Chapter 1559 Directly Scared Stupid

Zheng Ren quickly put the aortic stent in.

The airtight lead door opened, Chu Yanran supported the tracheal intubation, and Su Yun and President Wang put the patient in a position.

The patient was in a supine position, and Su Yun took a pillow to prop up the left side of the body.

"Boss, is one enough?" Su Yun glanced at it, feeling that it was almost the same, and asked again.

The assistant felt that it was good or not, and the final decision on the position was left to the practitioner. But under normal circumstances, it is a fixed formula, and there is no need to ask at all.

This patient's situation is special, and Su Yun asked a few more questions. There is no harm in being cautious.

"Well, no problem." Zheng Ren nodded and turned to brush his hands again.

"Don't take off the gloves next time, you won't have to brush your hands." Su Yun said while positioning the patient.

"Not rigorous." Zheng Ren said: "I still brushed my hands and felt relieved."

"Boss, you have a mental illness, you have to go check it out when you have time. How about I introduce you to a better psychiatrist?" Su Yun said.

"I'm mentally healthy, but you need to look at your narcissism and chatter." Zheng Ren went straight to brush his hands regardless of how Su Yun babbled.

"I came back for the surgery, there is no background music, it's really quiet." After Su Yun finished his posture, he glanced at it and felt very satisfied.

"What kind of music is played in the imperial capital?" President Wang asked.

Speaking of this, he began to miss 912.

"Old He, as long as the guy catches up with the boss, he will be lucky. The first time I listened to it, I thought it was okay. After listening to it too much, it was really frustrating." Su Yun chose the point, turned around and asked, "Boss, left The fifth rib on the side?"

"Okay." Zheng Ren's voice came from the washroom.

President Wang was a little surprised. The two of them didn't seem to have changed, but they seemed to have changed a lot.

For chest surgery, Su Yun naturally asked Boss Zheng on the issue of body position and surgical incision.

What happened in the capital during this time? Brother Yun even asked Boss Zheng for thoracic surgery.

President Wang glanced at Su Yun with some surprise, and thought it was strange.

He had seen Su Yun perform an operation before, and that tyranny could be said to be domineering. Zhao Yunlong even let him swear at the dog's blood, and he came down for a while, and never asked him for surgery again.

It can be said that a good surgeon is absolutely arbitrary on the operating table.

But seeing the situation in front of him, President Wang had a guess in his heart. Although it seems ridiculous, but after thinking about it, the rest is the truth.

Brother Yun was stunned in his heart.

Sterile sheets are laid and the operation begins.

President Wang didn't take the stage, what Su Yun said, really didn't need him.

Seeing Zheng Ren and Su Yun standing on the operating table, Mr. Wang felt a little emotional. Boss Zheng's bearing became more and more calm.

The last time he came back, he called him Boss Zheng, but this time he couldn't help calling him Boss Zheng.

As soon as Zheng Ren stretched out his hand, he slapped the knife in his hand.

Along the fifth intercostal space, an arc-shaped incision was made to stop the bleeding, layer by layer, blunt dissection, and enter the chest.

Zheng Ren first found the internal thoracic artery, cut it off, and ligated it.

The chest opener opened the chest, and Su Yun said, "This pericardium! It's amazing."

The pericardial cavity can be seen with the naked eye about 800ml.

The most striking thing is that the distal free position of the Kirschner wire is not far from the pericardium.

"This is the most sensible pericardium I've ever seen." Su Yun said.

"If it wasn't for the protection of the pericardium, my heart would have been stabbed to pieces." Mr. Wang stood behind Zheng Ren and nodded.

It's a pity that the stimulation time is a little long, the inside of the pericardium seems to be wrapped with a layer of fiberboard, and the heartbeat is somewhat restricted.

The pericardium is no longer soft and slightly square, and there are already signs of chronic constrictive pericarditis.

Chronic constrictive pericarditis is a chronic inflammatory process involving the parietal and visceral layers of the pericardium. Causes fibrosis and thickening of the pericardium, limiting the diastolic activity of the heart, thereby reducing cardiac function.

But in the patient in front of him, the constricted pericardium protects the heart like armor, lest the Kirschner wire cause fatal damage.

But not to mention that Kirschner's needle is like the sword of Damocles, it will be fatal at all times. A narrowed pericardium alone is a deadly disease.

Once the symptoms and signs of chronic constrictive pericarditis appear, the patient's life expectancy is about 5 to 15 years after the loss of general mobility. When ascites etc. appear, the disease progresses rapidly, especially in children.

Zheng Ren made a small incision on the pericardium with a sharp knife. The moment he left, before the pericardial effusion gushed out, the suction device was stuffed by Su Yun.

Seeing that the reddish bloody pericardial effusion was drawn out, but the pericardium did not collapse with it, and the shape was strange.

"Separate the pliers." Zheng Ren stretched out his hand, and while speaking, a pair of pliers clapped in the palm of his hand.

"Boss Zheng, what kind of pliers are these?" President Wang asked.

He is a gastrointestinal surgeon who does not understand thoracic surgery. Just asking casually, lest you have to guess, also makes the air in the operating room a little fresher.

"Look for the left phrenic nerve." Zheng Ren finished,

With as much fat as possible and the pericardial tissue and left phrenic nerve isolated, Zheng Ren incised the pericardium from the position of the left ventricle, deviating to the posterolateral side.

"Mr. Zheng, when did you come back?"

General Manager Zhou of Orthopedics entered the operating room and greeted warmly.

"Mr. Zhou, I haven't seen you for a long time." Zheng Ren only greeted him for a while, and then said, "Look at the Kirschner needles."

"What's wrong?" Mr. Zhou looked at the incision and knew it was a thoracic surgery. He leaned over to take a look, and his face turned pale.

"I'm going... there is really a case where the distal end of the Kirschner wire is free!" President Zhou exclaimed.

"What? Haven't seen it before?" Zheng Ren is not an orthopedist, and he has not raised the skill tree of orthopedics to any level.

He did not know the probability of free distal end of the Kirschner wire.

"There is this in the preoperative explanation. I also learned how the master taught me back then. Every time I explained it to the patient's family, I made a gesture." President Zhou's face changed and changed, and he just happily extended his head to see the surgery. District, I immediately remembered something.

"Mr. Zheng, where did the patient have the clavicle fracture fixation surgery?" Mr. Zhou asked anxiously.

If you did it yourself, it would be such a mess.

Although there was an explanation before the operation, this kind of postoperative complication is real, but the probability is too small, and I have never encountered it myself.

But once it appears in a certain patient, it is a 100% chance. It's okay to meet the reasonable, but the unreasonable...

Mr. Zhou thought a lot, and the excitement that he had just seen about the special case was suddenly extinguished. I was worried, and my eyes were a little erratic.

"I didn't ask." Zheng Ren said: "Looking at the incision, it is estimated that it has been at least three years."

"Why don't you ask." President Zhou sighed and complained slightly.

"What's wrong? You knocked out the Kirschner needle, and the aorta was about to be cut. Does it make sense? We are in a hurry to rescue, who has time to ask if there is any." Su Yun listened to the complaining tone in President Zhou's words, Hit back directly.