302 Winning And Losing, Between The First Line (2/4)

Chapter 302 Winning and losing, between the line (24)

It may be a self-protection mechanism of the human body in times of stress.

In the operating room, after encountering an unexpected situation, they either throw equipment and get angry, or remain silent and depressed.

In the live broadcast room, there is no way to drop the equipment and vent your anger on the assistant, and the operation is not done by yourself. As people who eat melons, doctors are relatively relaxed.

The surgeon failed again, and it cannot be said that there was a problem with the operation, so I can only tell jokes for fun.

Outside the operating room, in the operating room, Professor Rudolf Wagner looked at the image with piercing eyes.

It was hard for him to believe that this was Zheng Ren's first TIPS operation.

It is simply too skilled, if it is not because of the patient's sudden vomiting of blood, the third needle puncture will be done!

His talent is simply enviable, thought Professor Rudolf Wagner.

Su Yun felt a little regretful, but not surprised.

For Zheng Ren's first TIPS operation, he had already ignored the skillful technique he showed.

It happens so much that it loses its novelty. If he was still surprised, Su Yun's jaw would drop in surprise.

He was already numb, subconsciously thinking that this was all as it should be.

Perhaps, when others looked at themselves, they would also have such helplessness in their hearts.

"Emergency surgery is like this, don't worry." Su Yun comforted lightly.

"En." Zheng Ren nodded, indifferently erasing the faint regret in his heart, and started moving again, checking the position of the guide wire, and preparing to puncture again.

Looking carefully at the video, Zheng Ren found that the position of the guide wire did not deviate too far, and it could even be said that it did not move much.

It is estimated that when the patient vomited, Su Yun's hand moved with the patient's movement, other than that, there was no other explanation.

This assistant is really perfect. At least from Zheng Ren's point of view, there was nothing wrong with it.

"Forward 0.5cm, right hand 25 degrees... 23 degrees." Zheng Ren estimated and said.

Soon, the guide wire was in place again.

In the operating room of the system, Zheng Ren felt a sense of sublimation after the experience gained from operating on the experimental body was tempered in reality.

It was almost this time. Although he experienced a failure, Zheng Ren had stronger confidence.

He did not appease the patient and asked the patient to hold back as much as possible not to move.

This is not an emergency treatment room, and patients are not crying because of hypocrisy.

The varicose veins of the gastric fundus rupture, causing a large amount of venous blood to accumulate in the stomach. This kind of biological stimulation cannot be controlled by humans.

It's like hiccups, like a fever, which cannot be controlled or changed by humans.

It is only possible to operate quickly while taking advantage of the intermittent period of the patient vomiting blood.

After a brief observation of the patient, it was found that the patient's breathing was very weak and fast, but there was no sign of restlessness.

Zheng Ren then pressed the button of the puncture needle.

The dark shadow displayed by the puncture needle on the image passes through the hepatic vein and appears in the hepatic branch of the portal vein.

"It's done!" Su Yun roared in a suppressed low voice.

"Steady." Zheng Ren was not in a hurry, he was as firm and steady as a ballast stone. In the stormy sea, let the boat row to the other side of victory.

"En." Su Yun responded immediately.

A successful puncture is only the most critical step. If there is any mistake afterwards, it will inevitably lead to the failure of the operation and it will have to be repeated.

So everything has to be careful, like walking on eggshells.

[I'm going...the puncture was successful the fourth time! Awesome! 】

[Actually, it should be successful the third time. 】

[Once again, the surgeon was beyond my imagination. In my impression, our hospital has done dozens of TIPS operations, and the operation time is more than 4 hours. It is estimated that the number of punctures should be about 20 times. 】

There was joy in Xinglin Garden, and even the doctors who had guessed that the operation would fail were relieved.

Although they are not Chinese, they did not hope that the operation would fail.

There are not many bullet screens. Although the most critical step has been solved, the rest is also very important-indwelling stent-graft.

There are two different views on the choice of brackets.

A stent without a membrane will be more stable. It is a barrel-shaped barbed wire, which is fixed by the liver parenchyma in the liver. The friction force is very high, and it is difficult to come out after the operation.

But the problem is that the liver's ability to regenerate is simply too powerful.

After some time, maybe a year, maybe a few years, the stent is likely to become blocked by the regenerating liver, and the tunnel created by the TIPS procedure recloses.

As for the membrane-covered stent, because the friction force between the stent and the liver parenchyma is not enough, although the possibility of re-occlusion of the channel after liver regeneration is avoided. However, a higher surgical technique is required to fix the bracket as much as possible.

The magic of using it is all in one mind.

In the system operating room, Zheng Ren chose the stent-graft method after countless experiments and research on various documents.

He was confident and kept the stent stably in the channel of the puncture needle.

In the operating room outside the operating room, Professor Rudolf Wagner was silent.

He resolutely denied the claim that Zheng Ren was undergoing TIPS surgery for the first time! If Zheng Ren is so proficient at doing TIPS surgery for the first time, how can TIPS surgery be called the jewel in the crown of intervention? !

He has done too much of this technique. Just because you understand it, you will feel incredible.

When I was learning TIPS surgery, how much scolding did I receive? How many times have you failed? How happy were you when you succeeded for the first time?

This scene was recalled in the professor's mind.

Impossible, it is absolutely impossible for Zheng Ren to undergo TIPS surgery for the first time.

Even if I am now, facing the situation of vomiting blood in the emergency department, it is difficult to touch the corner of the goddess of victory's skirt during the third injection.

Moreover, after the accidental failure of the third injection, Zheng Ren's mood did not seem to be affected, nor did the position of the guide wire.

The next fourth stitch was a direct success!

How difficult it is, Professor Rudolf Wagner is the one who knows best.

Zheng, really has a pair of hands of God, his existence is simply for interventional surgery.

The determination to take Zheng Ren to the research laboratory of Heidelberg University was once again solidified by the facts, and became more and more firm, like a rock on the top of the Alps.

Zheng Ren supported the guide wire and paid close attention to the patient's condition. At this moment, if the patient vomits violently again, causing the guide wire to be pulled out...

That's a really fucked up thing.

The 10mm covered stent was threaded by Su Yun along the guide wire.

The two of them switched hands, and there was almost no gap in their cooperation. They were skilled and tacit in a mess.

The stand went in without a hitch.

Because it is the first TIPS operation in reality, and the patient vomits blood and restlessness from time to time, and the position deviates at any time.

So Zheng Ren has been stepping on the thread, in order to be able to observe the situation of the guide wire and the stent in real time.

The patient immediately vomited violently again, and a strong smell of blood permeated the operating room.

The action of feeding the stent was forced to stop. Zheng Ren and Su Yun carefully supported the guide wire, for fear that the guide wire would slip out a few centimeters and cause the operation to fail again.

It's okay to have another operation.

However, if the patient's condition cannot quickly solve the problem of increased pressure in the portal vein and gastric fundus vein, he may die due to massive bleeding.

This is a race against death, and every detail must be perfect.

Even so, the doctor did not have any confidence in defeating death. Not only need to be perfect, but also need to be fast!

faster,

the better.

Finally, the patient's hematemesis that lasted for half a minute eased a lot, and he finally calmed down, as if he had no extra strength to struggle.

Zheng Ren glanced at the vital signs on the monitor, and suddenly shouted, "Turn on the call!"

The operating table in the operating room was on the right side of Kazuki. Su Yun was thankful that the patient's hematemesis had stopped, and the position of the guide wire did not seem to have changed.

At this moment, Zheng Ren's roar was suddenly heard, and he subconsciously pressed the dialogue button on the console with the sterile film on it.

"Yanran, Yiren, come in wearing lead clothes, the patient inhales vomit!" Zheng Ren shouted!

Because interventional surgery requires exposure to radiation, whenever possible, Zheng Ren would not let a few girls in.

But... just when the bracket was about to go in, there were waves.

The patient had just vomited violently, causing the vomited blood to be aspirated into the respiratory tract.

Then, the frantic alarm sounded from the monitor, extremely arrogant.

Everyone outside moved.

Director Xia put on the lead suit directly, and entered the operating room together with Xie Yiren and Chu Yanran.

Zheng Ren didn't break the wire, he must always observe the position of the guide wire.

As for the moment the door was opened, radiation spilled into the operating room... A small amount of radiation has no major impact on the human body.

X-rays are straight rays after all...

"Aspiration device!" Chu Yanran shouted while wearing sterile gloves.

In emergencies and emergencies, not only did everyone move three points faster, but the decibels of their voices were also three points louder.

They almost always yelled, and everyone was afraid that their intentions would be drowned in the other person's anxiety and be ignored.

Chu Yanran stuffed her hand into the patient's mouth, and first took out the remaining blood clots left in the mouth piece by piece.

On the other side, the Xie Yi quickly opened the prepared sputum suction device, and inserted a sputum suction tube along the corner of the patient's mouth.

"Not enough." Director Xia said loudly, "Give it to me."

She snatched the sputum suction tube from Xie Yiren, then glanced at Zheng Ren, and said, "I'm going to insert the sputum suction tube from the patient's nasal cavity, maybe there will be restlessness."

"Wait a minute, give me ten seconds!" Zheng Ren said in a deep voice.

The sputum suction tube enters from the nasal cavity, which will induce severe irritation and cause symptoms such as coughing and retching in patients.

For a guide wire that has just been successfully punctured, it is like a small boat that will be submerged by huge waves at any time.

As for the patient's condition, there was basically no time left for Zheng Ren's next puncture, and his blood pressure was already in danger.

The successful rescue of this aspiration may mean the failure of the patient's hematemesis rescue.

Director Xia looked at Zheng Ren in surprise and confusion.

The patient has already suffocated, and he needs to be rescued in ten seconds?

Is he so sure that the operation will be successful within ten seconds?

win

burden

between the lines.