Chapter 406 The birth of a miracle lies in the perfection of tiny details
Zhang Xingze knew Zhou Cheng, but he only had one relationship with Zhou Cheng, which was at Zhou Cheng's defense meeting last year. Although he occasionally heard the name later, his contact with him was not deep after all.
It was a coincidence that Zhou Cheng was now wearing a mask, a hat and an armor. It was indeed normal for him not to recognize Zhou Cheng's identity.
However, although he has not personally contacted Zhou Cheng, as one of the few big names in the professional field of orthopedics, he has heard Zhou Cheng's name too many times.
Nowadays, the development of the medical industry has reached such a stage and the existing deadlock has been broken. It can be said that the credit is obviously due to the Zhongzheng Group, but in fact, the biggest contributor behind the scenes is Zhou Cheng's team.
It is not Zhou Cheng alone, it is because all research must be carried out completely and smoothly as a team unit.
"Dean Wang, since Xiao Zhou is here, Professor Zhang and I don't have to go on stage." After Tong Dawei saw what Zhang Xingze meant, he took the initiative to tell Dean Wang.
It would be best if he brought it up, otherwise he would be afraid of being thought that Zhang Xingze was putting on airs.
Moreover, even though Zhang Xingze is an academician, he does not use such a code name in regular chats, and is more often called professor.
Dean Wang is not a fool. There must be a reason why so many professors speak for such a young man.
He did not go on stage, as he was not in the surgical system, but he watched quietly from the side.
Fang Jingsheng acted as an assistant honestly and placed a catheter sheath for thrombectomy on Zhou Cheng. He also felt strange that Zhou Cheng would ask for such a simple and traditional method of thrombectomy.
Fang Jingsheng immediately said: "Tong Dawei, you are just saying that, isn't Xiao Zhou from your orthopedics department?"
However, Professor Lu still found that during micro-manipulation, he also fully engaged in micro-operations, and his movements were quick and fast. The rotation of the wrist and the movement of the fingers all cooperated very naturally.
This voice is very awkward, even a bit out of tune. Maybe except Fang Jingsheng, no one else can sympathize with him!
With the cooperation of extremely professional operating terminology, it naturally didn't sound like a pain in the ass. All the people in the vascular surgery department immediately pricked up their ears with solemn expressions, for fear of missing a word. It can be said that they were concentrating on it like crazy.
Drunk!
However, during the explanation process, Zhou Cheng did not discuss basic theoretical issues with them, that is, using a special method to calculate the approximate distance and blood vessel deviation! Instead, otherwise it would really affect Zhou Cheng
its own operation.
"There was some contusion in the liver and a few bleeding spots, which have been basically resolved here. Although the spleen was removed just to be on the safe side, at least it won't have much impact on the follow-up."
This is already the terminal stage of vascular embolism.
Then he said: "Professor Nong, Professor Zhang, thank you for your hard work today. I just hope it will take you a little longer."
It's one thing that Zhou Cheng is very powerful, but if something unexpected happens, these guys will definitely be the best ones to save lives.
Nowadays, there are many methods of thrombectomy that are better, faster and more convenient than directly using the introducer sheath to remove thrombus. Why did Zhou Cheng choose such a simple one?
Professor Lu quickly asked: "Radial artery?"
This is his specialty!
Zhou Cheng did not explain. His life was saved, but now he has to save his leg.
The Vascular Surgery Department of Huashan Hospital is ranked among the top five in the country. How could this Zhou Cheng have reached such a terrifying level?
Du Li heard this and said: "Xiao Zhou also traveled retrograde from the femoral artery to the intracranial hemorrhage to stop the bleeding!"
Regardless of Zhang Xingze and Dean Wang being beside him, he said the quintessence of Chinese culture in an old-fashioned manner: "Wo Ri!"
Although Fang Jingsheng was able to embolize the large arteries, under the current circumstances, it was impossible for him to unblock these arteries again.
If so, can Zhou Cheng switch to vascular surgery?
No, he must come to our vascular oncology department!
However, when Zhou Cheng took out the seventh thrombus strip, everyone's expressions changed!
"Doctor Zhou, can you please explain? Where did the thrombus we removed now come from?" Fang Jingsheng immediately seized the opportunity and began to ask Zhou Chenglai.
With them here, you can feel more at ease, not because you don't worry about Zhou Cheng, but to increase the insurance.
"Xiao Zhou, come."
That is how Zhou Cheng should solve the problem of multiple embolisms in arteries after being embolized.
Now Zhou Cheng can really answer this question!
Because it does not affect the process and operation of the surgery, Zhou Chengcheng said: "Now we are taking out the radial artery."
"The drainage fluid in the chest cavity has gradually decreased, and only 5ml of blood was drained out in the past half hour."
As soon as Zhou Cheng started the operation and took out a small section of thrombus, no one felt anything.
The chief resident can do it with his eyes closed.
When the operation got here, not only Fang Jingsheng was worried, Professor Lu who came from Fuwai Hospital was also quite worried about the current situation.
Professor Lu knew that he had lost his temper and stopped speaking as a commentator.
After Professor Fang Jingsheng of the Department of Vascular Surgery performed the vascular embolization, he suddenly felt that there was not much that could be done.
Zhou Cheng thought about it for a moment, and then used quite professional language and a little explanation, as long as it did not affect his operation.
Especially in extremely stressful surgical situations, no one wants to listen to nonsense.
It's just that interventional surgery, or difficult vascular thrombectomy, can be operable from theory to practice because it can open up an arterial sheath for one-way circulation. With this sheath, even if it is directly
Even if it is inserted into an artery, the blood inside cannot flow back.
It is not a good thing to have too many chief surgeons on the operating table. Each one has his own ideas. One chief surgeon and multiple assistants. Now that several people on the operating table have formed a team, it is difficult to break them up again.
“Micro management is good.”
Even if the limbs are gone, it is still considered to be at any cost.
Because I don’t understand!
Zhou Chengcheng just took out the blood clot.
But Fang Jingsheng himself knew whether the surgery was a teaching surgery. Now Fang Jingsheng couldn't figure out where Zhou Cheng removed the blood clot.
The reason why I talked about how to complete the circulation after arterial embolism before was just because I was in a hurry.
Each professor is responsible for reporting on the situation in his or her area of responsibility.
This is becoming more and more routine for Zhou Cheng, especially now that he has the professional level to redefine perfect vascular thrombectomy, he is even more comfortable with it. This time, the thrombectomy process was very smooth and smooth.
Silky smooth, basically no sense of frustration...
Anyone can do this.
In the end, only one professor from the Department of Orthopedics was left who had the qualification to accompany the whole process and touched his hat very depressedly. Tong Dawei said: "So I just came down to watch a few of you professors perform a demonstration operation. Is there nothing more to do with our orthopedics department?"
More than forty minutes later, Zhou Cheng got off the operating table!
When Zhou Cheng took off his surgical gown, Zhou Cheng finally breathed a sigh of relief!
Currently, the only arteries that Lu Qianzhou has embolized are the femoral artery and the brachial artery. However, the arteries on the heart can be connected through the blood vessels in the head, and the arteries and veins of the lower limbs can also form backflow through the internal iliac artery and a series of veins in the pelvis. China Unicom.
Otherwise, Lu Qianzhou's life might have been saved, but his limbs would have been gone.
After all, the current situation is special and Lu Qianzhou's condition is urgent.
For complete thromboembolism, the difficulty of thrombectomy is not to remove the first thrombus.
Especially when the third thrombus was taken out, Professor Lu directly clapped his hands and said: "Beautiful!"
Although he was lonely, how much had he hoped that he would just be lonely? But in the end he didn't make any effort, which was a bit regretful.
After all, the reason why he came to Huashan Hospital was not an invitation from Dean Wang, but a direct call from Kyoto. The reason why Lu Qianzhou is important is not only his life, but these hands are also very important... …
"You passed directly from the brachial artery to the radial artery????"
I succeeded. I have tried my best. I just hope I didn’t leave any sequelae for you, Teacher Lu, right?
In the operating room, there was an extremely loud applause. After the applause, Fang Jingsheng said: "The blood supply of the last left lower limb is also excellent. And Xiao Zhou has properly solved all the previous bleeding points one by one. Got it!"
can not see.
Tong Dawei sighed inwardly.
These words not only made Professor Lu's eyes stiffen, but Professor Nong from the Department of Neurosurgery next to him also looked horrified.
Tong Dawei immediately looked bitter and frowned.
The second and third items are still indifferent. Isn't this just an ordinary thrombus removal operation for the brachial artery and the ulnar and radial arteries under its branches?
There is nothing surprising about this. Attending physicians and associate professors with better foundations can also complete it. The difficulty is not here!
But even so, Fang Jingsheng and Professor Lu from Fuwai Hospital had been paying attention to Zhou Cheng's operation. They did not have any personal emotions involved, but simply observed Zhou Cheng's operation process from their own professional perspective.
That’s too good a thought, right?
…
But no matter what, this at least complies with the instructions passed down by the dean, which is to save Lu Qianzhou's life at all costs.
Especially nowadays, the idea of embolization to kill tumors is becoming more and more popular!
However, Zhou Cheng's feeling of hiding the most critical part is like a pile of ants digging a nest in his heart, and then crawling around in it, eating, drinking and having fun. It's so itchy that I really want to ask about next week. I wonder what that special way is, but I feel that I am too reckless and shameless.
If he continues to grow, it will certainly not be difficult for him to become a master of vascular surgery in the future.
Everyone is watching the operation progress quietly...
Zhang Xingze smiled, looked at Tong Dawei, an old hermaphrodite, and said, "Professor Tong might as well ask Xiao Zhou or Professor Fang to embolize another artery for you."
However, in fact, being able to witness with my own eyes the process of how such a serious trauma can be rescued in the end, I don’t have too many regrets.
That can still be easily dealt with. If the embolism occurs one by one, unless a blood vessel is dissected and thrombectomy is performed, and the entire limb is embolized, then amputation is the only option.
In this way, there is no need to worry about the circulation in the body. At least it is not as scary and scary as when I first heard this statement!
And the next most important thing.
I don’t have time now, so even if I had time, why would I be able to tell you so casually?
During the operation, any movement or language that disturbs the surgeon's operation is a burden, even if it is an explanation and praise of the operation, this is still the case.
It’s even a kind of luck. This is probably one of the most difficult-to-treat frequently-occurring diseases that ranks among the top in the world!
I called people here to help. Although they are not on stage now, Dean Wang still doesn't want to remove these people directly.
He had saved his leg after amputation once, and he was very familiar with Lu Qianzhou's situation now.
Here begins the ‘routine’ intra-arterial thrombectomy!
Well, this little Zhou's technical skills are already extremely terrifying, so it's not too surprising that he can perform such an operation.
Zhang Xingze, Professor Nong next to him, and even Du Li and others all looked at Professor Lu curiously.
Fang Jingsheng and others can understand this. After all, Zhou Cheng is short of time and has to undergo surgery at the same time.
His original intention was to ask Zhou Cheng how he did it? Can he, um, raise it a little bit during the operation? It doesn't need to be too much, so as not to affect Zhou Cheng's own operation speed.
Zhou Cheng can perform blind maneuvers from the femoral artery to the intracranium. There is probably almost no place on the human body that Zhou Cheng cannot reach.
The technique is very skillful and the process looks very smooth.
At this time, Zhou Cheng has a background in orthopedics, which sounds extremely comfortable. What do people in general surgery and other surgeries usually call people in orthopedics? Carpenters? Craftsmen? Strong men, reckless people?
Anyway, I basically feel that orthopedics is the kind of existence that is powerful but brainless.
Ordinary embolism patients only have single or multiple embolism points.
"The intracranial drainage fluid has been stable, and pancalcinization treatment is not even needed after the operation."
"The current CVP remains stable."
His words seemed to be blaming, but in fact they were also meant to liven up the atmosphere.
When Tong Dawei heard this, he choked violently and interrupted Fang Jingsheng's voice: "Xiao Zhou is a serious orthopedic surgeon, the handsome guy from our orthopedics department!"
This is also because I haven’t seen Zhou Cheng’s previous operations.
Now, why does Tong Dawei care whether Zhou Cheng is from the Orthopedics Department of Huashan Hospital? In the industry, they compete with each other and find fault with you when holding academic conferences. But when it comes to unanimously speaking to the outside world, Tianxia Orthopedics is definitely the same company.
.
Our operations are also very delicate. Using what you think of as a hammer and a chisel is not our intention. We are also delicate people, right?
It just so happens that before growing up to be a surgeon, we have to lift hundreds or even thousands of legs, position ourselves, put on steel plates, etc., which strengthens our bodies.
What we are doing is the comprehensive development of morality, intelligence and physical fitness...
The atmosphere at the end of the operating room became particularly subtle.