v3 Chapter 2566： If you change people, you will doubt your life.
Mr. Zheng, great! Director Qiu is not a rainbow fart this time, he is telling the truth.
The free Kirschner wire was taken out yesterday, but the case is more peculiar. I can't tell whether the operation is done well. Uh ... the free-stick Adhesion needle is really good, but it's just good.
But today, Boss Zheng stopped closing the chest and almost made it unpleasant. Director Qiu now quietly turned back and thought about everything that just happened. The more he thought about it, the more he worshipped.
There is a relationship between ECG oscillography and radial arterial pressure waveforms, which no one would deny. But there are not many people who can see it. Even those who know a little fur are considered good anesthesiologists.
This is not important. What is important is that Boss Zheng saw it a few minutes in advance and was able to prevent the operation from proceeding with confidence and persistence.
If there is no point in my heart, dare to let the surgeon reopen the sternum screwed with wire?
Once the patient ’s chest is okay after opening, this kind of thing will spread and affect Boss Zheng ’s academic status.
People must be sure. This is a gap in the realm. Director Qiu felt deeply. Boss Zheng can get the Nobel Prize at such a young age, and it really makes sense under his reputation.
"Boss Zheng, how did the card flap happen?" Director Xun asked puzzled, "I should have noticed that I should pay attention to it. I didn't expect it to be stuck again."
"It's okay, the operation will definitely have various abnormalities. I also saw that you paid attention to some key points when you were performing the operation. For example, you were worried about suture flaps. You watched it twice and observed 3′12" It is really very cautious. "
Zheng Ren said with a smile.
Director Xun was grateful, but then he raised a sense of solitude at the deepest point.
Did Boss Zheng pay attention to the 3′12 ″ he observed himself? He only remembered that he had observed it for two or three minutes, but he would n’t know how long it took for Director Xun to say how long he had watched.
"Furthermore, the **** can also be caused by the biological flap itself or the tissues, foreign bodies, etc. that affect the activity of the biological flaps. I think you have also noticed that this is also excluded."
"As for the formation of thrombus **** after extracorporeal circulation, I paid attention to the dose of the drug, no problem." Zheng Ren said casually while watching the values of each machine.
"Then ..." Director Xun asked in confusion.
"It is a problem of the patient's physiology and anatomical structure itself, and there is no way to avoid it. Otherwise, we have noticed that this work is very risky, and we all notice that it may not be avoided. When I was at 912, I did a prostatectomy in urology During the operation, our director was careful and careful. During the operation, it still caused an explosion, which caused the bladder to rupture. "
Speaking of which, everyone is extremely emotional.
Be careful, you can only reduce the possibility of some secondary damage, and absolutely not avoid it. Humans are not thorough in their own body research, and wanting to avoid all complications is tantamount to foolish dreaming.
Boss Zheng found the problem and avoided it, but he was not arrogant. He simply talked about various points, and also mentioned many details of Director Qi, this person is really not simple.
"Boss Zheng, Dr. Su, how did you find them?" Director Qiu expressed his interest after feeling that Boss Zheng was not simple several times.
"Director Qiu, how would you judge if you were on the operating table?" Su Yun asked back.
"The sudden paroxysmal or continuous ECG oscilloscope is separated from the arterial monitoring pressure curve waveform. Only a few pressure cycles have a pressure curve wave, and the pressure wave gradually becomes straight, which is a reliable diagnosis of mechanical valve acute dysfunction. Basis. "Director Qiu said.
"Yes, the initial fluctuation is not obvious, but if you look closely, there will be 0.8 wave separations in one minute. It may be caused by machine interference and measurement errors, but you must always observe and observe more." Su Yun Laughed.
Less than a minute at a time, Director Qiu sighed, but he couldn't find it. Even if it is found, it is not possible to reassure the surgeon.
In the end, it's still Boss Zheng!
"In the beginning, there was definitely no way to judge that it was a card caused by a rupture of the mitral valve chordae. At this time, the anesthesiologist must make a judgment quickly." Zheng Ren smiled.
"Exclude factors such as whether the radial arterial pressure measurement line is unobstructed, whether the patient has severe left ventricular dysfunction, whether the volume is deficient, whether the amount of vasodilator medicine is appropriate, whether anesthesia is too deep, and protamine allergy."
"I just glanced at it and everything was okay. I can only wait or just reopen the chest to see the situation." Zheng Ren said: "Because I am a surgeon, it is more radical. Instead of chatting on the operating table, it is better to open up and look directly Look at the heart. This is the strongest evidence, and if there is a problem looking straight, you are sure. "
"What if it's okay?" Director Qiu asked in confusion.
"Shut up your chest, do you still want to be watching movies?" Su Yundao.
"..."
Director Qiu is speechless, so simple? !! Indeed, depending on the situation after the second chest opening, if it is all right, you must close the chest. But this time the anesthesiologist has to face the anger of the surgeon!
Sky-high anger!
Interfering with the operation, but can't say why, and will be shameless in the future.
Seeing Director Qiu's expression on the outside, Zheng Ren knew what he was thinking inside, and then said enthusiastically, "Director Qiu, we can't take risks because of our face for medical treatment."
Director Qiu took a deep breath and said to Boss Zheng ...
"Boss, just dare to say that. It's not face, but credibility. What will the surgeon think about this mistake? What happens next time? The wolf is coming, the wolf is coming, and the shouting is more frequent Who still believes in you. "Su Yun stumbled directly.
This said to Director Qiu's heart.
Not to mention that Bao Lao was previously equipped with a platform ~ www.novelhall.com ~ This type of oolong cannot be made, even if it is now equipped with a surgical director of the same qualification, it cannot be oolong. Once there is no credibility, no one will listen afterwards.
"Ignore him, Director Qiu." Su Yun continued, "He saved the entire universe in his last life, and every time he judged right, there is nothing to say about his life. There is no way to copy it. It would be great if it could be copied. Paste directly, everyone's luck is so good. "
"This is a wealth of clinical experience." Zheng Ren thought of the system operating room and emphasized in his mouth.
"The clinical experience of fart, I just saw that the waveform does not match. You have to say that the machine power interference is directly ruled out. I am the first to express dissatisfaction." Su Yundao.
Zheng Ren smiled, this product is enough, dare to question himself, no matter how many times the blow can not extinguish his persistence.
If you change to a slightly worse level, you will doubt life directly, just like Director Qiu.
Remember mobile URL:
List of chapters in high-speed text manual surgery room
The free Kirschner wire was taken out yesterday, but the case is more peculiar. I can't tell whether the operation is done well. Uh ... the free-stick Adhesion needle is really good, but it's just good.
But today, Boss Zheng stopped closing the chest and almost made it unpleasant. Director Qiu now quietly turned back and thought about everything that just happened. The more he thought about it, the more he worshipped.
There is a relationship between ECG oscillography and radial arterial pressure waveforms, which no one would deny. But there are not many people who can see it. Even those who know a little fur are considered good anesthesiologists.
This is not important. What is important is that Boss Zheng saw it a few minutes in advance and was able to prevent the operation from proceeding with confidence and persistence.
If there is no point in my heart, dare to let the surgeon reopen the sternum screwed with wire?
Once the patient ’s chest is okay after opening, this kind of thing will spread and affect Boss Zheng ’s academic status.
People must be sure. This is a gap in the realm. Director Qiu felt deeply. Boss Zheng can get the Nobel Prize at such a young age, and it really makes sense under his reputation.
"Boss Zheng, how did the card flap happen?" Director Xun asked puzzled, "I should have noticed that I should pay attention to it. I didn't expect it to be stuck again."
"It's okay, the operation will definitely have various abnormalities. I also saw that you paid attention to some key points when you were performing the operation. For example, you were worried about suture flaps. You watched it twice and observed 3′12" It is really very cautious. "
Zheng Ren said with a smile.
Director Xun was grateful, but then he raised a sense of solitude at the deepest point.
Did Boss Zheng pay attention to the 3′12 ″ he observed himself? He only remembered that he had observed it for two or three minutes, but he would n’t know how long it took for Director Xun to say how long he had watched.
"Furthermore, the **** can also be caused by the biological flap itself or the tissues, foreign bodies, etc. that affect the activity of the biological flaps. I think you have also noticed that this is also excluded."
"As for the formation of thrombus **** after extracorporeal circulation, I paid attention to the dose of the drug, no problem." Zheng Ren said casually while watching the values of each machine.
"Then ..." Director Xun asked in confusion.
"It is a problem of the patient's physiology and anatomical structure itself, and there is no way to avoid it. Otherwise, we have noticed that this work is very risky, and we all notice that it may not be avoided. When I was at 912, I did a prostatectomy in urology During the operation, our director was careful and careful. During the operation, it still caused an explosion, which caused the bladder to rupture. "
Speaking of which, everyone is extremely emotional.
Be careful, you can only reduce the possibility of some secondary damage, and absolutely not avoid it. Humans are not thorough in their own body research, and wanting to avoid all complications is tantamount to foolish dreaming.
Boss Zheng found the problem and avoided it, but he was not arrogant. He simply talked about various points, and also mentioned many details of Director Qi, this person is really not simple.
"Boss Zheng, Dr. Su, how did you find them?" Director Qiu expressed his interest after feeling that Boss Zheng was not simple several times.
"Director Qiu, how would you judge if you were on the operating table?" Su Yun asked back.
"The sudden paroxysmal or continuous ECG oscilloscope is separated from the arterial monitoring pressure curve waveform. Only a few pressure cycles have a pressure curve wave, and the pressure wave gradually becomes straight, which is a reliable diagnosis of mechanical valve acute dysfunction. Basis. "Director Qiu said.
"Yes, the initial fluctuation is not obvious, but if you look closely, there will be 0.8 wave separations in one minute. It may be caused by machine interference and measurement errors, but you must always observe and observe more." Su Yun Laughed.
Less than a minute at a time, Director Qiu sighed, but he couldn't find it. Even if it is found, it is not possible to reassure the surgeon.
In the end, it's still Boss Zheng!
"In the beginning, there was definitely no way to judge that it was a card caused by a rupture of the mitral valve chordae. At this time, the anesthesiologist must make a judgment quickly." Zheng Ren smiled.
"Exclude factors such as whether the radial arterial pressure measurement line is unobstructed, whether the patient has severe left ventricular dysfunction, whether the volume is deficient, whether the amount of vasodilator medicine is appropriate, whether anesthesia is too deep, and protamine allergy."
"I just glanced at it and everything was okay. I can only wait or just reopen the chest to see the situation." Zheng Ren said: "Because I am a surgeon, it is more radical. Instead of chatting on the operating table, it is better to open up and look directly Look at the heart. This is the strongest evidence, and if there is a problem looking straight, you are sure. "
"What if it's okay?" Director Qiu asked in confusion.
"Shut up your chest, do you still want to be watching movies?" Su Yundao.
"..."
Director Qiu is speechless, so simple? !! Indeed, depending on the situation after the second chest opening, if it is all right, you must close the chest. But this time the anesthesiologist has to face the anger of the surgeon!
Sky-high anger!
Interfering with the operation, but can't say why, and will be shameless in the future.
Seeing Director Qiu's expression on the outside, Zheng Ren knew what he was thinking inside, and then said enthusiastically, "Director Qiu, we can't take risks because of our face for medical treatment."
Director Qiu took a deep breath and said to Boss Zheng ...
"Boss, just dare to say that. It's not face, but credibility. What will the surgeon think about this mistake? What happens next time? The wolf is coming, the wolf is coming, and the shouting is more frequent Who still believes in you. "Su Yun stumbled directly.
This said to Director Qiu's heart.
Not to mention that Bao Lao was previously equipped with a platform ~ www.novelhall.com ~ This type of oolong cannot be made, even if it is now equipped with a surgical director of the same qualification, it cannot be oolong. Once there is no credibility, no one will listen afterwards.
"Ignore him, Director Qiu." Su Yun continued, "He saved the entire universe in his last life, and every time he judged right, there is nothing to say about his life. There is no way to copy it. It would be great if it could be copied. Paste directly, everyone's luck is so good. "
"This is a wealth of clinical experience." Zheng Ren thought of the system operating room and emphasized in his mouth.
"The clinical experience of fart, I just saw that the waveform does not match. You have to say that the machine power interference is directly ruled out. I am the first to express dissatisfaction." Su Yundao.
Zheng Ren smiled, this product is enough, dare to question himself, no matter how many times the blow can not extinguish his persistence.
If you change to a slightly worse level, you will doubt life directly, just like Director Qiu.
Remember mobile URL:
List of chapters in high-speed text manual surgery room
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