Doctor: start with the heart

Chapter 30 Complete Surgery
"Prepare the piercing bag."

Zhao Xu said to Liu Yun, the equipment nurse standing by.

"it is good."

Liu Yun nodded and looked at Zhao Xu at this moment. In this operating room with two directors and four attending doctors, Liu Yun suddenly felt an inexplicable light on Zhao Xu.

Great!
She couldn't help but sigh.

As for the operating room, she had basically seen all the young doctors in the First Affiliated Hospital, but when it came to the performance in the operating room, in her impression, no one was as dazzling as Zhao Xu now.

After a while, Liu Yun prepared the puncture bag.

Zhao Xu changed his position, looked at the position of the patient's chest, and simulated the anatomical 3D modeling of the heart in his mind.

It has to be said that the visual-spatial transformation talent derived from Dr. Xiao En can be said to be the dream of all surgeons.

With this talent, the chief surgeon can have a very clear grasp of the patient's anatomical position. This level of clarity is no less than the results obtained by performing a three-dimensional CT scan on the patient.

Pericardiocentesis is a diagnosis and treatment technique that directly penetrates the pericardial cavity with the help of a puncture needle.

The puncture site should not be too deep, so as not to puncture the atrium, ventricle or puncture the coronary artery and cause a large amount of blood in the pericardial cavity, but it should not be too shallow, too shallow to reach the position of the pericardium, and the effusion cannot be pumped out.

Therefore, the puncture strength must be grasped very precisely, and the chief surgeon has a good understanding of the anatomical position of the heart.

Although the anatomical position of the heart is generally the same, there are still subtle individual differences in each individual. Therefore, at this time, it is more dependent on the personal experience of the surgeon.

In the final analysis, clinical practice is still an empirical discipline.

Zhao Xu carefully looked at the patient's chest and determined its position.

At the angle between the subxiphoid process and the left costal margin, at the fifth intercostal space on the left side, at 1-2 cm medial to the border of cardiac dullness.

Zhao Xu was already familiar with the location of the pericardial puncture.

Zhao Xu took a deep breath and picked up the puncture needle.

At this moment, in the demonstration classroom, the doctors who had been staring at the big screen couldn't help discussing Zhao Xu's movements.

"This will determine the location of the puncture?!"

"So straightforward?"

"Cow batch!"

"There are two tricks!"

The doctors who were watching the operation were naturally elites from various departments, and those who could enter the First Affiliated Hospital were at least doctors.

But if they were to do the pericardial puncture, they had to be cautious and cautious. After all, the part to be punctured was the heart, and if something went wrong, the consequences would be unimaginable.

Therefore, Zhao Xu's straightforward operation naturally surprised them.

Here in the operating room.

Seeing that Zhao Xu had picked up the puncture needle and was about to puncture, Wang Ming asked solemnly, "Xiao Zhao, are you sure?"

You should know that, judging from the current physical condition of the patient, there is only one chance for the puncture. If the puncture is unsuccessful this time, you will face the most serious consequences.

With Wang Ming's self-confidence, he couldn't help but ask Zhao Xu.

"Director, I'm sure."

Zhao Xu nodded and said confidently.

At this moment, in his eyes, the patient's chest cavity is almost as if under a X-ray. The exact position of the heart, the direction of the large blood vessels inside and outside the heart, and the direction of nerves are all very clear.

"Okay, let go and do it."

Wang Ming nodded in satisfaction.

Zhao Xu collected himself, holding a puncture needle in his hand, and pierced through the skin bit by bit.

laugh!
Very subtly, Zhao Xu felt a sense of disappointment in his hands.

in place.

Zhao Xu judged in his heart.

"syringe."

Zhao Xu looked up and said to Liu Yun, the equipment nurse.

"Ah."

Liu Yun handed Zhao Xu the syringe on the instrument tray.

Zhao Xu connected the syringe to the puncture needle, and with a slight pump, the dark red pericardial effusion was drawn out.

It worked!
Seeing this scene, everyone in the operating room breathed a sigh of relief.

Wang Ming took the lead in getting Zhao Xu to perform pericardial puncture. The doctors in charge didn't say anything, but they actually had doubts in their hearts. Now, with Zhao Xu's straightforward operation, everyone's doubts were dispelled.

"Well done, Xiao Zhao!"

Wang Ming also said happily.

"good."

Director Wei Wei couldn't help but nodded. Zhao Xu's palm puncture can be said to be very perfect. His understanding of the anatomical position and the grasp of the puncture force are very accurate. Even if it were him, it would be this at most. level up.

This Zhao Xu is really a piece of jade in the rough!

Wei Wei thought in his heart.

As the patient's pericardial effusion was withdrawn, the compressed heart returned to normal and the operation continued.

two hours later.

With the last flap transplanted to the patient, this difficult operation is finally over.

"The operation is over, transfer to the ward."

Wang Ming raised his head and said to the anesthesiologist.

"Okay, Director."

The anesthesiologist nodded.

"Xiao Zhao, this operation can go smoothly, thanks to you."

Wang Ming looked at Zhao Xu and said with a sigh.

Although both he and Wei Wei can perform pericardiocentesis, the time originally spent on transplanting the flap will inevitably be wasted. There may be fallouts.

In fact, for Wang Ming, it would be risky to entrust this key operation to Zhao Xu, but Zhao Xu completed the operation perfectly, which shows that Wang Ming's vision and judgment are very accurate, so Wang Ming's current situation The mood is also very good.

"Yes, Xiao Zhao, you can reconsider my suggestion."

Wei Wei also said in agreement.

If it was at the beginning, he thought that Zhao Xu was just a good seedling, a rough jade that still needed to be cultivated and improved.

Well, after seeing Zhao Xu's perfect pericardial puncture, he immediately realized that Zhao Xu's level had reached a very high level. If he was transferred to follow him, he would be able to use it directly. There is such a good operation Assistant is the dream of every surgeon.

"Okay, old Wei, you still don't forget to poach my corner."

Hearing Wei Wei's words, Wang Ming smiled and said.

Wei Wei valued Zhao Xu so much, which also showed that Zhao Xu was indeed excellent, so as Zhao Xu's director, he also felt honored.

Just before a meeting of directors, Wang Ming was discussing with other directors that the current medical field, especially the field of top surgery, has experienced a discontinuity. In several top surgery fields, it is almost up to them a few old guys Hold on.

When it comes to cultivating newcomers, several directors also shook their heads.

And now, Zhao Xu was undoubtedly the most worthy rookie in Wang Ming's mind!
As soon as Wang Ming said this, the other doctors in the operating room looked at Zhao Xu with envy.

(End of this chapter)