475 Intraoperative quiescence
Surgery begins.
Ji Xiang cooperated with Director Li, and everything went well.
After overselection, the guidewire follows the femoral artery into the external iliac artery and then finds the superior mesenteric artery.
This surgery is done with great care, otherwise the patient will have extensive intestinal necrosis.
After the imaging, seeing the "smoking" place, Director Li continued to walk down the guidewire and continued to superselect.
"Teacher Shen, what does the smoke just now mean?" One of the guests asked.
"That's a contrast agent." Professor Shen replied, "Normally, the contrast agent will go through the blood vessels, but there is a rupture of small arteries in that place, that is, bleeding spots, and during the imaging, the contrast agent 'leaks' out of the blood vessels, and we can see smoke and find the bleeding point." ”
What Professor Shen said was a bit of a lake, and he didn't know the specific details.
Being able to say so many things, it can be said that Professor Shen's basic clinical knowledge is extremely solid. After all, at least 90% of doctors in hospitals don't know what interventional surgery is, which is an unpopular subject.
"The next step is to find the branches of blood vessels at all levels, and this section is the time to test the ability of the surgeon." Professor Shen continued, "The most perfect is to embolize the terminal branch of the arteriole, the lower the embolization, the less the intestine will be removed, and the less trauma and blow to the patient. ”
"Then ......" A guest was about to ask why he didn't do it, but as soon as he said it, he realized that it was not that the practitioner didn't want to do it, but that the practitioner couldn't do it at all.
Although he didn't know how to do the surgery, it should be like this.
"Director Li's level is very high, and he has been overselected to level 4 blood vessels." Professor Shen looked at the operating screen and made his own judgment, "Next, it is estimated that embolization will begin, and the scope of surgical resection of the intestinal tube will be about 40cm." ”
He paused, then glanced at the guests.
"This is already the top level in China, and Director Li's level is similar to the level of the interventional department of our hospital, but slightly higher."
Professor Shen then gave a definite answer.
Top level in the country!
As for what he said a little higher, it is estimated that it is a commercial blow, and the guests blocked this passage, and no one took it seriously.
The problem is that this explanation is too professional, and everyone in the review room, including Mao Mao, seems to understand.
The other guests couldn't interject at all, and even the bald host didn't know what to say next, after all, this is the most professional operation, and there is no point in asking casually, and you can't get to the point.
Seeing that the scene was deserted, the bald host stubbornly asked, "Mr. Shen, I heard what you just said, your hospital can do similar surgery, how much is such an operation?" ”
"Yes, the level of the director of our intervention department is about the same as that of Director Li." Professor Shen smiled, "I've seen him do this kind of surgery, so I know a little bit about it." There aren't many similar surgeries, after all, they are destructive surgeries. ”
"How many doctors in the country can do similar surgeries?"
"Not much, or very little." Professor Shen said.
He hesitated for a moment, not continuing to say why.
If you want to explain, it's health reasons, physical reasons, and income.
Give enough money, and people will do the more dangerous things. But now the hospital's performance appraisal ...... Although it is ironic to say that the four words of performance appraisal appear in the hospital, it cannot be bypassed.
So simply don't explain.
This is a variety show, can be positive energy or still have positive energy, even if Professor Shen looks down on the three words positive energy.
"The level of the First Affiliated Hospital is still high." One of the guests couldn't understand it, but he praised it.
was chatting, and the picture suddenly "froze".
The signal had always been smooth, but the sudden lag made everyone stunned.
In the picture, Director Liu was motionless, and Ji Xiang's head was slightly sideways, sticking to Director Liu's ear.
The two of them are still, like a painting, like a statue.
The picture carries the "beauty" of the doctor's profession and the solemnity of treating diseases and saving people.
The bald host was stunned for a moment, wanting to find someone to see the situation, but the camera moved slightly, probably caused by the photographer's hand shaking on his shoulder.
The photographer can move normally, and the picture will move, only Ji Xiang and Director Li are the ones who don't move.
What's going on......
The bald host looked at Professor Shen.
Professor Shen was also confused, not knowing what Director Li and Ji Xiang were doing on the operating table, could it be that this was some kind of ritual of interventional surgery?
Most doctors believe in some metaphysics, but this kind of metaphysical action in surgery is a bit outrageous.
But before Professor Shen could figure out what was going on, the picture returned to normal.
Director Li moved to the side of the patient's head, and Ji Xiang stood in Director Li's position and began to continue the operation.
Professor Shen was dumbfounded.
This kind of action means one thing - the next operation is extremely difficult, Director Li can't do it, and Ji Xiang still wants to give it a try.
Although this is the most plausible explanation.
But Professor Shen couldn't believe it, so much so that the bald host's question about him was completely ignored.
Stunned, he watched the guidewire continue to walk in, and a slender right-angle bend appeared in front of him.
The arteriole branch in front is extremely narrow, this should be the point where Director Li gave up, Professor Shen looked at it intently, and he didn't have time to think about the effect of the program.
In Professor Shen's cognition, this is already the limit of the operator.
But Jixiang still wants to give it a try, which is a very ridiculous thing, maybe it is also for the effect of the show.
If this is the case, Professor Shen does not approve of it.
Even if Director Fan paid for the patient's continued treatment, he did not approve of the method of using patients for experiments.
Although the teacher will lead the students to try it in the clinic, otherwise where will the clinical experience come from, how can there be inheritance.
This is not the case at the moment, and there is no point in continuing the operation, it will only increase the patient's operation time.
Professor Shen believes that this is the arrangement of the film crew.
In order to make an appearance of the little guy who scored the first in the country.
But!
The patient is still bleeding!
Can you reduce the redundant process and seize the time to stop the bleeding!
Thinking of this, Professor Shen's face was extremely ugly.
Doctors are more rigid, although many people are exquisite, but you can see the high-level doctor branch to see the leopard.
Professor Shen was displeased, and it can be said that he was quite unhappy. If he was at the scene, Professor Shen was afraid that he would scold when he opened his mouth.
"Teacher Shen, this is ......" the bald host asked again.
Professor Shen just wanted to say something unpleasant with a straight face, but before he could say anything, an image suddenly flashed in the narrowed right-angle bend of the vessel.
As if with spirituality, the guidewire turned slightly with the power of hitting the wall, and the right-angle bend was passed without stagnation.
This is......
Professor Shen wiped his eyes, unable to believe what he was seeing.