Back in 2002 as a doctor

Besides, every major director is not inextricably linked with higher levels, even a slightly weaker dean would not dare to force unreasonably.

As long as there are people, there will always be many intricate things involved, and it is definitely not that simple.

This is much more difficult than performing an operation.

Director Li would rather believe that Zhou Congwen can treat the baby's congenital heart disease at a glance, rather than believe that he can forcibly pinch two huge bodies of medicine and surgery who disagree with each other.

As for Zhang You's boastful words, Director Li believed every word.

Can Zhang You surrender to Director Teng Fei Teng?What a joke.

This incident was so unbelievable that Director Li couldn't figure it out after concentrating on it for a long time.It wasn't until Zhang You returned from work that he was dragged to the chest pain center by Zhang You.

The chest pain center only occupies a small corridor above the emergency department. Although it has all internal organs, it only has 10 beds.

The cardiac catheterization laboratory is connected behind, which is an advantage, at least it saves time and effort, and the operating room is next to it, so you don't have to worry about it.

The operating room is hybrid. If there is any problem, the surgeon will operate directly. It is very simple.

Can it really work?Director Li was a little confused.

"Director Li, go directly to the locker room of the operating room." Zhang You enthusiastically led Director Li through the connecting door between the chest pain center and the operating room, and into the locker room.

"Very good, are you in charge here? Or Director Teng." Director Li asked.

"It hasn't been decided yet, and Professor Xiao Zhou will be in charge for the time being."

Zhou Congwen turned out to be him.

"The relationship between Director Teng and I, you must know. Do we owe them money for the surgery? We wipe our buttocks every day, either puncturing a blood vessel or piercing our heart. What a fucking thing .”

Zhang You cursed while changing clothes.

This is also something that Director Li recognizes. The relationship between the heart and the circulation is too complicated to describe in words.

Changed clothes and came to the operating room of the operating room. Teng Fei had already changed her clothes and stood in front of the operating table. Director Li greeted her.

"Director Li, why are you here?" Teng Fei asked in surprise.

"Come and learn. Didn't you hear that Professor Zhou can perform neonatal surgery in half an hour?"

Teng Fei glared at Zhang You, and countless words were contained in it.Obviously, Teng Fei thinks that Zhang You is spreading rumors.

This kind of rumor is to lift Zhou Congwen up, and then, the higher the lift must be, the harder the fall.

"Why are you staring at me?" Zhang You said unhappily.

"Who says you can finish the job in half an hour, you can't show off lightly? It's still a baby, only 5 and a half months old, weighing 5.5 kilograms. With this physical condition, you can't do it in half an hour even if you send the child to the imperial capital."

"Half an hour is enough."

Zhou Congwen's voice came from the operating room.

"..."

"..."

"..."

Several directors looked at each other.

Chapter 1058 Huge transvalvular pressure difference

"The operation is not too difficult. Tell the nurse to prepare for the postoperative patient." Zhou Congwen just finished brushing his hands, returned to the operating room and began to clean his hands again, put on clothes and went on stage.

Director Li didn't care about the conflict between Zhang You and Teng Fei, he was surprised by Zhou Congwen's words.

Half an hour!

What is enough time for such a short time?

He subconsciously raised his wrist to check the time, and wrote down the current time. Director Li also planned to give Zhou Congwen some pre-operative preparation.

It must be an interventional operation, definitely not a thoracotomy, Director Li knows this.

He had also heard that some people in Imperial City used interventional surgery to treat valvular disease, but it was only a very slight stenosis of the valve, and the results of the surgery were not satisfactory.

All kinds of accidents during the operation make people daunted by this type of operation.

That's the heart, not the big iron gate of my house, just knock on it a few times with a hammer.

The balloon is hard-topped inside, and the rescue of various arrhythmias is confusing, not to mention other complications.

Plus, most doctors can't even get the balloon to straddle the valve, let alone the next steps.

According to Director Li's knowledge, in many operations, the guide wire stimulates the blood vessels and the heart will cause various complications, and the operation cannot be performed at all.

However, Zhou Congwen didn't seem to understand the complications at all. He thought it was very simple - the guide wire went in, the balloon opened the stenotic valve and it was over.

If it hadn't been said that Zhou Congwen and Mr. Huang cooperated in the DK-crush operation, Director Li must have thought that he was a layman who didn't know anything about circulatory interventional surgery.

After thinking about it, Director Li burst out laughing.

In his heart, of course, his expression was always serious.

Zhou Congwen is still young, he thinks that he is invincible after being number one in the world, and he thinks he can perform all heart-related surgeries.

It seems that he doesn't understand what it means to specialize in art.

The director of the Department of Vascular Department of the First Hospital of Medical University is such a foolish and bold person. He installed the filter the year before last, but it was directly reversed... Who knows if Zhou Congwen will make such a "stupid thing" that makes people laugh and cry.

It is estimated that there is a high probability that the operation will fail, and then Zhou Congwen has no choice but to open his chest to solve the problem.

Director Li still believes in Zhou Congwen's surgical skills, after all, he is the best in the world.

But half an hour is impossible, and eight hours is about the same.

Director Li opened his eyes, ready to see the operation.

Inside, Shen Lang had already laid out the sheet and was doing femoral artery puncture.

Director Li picked up the medical records and glanced at the child's preoperative echocardiography report.

Before reading the report, Director Li thought that the child's condition would not be serious, so Zhou Congwen just pretended to be.

However, holding the medical record folder, he didn't have time to feel the thickness of the medical record, but stared straight at the echocardiography report.

Pulmonary valve stenosis (severe), transvalvular pressure difference 137mmHg, pulmonary valve annulus inner diameter 8.7mm, pulmonary valve was three leaflets, evenly thickened, the largest open valve inner diameter was about 2.3mm, the right ventricle was obviously hypertrophic about 6.4mm, right ventricle Secondary hypertrophy of the outflow tract, about 5.6mm in thickness, and about 5.5mm in inner diameter of the outflow tract.

The transvalvular pressure difference is 137mmHg!

The transvalvular pressure difference is 137mmHg! !

It's so high!

If the transpulmonary valve pressure gradient is ≤25mmHg, the surgical effect is good; if the postoperative pressure gradient is <36mmHg, the surgery is declared to have failed.

Generally speaking, the transvalvular pressure difference of the adult patients with pulmonary valve stenosis treated by Director Li is generally around 80mmHg. If the pressure difference is too large, he would not dare to perform surgery. It is recommended that the patients go to the imperial capital or a higher-level hospital.

This pressure difference indicates that the patient is seriously ill and will not recover well after surgery.

but.

in front of you.

5 and a half month old baby.

Only a little over ten catties.

The preoperative blood oxygen saturation was 85%, and the transvalvular pressure difference was an appalling 137mmHg!

It took Zhou Congwen half an hour to resolve the battle!

Once Director Li put these conditions in his mind, he almost didn't cry.

If a similar patient goes to the First Hospital of Medical University, neither he nor the Department of Circulatory Medicine will definitely push each other, and no one dares to treat it. Finally, everyone persuades the patient to go to the Imperial Capital or the Demon Capital for treatment.

In fact, deep down in his heart, he had already sentenced the child to death.

"Director Li, didn't you have a good rest yesterday?" Zhang You suddenly spoke, interrupting Director Li's surprise and bewilderment.

"Ah?" Director Li was taken aback, "What's wrong, Director Zhang."

"Look at your hands, they've been shaking." Zhang Youdao, "Or did you say you didn't eat in the morning and your blood sugar is low? I'll make you a 10 candy."

"I..." Director Li shook his head, and put the folder of the medical record in front of Zhang You, "Director Zhang, the transvalvular pressure difference is 137mmHg, what should I do with the surgery! Has Professor Zhou seen the patient before the operation? He doesn't understand the report. Didn't read it."

"He did the echocardiography himself." Hearing what Director Li said, Zhang You felt overjoyed.

Director Li's extremely stupid appearance is simply in line with his expectations, don't be too perfect!

Zhang You still remembers how he felt when he saw Zhou Congwen do B-ultrasound with his own hands and measured a transvalvular pressure difference of 167mmHg.

Unsurprisingly, Director Li thought so too.

"It's only 137mmHg, it's fine." Zhang You said pretendingly.

Teng Fei gave Zhang You a disdainful look.

Zhang You pretended too much, did he think of himself as Huang Lao?

"I can't do the surgery." Director Li whispered, "Don't do it, or something will happen again. This is the first operation in the chest pain center. If something happens...it's bad luck."

"We're materialists." Zhang Youyi puffed out his chest, his big teeth exuding a scorched yellow luster, "What is auspicious or unlucky is a feudal superstition."

Director Li was speechless.

He watched the situation in the operating room through the leaded glass.

The moment Zhou Congwen came to the stage, the anesthetist in a lead coat made a gesture to the outside, and then the technician got up and closed the lead door.

The operation just started, silently.

Director Li kept thinking about that number - 137mmHg!

It is impossible to perform such a major operation on transvalvular compression, what did Zhou Congwen think.

The child was under general anesthesia, and various instruments in the operating room were beeping.

Director Li looked at the monitoring value of transcutaneous blood oxygen protection, only 85%, plus 137mmHg, he felt that he wanted to express his old trough.

Dean Lin also asked himself to pick faults, and he had prepared well before, thinking that Zhou Congwen's operation must have few problems, and he had to be extremely careful to find them.

But who the hell would have thought that after coming to the second year of medical university and seeing the patient, before the surgery started, he would discover so many problems.

I don't even know the indications for surgery, what surgery to do!

Now Director Li believes in a "rumor" more and more - the so-called number one in the world is used by Mr. Huang to brush up Zhou Congwen's resume. In fact, Zhou Congwen's level is not enough.

Yes, definitely so.

The transvalvular depression of 137mmHg is still insisting on doing interventional surgery. This alone is enough to prove everything.

Chapter 1059

The operation had already started, and when Director Li put the folder of the medical records on the operating table, he suddenly saw that imaging had started on the screen.

What the hell?

Director Li's hands suddenly went numb.

In the screen, the micro guide wire is placed at the position of the right ventricle and pulmonary artery.

At the same time, Zhou Congwen's voice came from the intercom.

"The micro guide wire is 0.014"~0.038", the length is 150~180cm soft or hard loach guide wire, and the track is established along the right heart catheter across the narrow pulmonary valve and into the distal end of the pulmonary artery."

"Be sure to pay attention to the gentle operation, and try not to touch the blood vessel wall or the right ventricle with the guide wire."

Zhou Congwen's voice was soft, but it sounded like thunder in Director Li's ears.

What is the guide wire try not to touch the vessel wall or the right ventricle!

what.

damn it.

Tell the guide wire not to touch the vessel wall or the right ventricle as much as possible!

Director Li really wanted to grab Zhou Congwen by the neck and ask him, you tell me, what, fuck, call, try not to touch the blood vessel wall or the right ventricle with the guide wire!

The blood vessels of the human body are winding and tortuous, and the guide wire walks in the blood vessels. It is already a very strong surgical technique to be able to super-select in place.

In many cases, the micro-guide wire needs to rely on the wall of the blood vessel and other tissue structures to provide the reaction force to change the direction.