Chapter 1898： Blood pressure is steady? This is not right!
"Boss, I think it’s almost two hours."
"But he couldn't help for two minutes. The biceps had begun to involuntarily squat, the body's lactate level was too high, and it was barely insistent on the body." Zheng Ren glanced at Professor Zhan.
"Oh, can you still see the level of lactic acid? You tell me how to judge." Su Yun said something on his mouth, but his head did not move, his finger movements were subtle, with Zheng Ren's dissociation.
"It is definitely a disorder in the sodium and potassium pumps in the body. If you want to do a serum ion test, the potassium ion should be above 5."
Professor Zhan is speechless.
Usually, I will be joking like this, and I will talk nonsense about something plausible.
Just on the operating table in front of him, Zheng Bo and his assistants are doing almost impossible surgery, and they have this thought.
"Director Ma!" Zheng Ren shouted, then whispered: "It is Director Ma."
"Correct."
"Oh, I just visited the surgery and didn't listen carefully."
Ma Liang threw Li’s dean aside and ran away.
"Zheng boss, what is the order?"
Dean Li looked at Ma Liang with helpless eyes. Is this like a big director, a training doctor?
"For a young and strong pull, the hand should be steady, and insist on changing for 30 minutes." Zheng Rendao, "Let's find more, the surgery may take a long time."
"Oh, okay!" Ma Liang immediately arranged for this.
But the first one to come up is Ma Liang himself.
This kind of opportunity, Ma Liang will not miss it.
He replaced Professor Zhan, opened the internal organs, exposed the surgery field, and asked: "Zheng boss, can you see this?"
"The backhand is a little higher." Zheng Rendao.
"Oh, okay." Ma Liang immediately said what Zheng Ren said.
But the back hand is higher, but there is no feeling that the surgery area has changed.
He was somewhat puzzled and asked: "Is Zheng boss, what are the benefits of doing this?"
"You haven't pulled the hook?" Su Yun asked.
"Through more than twenty years ago."
"Your current position can make your hooks more stable, less labor-saving, and last longer, probably about 412". Zheng Ren continued the operation and explained to Director Ma Liang in his mouth.
Ma Liang did not question Zheng Ren’s statement. Even if it was accurate to the second, he still had no doubts.
Surgery continues, Zheng Ren and Su Yun are in the free tumor tissue, but the people who pull the hook are constantly changing.
Microsurgery, there must be no tremors.
It is possible that the assistant just changed the hand shape and the operation failed.
After 3 hours and 34 minutes, the hemostatic forceps in Su Yun's hand finally caught a black abnormal tissue and took it out of the patient's abdominal cavity.
"It's still smooth, hey, have you been frozen in the surgery?" Su Yun asked.
Professor Zhan nodded quickly.
The tiredness of the hook has slowed down for a few hours and has not slowed down.
"Yes, I have made an appointment."
"Consider the retroperitoneal paraganglioma, send it to the ice." Zheng Rendao, then began to deal with the surgical stump.
Seeing that the tumor tissue was cut, everyone was in great spirits and they all looked around for surgery.
In the operating area, the dark tumor tissue disappeared and there was no bleeding, and the inferior vena cava seemed to be a little thinner, but there was no bleeding.
Dean Li was puzzled and whispered: "Professor Zhan, how is the tumor tissue free? Is it not very sticky with the inferior vena cava?"
"Zheng boss's separation of the inferior vena cava adventitia, some parts have reached the middle membrane, the outer layer of the membrane is also freed and cut off at several points." Professor Zhan looked at the operation area, and guessed.
"Oh... what about the pressure of the inferior vena cava?" asked Li.
Professor Zhan looked at him speechlessly and sighed. "President Li, just under the film holder."
Dean Li knows how silly his problem is.
Still don't talk, it makes people laugh.
He glanced at the ECG monitoring, and the above values told him that Director Jin’s vital signs were stable, people were fine, and he should be able to step down alive.
Zheng Ren also looked up at his blood pressure and said nothing.
The next step is to prepare to close the abdomen, President Li judged.
However, Zheng Ren sighed and said: "Pre-sale film, give me a look."
"Oh..." The doctor on this side stunned.
"Hurry up, the operation time has been very long." Zheng Ren is a little unhappy.
No matter what you say, you can't always do it in the first place. In the memory, the provincial medical level is quite high. How is it different from your own memory?
"Zheng boss, do you think there is a shift?" Professor Zhan asked.
"Yeah." Zheng Ren looked at the value of ECG monitoring. "The retroperitoneal paraganglioma is often accompanied by blood pressure reduction and other features, and further expansion is needed."
"If persistent hypertension after tumor resection, or if blood pressure does not drop, suggesting that there may be another tumor or metastases, it should be sought and removed metastatic lesions, reducing functional tumor tissue, and extensive surgical resection is necessary."
“Hey, blood pressure is still very stable, and there is an estimated tumor tissue.”
This news is simply a bad news, originally thought that the end of the surgery, clean and beautiful, is perfect.
But the surgeon actually said that it was still not finished...
The film hangs up, and Zheng Ren put his hands under his arm and began reading.
Su Yun also made up the past and watched it together.
Within half a meter of the two people, do not enter.
Surgery encounters an unexpected situation, the surgeon is generally more violent. And now it should be an unexpected situation. What if you get close and get into the sterile clothes? !
The temper of the surgeon is violent, and it is sure to be a skunk.
"Boss, the right kidney is not looking right." Su Yundao.
"Well, I can only cut it." Zheng Rendao: "Old Gao!"
Gao Shaojie has been silent, he can't understand the surgery, so he didn't participate too much.
"In the case, Zheng boss." Gao Shaojie immediately promised.
"After the kidney segment is re-bleeded, you have had an embolization surgery." Zheng Ren asked to do it. Gao Shaojie immediately gave Zheng Ren a positive reply.
"Then cut the kidney section, the damage is as small as possible." Zheng Ren then glanced at Professor Zhan and asked: "Pre-operative observation with the patient's family before surgery, is it possible to cut the right kidney or part of the right kidney?"
"said."
Zheng Ren is still very happy, the most basic things are not missing.
Go back to the operating table and start a kidney resection.
The operation was quick, and there was no careful removal of the adhesion to the inferior vena cava tumor tissue, but a drastic cut.
Although Professor Zhan had some doubts, he did not speak, but kept observing the patient's blood pressure.
After sputum and resection, the blood pressure suddenly dropped from 110 mm Hg to 75 mm Hg.
Seeing the drop in blood pressure, Zheng Ren did not worry, but instead he was relieved to breathe a sigh of relief, "close the belly!"
"But he couldn't help for two minutes. The biceps had begun to involuntarily squat, the body's lactate level was too high, and it was barely insistent on the body." Zheng Ren glanced at Professor Zhan.
"Oh, can you still see the level of lactic acid? You tell me how to judge." Su Yun said something on his mouth, but his head did not move, his finger movements were subtle, with Zheng Ren's dissociation.
"It is definitely a disorder in the sodium and potassium pumps in the body. If you want to do a serum ion test, the potassium ion should be above 5."
Professor Zhan is speechless.
Usually, I will be joking like this, and I will talk nonsense about something plausible.
Just on the operating table in front of him, Zheng Bo and his assistants are doing almost impossible surgery, and they have this thought.
"Director Ma!" Zheng Ren shouted, then whispered: "It is Director Ma."
"Correct."
"Oh, I just visited the surgery and didn't listen carefully."
Ma Liang threw Li’s dean aside and ran away.
"Zheng boss, what is the order?"
Dean Li looked at Ma Liang with helpless eyes. Is this like a big director, a training doctor?
"For a young and strong pull, the hand should be steady, and insist on changing for 30 minutes." Zheng Rendao, "Let's find more, the surgery may take a long time."
"Oh, okay!" Ma Liang immediately arranged for this.
But the first one to come up is Ma Liang himself.
This kind of opportunity, Ma Liang will not miss it.
He replaced Professor Zhan, opened the internal organs, exposed the surgery field, and asked: "Zheng boss, can you see this?"
"The backhand is a little higher." Zheng Rendao.
"Oh, okay." Ma Liang immediately said what Zheng Ren said.
But the back hand is higher, but there is no feeling that the surgery area has changed.
He was somewhat puzzled and asked: "Is Zheng boss, what are the benefits of doing this?"
"You haven't pulled the hook?" Su Yun asked.
"Through more than twenty years ago."
"Your current position can make your hooks more stable, less labor-saving, and last longer, probably about 412". Zheng Ren continued the operation and explained to Director Ma Liang in his mouth.
Ma Liang did not question Zheng Ren’s statement. Even if it was accurate to the second, he still had no doubts.
Surgery continues, Zheng Ren and Su Yun are in the free tumor tissue, but the people who pull the hook are constantly changing.
Microsurgery, there must be no tremors.
It is possible that the assistant just changed the hand shape and the operation failed.
After 3 hours and 34 minutes, the hemostatic forceps in Su Yun's hand finally caught a black abnormal tissue and took it out of the patient's abdominal cavity.
"It's still smooth, hey, have you been frozen in the surgery?" Su Yun asked.
Professor Zhan nodded quickly.
The tiredness of the hook has slowed down for a few hours and has not slowed down.
"Yes, I have made an appointment."
"Consider the retroperitoneal paraganglioma, send it to the ice." Zheng Rendao, then began to deal with the surgical stump.
Seeing that the tumor tissue was cut, everyone was in great spirits and they all looked around for surgery.
In the operating area, the dark tumor tissue disappeared and there was no bleeding, and the inferior vena cava seemed to be a little thinner, but there was no bleeding.
Dean Li was puzzled and whispered: "Professor Zhan, how is the tumor tissue free? Is it not very sticky with the inferior vena cava?"
"Zheng boss's separation of the inferior vena cava adventitia, some parts have reached the middle membrane, the outer layer of the membrane is also freed and cut off at several points." Professor Zhan looked at the operation area, and guessed.
"Oh... what about the pressure of the inferior vena cava?" asked Li.
Professor Zhan looked at him speechlessly and sighed. "President Li, just under the film holder."
Dean Li knows how silly his problem is.
Still don't talk, it makes people laugh.
He glanced at the ECG monitoring, and the above values told him that Director Jin’s vital signs were stable, people were fine, and he should be able to step down alive.
Zheng Ren also looked up at his blood pressure and said nothing.
The next step is to prepare to close the abdomen, President Li judged.
However, Zheng Ren sighed and said: "Pre-sale film, give me a look."
"Oh..." The doctor on this side stunned.
"Hurry up, the operation time has been very long." Zheng Ren is a little unhappy.
No matter what you say, you can't always do it in the first place. In the memory, the provincial medical level is quite high. How is it different from your own memory?
"Zheng boss, do you think there is a shift?" Professor Zhan asked.
"Yeah." Zheng Ren looked at the value of ECG monitoring. "The retroperitoneal paraganglioma is often accompanied by blood pressure reduction and other features, and further expansion is needed."
"If persistent hypertension after tumor resection, or if blood pressure does not drop, suggesting that there may be another tumor or metastases, it should be sought and removed metastatic lesions, reducing functional tumor tissue, and extensive surgical resection is necessary."
“Hey, blood pressure is still very stable, and there is an estimated tumor tissue.”
This news is simply a bad news, originally thought that the end of the surgery, clean and beautiful, is perfect.
But the surgeon actually said that it was still not finished...
The film hangs up, and Zheng Ren put his hands under his arm and began reading.
Su Yun also made up the past and watched it together.
Within half a meter of the two people, do not enter.
Surgery encounters an unexpected situation, the surgeon is generally more violent. And now it should be an unexpected situation. What if you get close and get into the sterile clothes? !
The temper of the surgeon is violent, and it is sure to be a skunk.
"Boss, the right kidney is not looking right." Su Yundao.
"Well, I can only cut it." Zheng Rendao: "Old Gao!"
Gao Shaojie has been silent, he can't understand the surgery, so he didn't participate too much.
"In the case, Zheng boss." Gao Shaojie immediately promised.
"After the kidney segment is re-bleeded, you have had an embolization surgery." Zheng Ren asked to do it. Gao Shaojie immediately gave Zheng Ren a positive reply.
"Then cut the kidney section, the damage is as small as possible." Zheng Ren then glanced at Professor Zhan and asked: "Pre-operative observation with the patient's family before surgery, is it possible to cut the right kidney or part of the right kidney?"
"said."
Zheng Ren is still very happy, the most basic things are not missing.
Go back to the operating table and start a kidney resection.
The operation was quick, and there was no careful removal of the adhesion to the inferior vena cava tumor tissue, but a drastic cut.
Although Professor Zhan had some doubts, he did not speak, but kept observing the patient's blood pressure.
After sputum and resection, the blood pressure suddenly dropped from 110 mm Hg to 75 mm Hg.
Seeing the drop in blood pressure, Zheng Ren did not worry, but instead he was relieved to breathe a sigh of relief, "close the belly!"
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