Rebirth in the medical world

Chapter 188 Cardiovascular Symposium
As soon as Wang Yi said these words, Ye Haixiang was surprised again. Ye Haixiang and Wang Yi can be regarded as children. They grew up together and studied together. They have almost never broken contact in the past few decades!Naturally, he knows his temperament very well. Wang Yi is a lonely person, and he never admires someone easily. He is even more famous for his strict requirements on those clinicians and interns. Almost all the graduate students under him are scolded. Bloody sprinklers, worthless, let alone those interns.But in today's occasion full of talents, Wang Yi is so unsparing in his praise, and the object of praise is only a small intern?
Therefore, in Ye Haixiang's view, there is only one possibility, and that is: Ouyang Chenhui is indeed good enough!

Ye Haixiang is a smart person. To Wang Yi's favorite student, he naturally has to give enough face, so he quickly changed the expression of surprise on his face into appreciation. Colleagues, he treated the other guests as if he was treating them. Ouyang Chenhui gave a standard military salute, then stretched out his hand, and said politely: "My name is Ye Haixiang, the director of the Cardiac Surgery Department of Hospital A of the Armed Police Military Region. It's a pleasure to meet you. I hope to have a chance to discuss it!"

Ouyang Chenhui was not quite used to being treated like this, even though he is now 28 years old and a resident doctor, he is just an insignificant little guy in front of these medical leaders, not to mention, he is just an old man now. An intern, and an intern who only took medical courses for a few months!

But since he had already extended his hand to him, he couldn't lose face, so, despite being very embarrassed, he stretched out his hand and said a bit shyly: "Director Ye, you're too proud, I'm just an intern, and I'm here to learn!"

Seeing Ouyang Chenhui speak so modestly, Wang Yi laughed: "Today, here, it can be said that they are all doctors, there is no difference between interns and directors! We are all here to study today. Those who deserve to be elites should be them..." Wang Yi said, pointing at the guests who entered the arena one after another!
As the cheerful welcome march sounded, Ouyang Chenhui saw a few white-haired or blond medical elites walking over the rostrum under the guidance of the Miss Etiquette. Wang Yi and the others have completely different bronzing badges, which read, "Guest XX", and the names in gold are the names that Ouyang Chenhui often sees in some famous medical journals at home and abroad. He is dressed in a suit and leather shoes, but his face is full of confident smiles!
After the guests took their seats on the rostrum one after another, the host began to announce the official start of the seminar!
First, an official from the Ministry of Health delivered an opening speech. It is a great honor to hold such a large-scale medical event in China. Of course, two of the people sitting on the rostrum are from China. Cardiovascular experts!
One of them is Lin Fengnian, who has studied abroad and lived in Europe and the United States for 1988 years since 8. He has successively served as a foreign clinical assistant in the Cardiac Surgery Department of No.12 University School of Medicine in Paris, France, a visiting scholar in the Cardiac Surgery Research Laboratory of the Yale University School of Medicine in the United States, and a heart-lung transplant at the University of Ontario Hospital in Canada. Clinical Researcher, Visiting Professor of Cardiac Institute of St. Vincent Medical Center, Clinical Researcher of Cardiac Surgery. He returned to China in 1996 and took the lead in carrying out laser myocardial revascularization surgery (TMR), artificial heart assist device implantation (VAD), minimally invasive off-pump coronary artery bypass surgery (OPCAB) surgery, and has completed various heart surgeries so far More than 8000 cases have been performed, with a success rate of 99%. The number of operations and the success rate are among the best in China and have reached the international advanced level.At the same time, Professor Lin Fengnian first tried to introduce advanced western medical management and mechanism into China, established the first medical service organization composed of medical experts - "Doctor Company", and established "semi-privatization" for the first time in a public hospital in China Specialized medical service cooperation institutions, the service network has covered more than 50 hospitals across the country. On December 2001, 12, he was praised by the world-renowned "Wall Street Journal" as "the pioneer of beating heart surgery" and "leading the world's heart surgeons to perform beating heart bypass surgery". On December 5, 2001, he was featured on the cover of the famous "Far Eastern Economic Review" with the title "This Man Can Save Your Life——The New Face of Chinese Medicine", and was honored as "the Pioneer and Pioneer of Cardiac Surgery" , September 12, 6 CCTV-"Son of the East" character interview "Life is beating in the hands".

There is also an elder who is also shining with a magnificent halo!
In addition to these two Chinese native cardiovascular experts, there are several authoritative figures from different countries and regions, including Mr. Smith, a leader of the Virginia Medical School surgical team, from December 1967 to 12 1971 surgical teams performed 3 heart transplants in March 65.But the one-year survival rate is only 170%.As a result, by the end of 15, enthusiasm for heart transplantation had dwindled rapidly.Only the surgical experts at Stanford University and Virginia Medical College are still persisting. Of course, their persistence has also received great results. After more than ten years of substantive work in the 1971s, these researchers have revised the receptor selection criteria , observed the role of transvenous endocardial biopsy in the diagnosis of rejection, prepared rabbit antithymocyte globulin as an effective treatment for acute rejection, and clarified many late transplant complications and treatment principles.

There is also an American expert, Mr. James, who is the pioneer of artificial heart. On July 2001, 7, a hospital in the United States completed an artificial heart transplant operation. This mechanical heart transplant operation is the first in the history of artificial heart transplantation in the past 3 years. The first major breakthrough, it will bring good news to thousands of heart patients.And the one who successfully performed this operation is Professor James who is here today!
Seeing these faces that he only saw on TV or news reports before, Ouyang Chenhui was very excited, and at the same time, he had confidence in Al's condition again!

After the officials of the Ministry of Health finished their speeches, the reports of these experts officially began.

This is a world-class medical event. Therefore, the conference equipment is the world's top. In addition to being broadcast in dozens of countries at the same time, this seminar was also translated into dozens of languages ​​at the same time. , put on the earphones, and listen to their reports attentively like elementary school students.

The most important thing this time is three technologies, one is extracorporeal circulation, the other is heart transplantation, and the third is the promotion of artificial heart technology!

Although Kyoto University of Medicine and Science is a historically prestigious university, its cardiac surgery department is not as good as compared with the same medical schools in the country. Similarly, the cardiac surgery department of Kyoto Hospital is also at a high level. Leading, but heart surgery is not the strong point of Jingdu Hospital!
So, this time, Wang Yi still has a mission to bring back some new techniques of heart surgery!
Of course, Ouyang Chenhui was also interested in these things. For an excellent doctor, there is nothing more exciting than heart surgery!
Heart bypass, cardiopulmonary bypass, interventional therapy, these series of new terms, Ouyang Chenhui felt his blood boil when he heard it!So, he put on his earphones, tuned to the Chinese channel, and began to listen to these precious medical information very attentively!

As the host country, the first one to speak was a local expert in China. To Ouyang Chenhui, this information seemed a bit lagging behind. Although Ouyang Chenhui in his previous life was not a cardiovascular doctor, he was familiar with some new technologies and new solutions. But it is not unfamiliar, because Chinese doctors are particularly proud of taking many exams and studying a lot. As for whether the effect is hard to say, Ouyang Chenhui clearly remembers that as an obstetrician and gynecologist, he participated in There are no less than a dozen studies on cardiovascular aspects of learning. Often, as long as one achievement is achieved in one field, there will be a wave of learning upsurge across the country. No matter which specialty doctor you are, you will Participation in this learning must be unconditional!Therefore, many people just listened to it on a whim, went through the motions, got a qualified graduation certificate, and studied a lot. Ouyang Chenhui was also perfunctory in this way.

However, due to his strong interest in the cardiovascular system, and the impact of Al's death on Ouyang Chenhui, he will also pay attention to some new trends in the cardiovascular system, intentionally or not.

Therefore, for some new trends in the domestic cardiovascular system in 2002, it is no longer news to him at this time!
For example, what this expert is talking about now is the intraoperative precautions about extracorporeal circulation!
"When blocking the ascending aorta for cardioplegia infusion, the right atrium should be cut and decompressed as soon as possible to avoid right heart expansion. If a large amount of blood gushes out when the right atrium (ventricle) is cut, two possibilities should be considered : ① Incomplete occlusion of the ascending aorta; ② Incomplete occlusion of the inferior vena cava, or no occlusion of the left superior vena cava. After confirmation, it should be corrected to make the surgical field clear.”

Ouyang Chenhui listened carefully, quickly recalling the previous knowledge in his mind!
He remembered some discrepancies with the expert's report, that is, about the perfusion method of cardioplegia, he remembered that there are two commonly used methods, antegrade perfusion and retrograde perfusion!

The traditional saying is: Since hypothermia can reduce myocardial metabolism and energy requirements, and prevent regeneration of myocardial electrical and mechanical activity, hypothermia combined with cardioplegia can make the safe time of ischemia more than two hours.

However, Ouyang Chenhui vaguely remembered that it seemed that during the subsequent operation, someone once proposed to use the warm blood method, and it was also applied clinically, and achieved better surgical results!
Several foreign experts seem to have some disputes over this issue. Some people raised objections while the report was still in progress!

(End of this chapter)