Chapter 164： Life and death speed (on)
Many people have raised regrets in their hearts. Why should surgery be cancelled? If there is a recording, if the surgery is successful or not, it should be reviewed a hundred times.
[Hybrid surgery... I have only heard of it, but I have never seen it before. 】
[Fortunately, at least you have heard of it. I just knew Baidu and knew the existence of the hybrid operating room. 】
[The large-scale tertiary hospitals in big cities will have hybrid operation rooms, and they have to be newly built. Before the expansion, there were no hybrid operating rooms in Concord, Fuwai and Huaxi. 】
The young doctors who opened the barrage, did not have the heart to chat, and watched the operation with full concentration.
In the live view, a pair of hands appear stable, the left and right hands cross the operation, the right hand twitches the micro-guide wire very fast, it seems that less than a minute, the field of view is replaced by the screen of the front of the operator.
The microwire is in place, the microcatheter enters, and the angiography follows.
Not as superselected as the third and fourth grade blood vessels. In the live screen, the catheter is filled with contrast agent in the aorta.
Is it too hasty? Or because of what?
After the high-pressure syringe was driven into the contrast agent, Zheng Ren stopped operating and focused on the opposite image.
Because you do not know the location of the bleeding, you can only use this method.
Although it will delay a little time, in the overall surgery, it will save a lot of time and improve the possibility of successful surgery.
10 seconds……
20 seconds……
As time goes by, the X-ray imaging equipment is turned on, and the flow of contrast agent in the body of the seedlings is converted into an image, which is presented in front of Zheng Ren’s eyes one frame at a time.
Here!
Finally, in the 23rd second, Zheng Ren discovered the bleeding point.
Left gastric artery!
Withdrawal of the surgical procedure for interventional surgery, Zheng Ren and Su Yun began to re-distribute the sterile single, brushing hands and preparing for open surgery at the fastest speed.
Many people are confused in the Xinglin Garden.
[Pancreatic pseudocyst? A rare disease, what is the surgeon just looking at? 】
[Do not understand, ask the same. 】
[I estimate that the surgeon should be observing the bleeding point. Look at the location, is the left gastric artery bleeding, the surgeon to check the bleeding position, but because the patient's blood pressure is too low, so the bleeding position is too light, can only be judged by experience. 】
[I am going to... This kind of surgery depends on experience. How many rescues does it take? The patient's blood pressure was not measured, the heart rate had been 160 beats / min, atrial fibrillation occurred, it is estimated that the heart could not hold. I want a headache when I want to meet this kind of rescue. 】
【what's next? Why not embolize? 】
[Brother, this is the left gastric artery. If you directly tie the trunk, the stomach will be mostly necrotic. If the embolic agent floats into the superior mesenteric artery and most of the colon is necrotic, this is not a saving, it is killing. 】
[Is it going to open the belly? Can the surgery do the same? It’s amazing. If we are here, we should have a laparotomy, as to whether we can find the bleeding point soon... This is really a fate. 】
[It’s okay, I just came back from the emperor’s training. I also saw several hybrid operations in half a year. However, the situation like the crisis faced by the surgeon has never been encountered. 】
In the live broadcast room, the barrage flies, the patient's rising heart rate, and the decreasing blood pressure affect the heart of every doctor who watches the live broadcast.
Feeling empathy, the doctors who watched the live broadcast were more or less involved in the rescue of critically ill patients. Everyone took it on their own, and the heart rate soared as the patient's heart rate soared, and the palms filled with sweat.
The more nervous, the more you have to be two.
Otherwise, the tense atmosphere of the operating room will crush people.
This is the habit that doctors who are watching live broadcasts have developed over the years.
......
A hospital in Haicheng, involved in the hybrid surgery room.
Zheng Ren quickly tore off the sterile clothes, and after throwing a left incision next to the rectus abdominis, he took off the lead clothes and brushed his hands again.
In the operation of the pancreas, Zheng Ren only had a simple contact in the system space and did not have systematic learning.
Nowadays, the operation of acute pancreatitis and chronic pancreatitis has been fundamentally treated because of the successful development of 14-peptide somatostatin.
Conservative treatment with drugs is better than surgery. Who is willing to take the 30% mortality rate to the stage?
Therefore, Zheng Ren did not expect that there is such a day, he needs to face pancreatic surgery.
Fortunately!
Zheng Ren, a winter squirrel, has stored a lot of skill points and experience points.
Although the system has not been mandated recently, Zheng Ren still has the experience value to squander.
At the moment of brushing his hands again, Zheng Ren took the radiation ray energy into the lead clothing and brought it back to the system space, and then began to quickly count his "inventory".
In these days, the main line task has done a few round trips, the general surgery skills have 3246 points, the inventory can be free skills point 2025 points.
Zheng Ren did not hesitate and ordered 1754 skills in the general surgery skills tree.
After a breeze, Zheng Ren felt that his body was light, and there were countless seemingly familiar images in his mind. The fingers are slightly moving, which is light and flexible.
Is this the master of general surgery? There seems to be no feeling of reincarnation.
Looking at the remaining 271 free skills points, Zheng Ren indifferently turned his eyes away and began to choose to buy surgery time.
After a period of accumulation, the experience value exceeded 250,000.
Not much, but it should be enough.
After all, the overall general surgery skills have entered the master level.
Zheng Ren purchased 200000 operative time and 55.5 hours of system training, officially started.
The operating room of the system was raised from the ground, and the experimental body was placed in a position and waiting for surgery.
Each case is an experimental body related to the pancreas. Zheng Ren naturally starts from the pancreatic pseudocyst. The difficulty of surgery in the pancreas is similar to that of the liver, and even slightly higher.
After all, pancreas anatomy and physiological structure have special properties.
For more than 50 hours, Zheng Ren will soon complete less than one hundred cases of pancreatic surgery. This is still pure operation time, which is not needed for the abdominal surgery.
......
Zheng Ren went to brush his hands, and Su Yun even had time to take off his surgical gown. He was directly disinfected by wearing a lead coat.
The head nurse began to open the open bag, and another device nurse had already brushed his hand, put on the surgical gown, and started tapping various instruments.
Counting is one of the tasks that equipment nurses must do. Preoperative and postoperative instruments, consumables, gauze should be right, otherwise what is in the patient's body... that is a serious medical accident.
Su Yun disinfection, paved the first layer of surgery, turned and left, torn off the sterile surgical gown, to take off the lead clothing, ready to brush again. At the same time, Zheng Ren wearing a surgical gown, began to lay a second layer of sterile single, almost seamlessly connected, with a tacit understanding, perfect to the extreme.
"Knife." Zheng Ren paved the list and reached out.
Because Zheng Ren’s speed is too fast, the work of the nurse head and the new equipment nurse has not been completed, and was interrupted by Zheng Ren’s words.
"Give him a pair of curved pliers, a knife, a piece of gauze, we continue to count." The head nurse glanced at Zheng Ren, but understood his anxious mood and arranged.
"You still need to attract, wear a set."
This cooperation, the level of tacit understanding is much worse than the cooperation with the Shea people.
However, at this time, Xiao Xie Yi was crying in the corner of the operation room, and could not come to the stage to cooperate with the operation.
Zheng Ren disinfected again, then picked up the knife, pen-type, hand-cranked, cut a 15cm long incision beside the left rectus muscle of Miao Xiaohua.
[Hybrid surgery... I have only heard of it, but I have never seen it before. 】
[Fortunately, at least you have heard of it. I just knew Baidu and knew the existence of the hybrid operating room. 】
[The large-scale tertiary hospitals in big cities will have hybrid operation rooms, and they have to be newly built. Before the expansion, there were no hybrid operating rooms in Concord, Fuwai and Huaxi. 】
The young doctors who opened the barrage, did not have the heart to chat, and watched the operation with full concentration.
In the live view, a pair of hands appear stable, the left and right hands cross the operation, the right hand twitches the micro-guide wire very fast, it seems that less than a minute, the field of view is replaced by the screen of the front of the operator.
The microwire is in place, the microcatheter enters, and the angiography follows.
Not as superselected as the third and fourth grade blood vessels. In the live screen, the catheter is filled with contrast agent in the aorta.
Is it too hasty? Or because of what?
After the high-pressure syringe was driven into the contrast agent, Zheng Ren stopped operating and focused on the opposite image.
Because you do not know the location of the bleeding, you can only use this method.
Although it will delay a little time, in the overall surgery, it will save a lot of time and improve the possibility of successful surgery.
10 seconds……
20 seconds……
As time goes by, the X-ray imaging equipment is turned on, and the flow of contrast agent in the body of the seedlings is converted into an image, which is presented in front of Zheng Ren’s eyes one frame at a time.
Here!
Finally, in the 23rd second, Zheng Ren discovered the bleeding point.
Left gastric artery!
Withdrawal of the surgical procedure for interventional surgery, Zheng Ren and Su Yun began to re-distribute the sterile single, brushing hands and preparing for open surgery at the fastest speed.
Many people are confused in the Xinglin Garden.
[Pancreatic pseudocyst? A rare disease, what is the surgeon just looking at? 】
[Do not understand, ask the same. 】
[I estimate that the surgeon should be observing the bleeding point. Look at the location, is the left gastric artery bleeding, the surgeon to check the bleeding position, but because the patient's blood pressure is too low, so the bleeding position is too light, can only be judged by experience. 】
[I am going to... This kind of surgery depends on experience. How many rescues does it take? The patient's blood pressure was not measured, the heart rate had been 160 beats / min, atrial fibrillation occurred, it is estimated that the heart could not hold. I want a headache when I want to meet this kind of rescue. 】
【what's next? Why not embolize? 】
[Brother, this is the left gastric artery. If you directly tie the trunk, the stomach will be mostly necrotic. If the embolic agent floats into the superior mesenteric artery and most of the colon is necrotic, this is not a saving, it is killing. 】
[Is it going to open the belly? Can the surgery do the same? It’s amazing. If we are here, we should have a laparotomy, as to whether we can find the bleeding point soon... This is really a fate. 】
[It’s okay, I just came back from the emperor’s training. I also saw several hybrid operations in half a year. However, the situation like the crisis faced by the surgeon has never been encountered. 】
In the live broadcast room, the barrage flies, the patient's rising heart rate, and the decreasing blood pressure affect the heart of every doctor who watches the live broadcast.
Feeling empathy, the doctors who watched the live broadcast were more or less involved in the rescue of critically ill patients. Everyone took it on their own, and the heart rate soared as the patient's heart rate soared, and the palms filled with sweat.
The more nervous, the more you have to be two.
Otherwise, the tense atmosphere of the operating room will crush people.
This is the habit that doctors who are watching live broadcasts have developed over the years.
......
A hospital in Haicheng, involved in the hybrid surgery room.
Zheng Ren quickly tore off the sterile clothes, and after throwing a left incision next to the rectus abdominis, he took off the lead clothes and brushed his hands again.
In the operation of the pancreas, Zheng Ren only had a simple contact in the system space and did not have systematic learning.
Nowadays, the operation of acute pancreatitis and chronic pancreatitis has been fundamentally treated because of the successful development of 14-peptide somatostatin.
Conservative treatment with drugs is better than surgery. Who is willing to take the 30% mortality rate to the stage?
Therefore, Zheng Ren did not expect that there is such a day, he needs to face pancreatic surgery.
Fortunately!
Zheng Ren, a winter squirrel, has stored a lot of skill points and experience points.
Although the system has not been mandated recently, Zheng Ren still has the experience value to squander.
At the moment of brushing his hands again, Zheng Ren took the radiation ray energy into the lead clothing and brought it back to the system space, and then began to quickly count his "inventory".
In these days, the main line task has done a few round trips, the general surgery skills have 3246 points, the inventory can be free skills point 2025 points.
Zheng Ren did not hesitate and ordered 1754 skills in the general surgery skills tree.
After a breeze, Zheng Ren felt that his body was light, and there were countless seemingly familiar images in his mind. The fingers are slightly moving, which is light and flexible.
Is this the master of general surgery? There seems to be no feeling of reincarnation.
Looking at the remaining 271 free skills points, Zheng Ren indifferently turned his eyes away and began to choose to buy surgery time.
After a period of accumulation, the experience value exceeded 250,000.
Not much, but it should be enough.
After all, the overall general surgery skills have entered the master level.
Zheng Ren purchased 200000 operative time and 55.5 hours of system training, officially started.
The operating room of the system was raised from the ground, and the experimental body was placed in a position and waiting for surgery.
Each case is an experimental body related to the pancreas. Zheng Ren naturally starts from the pancreatic pseudocyst. The difficulty of surgery in the pancreas is similar to that of the liver, and even slightly higher.
After all, pancreas anatomy and physiological structure have special properties.
For more than 50 hours, Zheng Ren will soon complete less than one hundred cases of pancreatic surgery. This is still pure operation time, which is not needed for the abdominal surgery.
......
Zheng Ren went to brush his hands, and Su Yun even had time to take off his surgical gown. He was directly disinfected by wearing a lead coat.
The head nurse began to open the open bag, and another device nurse had already brushed his hand, put on the surgical gown, and started tapping various instruments.
Counting is one of the tasks that equipment nurses must do. Preoperative and postoperative instruments, consumables, gauze should be right, otherwise what is in the patient's body... that is a serious medical accident.
Su Yun disinfection, paved the first layer of surgery, turned and left, torn off the sterile surgical gown, to take off the lead clothing, ready to brush again. At the same time, Zheng Ren wearing a surgical gown, began to lay a second layer of sterile single, almost seamlessly connected, with a tacit understanding, perfect to the extreme.
"Knife." Zheng Ren paved the list and reached out.
Because Zheng Ren’s speed is too fast, the work of the nurse head and the new equipment nurse has not been completed, and was interrupted by Zheng Ren’s words.
"Give him a pair of curved pliers, a knife, a piece of gauze, we continue to count." The head nurse glanced at Zheng Ren, but understood his anxious mood and arranged.
"You still need to attract, wear a set."
This cooperation, the level of tacit understanding is much worse than the cooperation with the Shea people.
However, at this time, Xiao Xie Yi was crying in the corner of the operation room, and could not come to the stage to cooperate with the operation.
Zheng Ren disinfected again, then picked up the knife, pen-type, hand-cranked, cut a 15cm long incision beside the left rectus muscle of Miao Xiaohua.
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