Chapter 1356 I Don't Want to Have Surgery

"Professor Zhang is right, the operation is quite difficult." Zheng Ren first came to a positive conclusion.

When Professor Zhang heard Zheng Ren's opening remarks, his face softened, he nodded slightly, and smiled at Zheng Ren.

The flower sedan chair carries people, and Professor Zhang knows it.

"The patient is in critical condition, and the risk of surgery is very high." Zheng Ren repeated, then walked to the reader, pointed to the position of the aorta, and said, "The adventitia of the aorta is eroded in a large area, even if the Without surgery, I estimate that within 24-48 hours, the patient will die due to aortic rupture, secondary to massive hematemesis."

The smile on Professor Zhang's face hadn't dissipated, but it immediately solidified.

"Surgery is a must, and it must be done in an emergency." Zheng Ren turned his face like a book, and immediately showed a completely different point of view from Professor Zhang.

Linger sat expressionlessly in the middle of the office. After hearing this, he lowered his head and took a pen to record something in the notebook.

Professor Zhang looked at Zheng Ren with a serious expression, and asked coldly: "Boss Zheng also said that the adventitia of the aorta will rupture at any time within 24-48 hours without surgery. It has been thinned into a piece of paper, is it still Do you want sabotage?"

"First of all, I think what you said, Professor Zhang, is right." Zheng Ren repeated this sentence again. A smile suddenly rose in Zhao Yunlong's heart. Boss Zheng looked simple and honest, but he was also very bad.

"But it is precisely because of this that the operation should be carried out as soon as possible." Zheng Ren said: "For the condition of thin blood vessel wall, I recommend the next aortic stent to support the intima of the blood vessel. If the adventitia ruptures, a patch can be used. Repair. In this way, the risk of dying on the operating table can be avoided as much as possible.”

Professor Zhang stared, stood up suddenly, and began to refute Zheng Ren's words.

After all, he is a professor who lectures, with rigorous theory and clear logic. No matter what arguments and arguments, they are all around the risk of surgery for patients, and there is no deviation.

He didn't lose his mind because of anger, nor was he led astray because he wanted to refute Zheng Ren's words.

All the emphasis is placed on the huge risk of surgery and must be cautious.

It seems that not only in lectures, but also in debate, Professor Zhang is also good at it.

Zheng Ren felt that if he didn't interrupt Professor Zhang, he could talk about the latter half of the night.

A blood routine is enough to talk for three to five hours.

In fact, what he was going to say was obvious - no surgery, it doesn't matter to me. After surgery, I'm definitely going to take the blame.

This is a very helpless thing, and Zheng Ren also understands Professor Zhang better.

Just like the choice of the patient's local hospital, the operation is too difficult, so first anti-inflammatory conservative treatment, if it can be good, everyone will be happy;

Treatment, no one wants the patient to die on the operating table. Get cured, hello, hello, hello, everyone, happy. If it is too difficult and uncertain, go to a higher-level hospital.

But local hospitals can do this, 912 can't do it.

Where do you push the patient? Concord? Fuwai? An Zhen?

They are all top tertiary hospitals in China. If you really want to send patients, you should be ashamed? Do you admit to being a lower-level hospital?

In the future, when a national academic conference is held, do I have to call professors from other hospitals a teacher?

If that's the case, Dean Yan will definitely suppress it with an iron fist. No matter who is standing behind him, he will first clear the "black sheep" from 912.

Professor Zhang knew that he couldn't push it out, so he chose to delay as much as possible.

As long as you get off work, anyone who wants to do the surgery tomorrow will do. Anyway, as long as it has nothing to do with yourself, it's a good strategy.

Zheng Ren sighed in his heart. He really didn't want to fight against a professor of cardiothoracic surgery.

Not afraid, but not necessary. Seeing that Professor Zhang spoke eloquently, with high emotions, Zheng Ren went directly to the system space to prepare for surgery training.

"Hello." Zheng Ren first greeted the little white fox.

As expected, there was no response. The lifelike little white fox was lying in front of the thatched hut, with a bit of agility in his smile.

Just to say hello casually, Zheng Ren didn't expect the little white fox to answer. He clicked to buy surgery training time and went directly to the system operating room.

An experimental subject was lying on the operating table, the shadowless lamp was very bright, and the subject's skin was pale.

Recalling the film, Zheng Ren put the experimental body in a good position and started surgical training.

Zheng Ren did not choose the combination of thoracoscopy, mediastinal meridian and esophagoscopy. Although there are reports and records of similar cases in which the three-endoscope combined to remove the fishbone, the laparoscopic surgery is too time-consuming.

It's better to open your chest.

The mediastinum is full of abscesses. Even if it is a thoracotomy, you need to wear a microscope, not to mention laparoscopic surgery.

Exploration found that it turned out to be a hard fishbone that pierced the esophagus and pierced into the mediastinum. It didn't puncture the aorta, it just punctured the adventitia.

Although it seems lucky, because food residues also follow, inflammatory foci of infection are formed in the mediastinum.

This then leads to a large abscess in the outer layer of the aorta, which continues to erode, and the aorta can rupture at any time.

This is so special... Zheng Ren sighed in his heart.

It is estimated that a thorn got stuck when eating fish, and then drank vinegar or tried to choke hard with steamed bread.

As a result, the fishbone was relatively hard, pierced through the esophagus wall directly, and stuck on the aorta.

Twenty years ago, this was a serious illness with almost no solution. Even now, it is a particularly difficult condition.

It is absolutely impossible to leave the abscess untreated, because bacteria grow and continuously erode the blood vessel wall, and a huge wound will soon appear, causing the patient to bleed heavily.

The aorta and the azygos veins have shown inflammatory and edema-like changes. Rupture, it may not take 48 hours.

The surgery will definitely get more difficult over time.

Cleaning up the abscess is a delicate job.

The lungs need to be sutured, the esophagus needs to be sutured, the abscess needs to be cleaned up, and the large blood vessels are also involved. The workload of the operation is huge.

Zheng Ren started the operation, but he did not have the attitude of doing it once.

After all, the operation of cardiothoracic surgery is only at the master level, and it is still far from the master level.

There is a skill book for the master, but Zheng Ren is not sure if he needs it. The difficulty of the operation is to remove abscesses and aortic stents. In Zheng Ren's opinion, it is not necessary to improve his skills by reading books.

The aspirator sucked out the pus, and a large area of ​​infection, wrapping, and adhesions could be seen throughout the mediastinum. A part of the mediastinal pleura is seriously infected, and it is estimated that the lungs also have problems.

After 5 failed surgeries, Zheng Ren could only accept this reality and reluctantly used the master-level skill book.

...

"Director Lin, you presided over the consultation of the whole hospital. In summary, the above is my opinion." Professor Zhang said angrily: "If I had an operation, I would not have performed it! It would be irresponsible to do such an operation! Yes! kill!"

Zheng Ren had already expected this kind of backbiting.