Zhou Can doesn't care about other people's strange eyes.

There are two main types of aortic dissection, one is type A, which is highly dangerous and requires thoracotomy treatment. The risk is extremely high, and the whole surgical process is very complex, which requires extremely high surgical experience and skills of doctors.

Even so, the mortality rate of type A dissection surgery is still as high as more than 30%.

There are also some very good B surgical teams, specializing in this kind of surgery, which can reduce the mortality rate to about 10%.

Relatively speaking, one out of ten patients died, and the mortality rate is still extremely high.

The other is type B dissection, which can usually be treated interveningly. This is solved by placing a stent graft.

That is, endovascular aortic repair, through femoral artery puncture, the aortic stent graft is implanted into the fracture, and the breach is completely closed to seal the dissection, so as to achieve the purpose of clinical treatment.

At present, there are very few traditional surgeries.

Because of the high risk and high technical requirements, there are not many surgical teams that can complete the operation.

Unfortunately, this pregnant woman was diagnosed with an aortic dissection during her pregnancy, and it was type A. Seeing that two lives were about to be lost, the experts of the hospital finally decided to perform cesarean section and dissection surgery at the same time after discussing several sets of surgical plans.

Before entering the operating room, a critical illness notice was issued to the family.

To tell the truth, everyone is now saving people with the conscience of a doctor.

can save this pregnant woman, and the newly dissected child will be able to grow up under the care of mother's love in the future. Otherwise, there is no mother just after birth, and the child is very pitiful.

Why is the mortality rate high for type A dissection surgery?

Because it is a thoracotomy surgery, the heart needs to be stopped during the operation, and artificial vascular replacement or bypass is done, the operation is complicated and the operation time is very long, and there are many postoperative complications.

Every patient who undergoes type A dissection surgery is basically a life-and-death event.

Some patients, even after successful surgery, still die after surgery.

For this operation, the whole process is carried out under ECG monitoring and hemodynamic monitoring, and the blood pressure needs to be strictly maintained at about 120/80 mm Hg.

From the above surgical conditions and basic procedures, you can see how difficult the surgery is.

During the operation, the left and right brachial arteries, the left external carotid artery and one femoral artery should be operated separately, and then 4 guide wires should be penetrated from the femoral artery on one side of the lower limb and into the corresponding catheter, and the specific situation should be observed under radiation before deciding the specific plan of surgery.

This patient will need to have an aortic replacement.

Director Xueyan's surgical ability is still a little worse after all, and after doing it for so long, she is stuck in the most critical and difficult step.

After Zhou Can took over, he directly made the two obstetrics and gynecology doctors feel that there is only more scary, not the most scary.

I saw that he was outputting at the patient, fast and violent.

Compared with Director Xueyan's gentle and drizzling, gentle and slow, they are completely different surgical styles.

"That's it!"

More than 30 minutes later, Zhou Can breathed a sigh of relief, and finally fulfilled his mission and successfully completed the aortic replacement.

"Sister Yan, the rest of the surgery is still up to you!"

Zhou Can finished the most difficult surgical step and was ready to give up his position.

His title to Director Xueyan is also from behind the scenes to in front of the stage, and there is no need to hide it.

In front of everyone, he also called her Sister Yan directly.

"Your surgery is fast, time is of the essence. It's up to you! I'll give you a hand. ”

Director Xueyan has always treated him very well.

There is an opportunity for surgical exercise, as long as Zhou Can can do it, she will give it to Zhou Can.

This is an intention to cultivate Zhou Can, so that he can quickly become a core member of cardiothoracic surgery who can take on important responsibilities.

Nowadays, Zhou Can's surgical ability is getting stronger and stronger, and he is basically competent for most difficult surgeries in cardiothoracic surgery. His status in the cardiothoracic surgery operating room is also getting higher and higher.

Gradually, a new surgical team was formed with him as the center.

In fact, this has been a sign for a long time, but now it is more obvious.

Everyone understands that with their abilities and talents, it is impossible to take over the responsibility of Director Hu Kan in a short period of time. Only Zhou Can can make everyone see hope.

The current cardiothoracic surgery has long been stormy and dangerous.

If there is a new core figure to take over before Director Hu Kan falls, the cardiothoracic surgery department is likely to have a significant contraction in business in a very short period of time, and will be ruthlessly eliminated from the list of first-class departments by the market.

In the last year or so, this sign has become very clear.

If nothing else, the total number of cardiothoracic surgeries performed each month alone has been steadily declining. Although there was no tragic situation, compared with the data at the peak, whether it was the number of outpatient departments, emergency departments, or the total number of surgeries, it has dropped by almost one-third.

The drop in the number of diagnoses and treatments is directly reflected in everyone's income.

I believe that many people can feel the decline in income.

……

Nearly an hour later, the operation ended, and the mother's life was finally saved after the efforts of so many people.

It's just that she may not be able to breastfeed her child.

Because she needed to be admitted to the specialized ICU of cardiothoracic surgery, the dissected child was barely born prematurely because it was less than 37 weeks. In addition, the baby's own nutrition is a little weak, and it may take about a week to stay in the incubator.

The operation was overall very successful.

The lives of both adults and children were saved, and a human tragedy was averted.

"Dr. Zhou's surgical ability is so strong! I am Zhao Jie, a surgeon in the Department of Obstetrics and Gynecology, and this is my medical assistant Qin Feifei, and I am honored to know Ling. ”

The surgeon in the obstetrics and gynecology department took off his mask and greeted Zhou Can with a smile.

This is a female doctor in her forties, with an ordinary appearance.

But her surgical strength is very strong, and the cesarean section of the woman just now was done by her.

Her medical assistant was a male doctor, very tall, and nodded at Zhou Can in a friendly manner, which was regarded as a greeting.

"You've won a prize! I am also very happy to meet you and Dr. Qin. ”

Zhou Can took off his gloves and took the initiative to shake hands with others.

This Dr. Zhao was able to preside over cesarean section alone, at least at the level of deputy chief physician. People take the initiative to intersect, and he, a resident doctor who has just finished training, must lower his posture and be warm and friendly.

"I look forward to working with the Department of Cardiothoracic Surgery again if I have the opportunity in the future, thank you so much today! Director Hu, if there's nothing going on here, we'll withdraw first. ”

After Zhao Jie and Zhou Can got to know each other, they didn't talk too much in the operating room.

That is, to mix a face first.

This is because she saw Zhou Can's strong surgical strength, and after listening to Zhou Can's many names, she was so enthusiastic about Zhou Can.

Doctors are no longer in the era of fighting alone, and when they encounter difficult cases, they often need to ask doctors from other departments to teach them, or even invite others to come for joint consultations.

An excellent doctor like Zhou Can is now familiar with his face, and the next time he asks for help with something, it will be convenient for him to speak.

Therefore, behind everyone's communication, it is essentially for the sake of profit.

After the woman was taken to the specialized ICU, a new patient was soon brought into the operating room.

Not every patient has to be wheeled into the operating room.

The patients who need to lie on the cart are basically seriously ill patients who have lost their mobility.

For patients who are able to walk on their own, the nurse will usually lead the patient into the operating room.

The patient is able to walk, but is having difficulty moving around and appears to have serious problems breathing.

The patient was quickly anesthetized after lying on the operating table.

During the patient's anesthesia, Zhou Can did not help the anesthesiologist to perform anesthesia together, but picked up the patient's information to understand it first.

"Xiao Zhou, this operation is up to you! The repair of bronchopleural fistula is a fourth-level major surgery, and you must be careful and careful during the operation. I will be on hand to guide you through every step of the procedure. Xue Yan has basically learned this operation, and Director Le is almost hot, so he just gives Zhou Can a help and learns again. ”

Director Hu Kan made the main arrangements for the operation.

“OK！”

Director Le readily agreed.

At present, their surgical team, Director Xueyan, him, and Zhou Can, should be the three main forces.

Everyone has their own strengths, and in terms of comprehensive surgical strength, the strongest is Zhou Can.

This must be admitted by both him and Xueyan.

Talent is something that can sometimes easily erase the age gap.

Director Le is slightly older than Director Xueyan, and both of them have more than 15 years of surgical experience, which can be regarded as old qualifications. But compared with Zhou Can, the comprehensive strength is significantly weaker than Zhou Can.

You must know that Zhou Canman is full of calculations, and from touching the scalpel to now, it will only take three years at most.

It only takes three years to catch up with and surpass them, the chief physician who has studied hard for fifteen years, and talent must be an important factor.

……

I was busy until nine o'clock in the evening and finished work.

Zhou Can watched the experience of multiple surgical techniques increase a lot, and his heart was full of joy and a sense of achievement.

This feeling of making a little progress every day makes him very down-to-earth.

After such a long period of practice and actual combat, and after the precipitation of time, the fast knife technique is about to be upgraded.

Then his incision medical skills had been promoted to the fifth level more than three months ago, and now he is at the junior level of deputy director. Pharmacological differentiation is an important medical skill, and the speed of promotion is also amazing.

Now it is also level 5, and it is moving towards the intermediate level of deputy director.

It's just that after being promoted to level five, the experience points that need to be upgraded have increased to 100,000, which is really not something that can be completed in a short period of time. Even though he can often earn additional XP bonuses during the operation, including a large reward of 100 points.

But the accumulation of 100,000 is still a long process.

In general, many of his current important medical skills are all at the level of deputy chief physicians, which is completely sufficient to deal with ordinary occasions. It is only difficult to challenge some difficult cases.

As for the ultra-difficult cases, there are many that he is still not up to the task of doing so far.

"Teacher, you are panting very badly, why don't you rest at home for a few days!" Director Xue Yan looked at Director Hu Kan with concern.

"I'm so happy! Today, seeing that you have been able to successfully complete such difficult surgeries as type A arterial dissection and bronchopleural fistula repair, the strength of our cardiothoracic surgery can be regarded as a certain guarantee. As long as you continue to grow according to the current trend, I believe that cardiothoracic surgery will be back to the peak level of the surgery I was in charge of in five years at most. ”

Director Hu Kan's face was full of joy.

Seeing that there were successors in the department, he was happy from the bottom of his heart.

"Xiao Zhou, today's two important surgeries, you must make a summary when you go back. Like the type A artery dissection surgery, I encountered a more dangerous one, at that time, because the blood pressure was not well controlled, the patient's blood vessels burst at once. On that occasion, more than a dozen of our medical staff rescued the patient for more than four hours, but in the end, we could not save the patient......"

Director Hu Kan is most important to Zhou Can.

Every time, Zhou Can will be educated to guard against arrogance and rashness, summarize more, and think more.

"You're so busy all night, you're hungry, aren't you? It's hardest for us to be surgeons. I ordered you fried egg noodles today, I'm old, I'm afraid of getting angry, so I'll eat it with you. ”

Director Hu Kan looked at his own child, and his eyes slowly swept over the dozen or so medical staff of the surgical team.

These people are basically the core surgical team members of cardiothoracic surgery.

Zhou Can took a bottle of pure milk, specially heated it, inserted the tube, and sent it to Director Hu Kan.

"Director Hu, if you are afraid of getting angry, drink some milk to supplement your nutrition! You are the mentor and backbone of all of us, and only if you are in good health can you always guide us in our work. I don't know how other people feel when I have surgery. Anyway, as long as you stay by the side, even if you don't say a word, I will feel at ease in my heart. I subconsciously thought that if I poked a fistula or encountered an unexpected situation that I couldn't solve, the teacher would sit there and definitely help me solve it. ”

Zhou Can's words made many people laugh.

"Not to mention, I feel that way too. I've been operating for fifteen or six years, but as soon as I had major surgery, I became a child again. Director Hu is sitting next to me, and I will be very bold. ”

Director Xue Yan also said with a serious face.

"I was embarrassed to say it before, after all, I'm forty-five years old. How embarrassing it would be if someone laughed at me for being a child! ”

Director Le's words made everyone laugh.

The three of them are all the personal apprentices of Director Hu Kan, and they have received the most guidance.

After all, Director Hu Kan's energy and time are limited, and it is impossible to achieve a bowl of water. Only the three of them can be cultivated. Jin Mingxi has been trained a lot in the past year.

"You are like my children in my eyes. Watching you grow up, watching you encounter all kinds of setbacks, all I can do is to give you the necessary help and guidance like a parent. Xueyan, do you remember the first time you took a knife to participate in the operation, a knife cut the patient's blood vessel, and you were so scared that you cried? ”

Director Hu Kan was reminded of the past picture of the deputy deputy by them, and his face showed a reminiscing expression.

"Teacher, you can save some face for me! That was many years ago, and I didn't expect you to remember it so clearly! ”

Director Xueyan was as shy as a little girl.

"Hehe, what's this! Everyone will encounter various setbacks and embarrassments on the road to growth, but as long as we can continue to grow, we can become better and better. Didn't I collapse on the operating table two years ago? I tell you, don't compare yourself with others, learn to compare yourself with yourself. As long as you are better than your past self, this is enough. ”

Director Hu Kan taught them some life insights.

People are more angry than people.

Comparing yourself with others is most likely to produce a lot of negative emotions, and even feel discouraged and hopeless. Compared to my past self, this is a very good approach.

(End of chapter)