in his mind. The fingers of both hands move slightly, and it is much lighter and more flexible.
Is this what it feels like to be a master of general surgery? It doesn't seem to be reborn.
Looking at the remaining 271 free skill points, Zheng Ren looked away indifferently and began to click on the purchase of surgery time.
After a period of accumulation, the experience points exceeded 250,000.
Not much, but it should be enough.
After all, overall general surgery skills have reached a master's level.
Zheng Ren purchased 200,000 hours of operation time and 55.5 hours of systematic training, which officially began.
The operating room of the system rises from the ground, and the test subject is already in a position, waiting for the operation.
Each case is an experimental subject related to the pancreas, and Zheng Ren naturally started with pancreatic pseudocysts.
The difficulty of surgery on the pancreas is similar to that of the liver, and even slightly higher.
After all, the anatomy and physiology of the pancreas have special properties.
In more than 50 hours, Zheng Ren will only complete less than 100 pancreatic surgeries, which is still pure operation time, and he doesn't even need to close his abdomen.
β¦β¦
Zheng Ren went to brush his hands, but Su Yun didn't even have time to take off the surgical gown, so he was directly disinfected in a lead suit.
The head nurse began to open the laparotomy bag, and another instrument nurse had finished brushing her hands, put on a surgical gown, and began to tap various instruments.
Counting is one of the jobs that an instrument nurse must do. The number of instruments, consumables, and gauze before and after surgery should be correct, otherwise what will be in the patient's body...... That's serious medical malpractice.
Su Yun disinfected, laid out the first layer of surgical sheets, turned to leave, ripped off the sterile surgical gown, took off the lead gown, and prepared to brush his hands again. At the same time, Zheng Ren wore a surgical gown and began to lay the second layer of sterile sheets, which was almost seamless, and the cooperation was tacit and perfect to the extreme.
"Knives. Zheng Ren laid out the list and stretched out his hand to say.
Because Zheng Ren's speed was too fast, the work of the head nurse and the new instrument nurse had not yet been completed, and they were interrupted by Zheng Ren's words.
"Give him a pair of center-bending pliers, a knife, a piece of gauze, and we'll keep counting. The head nurse glared at Zheng Ren, but understood his anxious mood and arranged it.
"Also suction device, wear a condom. β
This cooperation, the degree of tacit understanding is much worse than that with the Shay.
But at this time, little Shay was squatting in the corner of the operation room crying, and he couldn't go on stage to cooperate with the operation.
Zheng Ren disinfected again, then picked up the knife, held the pen, raised the knife and fell, and made an incision that was more than 15cm long next to Miao Xiaohua's left rectus abdominis muscle.