Live Surgical Broadcast

Chapter 1741 Angry Mosaic

Mao Chi wanted to say something, but when he thought about the intervention in the International Hospital a few days ago to remove the big shelf that had been removed from his heart, his mouth seemed to be covered by an invisible big hand, and he couldn't say a word.

Director Zhang Lin did not speak.

Dean Yan had an operation a few days ago. When she arrived, two purple-black blood clots were in front of her. He had already rushed over in a hurry, and it took 20 minutes from getting the news to entering the operating room.

But Boss Zheng even finished the operation.

It doesn't count when it's done, Boss Zheng doesn't even have the idea of ​​sending Dean Yan back to the ward!

Throwing his hands away, it was really a picture of taking Dean Yan as an ordinary patient.

Although facing a collective "poisoning" incident of unknown diagnosis at that time, another person could be replaced, so why not send Dean Yan back to the ward and say a few warm words?

Why are people so arrogant?

Not because of the high level of technology. Although I don't know why Boss Zheng is so arrogant and domineering this time, it definitely makes sense.

Director Zhang Lin glanced at Sun Chao, thinking that this guy will most likely die in 912.

She has dealt with Boss Zheng several times, and it is an indisputable fact that Boss Zheng's diagnosis is very bad.

Ion channel disease, the thing that the family gave up, Director Zhang Lin has always kept in mind.

Every time she recalled it, she would be surprised at why Boss Zheng was so sure, and there seemed to be no hesitation.

This time, it should be.

Boss Zheng is definitely not the kind of person who doesn't know the importance. He said that if you want to open your chest, there is a reason for it.

Sun Chao glared at Zheng Ren, while Zheng Ren completely ignored the mosaic around him. Who will compete with Mosaic?

Zheng Ren carefully looked at the CT scan of the lungs and reconstructed the operation in his mind.

Although there is no experimental body, it is just a virtual operation, but do it if you can, hurry up. Zheng Ren has accumulated a lot of surgical training time, but he is still stingy and unwilling to use it indiscriminately.

At least three or five more surgical trainings are required before going on stage.

Zheng Ren was also a little distressed, the big pig's hoof was never willing to give a peak-level skill book.

I have not found a way to climb to the peak level of surgery, and can only operate at the master level.

Just as he was thinking, there was a rush of footsteps in the corridor.

Ringo moved in his heart and looked up.

Principal Zhang walked in quickly, and Linger hurried forward to meet him, stretched out his hands, and said, "Principal Zhang, you are really here."

"How is it?" Principal Zhang hurriedly asked.

"The situation is very bad, and now it is suspected of pulmonary embolism." Ringer said: "Our opinion is emergency thoracotomy."

Principal Zhang was stunned for a moment, emergency thoracotomy, or heart surgery...

This pressure is a little big.

"Has President Yan been discharged from the hospital?" Principal Zhang asked.

"I've been discharged from the hospital, and I'm recuperating at home. You know, Dean Yan's... Vice Dean Yuan has a meeting in the department and is rushing back." Lingerhui reported, "However, our judgment is not optimistic about the patient's condition. Surgery is needed as soon as possible.”

"You don't even have time to be a CTPA?" Sun Chao said angrily, "You guys are so irresponsible, this is a crime!"

Principal Zhang was really stunned this time.

He knew Sun Chao, Director Sun of the Affiliated Hospital of Medical University. Director Sun was short and stout, the kind of person who looked down and couldn't see his toes.

It's hard to remember him.

Just why did Director Sun Chao appear here?

"Director Sun? What do you mean?" Principal Zhang asked in surprise.

"Boss, an echocardiographic picture." Su Yun squeezed into the crowd at this time and handed a stack of printing paper to Zheng Ren.

"Okay, teachers who have doubts, I will now talk about why the condition is urgent and judged to be pulmonary embolism." Zheng Ren said: "Su Yun, send the patient!"

Neither Linge nor President Shao, nor Director Zhang Lin or Director Mao Chi said a word.

When Boss Zheng finished saying the words "send the patient", his eyes narrowed and he scanned the crowd.

Those who have opinions are also blocked by sharp eyes.

"So sloppy, it's just a waste of life!" Director Sun Chao said angrily, "No one cares about your 912?"

Mao Chi lowered his head and looked at the ground, as if there were some images on it. And Linge smiled slightly and said, "I believe Boss Zheng's diagnosis. If something goes wrong, our medical department will bear it."

Sun Chao almost spat out a mouthful of old blood.

MLGBD! Is the 912 medical department crazy? Unconditional support for this young boss Zheng? !

It's just crazy.

"Principal Zhang, you can call the shots, right?" Zheng Ren asked Principal Zhang directly.

Principal Zhang nodded cautiously, but did not speak.

"Then I'll talk about the echocardiographic images. If any teacher has any doubts, they can directly raise them. If there are no doubts, they will open the stage directly after the lecture." Zheng Ren said: "There is no time."

Hearing him say that there is no time for these words, everyone froze in their hearts.

Although pulmonary embolism is urgent, it is not like a myocardial infarction, and it will kill people in a few minutes.

What does he mean by that?

"First, as the most specific echocardiographic feature, when the ratio of right ventricle to left ventricular anterior-posterior diameter is > 0.5; Thrombotic pulmonary embolism can be determined by looking at the end-diastolic phase."

"This point is very clear from the echocardiographic image. There is no doubt." Zheng Ren said loudly. Although his voice was still urgent, it was full of sonorous energy.

"Second point, under normal circumstances, the range of motion of the anterior wall of the right ventricle should be > 5 mm, and the range of motion of the free wall of the right ventricle will be > 8 mm. disappear."

Zheng Ren held the echocardiogram and said, "You teachers have no doubts."

The image was printed out, and people around couldn't help but gather around and look at the image carefully.

What Zheng Ren said was well-founded and could not be refuted.

Even Sun Chao couldn't say a word to deny Zheng Ren's statement.

"Third point, normal main pulmonary artery diameter is <30 mm, right pulmonary artery <20 mm; while patients with thromboembolic pulmonary hypertension have MPA>30 mm, RPA>20 mm; MPA expansion in patients with chronic thromboembolic pulmonary hypertension is even more obvious."

"In the image, the RPA is 28mm, and the initial judgment is acute pulmonary embolism." Zheng Ren continued.

"Fourth point, I don't know if you know the formula for calculating the collapse rate of the inferior vena cava."

Zheng Ren said and glanced at Principal Zhang.

What he wanted to persuade was Principal Zhang. As for the angry Mosaic beside him, Zheng Ren had no impression at all.

Principal Zhang was already stunned.

What is this all about? Standard science male thinking, one, two, three, four, five, what else can I say? !

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