Chapter 2790 Let's Watch Here
"Boss Zheng, here we come." Director Xu said with a sullen face.
"Director Xu, has the echocardiogram been done? Let me take a look." Zheng Ren greeted briefly, then went straight to the point.
Lao He immediately handed over the echocardiographic report to Boss Zheng.
The patient's condition was not unexpected and similar to what he saw in the operating room of the system, Zheng Ren was more certain in his heart.
"Do another echocardiogram." Zheng Ren said.
"Huh?" Director Xu didn't understand. It is enough to do a similar inspection once. Is there any point in doing it twice?
He didn't ask any questions, but looked at Zheng Ren.
"Director Xu, that's it." Zheng Ren came to the viewer with the echocardiogram sheet, pointed to the image on the viewer and said, "The difference was nearly 20 minutes. From the CT, we can see that the heart The right side of the ribcage, the farthest of which is about 6.7cm from the manubrium."
Director Xu and a group of anesthesiologists surrounded him, and the patients in the hepatobiliary surgery department were always squeezed out. Only the brave Director Li stood beside Boss Zheng and watched together.
"From the echocardiogram, it can be seen that the heart has moved to the left by about 0.3cm."
"..."
Everyone was dumbfounded.
0.3cm, can you see it? With such a small gap, the test error caused by one heartbeat is probably enough.
"I thought on the way back that the patient's heart might be twisted due to the large amount of gas squeezed in the left chest cavity. As long as the closed drainage of the lower chest cavity drains the gas out and the negative pressure in the left chest cavity is restored, the heart should be able to return to normal. place." Zheng Ren said.
"Boss Zheng, traumatic pneumothorax is very common, but heart torsion is rare." Director Xu said in a deep voice.
If it were a junior doctor and hospital chief, even Director Xu, the leading professor, would have started scolding him.
What kind of bullshit opinion, do nothing and wait for the heart to return to its own position? Isn't this a joke? If you don't have to do anything, what else do you need to do. Like Director Xu, the professor of cardiothoracic surgery had doubts, but they knew that Boss Zheng had a bad temper, so they stood behind and did not question him.
It's the same thing, but with Boss Zheng, all this has become a different concept.
Boss Zheng is not the kind of person who dare not perform surgery because of a poor operation. Cardiothoracic surgery is done in a slippery way. Don’t do any surgery such as secondary valve replacement, thoracotomy to open the heart to remove a 12cm large thrombus. many.
For heart torsion, all you need to do is to reset it. There is a bit of risk in the process, but Director Xu doesn't think the risk is too great.
But Boss Zheng wants to treat conservatively...
"That's right. Under normal circumstances, there is a very small possibility of cardiac torsion when lung cancer surgery undergoes sleeve resection through the pericardium. However, relevant case reports have one thing in common—patients will have symptoms of respiratory and circulatory failure. "
The operating room was quiet, everyone was listening to Boss Zheng's statement. Zheng Ren's voice was not too loud, and it was difficult for the people behind to hear him.
After all, the patient hadn't been anesthetized yet, so if he heard about death, failure, and the like, there might be complications.
"When I came in, I saw the patient glanced at me, indicating that he was conscious. The values on the ECG monitoring were relatively stable, and there were no complications of respiratory and circulatory failure, so I guess if I leave it alone, there is a high possibility that the heart will reset itself. .”
"If you do this, the damage to the patient will be the least. You can try it. If it doesn't work, I can open the chest for rescue." Zheng Ren said calmly.
As soon as Boss Zheng said that he could be responsible for opening the chest, the atmosphere in the operating room suddenly eased a lot.
"Is there any problem with the anesthesia?" Director Xu asked.
"Give it an anesthesia. Let's watch here. If there is any problem, go to the emergency room." Zheng Ren said.
Su Yun sighed inwardly, he didn't feel the change in his boss' mentality, but the change was already great when he talked and handled things.
No, let's watch here! This is subconsciously putting myself and Director Xu on the same platform in the bottom of my heart.
Ordinarily, Nobel Prize winners have such qualifications, but even Su Yun is not used to this way of speaking and doing things.
After winning the Nobel Prize, he told himself repeatedly in his heart that he must be a man with his tail between his legs, at least not to float into the sky. But my boss has already... Tsk, I don't bother to talk about him.
Lao He pushed the echocardiography machine in, and Zheng Ren did his part to prepare for the echocardiography.
"What's your name?"
"Zhu Hong." The patient whispered, "Doctor, I just have a chest pain. My breathing is much better. Are you okay?"
"It's okay." Zheng Ren squeezed gel on his chest wall, and then began to perform echocardiography.
"Small problems, don't worry. Have a minor operation, and if it goes well, you can go home and recuperate by yourself in five days." Zheng Ren continued.
"Uh...then what are you discussing with so many people? I heard people say that it's okay for the doctors to talk and laugh in the operating room. There is a problem." The patient asked suspiciously.
"Discuss whether you can go home in 5 days. If you don't discuss it, you will have to lie in the ICU for ten days." Zheng Ren said with a smile, and then pointed to the echocardiography screen and Director Xu and the daring Director Li and said: "Here , it can be seen that there is a greater difference from the CT image, and the reset distance is nearly 1cm."
Echocardiography needs a deep professional foundation to understand it. Neither Director Xu nor the brave Director Li can understand it. Only Zhao Yunlong and Su Yun stood behind Zheng Ren and watched silently.
Although they can see the difference, isn't Boss Zheng's choice too risky?
According to Zhao Yunlong's thinking, instead of asking for dime money to be conservative, it would be better to open the sternum in a drastic way.
"If you have no objection, will you start anesthesia?" Zheng Ren asked.
"Lao He, anesthetize." Director Xu directly arranged for Lao He to come on stage.
Although Lao He is not nominally in Boss Zheng's medical team, he is Boss Zheng's exclusive anesthesiologist. Not only 912, but almost all the top anesthesiology directors in the country now know it.
A while ago, the question of who is Lao He swept across the anesthesia profession like a gust of wind. It seemed that it only took Lao He from an unknown to a hot anesthesia star overnight.
Lao He glanced at Boss Zheng, but he didn't directly answer Director Xu's words.
The boss of the family and Boss Zheng are standing here at the same time. It is actually quite difficult to choose who to listen to, but Lao He knows it well.
Even if you offend Director Xu, you can't offend Boss Zheng.
"Do it, I'll watch from behind." Zheng Ren said with a smile.
"Okay." Lao He immediately took out the USB flash drive from his pocket, ran to the computer, and started playing Good Luck.