v3 Chapter 2791： We two are watching here
"Boss Zheng, here." Director Xu said with a calm face.
"Director Xu, did the echocardiography do? I took a look." Zheng Ren said a simple greeting and went straight to the subject.
Lao He immediately passed the report form of echocardiography to boss Zheng.
The patient's condition is not unexpected and is similar to that seen in the system operating room, Zheng Ren is more certain.
"Do another echocardiogram," Zheng Ren said.
"Huh?" Director Xu didn't understand. It would suffice to do a similar check. Is it meaningful to do it twice?
He didn't ask questions, but looked at Zheng Ren.
"Director Xu, this is it." Zheng Ren took the echocardiogram and went to the reader, pointing at the image on the reader, and said, "It's almost 20 minutes before and after. We can see on CT that the heart is The right thorax, which is about 6.7 cm from the sternal stem at its furthest point. "
Director Xu Xu and a group of anaesthetists gathered around, and the hospitalization of hepatobiliary surgery was always squeezed out. Only Director Li of the liver and gallbladder stood beside Boss Zheng and followed.
"You can see from the echocardiogram that the heart moved about 0.3cm to the left."
"..."
Everyone was dumb.
0.3cm, can you see it too? Such a small gap may be enough for a test error caused by a heart beat.
"I thought on the way back. The patient is likely to have twisted the heart due to the squeeze of a large amount of gas in the left chest cavity. As long as the closed chest drainage drains the gas out, the left chest cavity returns negative pressure and the heart should be able to return. Bit. "Zheng Ren said.
"Boss Zheng, traumatic pneumothorax is very common, but heart twists are rare." Director Xu Sheng said.
If this was changed to a doctor and hospitalized director, even the professor Xu, who led the group, would have been scolding.
What do you think of shit, do nothing and wait for the heart to return? Isn't this kidding? If you don't have to do anything, you still have to do it. Like Director Xu, there is also a professor of cardiothoracic surgery, but they know that Boss Zheng has a bad temper, and he stands behind without questioning.
I said the same thing, but when I changed Boss Zheng, all this became another concept.
Boss Zheng is not the kind of person who dare not perform the operation because the operation is not good. Cardiothoracic surgery is done by others. What are the secondary operations such as secondary valve replacement, open the chest and open the heart to take out a large blood clot of 12cm? many.
The heart is twisted, as long as it is reset, the process is a bit risky, but Director Xu does not think the risk is too great.
But boss Zheng wants conservative treatment ...
"That's the case. Generally speaking, lung cancer surgery has a very small chance of concomitant torsion of the heart when performing a sleeve resection through the pericardium. However, related case reports have one thing in common-patients have symptoms of respiratory and circulatory failure. "
The operating room was quiet, and everyone was listening to Boss Zheng's statement. Zheng Ren's voice was not loud, and it was difficult for everyone behind to hear.
After all, the patient has not yet been anesthetized. If death, failure or the like is heard, he may be afraid of complications.
"When I came in, I saw the patient gave me a glance, indicating that he is conscious. The values on ECG monitoring are relatively stable, and there are no complications of breathing and circulatory failure, so I do n’t think it would be possible for the heart to reset itself. . "
"If you do this, the damage to the patient will be minimal. You can try it. If it doesn't work, I can open the chest for rescue." Zheng Ren said calmly.
When Yi heard that boss Zheng said he could be responsible for open chest rescue, the atmosphere in the operating room suddenly eased a lot.
"No problem with anesthesia?" Director Xu asked.
"Let's be anesthetized. Let's watch here, and if there is a problem, we will go to the emergency department for rescue." Zheng Rendao.
Wu Suyun sighed in his heart. The change in the mentality of his boss was not felt by him, but the change in speaking and handling had changed a lot.
No, we are watching here! This is because I have subconsciously put myself and Director Xu on the same platform.
I suppose the Nobel Prize winners have this qualification, but even Su Yun is not used to this way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he must be a man with his tail clamped, at least not to the sky. But his boss is already ... alas, too lazy to talk about him.
Wu Laohe pushed in the echocardiography machine to come in, Zheng Ren refused to be prepared to do echocardiography.
"What's your name?"
"Zhu Hong." The patient whispered, "Doctor, I just have a chest pain. It's much better to breathe, all right."
"It's okay." Zheng Ren squeezed the couplant onto his chest wall, and then started echocardiography.
"Small problems, don't worry. Do a small operation. If it goes well, you can go home to rest after 5 days." Zheng Ren continued.
"Uh ... what do you have so many people discussing? I heard people say that it ’s okay for doctors to talk and laugh in the operating room. If you come in an old doctor and then another old doctor, then there are Problem. "The patient asked in confusion.
"Negotiate if you can go home in 5 days ~ www.novelhall.com ~ If you don't discuss it, you have to lie in ICCU for ten days." Zheng Ren said with a smile, then pointed at the screen of echocardiography and Director Xu and the liver Director Li said, "Here, you can see that there is a greater difference from the CT image. The reset distance is nearly 1cm."
Echocardiography requires deep professional skills to understand. Neither Director Xu nor Director Li can understand. Only Zhao Yunlong and Su Yun stood silently behind Zheng Ren.
虽然 Although they also saw a difference, was Boss Zheng's choice too risky?
If, according to Zhao Yunlong's ideas, it is better to split the sternum than to have a dime to be conservative.
"If you don't have an opinion, start anesthesia?" Zheng Ren asked.
"Lao He, anesthesia." Director Xu directly arranged Lao He to come to power.
Although Lao He is nominally not in the medical team of Boss Zheng, he is the sole anesthesiologist of Boss Zheng. It is not only 912. Now almost all the top directors of anesthesia in the country know it.
The question of who Lao He was a while ago swept through the anesthesia profession like a gust of wind. It seemed that it took only one night for Lao He to change from an unknown name to a hot anesthesia star.
Wu Laohe glanced at Boss Zheng, he did not directly answer the words of Director Xu.
The boss and boss Zheng are standing here at the same time. It's really difficult to choose who to listen to, but Lao He knows it.
Even if you offend Director Xu, you can't offend Boss Zheng.
"Do it, I'll look at it later." Zheng Ren said with a smile.
"Good grin." Lao He immediately pulled out the U disk from his pocket, ran to the computer, and started playing good luck.
"Director Xu, did the echocardiography do? I took a look." Zheng Ren said a simple greeting and went straight to the subject.
Lao He immediately passed the report form of echocardiography to boss Zheng.
The patient's condition is not unexpected and is similar to that seen in the system operating room, Zheng Ren is more certain.
"Do another echocardiogram," Zheng Ren said.
"Huh?" Director Xu didn't understand. It would suffice to do a similar check. Is it meaningful to do it twice?
He didn't ask questions, but looked at Zheng Ren.
"Director Xu, this is it." Zheng Ren took the echocardiogram and went to the reader, pointing at the image on the reader, and said, "It's almost 20 minutes before and after. We can see on CT that the heart is The right thorax, which is about 6.7 cm from the sternal stem at its furthest point. "
Director Xu Xu and a group of anaesthetists gathered around, and the hospitalization of hepatobiliary surgery was always squeezed out. Only Director Li of the liver and gallbladder stood beside Boss Zheng and followed.
"You can see from the echocardiogram that the heart moved about 0.3cm to the left."
"..."
Everyone was dumb.
0.3cm, can you see it too? Such a small gap may be enough for a test error caused by a heart beat.
"I thought on the way back. The patient is likely to have twisted the heart due to the squeeze of a large amount of gas in the left chest cavity. As long as the closed chest drainage drains the gas out, the left chest cavity returns negative pressure and the heart should be able to return. Bit. "Zheng Ren said.
"Boss Zheng, traumatic pneumothorax is very common, but heart twists are rare." Director Xu Sheng said.
If this was changed to a doctor and hospitalized director, even the professor Xu, who led the group, would have been scolding.
What do you think of shit, do nothing and wait for the heart to return? Isn't this kidding? If you don't have to do anything, you still have to do it. Like Director Xu, there is also a professor of cardiothoracic surgery, but they know that Boss Zheng has a bad temper, and he stands behind without questioning.
I said the same thing, but when I changed Boss Zheng, all this became another concept.
Boss Zheng is not the kind of person who dare not perform the operation because the operation is not good. Cardiothoracic surgery is done by others. What are the secondary operations such as secondary valve replacement, open the chest and open the heart to take out a large blood clot of 12cm? many.
The heart is twisted, as long as it is reset, the process is a bit risky, but Director Xu does not think the risk is too great.
But boss Zheng wants conservative treatment ...
"That's the case. Generally speaking, lung cancer surgery has a very small chance of concomitant torsion of the heart when performing a sleeve resection through the pericardium. However, related case reports have one thing in common-patients have symptoms of respiratory and circulatory failure. "
The operating room was quiet, and everyone was listening to Boss Zheng's statement. Zheng Ren's voice was not loud, and it was difficult for everyone behind to hear.
After all, the patient has not yet been anesthetized. If death, failure or the like is heard, he may be afraid of complications.
"When I came in, I saw the patient gave me a glance, indicating that he is conscious. The values on ECG monitoring are relatively stable, and there are no complications of breathing and circulatory failure, so I do n’t think it would be possible for the heart to reset itself. . "
"If you do this, the damage to the patient will be minimal. You can try it. If it doesn't work, I can open the chest for rescue." Zheng Ren said calmly.
When Yi heard that boss Zheng said he could be responsible for open chest rescue, the atmosphere in the operating room suddenly eased a lot.
"No problem with anesthesia?" Director Xu asked.
"Let's be anesthetized. Let's watch here, and if there is a problem, we will go to the emergency department for rescue." Zheng Rendao.
Wu Suyun sighed in his heart. The change in the mentality of his boss was not felt by him, but the change in speaking and handling had changed a lot.
No, we are watching here! This is because I have subconsciously put myself and Director Xu on the same platform.
I suppose the Nobel Prize winners have this qualification, but even Su Yun is not used to this way of speaking and doing things.
After winning the Nobel Prize, he repeatedly told himself that he must be a man with his tail clamped, at least not to the sky. But his boss is already ... alas, too lazy to talk about him.
Wu Laohe pushed in the echocardiography machine to come in, Zheng Ren refused to be prepared to do echocardiography.
"What's your name?"
"Zhu Hong." The patient whispered, "Doctor, I just have a chest pain. It's much better to breathe, all right."
"It's okay." Zheng Ren squeezed the couplant onto his chest wall, and then started echocardiography.
"Small problems, don't worry. Do a small operation. If it goes well, you can go home to rest after 5 days." Zheng Ren continued.
"Uh ... what do you have so many people discussing? I heard people say that it ’s okay for doctors to talk and laugh in the operating room. If you come in an old doctor and then another old doctor, then there are Problem. "The patient asked in confusion.
"Negotiate if you can go home in 5 days ~ www.novelhall.com ~ If you don't discuss it, you have to lie in ICCU for ten days." Zheng Ren said with a smile, then pointed at the screen of echocardiography and Director Xu and the liver Director Li said, "Here, you can see that there is a greater difference from the CT image. The reset distance is nearly 1cm."
Echocardiography requires deep professional skills to understand. Neither Director Xu nor Director Li can understand. Only Zhao Yunlong and Su Yun stood silently behind Zheng Ren.
虽然 Although they also saw a difference, was Boss Zheng's choice too risky?
If, according to Zhao Yunlong's ideas, it is better to split the sternum than to have a dime to be conservative.
"If you don't have an opinion, start anesthesia?" Zheng Ren asked.
"Lao He, anesthesia." Director Xu directly arranged Lao He to come to power.
Although Lao He is nominally not in the medical team of Boss Zheng, he is the sole anesthesiologist of Boss Zheng. It is not only 912. Now almost all the top directors of anesthesia in the country know it.
The question of who Lao He was a while ago swept through the anesthesia profession like a gust of wind. It seemed that it took only one night for Lao He to change from an unknown name to a hot anesthesia star.
Wu Laohe glanced at Boss Zheng, he did not directly answer the words of Director Xu.
The boss and boss Zheng are standing here at the same time. It's really difficult to choose who to listen to, but Lao He knows it.
Even if you offend Director Xu, you can't offend Boss Zheng.
"Do it, I'll look at it later." Zheng Ren said with a smile.
"Good grin." Lao He immediately pulled out the U disk from his pocket, ran to the computer, and started playing good luck.
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