Chapter 1560： Directly scared

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Zheng Ren quickly put the aortic stent down.

The airtight lead door was opened, and Chu was able to hold the tracheal intubation. Su Yun and Wang Zong gave the patient a position.

The patient took the supine position and Su Yun took a pillow to raise the left side of the body.

"Boss, is one enough?" Su Yun glanced at it, felt almost the same, and asked again.

The assistant feels that it is not good, and the final position is still the decision of the surgeon. But in general, they are all fixed, and there is no need to ask.

This patient has a special situation. Su Yun asks two more questions. There is no harm in being cautious.

"Well, no problem." Zheng Ren nodded and turned to brush his hands.

"Don't pick up the gloves next time, you can save your hands." Su Yun said while holding the patient's position.

"Not rigorous." Zheng Rendao "still brushed his hands and felt relieved."

"Boss, your mental illness, have time to look at it. How do I introduce you to a better psychiatrist?" Su Yundao.

"I am mentally healthy, but your narcissism and words need to look at it." Zheng Ren, regardless of how Su Yun tempered, directly to brush his hands.

"I came back for surgery, there is no background music, it is really quiet." Su Yun put his position in the position, looked at it and felt very satisfied.

“What music is there in the emperor?” asked Wang.

Speaking of this, he began to miss 912.

"Old congratulations, as long as the goods catch up with the boss's Taiwanese, they will be lucky. The first time I listened, I feel okay. Listening more, it really makes people collapse." Su Yun selected, turned back and asked, "Boss, left The fifth rib on the side?"

"Yes." Zheng Ren's voice passed from the hand washing.

Mr. Wang was a little surprised. The two seemed to have changed nothing and seemed to change a lot.

To do chest surgery, Su Yun naturally asked Zheng Boss about the position and surgical incision.

What happened to the emperor during this time? Chest surgery Yun Geer actually asked Zheng boss.

Wang always looked at Su Yun with amazement and thought it was strange.

He had seen Su Yun doing surgery before, and that child wind can be said to be flying. Zhao Yunlong let his dog's blood sprinklers come down for a while, no longer looking for him to have surgery.

It can be said that a good surgeon is absolutely dictatorial on the operating table.

But when I saw the situation in front of me, Wang had a guess in his heart. Although it seems very ridiculous, I have thought about it, and the rest is the truth.

Yun Geer’s goods are in the heart.

Place the sterile single and the surgery begins.

Wang did not come to power, Su Yun said, and really can't use him.

Looking at Zheng Ren and Su Yun standing on the operating table, Wang always felt a little emotional. The boss's temperament is getting more and more calm.

The last time he came back, he also called him Zheng Zong, but this time he could not help but call Zheng Boss.

Zheng Renyi reached out and the knife was in his hand.

Along the fifth intercostal space, cut the arc-shaped incision, stop bleeding, cut layer by layer, bluntly separate, into the chest.

Zheng Renxian found the internal thoracic artery, cut and ligated.

Open the chest to open the chest, Su Yundao "This heart bag! Really praise."

The pericardial cavity is visible to the naked eye about 8001.

The most striking thing is that the distal position of the Kirschner wire is not far from the pericardium.

"This is the most sensible heart bag I have ever seen." Su Yundao.

"If there is no pericardial protection, I am afraid that the heart is being smashed." Wang always stood behind Zheng Ren and nodded.

Unfortunately, the stimulation time is a bit long, and the inside of the pericardium is wrapped in a layer of fiberboard, and the heart beats are somewhat limited.

The pericardium is no longer soft, slightly square, and there are signs of chronic constrictive pericarditis.

Chronic constrictive pericarditis is a chronic inflammatory process involving the parietal and visceral layers of the pericardium. Causes pericardial fibrosis and thickening, limiting the diastolic activity of the heart, thereby reducing heart function.

But in front of the patient, the narrowed pericardium protects the heart like a armor, so as not to cause a fatal injury to the Kirschner wire.

But not to mention that the K-wire is like the sword of Damocles, it will always kill. Light is a narrowed pericardium, a deadly disease.

Once the symptoms and signs of chronic constrictive pericarditis occur, the patient's life expectancy at the loss of general mobility is approximately 5 to 15 years. When ascites occurs, the condition progresses rapidly, especially among children.

Zheng Ren used a sharp knife to make a small mouth on the pericardium. At the moment of leaving, the pericardial effusion had not yet emerged, and the aspirator was stuffed into Su Yun.

Looking at the reddish **** pericardial effusion was led out, but the pericardium did not go down, the shape is weird.

"Separate the pliers." Zheng Ren reached out and spoke in the palm of his hand while talking.

"Zheng boss, what is this pliers?" asked Wang.

He is a doctor in gastrointestinal surgery and can't understand chest surgery. Ask casually, lest you have to guess, but also let the air in the operating room live a little bit.

"Looking for the left phrenic nerve." Zheng Ren finished,

Together with as much fat as possible and the pericardial tissue and left phrenic nerve are separated Zheng Ren cuts the happy bag from the position of the left ventricle, leaning to the posterolateral side.

"Zheng Zong, when did you come back?"

The Department of Orthopaedics Weekly entered the operating room and warmly greeted.

"Zhou Zong, I haven't seen you for a long time." Zheng Ren only greeted half a sentence, then he said, "You look at the needle."

"What's wrong?" Zhou always looked at the incision and knew that it was a thoracic surgery. He took a look at it and his face was scared.

"I am going to... there is really a situation where the K-wire is free at the far end!" Zhou always exclaimed.

"How? Haven't you seen it?" Zheng Ren is not a dry orthopedics, nor has he raised the skill tree of orthopedics to any level.

He is not clear about the probability of the distal end of the Kirschner wire.

"There was this in the pre-operative confession. I also learned how to teach Master when I was taught. Every time I talked to the family of the patient, I made a plan." Zhou’s face changed and changed, just eagerly looking up. District, I immediately remembered one thing.

"Zheng Zong, where is the patient doing a fixed operation of the clavicle fracture?" Zhou Zongqi asked.

If you do it yourself, this is a special day.

Although there are cases before surgery, this postoperative complication is real, but the chance is too small, even I have never encountered it.

Once it appears on a patient, it is a 100% chance. It’s okay to meet the reason, and it’s unreasonable...

Zhou always thought a lot, and the excitement of the special case that I saw just now was completely destroyed. My heart is awkward, my eyes are a little erratic.

"No question." Zheng Rendao "looking at the incision, it is estimated to be at least three years."

"Don't ask." Zhou always sighed and complained slightly.

"What? You knocked out the Kirschner wire, the aorta was quickly broken, and it was reasonable? We are in a hurry to rescue, who has time to ask those who have nothing." Su Yun listened to the complaints in Zhou’s words, Go straight back.

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