[Ding, mission: Help Mashua’s little nephew come up with a diagnostic plan and complete the symptomatic treatment as soon as possible. The reward is 3 gold coins, and the card library is refreshed once. 】

Tanglou checked the balance and it came to 13, so he immediately redeemed it to upgrade the Cox Maze Surgery (three stars, 18)!

Under the three-star surgery, Tanglou has a deeper understanding of the modified Cox maze IV surgery and further optimized the operation details. Myocardial ischemia exists during the radiofrequency clamp operation, so in order to meet higher requirements, the three-star surgery added

The addition of Constant Protective Solution (HTK solution) made the entire operation more perfect.

After Tanglou exited the system space, he saw Qian Gang looking at him with a red face, and asked with some embarrassment: "Tanglou, did you think of this optimization plan from the beginning?"

Director Qian Gang pointed at the heart model on the table of the tenement building. No wonder he was able to come up with creative plans. It turned out to be because of the psychological suggestion of the tenement building plan.

Director Qian wished he could find a place to drill.

"Director Qian can't say that. After all, I just watched the Cox Maze III surgery once before, and I had some ideas, so I tried the ablation line casually, but it was not so systematic and I haven't formed a complete surgical plan yet.

.I didn’t fully understand it until I heard the detailed analysis from you and the two directors of Zijingang Hospital.”

"So speaking of it, we can only say that our heroes have similar views. Director Qian, in fact, this improvement of the Cox Maze III technique is mainly driven by you."

Tanglou was telling the truth. Director Qian Gang did only make a slight impression before, and his subsequent performance relied on his accumulated experience.

"Huh? It seems true when you say that."

How can something done by a scholar be called plagiarism?

Director Qian Gang felt at ease immediately after being treated by the Tanglou. He began to appreciate and like the Tanglou even more.

Seeing Tanglou licking Director Qian Gang without leaving any trace, Wu Changlin's eyes widened.

Dr. Tang's ability to do so well in general surgery really depends on more than just his talent!

Alas, the current workplace is too difficult. There are people who are not only better looking than you, but also have better skills. The key is that their ability to lick dogs is top-notch.

Qian Gang pursed his lips, and then thought again. Since he was inspired by Tang Lou, as the real founder, Tang Lou should have a deeper understanding of this technique than himself, and Tang Lou is the most famous.

The key is surgical operation and long-lasting high-frequency combat capabilities.

"Tanglou, I have an idea. You will perform the world's first Cox Maze IV surgery soon, and I will do it for you. Do you dare?"

Qian Gang was ready to give up this opportunity to stand out among cardiovascular medicine experts in Zijingang to Tanglou.

Wu Changlin was stunned when he heard this, and immediately persuaded: "Director Qian, although Dr. Tang was the first to think of this surgical plan, it is only theoretical knowledge. This surgery is really difficult.

I’m afraid it wouldn’t be appropriate to let Tanglou do the surgery, right?”

No wonder Wu Changlin was worried. After all, even if Director Qian Gang was to perform the surgery, it would still require the guidance of experts from Zijingang Hospital.

And how many days has Tang Lou been in the Department of Cardiovascular Medicine?

Qian Gang ignored Wu Changlin's opinion and just looked at Tanglou, waiting for his answer.

[Ding, new mission: Show off your skills in front of the experts in Zijingang. Mission reward: 3 gold coins, the card library is refreshed]

"good."

Tanglou directly agreed to Qian Gang's suggestion without any hesitation.

"Director Qian, Doctor Tang, you..."

Wu Changlin was a little unbelievable when he saw one person who dared to entrust someone blindly and the other person who dared to assume responsibility indiscriminately.

"Okay, this matter is settled."

Of course, Director Qian Gang had his own considerations. Seeing the tenement building, he admired it more and more. No wonder Cheng Jian was so good at that time.

Such a complex and first-time operation, and under the observation of experts from the entire department of Zijingang Hospital, Tanglou still performed calmly and confidently.

Even Director Qian Gang was impressed by this courage and determination: "Tanglou, well done, we will start preparing for the operation immediately. Wu Changlin, go and debug the equipment and contact the experts from Zijingang Hospital to get it online on time."

"All right."

Wu Changlin sighed, maybe this is the difference between mortals and geniuses?

Being able to participate in such an important operation, even as an assistant, made his hands tremble with excitement. When he saw Tang Lou who was about to perform the surgery and remained calm, he became even more envious and admired.

Ten minutes later, Tang Lou, Director Qian Gang and Wu Changlin entered the operating room.

The remote observation and guidance system was also opened simultaneously, and soon, the situation in the operating room was displayed in the observation room of the Department of Cardiovascular Medicine, Zijingang Hospital.

In the observation room, except for Professor Liu Juzi, Director Huang and Deputy Director Qian, the other seven or eight attending and deputy chief physicians of the Department of Cardiovascular Medicine were looking forward to the start of the operation.

Director Huang introduced to his colleagues: "What we invite everyone to observe today is a modified Cox maze IV surgery that has great promotion significance. This surgery was proposed by Director Qian Gang of Hecheng City No. 1 Hospital, and Director Qian and I jointly

With participation, the design was completed. It uses the "new energy" of bipolar radio frequency forceps and single-stage pen to replace the "cutting and sewing" of the traditional maze surgery. It is very ingenious and practical, and will also provide us with future treatments.

The field of cardiovascular disease provides an idea."

"I hope you can observe and learn from it in the future."

Before Director Huang finished speaking, he heard a commotion in the observation room.

Director Huang frowned and turned to look at the screen where everyone was talking. Then he saw the familiar Director Qian Gang standing as an assistant, and there was someone else performing the surgery!

If you look closely, you can see that he is still a very young doctor.

"It's not like Director Qian Gang of the First City Hospital is the surgeon. Why is it replaced by a young man?"

"Don't you want to use such an important operation to support a young man and let him show his face in front of the bosses of our hospital?"

"Suddenly I can't stand it any longer. I've been looking forward to such a meaningful operation in vain, but it was wasted by allowing such a young doctor to practice. Alas."

One of the deputy chief doctors looked very ugly and very dissatisfied.

Even Professor Liu Juzi, who was sitting in the middle, was slightly unhappy. Hecheng City No. 1 Hospital was trying to get out of the hospital, but it narrowed the path of his department.

Director Huang also looked embarrassed, but after all, he organized it, and now that the other party had already done this, he was embarrassed to stop Director Qian Gang's idiotic behavior in front of so many people.

He took a deep breath, controlled his emotions, and said slowly: "Okay, everyone will focus on the operation itself. During the operation, Deputy Director Qian and I will provide simultaneous guidance."

Director Huang almost said, please ignore this crappy young doctor, but after all, he still had to leave the last fig leaf for Qian Gang and the First City Hospital.

"Okay."

The other doctors in the observation room stopped complaining, but due to their preconceptions and prejudice against young doctors like Tang Lou, they did not pay much attention to Tang Lou's initial operations, and some even got distracted.

In the operating room, Qian Gang stood quietly as an assistant, looking forward to Tang Lou's performance and the shock on the other side of the screen.

Of course he expected that the other party must be in a state of rage and complaining desperately, right?

"How do you people understand my old money's thoughts?"

On the operating table, Tang Lou had already begun to issue the first order. Chen Wenhao began to use intravenous inhalation combined general anesthesia, puncture and catheterization of the radial artery and right subclavian vein to monitor arterial pressure and central venous pressure.

Without any time to spare, Tanglou gave instructions to the equipment nurse:

"The American Medtroniity-541 membrane oxygenator, the prefill fluid consists of 1 500 ml Ringer's acetate solution, 500 mg methylprednisolone, and 10~20 g albumin."

"The Italian Soria blood recovery machine device performs blood washing and recovery. The intraoperative perfusion flow rate is 2.2~2.4 L/(m2·min) perfusion, and the hematocrit (HCT) during transfer is not less than 0.21."

Under the three-star technique, Tanglou further optimized the surgical plan of Director Huang and Deputy Director Qian, so when Tanglou issued these two unfamiliar orders.

In the observation room, Director Huang and Deputy Director Qian were stunned.
Chapter completed!