Chapter 251 Is He Fooling Me? Come, Leave It to You

As he talked, Zhang Fan smiled slightly: "After I read the operation plan, I got a lot of inspiration, and I also had a little new idea. Now that the chest cavity has been opened!"

The officers outside the system nodded their heads slightly, and everyone looked at each other, who said that Zhang Fan was not easy to deal with, who said that Dean Cha Su was domineering, these words were too rhythmic.

And colleagues, even physicians opened their mouths wide, this nima Zhang Heizi is too shameless, such a mature operation, you have a new inspiration with a hammer, as if it is the first time you have seen this kind of surgery.

If you don't agree, you don't agree. What you said is nice, it seems that a group of us bullied you, but Nima, a group of us have a good discussion.

After you came, you not only sat in the C seat and didn't speak, but also took away the right to speak, and held a group of us under your ass by yourself, and even pretended to be good when you got cheap.

Whoops, some physicians' faces are a little pale, they are angry.

"Zhang Yuan, tell me, tell me, you are invited to speak, and we are all ears." A person in charge of diplomacy immediately said to Zhang Fan with a smile.

These are all recorded by meeting minutes. For this level of surgery, there are special meeting minutes from entering the office. This is not a summary of the meeting, but a meeting record.

At that time, no matter whether it is about rewards for meritorious deeds or accountability for accidents, you must look back. Don't think it's easy to make money, it depends on whether people pay attention to it or not.

"Well, let me say a few words." Zhang Fan smiled and nodded.

A group of careless doctors looked at Zhang Fan, and looked at Zhang Fan's smiling face like a sunflower, and felt a sense of powerlessness.

Surgery, such as orthopedics, urology and other doctors, will produce great masters, but there will not be masters who rule an era.

However, in the two disciplines of brain and heart, there will often be masters who rule an era. Some doctors have even exaggerated to the point that there will be no great technological leap, and almost all doctors of this generation must perform operations according to other people's surgical procedures.

More or less will not work. For example, the originator of surgery once said that the heart cannot be operated on. If anyone wants to operate on the heart, then he is either a devil or an angel. As a result, the first generation of open-chest massage and cardiopulmonary resuscitation master appeared.

"Establish extracorporeal circulation, block the ascending aorta, incise the right atrium, fold the ventricle along the longitudinal axis, close the atrialized ventricle, and refuel the Carpentier ring on the basis of the DeVega ring contraction..."

As Zhang Fan said, he directly drew the operation process on a large professional digital drawing board with an electronic pen, and it was an exploded view. While drawing, I thought to myself: "This thing is quite useful, Nima Capital Hospital is rich, so let them give away a batch of chasu after it's done."

In terms of diplomacy, there are other people who are not in the industry, and this time they also became serious, just like students who are about to take the college entrance examination watching the teacher say betting questions.

It's not that they pretended, but this time people really understood.

In the previous discussion, no matter how enthusiastic and professional the experts said, they just waited for the results, then checked the degree of support from the crowd, and then reported the results.

For the rest, they can't do anything, and they don't even know what the doctors are going to do.

But this time it was different. Under the hands of Zhang Yuan, they knew what went wrong with the patient and what they were going to do now under the anatomy and decomposition diagram.

Some even put their right hand on their left breast uncontrollably. This is not to express respect, she is thinking that she has a heart problem, because she understands.

As for the people in the field, not only physicians but also surgeons, when Zhang Fan drew the exploded diagrams, they became more solemn than each other.

Doctors at this level can draw this hand-drawn picture, but they can clearly see that Zhang Fan's drawing is different, and the decomposition is too detailed.

Even the muscle cord of the tricuspid valve is drawn. How many pig hearts and specimens of the general teacher have to be cut to achieve this level.

At this time, it doesn't matter anymore. What makes them unable to understand is the operation.

Zhang Yuan seems to be using tricuspid valve reconstruction, but the operation method is obviously different.

The heart is the size of a fist, everyone's heart is the size of a fist, there is not much difference.

In this kind of place, once the surgical method is determined, to be honest, it is difficult to change the surgical method.

Because the place is too small. How to describe this stuff? To put it simply, other surgeries, such as most orthopedic surgeries and general urology surgeries, are performed by you and your wife on a big bed eight meters by eight meters in your home, as long as you have the physical strength. Hualai, as long as you are still young, of course, if you are old and can only lie down, you can also lie sideways or vertically.

And heart surgery is to give you a QQ car, which is still the first generation of small QQ, and then 100 kilograms for men and 100 kilograms for women, so that you can change your tricks. Nima is already an expert if you can split your legs !

But now, the operation method on the digital drawing board is obviously different, and it is also a compound improved operation.

Before Zhang Fan came, their operation was just a deformity repair.

It sounds simple, but to be honest, the younger the heart, the easier it is to do it, and the older it is, the harder it is to do it.

Many congenital heart diseases can be treated, but many post-heart diseases cannot be treated, and even conservative treatment is very laborious.

This is the peculiarity of the heart.

A digital drawing board the size of a normal blackboard was filled with Zhang Fan's drawings and writings. After Zhang Fan finished his explanation, he gently threw the electronic pen on the table.

Then he looked at a group of experts.

There was a short silence, although it was not long, it lasted about half a minute.

The non-professionals turned their heads, looking at Zhang Fan and other experts.

As for the professional people, those in internal medicine have already taken out their pens and started to calculate, and some in surgery are scratching their heads and some are pinching their chins.

When Zhang Fan was about to speak, the heart director of Zhongyong internal medicine first raised his hand, it was a hand! Although he is a physician, the number of times he invites him to the operating room for consultation is not necessarily less than the number of cardiac surgeons in some medium-sized hospitals.

As for extra-cardiac surgery, although he doesn't know how to do it, he has seen many people in the world after all.

It's like a young man who has seen mosaics in the Maruko Kingdom. Although he has never done it himself, he also knows that some things are impossible, such as stopping time.

Zhang Fan nodded, "Speak, Director Fan!"

After Zhang Fan finished speaking, Director Fan began to speak. Director Fan, among other things, in the introduction column of the hospital, it can occupy half of the wall, such as the director of the World Medical Association, the executive director of the Chinese Medical Association, the vice chairman of the Internal Medicine Branch of the Chinese Medical Association, and the rare disease of the National Health Commission Deputy Chairman and Office Director of the Expert Committee on Diagnosis and Treatment Security...

To be long and long, to be short and short.

"Zhang Yuan, your operation method is very breakthrough. According to my calculations, if your operation method is used, the postoperative heart power of the patient can reach more than 98% of the normal heart. The most important thing is that it may be able to Not dependent on drugs.

but……"

Having said this, Director Fan paused for a moment and glanced at Zhang Fan.

Physicians are more delicate than surgeons, Zhang Fan still smiled and continued to ask Director Fan to talk.

"However, your operation is performed on an old man with a long-term heart disease. I think that the cardiopulmonary stock needs to be maximized, and there will be an imbalance in the amount of intake and output, and even hemodilution will lead to a decrease in blood viscosity. What's more, The perfusion flow may be insufficient. According to the calculation of the circulation flow, at 2.4/(min.M2), during this operation, the patient's blood oxygen, urine volume, and BE value are all hovering at the warning line or even lower.

Mixed venous oxygen may be below 60%…”

When Zhang Fan heard this, he couldn't help but sigh in his heart, Nima's capital is full of talents. If it was in Chasu, no cardiologist, including Ren Li, would be able to give Zhang Fan an internal evaluation after drawing the operation diagram within a few hours.

Zhang Fan began to answer.

"When repairing the junction between the valve and the non-valve, I can reserve 2-4mm more width to prevent the blood from forming turbulent flow, and I will not form an oval shape but a direct circular shape to achieve surgical fit in the place where the fibrous membrane is re-stenotic point……"

Said it was not clear, Zhang Fan directly began to explain in detail on the exploded diagram.

This time, outsiders could not understand at all.

Nima round and elliptical have a hammer difference, 2mm and 3mm look the same.

But surgeons, their eyes are bright at this time.

But there are also those who are confused.

"You don't use an oval for a place as big as Nima. How do you suture it? There are no long corners. You have to pull and suture such a thin heart wall? It is clearly stated in the doctor's textbook that a heart wall of such thickness is fragile. Yes, aren't you afraid of your heart breaking?"

This kind of thinking is almost always at the deputy director level.

To be honest, the medical industry is not easy to dawdle, especially at the top level.

The technology industry is estimated to be similar.

For example, Shanghai No. 6 Hospital has released a new surgical method, which can obviously improve the prognosis of patients. If the Capital Zhongyong does not copy it in the operating room immediately, then the position of the head of the corresponding department will start to falter.

Even if this mediocre director went to learn from others, his status in the industry would plummet. When encountering a special emergency operation, the superior will not choose a mediocre director! This requires that you may not be the first, but you must be able to hear it!

Most surgical experts understand, but there are also risks.

After Zhang Fan's explanation, Director Zhongyong Fan frowned and looked at the other experts.

She was not confused but more confused.

Her eyes seemed to be asking other experts: Is this also okay? Is Zhang Heizi fooling me? I am a layman after all!

The pressure has been handed over to the digital heart surgery director!

Others, such as the deputy director of the hospital outside the port, let alone holding their arms at this time, now take pictures with one hand and record wildly with the other. This is another experience.

These people are extremely smart people, he not only understood, but also heard his own experience or epiphany.

At this time, you must record it, maybe there will be nothing later.

After this discussion, even if he still can't perform Zhang Fan's operation, it will definitely not affect his operation level to improve a lot.

"Zhang Yuan, this method is a bit dangerous. Here, I think we can be a little more conservative. After all, this kind of operation is too much a test of surgical skills. Once an accident occurs, it will be beyond redemption!"