The condition has taken a turn for the worse!

The patient is critically ill!

Including Xiao Ke and Dr. Qiao, they were all unexpected.

"Get the patient to the emergency room!"

The patient was loaded onto the surgical flat car and moved quickly towards the emergency room.

Xiao Ke thought that Zhao Yuan would be at a loss and retreated.

Zhao Yuan used all the time to give the patient an emergency physical examination in the process of moving.

In addition to the location of chest pain, the patient's pupils, tongue coating, and cochlea ......

No detail is missed.

It is important to treat the sick.

Xiao Ke didn't intend to use this matter to make things difficult for Zhao Yuan, and said impatiently, "Zhao Yuan, the patient's condition is very critical, you don't have to worry about the patient, just find a quiet place to stay!" ”

"Show me the inspection report!"

Zhao Yuan didn't pay attention to what Xiao Ke said to him, and his attention was on the patient.

He has completed the physical examination and has a basic understanding of the patient's condition.

He needed to read the report to confirm his judgment.

Before everyone could react, Zhao Yuan had already taken the report from Dr. Qiao's arms.

The operating flat cart is about to be pushed into the emergency room.

Zhao Yuan confirmed the condition: "It's a ruptured heart!"

The family was shocked when they heard that their hearts had been ruptured.

"Okay, how can my heart break? He has a physical examination every year and is always in good health. We also have no history of heart disease in our family. ”

Doctor Qiao found that Zhao Yuan was very faceless, not only curious about who this guy was, but also questioned, "How did you come to a conclusion?" ”

"There's pericardial effusion at this location." Pericardial effusion represents fluid oozing from the pericardium.

Dr. Qiao followed Zhao Yuan's finger and looked at the CT film, his eyes gradually becoming solemn, and he didn't say a word.

"In addition, there are high-density foci in the esophagus and heart. If you don't look closely, you will see it as a calcification. ”

After Zhao Yuan's repeated reminders, Dr. Qiao finally thought of something.

"High-density stoves? Could it be a bony foreign body? ”

"That's right, bone spurs, to be exact. Bone spurs are extremely difficult to see on chest CT scans. Because the image of the foreign body is small, it is easy to misinterpret it as an arterial calcification. Radiologists can also look away, so the CT report does not reflect this conclusion. ”

Dr. Joe was silent.

I missed the diagnosis.

"So, the patient is because a fish bone or chicken bone punctured the esophagus and inserted it into the heart, causing the heart to rupture! Cardiac intervention is now required. Zhao Yuan explained very quickly.

Zhao Yuan then questioned the patient's family, and his judgment was correct.

The patient ate spicy chicken for dinner, and was stuck in his throat by a chicken bone at that time, but it was only slightly stinging, so he didn't pay much attention to it.

In fact, at that time, the chicken bone had already punctured the esophagus, and in addition to running ten kilometers at night, the chicken bone not only pierced the esophagus, but also pierced the heart!

Something that sounds unbelievable has just happened!

Schoke, who was always silent, had a terrifying gloomy face.

To become a resident chief physician, Xiao Ke is still very experienced.

He also had problems with pericardial effusion and high-density foci.

However, thoracoscopic exploration is required to find out what the problem is.

I thought that the problem of being able to survive a three-year residency could also stump Zhao Yuan, but I didn't expect to be seen by Zhao Yuan!

He's just an intern, and he doesn't have a lot of medical experience, so why is his judgment so accurate?

Where would Xiao Ke have thought that Zhao Yuan relied on the keen intuition built up by practicing medicine on the battlefield.

On the battlefield, there is not so much detection equipment.

The slightest hesitation can lead to the loss of a living life.

Where something is wrong with the patient, the doctor needs to refine a pair of fiery eyes.

"Zhao Yuan, your conclusion is valid! Inform the Department of Cardiothoracic Surgery and prepare for consultation! ”

There was a sound of approval behind him, it was Xie Changtian, who had just changed into a white suit and hurried over.

……

It involves the heart and requires surgery of the third degree or higher.

Different levels of surgery have rigid requirements for the qualifications of the chief surgeon, and only the deputy chief physician can perform grade 3 to 4 surgeries.

Xie Changtian immediately applied for multi-department linkage.

Jiang Qiang, the director of the Department of Cardiothoracic Surgery, quickly arrived, first studied the film, and said in surprise: "Judging from the film alone, it is difficult to see that the bone spur is the culprit." ”

With the help of thoracoscopy, Jiang Qiang searched carefully, and finally found that a chicken bone spur was inserted straight into the pericardium of the patient's right ventricle, and kept rubbing against the right ventricle with the heartbeat, and a deep scratch was made on the ventricle, and the ventricle had ruptured.

"The patient is very lucky, the outer edge of the heart has ruptured, and if he hesitates for a few minutes, he will have cardiac tamponade caused by heavy bleeding, and I am afraid that he will not be able to recover."

At this time, Jiang Qiang couldn't help but take a look at Zhao Yuan more.

From Xie Changtian's mouth, he learned that this intern relied on his eyesight to judge the patient's condition.

"Lao Jiang, Zhao Yuan's credit is not small. Let me make a suggestion, can he be a helper in the next surgery? Xie Changtian said.

At this moment, Xiao Ke, who has become a melon-eating crowd, was stunned!

Xie Changtian is too partial to Zhao Yuan!

Xiao Ke was unwilling and tried to stop it, "Cardiac intervention is a third-level or higher operation, is he qualified?" ”

This is a tertiary surgery!

Emergency surgery is generally a secondary surgery!

Xiao Ke also wants to participate in surgery at this level, even if it is a second assistant.

Xie Changtian ignored Xiao Ke and continued to recommend to Jiang Qiang, "Zhao Yuan had successfully undergone cardiothoracic surgery before being admitted to the hospital. What's more, he only participated as an assistant, and with you to check it, would he overturn? If something goes wrong, I'll take care of the consequences. ”

Jiang Qiang remembered that Vice President Chang Hongbo had mentioned this matter.

An intern led by Zhou Guangchen was deeply involved in the tear repair surgery of the heart valve during the high-speed rail rescue.

Zhou Guangchen and Jiang Qiang are both cardiothoracic surgeons and friends who have known each other for many years.

It turned out that the young man in front of him was the intern.

Xie Changtian still has to give face.

Jiang Qiang agreed, "Zhao Yuan serves as a helper!" ”

……

The operating room was quiet.

Everyone has their own role.

The anesthesiologist made a gesture to activate the autologous blood recovery and return infusion device, and the operation officially began.

Zhao Yuan, as a first assistant, took the lead, took the thin blade, and cut it down very steadily.

The moment of blunt separation!

Everyone froze for a moment.

Xiao Ke, the melon-eating crowd, was the first to come back to his senses and almost didn't laugh out loud.

What the? Thought minimally invasive surgery?

Ordinary thoracotomy surgery requires a large inclement of 20 centimeters, but Zhao Yuan's incision is very small, only 10 centimeters.

And the location is weird.

This birdman really has no experience, he can only open a small knife, and he does not have the courage to open a big knife.

Xie Changtian's face was gloomy, and he couldn't figure out Zhao Yuan's intentions.

It is common knowledge for medical students to make a large incision in thoracotomy surgery.

Previously, Zhao Yuan had a wonderful atypical operation through a small incision during gallbladder surgery.

He wanted to follow that train of thought again.

However, the two surgeries cannot be compared.

Now it's a cardiac intervention.

The difficulty coefficient of cardiac intervention surgery reaches 3 to 4 levels, which is many times more dangerous than that of level 2 surgery.

Jiang Qiang frowned, and was about to open his mouth to remind: open the knife edge a little wider.

Well?

Zhao Yuan had already used forceps to quickly pinch out a three-centimeter bone spur.

Such a fast speed frightened Jiang Qiang!

I didn't lock the bone spur position through the surgical field, and I took out the bone spur just by feeling!

The purpose of the large incision is to obtain enough field to find the location of the injury.

If only a 10-centimeter incision is needed to achieve the goal, there is no need for a large incision.

The smaller the incision, the less damage to the patient.

Blind!

Xie Changtian reacted.

Tong Zheng mentioned that Zhao Yuan would do blind exercises.

This is where the confidence of making a small incision lies!

Bai Lu took out the tray, and Zhao Yuan put the culprit - "bone spur" in the plate.

It was not the first time that Bai Xiaohu and Zhao Yuan had cooperated, and they began to adapt to Zhao Yuan's operating habits.

He looks for lesions much faster than other surgeons, as if he has a scan lock function.

As for the device, it will be at least five seconds ahead of other doctors.

This is followed by heart and esophageal repair.

Zhao Yuan pressed the crack with his fingers, and the blood became very obedient and no longer overflowed.

Zhao Yuan quickly took the instrument to suck out the blood in the cavity and began to repair the wound.

Nisuke on the side looked anxiously at his teacher and winked at him hard, hinting at whether he could let himself play.

He wants to touch the knife too!

It's a pity that the teacher's focus has always been on Zhao Yuan's operation.

Jiang Qiang seemed to "forget" to interrupt Zhao Yuan.

Or even indulge in it......

Many of Zhao Yuan's operations seemed "aggressive", but the patient's physical signs were stable.

In the field of cardiothoracic surgery in China, Jiang Qiang is a well-known expert, and has performed countless tertiary surgeries.

It was the first time he had seen such an operation.

A young man who seems to be gentle and modest on the outside, every step is so wild and elegant, but precise and capable.

No wonder Xie Changtian treats him as a baby!

An impulse arose in his heart: to dig Zhao Yuan into cardiothoracic surgery at any cost.

Such a good embryo in emergency surgery is simply a terrible thing.

Referral to cardiothoracic surgery should be made.

If you cultivate it well, it will definitely be a powerful tool for the department to generate income in the future!