The cardiac surgery department arranged for Gao Qian to come and participate in the joint consultation for the hematology department application.
When Gao Qian saw Zhao Yuan, she was slightly startled, and then couldn't help but smile at him.
I thought, how come I can see you anywhere?
Zhao Yuan took the initiative to say hello and explained, "Hello, Director Gao. I am currently in the hematology department."
Gao Qian couldn't help but feel filled with emotion when she recalled that her own wheel surgery experience was not as smooth as Zhao Yuan's.
"Dean Chang is really very fond of you. The interns will take part in rotational surgery, tsk tsk."
After saying this, she walked towards Zhu Haixia.
Facing the respected seniors, Gao Qian's attitude was very respectful.
"Dean Zhu, where is the patient?"
Zhu Haixia said: "Come to the ward with me."
Everyone came to the ward.
A boy was lying on the hospital bed, his face was pale, his hair was shaved, and he looked very weak.
Xu Qin took the case and introduced the situation to the people involved in the consultation.
"The patient, male, is four years old this year. He sought treatment in our hospital for acute lymphoblastic leukemia and received an umbilical cord plus hematopoietic stem cell transplant. However, he needed to continue multiple courses of chemotherapy after the surgery. At that time, he was implanted with a long
tube to facilitate the infusion of chemotherapy drugs.
Today, the patient's parents took him to the hospital for daily tube maintenance and flushing. When the nurse who received the patient was flushing, he found that the tube at the puncture port was broken and the slender tube was missing. He was then sent to the interventional therapy department for examination and found that the broken tube
The internal length is about 28 centimeters, and the part that fell off has flowed into the heart with the flow of blood."
An emergency X-ray examination showed that the tip of the catheter had reached the right pulmonary artery, and the end was left in the left subclavian vein on the inside of the shoulder joint.
Gao Qian looked at the medical records and examination reports with a solemn look in her eyes.
"The beating of the heart will cause foreign bodies to repeatedly stimulate the heart, which will lead to arrhythmia, cardiac arrest, puncture of the heart, pulmonary embolism and other dangers, endangering the patient's life and requiring surgery as soon as possible. What is being considered now is how to perform the surgery."
Zhu Haixia looked worried: "The child is too young. If thoracotomy is used, extracorporeal circulation must be established to open the chest and heart. The child has a blood system disease and the risk of bleeding will be very high. There is a high probability that the body will not be able to withstand the surgery."
Chest surgery."
Gao Qian frowned, "If interventional method is used, although the wound will be small and the postoperative recovery will be faster, it will be very difficult. First, children's body organs are much smaller and blood vessels are thinner. Children's cooperation is low.
, there may be twisting and crying during the operation; secondly, interventional surgery requires special consumables, and as far as I know, the hospital does not have a suitable catcher for children's interventional surgery."
The mother who was standing next to her child burst into tears when she heard what Gao Qian said.
"Doctor, please save my son."
Gao Qian sighed slightly.
She is also a parent and can personally feel the other person's almost collapsed state of mind.
Leukemia is originally a terminal disease, and hematopoietic stem cell transplantation is an extremely difficult operation that requires not only luck but also a long recovery.
Finally, my son completed the stem cell transplant, and there was a glimmer of hope.
Who could have imagined that fate would choke him again.
Although the child was in pain, when he saw his mother crying, he still managed to smile and said, "Mom, don't cry, I will definitely get better."
Gao Qian always gave people a cold feeling, and she couldn't help but feel sore in her eyes at this moment.
Gao Qian took a deep breath and helped the child's mother up, "Don't worry, we will do our best to make him get better."
Gao Qian locked onto Zhao Yuan in the crowd, and Zhao Yuan stood at the back.
Gao Qian waved to him, "Dr. Zhao, what do you think?"
Everyone was surprised.
Zhao Yuan is a famous person in Tianhua Hospital, and everyone knows that Zhao Yuan has been assigned to the emergency surgery department.
As a hematologist, I tend to look down on emergency surgery doctors.
Especially Xu Qin and Huang Gang. They have Ph.D. degrees and will have a sense of superiority when facing doctors with undergraduate degrees.
Medical students from undergraduate to postgraduate
From graduate students to doctoral students, unlike other industries, years of study are very intense and the research topics are very deep, and they are tempered step by step.
They find it difficult to accept that an undergraduate's strength and talent would be superior to the two of them.
Otherwise, wouldn’t all these years of reading be in vain?
Therefore, when Zhao Yuan criticized Yanyan's condition, the two of them were quite disdainful.
Gao Qian focused on asking Zhao Yuan at this moment, and they both felt even more unbalanced.
What constructive suggestions can an emergency surgery intern give to the difficult problems of cardiac surgery?
Zhu Haixia also looked at Gao Qian with questions on her face.
Gao Qian realized that her behavior was puzzling.
She quickly explained patiently, "Dean Zhu, you don't know much about Zhao Yuan. Although he is a medical student in emergency surgery, he is a good hand in cardiac surgery. Not long ago, he just performed an interventional heart bullet removal operation.
, his skills astound everyone."
Zhu Haixia suddenly realized that although the hospital did not report this matter in a big way, it would still reach her ears in a piecemeal way.
At that time, Zhu Haixia only knew that a young doctor had successfully completed this extremely difficult operation. She did not know that Zhao Yuan was that young doctor...
Xu Qin and Huang Gang on the side were in a bad mood.
Although they are not cardiac surgeons in removing bullets from the heart, they know how difficult it is!
Zhao Yuan stepped forward and performed a detailed physical examination on the boy.
Although Xu Qin had just introduced the patient's condition, Zhao Yuan had to go into battle in person to make a more accurate judgment.
From this, an effective treatment plan can be developed.
Zhao Yuan finished the examination and found that the child's condition was very difficult.
He thought for a while and suggested: "You still have to use interventional methods to try to remove the catheter. If there is no special catcher, you can consider making one yourself."
Gao Qian's eyes widened with surprise, "How to make it?"
Zhao Yuan took out the pen from his pocket, quickly drew a sketch on the notebook, marked the dimensions, and handed it to Gao Qian.
Gao Qian was an expert and could tell Zhao Yuan's thoughts at a glance.
"Cut the long sheath to a length suitable for the child's torso, and use the smallest guide wire to make a suitable catcher."
Interventional surgery uses a vascular sheath to enter the body and then uses a microguidewire to operate.
The vascular sheath set consists of a sheath set (a sheath, a dilator), a microguidewire, a puncture needle and a syringe.
Zhao Yuan gave a solution!
Since the manufacturer does not provide special equipment, then you have to do it yourself.
How could a general surgeon have such courage?
At least you have to be at the level of a well-known expert to have such confidence.
Homemade equipment is common on the battlefield. The equipment carried by military doctors is limited, but in extreme cases, limited equipment must be used and transformed into suitable equipment to treat the wounded.
However, today is not a battlefield, but a hospital. If there is a problem with the modified equipment and the patient's condition worsens, it will cause medical disputes. If it is not authoritative, few people would dare to do this.
Gao Qian glanced at the little patient on the bed and made a decision immediately, "Just follow your idea, you will be the chief surgeon!"
Huang Gang was shocked.
Unexpectedly, Gao Qian directly asked Zhao Yuan to be the chief surgeon, which completely subverted his positioning of Zhao Yuan.
Isn't he an intern?
Cardiac interventional retrieval is a level 4 surgery!
Gao Qian's trust in Zhao Yuan was not a whim, it was based on many contacts and constant understanding.
Especially after witnessing with his own eyes, Zhao Yuan used interventional methods to remove two bullets from the right ventricle.
Gao Qian already regarded Zhao Yuan as one of the best surgeons in Tianhua's cardiac interventional surgery.
Zhu Haixia noticed Xu Qin and Huang Gang's reactions and couldn't help but frown slightly.
she takes
Both of our doctoral students have good potential.
However, the character still needs to be sharpened.
They are usually a bit arrogant and always feel superior to others.
Zhao Yuan and they are both reserve talents valued by the hospital.
For Xu Qin and Huang Gang, it is also a good thing that they now have the opportunity to understand the strength of their peers up close.
There is still a big gap between them and the top!
