Cardiac interventional angiography was successful!
I really found the projectile!
Everyone becomes complicated inside.
On the one hand, it’s amazing!
Zhao Yuan is so thoughtful!
To discover that there are projectiles in the pericardium is not based on imagination. Zhao Yuan relied on reasoning to draw conclusions, which is no different from predicting the unknown.
Although there were all doctors present, many of whom were experts in the fields of heart disease and first aid, they did not have extensive experience in treating gunshot wounds.
There are 9 projectiles in a 12-gauge shotgun, which requires a certain basic knowledge of firearms.
Today is a peaceful era, and patients with gunshot wounds are rarely encountered. Emergency surgical doctors who have seen a lot of things may also encounter blind spots in knowledge and lack of experience.
Everyone’s doubts about Zhao Yuan are due to wrong judgments caused by insufficient knowledge.
Therefore, I am amazed but also ashamed.
The other aspect is appreciation.
Zhao Yuan used cardiac intervention to find the bullet in the shortest time with minimal trauma. In the process, he demonstrated solid basic skills.
Everyone realized that Zhao Yuan's level had reached that of a chief physician, and he was a very high-level chief physician.
Everyone is curious, what should we do next?
One way is to cut open the heart directly, remove the bullet, and then sew the heart back together.
Another way is to use a micro guide wire to remove the bullet.
The first method is direct, but extremely harmful to the heart.
The second method requires extremely strong operability and is not something that ordinary people can do.
"Controllable introducer sheath, snare."
Zhao Yuan and the equipment nurse issued instructions.
Both of these devices are difficult to use in emergency surgery.
It is commonly used in interventional surgeries.
Bai Xiaohu was stunned for a moment and quickly coordinated with the circulating nurse.
Zhao Yuan has performed many interventional surgeries, and everyone knows that he has a high level of expertise in interventional surgeries.
At this moment, the operating room became quiet, and even the sound of coughing disappeared.
After discovering that there was a pellet in the heart, everyone tried to speak as little as possible. On the one hand, they were observing Zhao Yuan's operations, and on the other hand, they wanted to avoid distracting Zhao Yuan.
Gao Qian has found Jiang Qiang many times recently and thinks it is not a good thing that Zhao Yuan has not come to participate in the training camp.
Just like athletes on the football field, talent alone is not enough; they must also train regularly to ensure they are in good condition.
However, Gao Qian now understood why Jiang Qiang had full trust in Zhao Yuan.
This young man's talent is beyond the comprehension of ordinary people.
Zhao Yuan twisted the ferrule and inserted it into the catheter sheath. It soon entered the right ventricle and an afterimage appeared on the screen.
Many people didn't understand what was going on. Zhao Yuan used a collar to lock the bullet.
Zhao Yuan captured the projectile and the surrounding environment with extremely subtle feelings.
He secretly breathed a sigh of relief.
Practicing at home recently has been effective.
Through continuous strengthening exercises, muscles have formed memory.
The situation is not that bad.
If the bullet is embedded in the inner wall, pulling out the bullet will definitely cause damage. There will definitely be damage at that time, and the inner wall will have to be repaired later.
The bullet is now free, so removing the bullet will not damage the inner wall.
But the bullet is free, and trying to lock it is like catching a swimming fish in the water.
He rotated the catheter at an angle and operated it cleanly. The projectile was "locked" and dragged from the right ventricle to the right atrium.
Zhao Yuan quickly observed the patient's condition. This was the most difficult step.
The patient was in a calm state and all physical signs were normal. Zhao Yuan breathed a slight sigh of relief and continued to control the guide wire.
At the same time, everyone held their breath, observing the not very intuitive images, and guessing what step Zhao Yuan had taken at this moment.
In the blink of an eye, the microguidewire enters the inferior vena cava from the right atrium and exits from the femoral artery.
Dang, another crisp sound fell on the silver tray.
The eighth projectile was taken out.
However, the atmosphere remains tense.
According to Zhao Yuan's judgment, there is still a pellet in the right ventricle, and its location is deeper, which means that it will be more difficult to remove it.
…
The two senior attending doctors who asked for leave in the third treatment group have also received the news.
"Lao Li, let's start your show. Now that you have found the bullet, you can eat the bullet."
"It's definitely luck and coincidence. Didn't you think it was impossible just now?"
"I didn't expect that Zhao Yuan really had something. He actually guessed it."
"Zhao Yuan completely took charge of this interventional surgery. Although Director Jiang from the Department of Thoracic and Cardiovascular Surgery was present, he was just a spectator."
"Well, in fact, Director Ren's departure from Tianhua has something to do with Zhao Yuan. Director Ren feels that if he continues to stand still, Zhao Yuan will catch up with him."
"Even if Director Ren is still here, I'm afraid he won't be able to perform cardiac interventional surgery."
WeChat then became silent...
…
Zhao Yuan is still continuing the operation. With the first success, the subsequent operations are now a breeze.
The guide wire dives all the way down and quickly finds the target not far from the previous bullet.
Zhao Yuan gained experience, changed the angle, and easily trapped the bullet.
Dang, the ninth girl’s bullet is on the plate.
Everyone felt relaxed.
At this point in the operation, at least the patient's life was saved.
Jiang Qiang faced Xie Changtian and said with a smile, "It seems we can leave early."
The interventional cardiac surgery has been completed, and there is really no need for them to be present.
Xie Changtian nodded towards Jiang Qiang, he could understand Jiang Qiang's mood at this moment.
In the past, Jiang Qiang placed Zhao Yuan in the position of an outstanding junior, but today's surgery made Jiang Qiang realize that Zhao Yuan is not just an outstanding junior, he is fully capable of performing cardiac interventional surgeries independently.
The ever-changing techniques are actually the same in the final analysis.
Incision, entry, treatment, removal.
Since Zhao Yuan can remove the bullet through interventional means, it means that he can also intervene to install a stent or remove diseased tissue...
Not only in cardiac interventional surgery, but also in other interventional surgeries, Zhao Yuan is an expert.
Moreover, interventional surgery requires more delicate operations than open surgery.
Since Zhao Yuan can perform interventional surgery, he will be more comfortable with open surgery.
After Jiang Qiang and Xie Changtian observed this operation, they realized that their previous positioning of Zhao Yuan was still too low.
Don't be fooled by Zhao Yuan's young appearance.
From diagnosis to interventional treatment, every step is under Zhao Yuan's control.
Although Deng Yunlun was the leader of the treatment team, he was completely overshadowed by Zhao Yuan's light.
Zhao Yuan is the conductor of a large-scale concert.
He controls everyone's rhythm and controls the core part.
Zhao Yuan's ability has reached director level!
The bullet was successfully removed and the patient's vital signs were stable.
For foreign bodies in the heart and bullet embolism, at least a few well-known experts need to be involved.
Unexpectedly, Zhao Yuan took out the bullets in half an hour, and there were still two bullets.
Looking at the nine pellets in the pathology tray, the people around them could not express their inner world at this moment.
This surgery was enough to make Zhao Yuan "a god"!
