1275 The difficulty is definitely there, but it's not big (master_stop beating_plus more)
Papaverine. Zheng Ren said while looking at the image while operating.
As soon as the words fell, the drug had already been bolused. Su Yun watched the operation intently, and cooperated very tacitly.
"Boss, is there a high success rate here?" asked Su Yun very seriously.
"Dr. does not make trouble after the hemp turn, and the success rate is still very high. Zheng Ren said: "It's just a stent removal operation, there must be difficulty, but it's not big." ”
What an outrageous answer, Su Yun sighed in his heart.
The highest level of pretending to be forced is that no one else can do it, but you can do it yourself, and then say lightly, this difficulty is just like that.
I often use this method, for example, when I saved Zhao Yunlong, I finally left such a sentence.
But Zheng Ren said this to himself, and his feelings were completely different.
Su Yun's experience was quite poor.
Director Zhang Lin stood behind Zheng Ren's side, carefully watching the operation, she was completely thoughtless.
Coronary stent removal, this type of surgery has long been "eliminated".
It's not because of the way the surgery is done, it's because no one can do it smoothly.
In the process of adhesion, dissociation and decomposition between the stent and the vascular intima will cause myocardial ischemia with a high probability. There is even a possibility of a coronary tear, leading to cardiac tamponade and direct death of the patient.
In Director Zhang Lin's view, this is an unavoidable complication.
But the unavoidable things did not happen under the operation of Boss Zheng. She didn't even understand Boss Zheng's operation, and the bracket was taken out.
The extractor with the filter was taken out and placed directly on the instrument table by Zheng Ren.
Director Zhang Lin looked at it carefully several times, but he didn't know how this thing was taken out, and he didn't know why Dr. Mehal's anterior descending artery looked like it was made of reinforced concrete, and there was no spasm.
Curiously, she asked for a pair of sterile gloves to put on, and motioned for the nurse to hand her the stent.
The inner layer of the stent is covered with blood clots, and the lumen diameter has narrowed to half of its original size. Director Zhang Lin remembers the description in the medical record that in less than half a year, Dr. Mehal's coronary stent was blocked like this.
Again, this happened on top of Dr. Mehal's oral anticoagulant medication.
Director Zhang Lin tried to find another way to treat Dr. Mehal's illness, but the brace in her hand silently told her that there was only one way.
Whether it is a drug-loaded stent or an absorbable stent, it will definitely become useless in the hypercoagulable state of Dr. Mehal's blood.
Coronary stenting, which seems to be contraindicated, is the only option. Perhaps this is why Dr. Mehal is willing to try, he is a master of cardiology, and he must know that there is no way back.
Director Zhang Lin was in a trance, his eyes moved away from the inside of the bracket and carefully observed the outside of the bracket.
Intimal hyperplasia of blood vessels, forming some climbing marks at the stent adventitia. It's just that I don't know what means Boss Zheng used, which not only avoided coronary spasm, but also loosened the proliferation of the intima of blood vessels, so the stent was taken out.
It's really amazing, Director Zhang Lin thought.
This kind of contraindication in the textbook, Boss Zheng dares to do it, and Dr. Mehal also dares to ask Boss Zheng to do it, these two people are really too bold.
Just thinking about it, Zheng Ren had already put the brand-new stent with membrane into it on the operating table, but he did not have a striography, but directly started to do another coronary blood vessel.
Anterior descending stent removal and stent implantation were so successful?
Director Zhang Lin was speechless, and Boss Zheng was too confident.
Although he knew that he wanted to complete the operation before he woke up from basic anesthesia, there were still two arterial stents waiting to be removed and a new stent to be placed.
Is there too much time?
Thinking about it, Director Zhang Lin glanced at the clock hanging on the lintel.
Only 3 minutes passed before the bolus of the basic anesthetic drug.
Not only can it be done, but the surgery can also be done quickly. But when I watched the operation, why didn't I feel it?
Director Zhang Lin sighed, this is the gap in the level of surgery. Other little doctors think the same way when they see themselves doing surgery.
There is no difficulty in the operation here.
For the remaining two coronary arteries, the operation is exactly the same.
One stent can be removed, and the remaining two can also be removed, with zero difficulty...... As long as there are no accidents, Director Zhang Lin thought in his heart.
Boss Zheng's level of cardiac interventional surgery is so high!
Director Zhang Lin watched Zheng Ren continue to operate in a daze, and his heart was at a loss.
Compared with Boss Zheng, his level is more than an order of magnitude worse. This kind of forbidden area level operation, under his hands, is not difficult at all.
Before the operation, Director Zhang Lin repeatedly pondered what kind of rescue he might make during the operation. Some very rare complications are taken into account.
But now, looking at Dr. Mehal as she fell asleep, looking at the steady ECG monitoring that never seemed to change, she knew that her homework had been done in vain.
A contraindicated operation, without any complications, seems to be easier than doing a coronary angiogram yourself.
……
In the operating room, Dr. Mehar's accompanying medical team stood in the operating room, staring wide-eyed, and they were not allowed in.
Dean Yan and Vice Dean Yuan sat in front of the operating table, and the technician who was supposed to sit in front of the operating table could only hide behind very aggrieved. However, Boss Zheng doesn't seem to need a technician at all, and all operations are completed with the control panel inside. He could play soy sauce with nothing until the end of the operation.
If all the doctors did this, would they be unemployed?" thought to the technician.
As soon as the operation began, a conversation between Jung in and Dr. Mehal was heard over the loudspeaker, with interpreters interpreting at the same time behind the deans.
Neither dean knew how to describe it.
Dr. Mehal was like a child, full of curiosity about Zheng Ren's surgical technique.
Even the most dangerous heart surgery requires one or two strokes.
"Director Kong, what do you think?" Dean Yan said suddenly.
"Dean, the operation is difficult, but I believe that Boss Zheng can complete it smoothly. Director Kong said without hesitation.
"Won't there be vasospasm?" asked Dean Yan.
As he was talking, he saw through the leaded glass that Lao He began to give Dr. Mehal a bolus of anesthetic drugs for basic anesthesia.
It turned out that Boss Zheng really knew in his heart, Dean Yan changed his posture and sat comfortably in the chair, so that his legs were as soothing as possible.
Originally, he was holding a meeting in other places, but he put down a lot of reception work and rushed back against all odds. It's a bit tiring to run all the way.
But Boss Zheng's surgery is good, which is quite worry-free, Dean Yan thought to himself.
At the same time, in the operating room, a signal receiver transmits information.
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