Chen Si, a resident of the two years, did not have much contact with Zhao Yuan, but he was well-known for Zhao Yuan's name.

Everyone in the emergency center knows that an intern just came and his diagnosis level is very high.

However, there is no equipment at the moment, and it is a bit too exaggerated to determine the condition by just a physical examination.

Chen Si couldn't help but ask for advice humbly, "How did you come to the conclusion?"

Zhao Yuan explained, "Aortic dissection is more dangerous than acute myocardial infarction, and the pain is wider. Acute myocardial infarction is mainly pain in the anterior heart, while aortic dissection is mainly chest pain, shoulder pain or back pain, and abdominal pain. The pain is more direct, like a knife cutting."

Chen Sizhui asked, "The patient is already in a coma. How do you determine her pain symptoms?"

Zhao Yuan pinched the patient's shoulder bone, "Although the person is already in a coma, the contraction reaction formed by the muscles being stimulated by pain can be seen through careful observation. To be precise, it should be an acute type A-arterial dissection."

Chen Si's eyes widened, revealing an incredible look, "I've learned it."

It is said that Zhao Yuan’s level is comparable to a doctor at the level of deputy director. Only by putting himself in his shoes can he realize that other people’s success is not accidental, but strength and talent.

Of course, Chen Si still has doubts in his mind, whether Zhao Yuan’s judgment was wrong.

Zhao Yuan could not go to the hotel to attend the meeting, so he called Zhou Guangchen in an ambulance to explain the reason.

Zhou Guangchen heard that Zhao Yuan happened to meet a patient with acute type A artery dissection. He had an idea and called Jiang Qiang.

On the phone, Zhou Guangchen suggested that the cardiac surgery grouping activity this morning, it is better to change the plan and go to Tianhua Hospital to conduct an observation and discussion on the operation of "acute type A-artery dissection".

Jiang Qiang immediately realized that Zhou Guangchen was helping indirectly.

For Tianhua Hospital, so many famous cardiothoracic surgery experts across the country, it is a great thing for Tianhua Hospital, no less than a pie falling from the sky.

Jiang Qiang quickly called Chang Hongbo to explain the matter. Chang Hongbo immediately communicated with the administrative department and asked to organize the reception activities.

Thoracic and cardiac surgery is a first-class department in any hospital. If a hospital wants to be at the top of the comprehensive strength list, the scores of Thoracic and Cardiac surgery account for a large proportion.

For example, although the level of thoracic and cardiac surgery in Hua Hospital is pretty good today, it can only rank eighth and ninth. There are many difficult surgeries that cannot be performed by themselves, so you need to go to the outer hospital to invite someone.

On the one hand, it is because of the limited strength of our expert team, and on the other hand, it is because it has many resources.

Why does Southern Union Hospital spend so much energy to host nationwide conferences?

They are not just full, but hope to accumulate more resources through this kind of activities.

Many Xinwai experts come to Tianhua together, and the hospital can take this opportunity to establish a good relationship with them. If the Xinwai bigwig wants to change the family one day, Tianhua will be given priority.

No matter how bad it is, with a emotional foundation, it will be easier to invite these top experts to take the lead in the surgery and help the situation in a difficult operation.

...

The ambulance arrived at Tianhua Hospital and sent the patient for a full-body examination first.

Not long after, the result came out, which was consistent with Zhao Yuan's judgment!

When the doctor Chen Si of the car heard this result, he secretly admired Zhao Yuan. The nurse in the same car also spread the news, and the mysterious color on Zhao Yuan added a bit of charm.

Meanwhile, a bus took cardiac surgeons from the hotel to the hospital.

Chang Hongbo led several senior management of the hospital to greet him at the parking lot. Shang Yong took the lead in getting off the car, and Chang Hongbo took the initiative to greet him, "Academician Shang, welcome!"

Shang Yong shook hands with Chang Hongbo, "I didn't notify you in advance, I'll be sorry for disturbing you rashly."

Chang Hongbo quickly smiled and said, "Look at what you said, you brought so many experts to Tianhua to let us shine."

Shang Yong met Chang Hongbo several times, but the relationship between them was not particularly familiar. However, Shang Yong and Jiang Qiang's father were friends for many years.

At this chest and heart meeting, the organizer intentionally or unintentionally ignored the importance of cardiac surgery, so Shang Yong felt uncomfortable.

So, Jiang Qiang and Shang Yong proposed to temporarily adjust the activity plan, and Shang Yong followed suit.

The Southern Union Hospital was so anxious that it jumped. It called Shang Yong several times in a row, and Shang Yong handed the phone to his assistant to answer.

It’s not a big blame for being merciless, because the organizer is not considerate.

This time, cardiac surgery has brought together so many experts, and it is difficult to hire anyone at ordinary times.

Their qualifications are enough to make any hospital respectfully call it "x" boss.

Although Southern Union Hospital contracted travel expenses, that little money was nothing to these people.

Jiang Qiang led a group of people to conduct detailed examinations on the patient to see if the surgery could be performed immediately.

He glanced at Zhao Yuan and said that the preliminary emergency treatment was properly handled, especially the beta-blockers to prevent the condition from worsening.

The patient meets the surgical conditions.

Jiang Qiang was inevitably a little nervous at this moment.

Many experts have observed this surgery today. If there is a slight mistake, there will be no hidden danger.

However, from another perspective, this will also be a famous battle for the Department of Cardiac and Thoracic Surgery in Tianhua Hospital.

If the surgery can be performed very well, Tianhua Hospital's cardiac surgery strength will inevitably be recognized by everyone.

The aortic dissection is divided into types a and b. Regardless of the origin of the lesion, all dissections involving the "ascending aorta" are type aortic dissection;

Dissection involves the "descending aorta" distant to the lower lower opening of the left clavicle artery as a type b aorta dissection.

The aorta of the human body consists of the inner membrane, the middle membrane and the outer membrane. The so-called aortic dissection is the blood originally flowing in the aortic cavity that flows into the inner membrane and the middle membrane due to the rupture of the inner membrane, causing a dissection. If not treated in time, it will cause the aorta to rupture, causing heavy bleeding in the human body or ischemia of important organs.

The danger of aortic dissection is among the top among all kinds of diseases and is known as a catastrophic vascular bomb.

The cause of aortic dissection formation is not clear in the academic community, and this disease is not rare. There are 50,000 patients in China every year, but only about 8,000 surgeries can be performed.

Because the operation is complicated, the process is cumbersome and time-consuming.

Jiang Qiang looked at his nephew Jiang Jing and thought about it, "How do you think it should be treated?"

There are twenty or thirty treatment options for aortic dissection surgery.

In the selection of surgical methods, we should fully consider the morphological factors of the ascending aneurysm, whether it involves the sinus or arch, and the type of combined aneurysm lesions, and then select suitable surgical methods to ensure good surgical treatment effect of the ascending aneurysm.

The fault tolerance rate of aortic dissection surgery is too low to withstand any mistakes.

If you have other types of surgery, if you choose the wrong surgical plan, you can also go around during the operation or use other plans to make up for the gaps.

Patients with aortic dissection cannot withstand the toss and failures are often declared as if they make mistakes.

"The aphrodisiac dissection of the two aortic valve junctions and tore around the right coronary vein opening, and requires ascending aorta replacement and aortic replacement hybrid surgery." Jiang Jing said with a serious expression as she thought.

It cannot be said that Jiang Jing’s answer is wrong, but that he is relatively slippery and generally speaking.

Zhou Guangchen coughed, glanced at Zhao Yuan and asked: "Xiao Jiang is not very specific. There are many solutions for ascending aorta replacement surgery, and there are many types of aorta replacement hybrid surgery. Zhao Yuan, can you say it in more detail?"

Zhao Yuan didn't expect Zhou Guangchen to click his name. Seeing that everyone's eyes were looking at him, he was not shy, "Bentall surgery and Sun surgery!"

There was a picture in everyone's mind.

Ascending aorta replacement surgery includes bentall, cabrol, wheat, david and other procedures.

Aortic replacement hybrid surgery is also called elephant rhinoplasty. Among them, Sun's surgery, which was innovatively designed on the basis of elephant rhinoplasty, was designed by a cardiac surgery in China in 2007 and became a classic standard surgery.

Zhang Guoping, who was standing next to Zhou Guangchen, smiled and nodded in recognition, "The two solutions have one common advantage. After the operation, there were relatively few complications."

The postoperative mortality rate of aortic dissection reached 20%. Zhao Yuan took this into consideration and proposed a treatment plan.

"Zhao Yuan, Jiang Jing, you two are preparing for surgery." Jiang Qiang issued an order.

Jiang Qiang's decision was not surprising.

Although Jiang Jing is not a doctor at Tianhua Hospital, he is the best among young doctors and a returnee.

Zhao Yuan is a rising star at Tianhua Hospital. He has worked with him many times. Jiang Qiang is familiar with him, so there will be no problem as an assistant!

On such an important occasion, Jiang Qiang was willing to push two people.

Zhang Guoping looked expectant.

He had seen the traces of Zhao Yuan's surgery, but he had not seen the scene of Zhao Yuan's surgery.

He always had a question, is this kid really worth 20 million?
Chapter completed!