A hundred days after signing in, the first surgery shocked the world!

A low-key Audi,

From the provincial capital to Peng City, he quickly came to the city courtyard.

Professor Lu Jianming, Director of Cardiac Surgery at Duck University Hospital, was a former professor at Harmony Medical University, and has 8 years of experience in training and working in top hospitals in Lighthouse Country.

This time he came to the First Hospital of the City, it was someone else who entrusted him to find him and asked him to come to the First Hospital of the City to perform cardiac interventional surgery on a leader.

He was accompanied by his student and assistant, Liao Xuewen.

"Wait, stop..."

Just as he was about to arrive at the first courtyard of the city, Professor Lu Jianming suddenly stopped the driver.

He looked at a "bubble master" across the road.

Saliva couldn't help but swallow.

He has various advantages, an idol worshipped by many doctors and nurses at Duck University Hospital, but the only thing that is bad is - gluttony.

He has gained 160 pounds, which is a bit incredible for a doctor.

"Lao Liu (driver), go and help me buy a box of nori pork pine snow shells."

"Okay, Professor Lu."

Soon the driver, Lao Liu, bought a box and handed it to Professor Lu.

Professor Lu couldn't wait to take a bite.

"Hmm... Delicious! "

Enjoy!

His student Liao Xuewen wanted to persuade, think about it later, forget it.

"Go, go to the first courtyard of the city, it is estimated that they are in a hurry..."

car, rushed to the first courtyard of the city.

What they don't know is that the back kitchen of the "bubble master", bags of dirty kitchen garbage, are randomly piled on the ground, and on it, the place where bread is being made, and the sanitary conditions are worrying.

......

......

Emergency Department.

"Director, the Department of Cardiac Surgery invited me to come over."

Lin Feng knocked on Director Zhou's office and asked Director Zhou for leave.

"Go, Old Zhao told me." Leslie Chow said.

After taking leave, Lin Feng left for the cardiac surgery.

Came to the cardiac surgery department, at this time a group of doctors were in the conference room, preparing for consultation, Tan Jianzhao, an intern, secretly ran in, ready to audit.

Lin Feng, knocked on the door, walked in.

"Doctor Lin."

"Dr. Lin is here."

One by one, the extracardiac doctors greeted Lin Feng.

Lin Feng has rescued cardiac surgery many times, and his outstanding technology has long been recognized and respected by many doctors in cardiac surgery.

Meng Xin Tan Jianzhao: "...................................."

At this moment, the eyeballs fell to the ground!

What's going on?

Lin Feng is that "Doctor Lin"?

what~the~fuck！！

"Lin Feng, come, sit here..."

Zhao Wangyang smiled and called Lin Feng to the seat where the price was important.

"Okay, let's have a meeting, let's have a consultation to discuss the condition, and when Professor Lu Jianming comes, we can let go of the performance, and Professor Lu does surgery, everyone can also learn more..."

"Let's get started..."

Then, the 'old leader' patient began to be combed out.

Deputy Director Liang Guomin is responsible for introducing:

"The patient is 57 years old, yesterday because of sudden heartache, admitted to our hospital, after questioning, there are many history of heartache..."

"After the non-invasive examination of the most advanced 64-row CT in our hospital, it is clear that two of the three main blood vessels in Uncle Zhao's heart have been completely occluded, and the remaining main blood vessel has also been severely narrowed..."

· Number of CT rows: With the continuous application and development of CT technology, from single row, 8 row, 16 row, 34 row, 64 row, etc.

The most advanced at the moment is the 64th platoon.

Where is the advanced?

Advantages: shorter imaging time, higher clarity, reduced radiation dose.

Lin Feng looked at the picture on the projection.

Judge the condition at once!

CTO lesions!

That is, a complete occlusion lesion of the coronary arteries of the heart!

Lin Feng suddenly realized.

Lin Feng quickly used one of the CTOs' "Intervention Strategy Predictive Scoring Method" · J-CTO, score the condition.

The rating result: 3 points!

・Interventional surgery is necessary!

Drugs are no longer of much use!

Lin Feng finally came to know now.

No wonder, the cardiac surgery department has to find experts in the provincial city to come and operate.

Because of this CTO lesion, the surgery performed is technically difficult and the success rate of stent placement is relatively low.

There are also many complications during surgery.

Short-term risks: including emergency bypass, coronary perforation, perioperative myocardial infarction, acute renal failure, vascular access-related complications, and stroke.

Long-term risks: including restenosis in the stent, stent thrombosis, skin damage caused by excessive radiation exposure, etc.

Therefore, this CTO-PCI procedure is considered to be the biggest difficulty and challenge in the field of PCI (name: percutaneous coronary intervention).

There is also a nickname: the final challenge of interventional doctors!

Lin Feng also thought of another aspect, the patient's identity is special and he is the leader, so no one in the first hospital of the city dares to do this dangerous operation (bring their own shackles to the operating table).

But the big doctors of the provincial city hospitals are not afraid of these leaders, because they have treated more big leaders, and the network of personal relationships has long been very strong, and they can travel lightly.

At this time, Lin Feng understood a little more about the doctor industry.

Build more networks to protect yourself.

......

Half an hour later,

End of meeting.

Bell bell bell ~~~

Zhao Wangyang's phone rang.

"Hey... Professor Lu Jianming is almost here? Okay, I'll take someone down right away to greet you. "

Soon, uproar ~~~

Zhao Wangyang took a kind of doctor and nurse to the door of the hospital to greet him.

Lin Feng didn't follow him, just go to the emergency department first, and then go when the real operation is done.

"Lin Feng, wait..." Tan Jianzhao flew over, looking curious, surprised, and inquiring.

"What for?" Lin Feng was on guard.

"I'm just curious, why do you seem to have such a high status in cardiac surgery..." Tan Jianzhao was really super curious at this moment!

He was an intern, and when he came here, those regular training doctors and nurse sisters shouted at him one by one, and they were unceremonious.

The status is simply... I want to cry without tears!

The result?

As soon as Lin Feng came, the look of the doctors, that was called a passion!

One by one, they were called 'Dr. Lin' and 'Dr. Lin'.

And yourself?

Xiao Tan Xiao Tan, even the nurses call themselves that, miserable!

Envy makes people unrecognizable ~~

Lin Feng: "All said, my strength is very powerful." "

Tan Jianzhao: "........."

Still a little unbelievable, no matter how powerful Lin Feng is, it is just some small rescue methods, how can it be recognized by everyone?

Lin Feng returned to the emergency room first.

Tan Jianzhao continued to follow the army to meet Professor Lu Jianming.

The other doctors saw Lin Feng talking and laughing with the new intern.

Attending Li Yuan: "Xiao Tan, you and Doctor Lin..."

Tan Jianzhao was flattered: "Teacher, Lin Feng and I are in the same class." "

This Dr. Li Yuan is the instructing doctor assigned to Tan Jianzhao this time, and he has been lukewarm to Tan Jianzhao in the past two days.

When Li Yuan heard this, he was surprised: "Ah, are you in the same class as Lin Feng, or are you in the same dormitory?" "

Tan Jianzhao nodded: "That's right, roommate, classmate." "

"Hahaha~~ I said it earlier, I didn't even know there was such a relationship!" Li Yuan's original coldness suddenly turned into a warm sun, and then into a scorching sun, laughed, and patted Li Yuan's shoulder.

Tan Jianzhao: "??? "

A confused look!!

"I still have a good relationship with Dr. Lin, and I have had surgery with him, and I have a friendship... You are his classmate, call me Brother Li in the future, no need to call me teacher. Li Yuan said heroically.

“............"

Tan Jianzhao's whole person was stupid.

Groove?

What's going on?

Called Brother Li? Still so enthusiastic?

This treatment makes me a little dreamy?

Tan Jianzhao pinched his thigh, hissing ~~ pain! It's true, not a dream!

At this time, the others leaned in.

"You're Dr. Lin's roommate..."

"Oh, that's my own person!"

"Call me Sister Zhang in the future, my own person!"

"There is this relationship, say it early!"

Doctors, nurses, old enthusiasm!

Tan Jianzhao: "..........................."

Giggle.

Status +1+1+1+1+1+1+1+1...

At the same time, there are ten thousand puzzles in my heart.

Can anyone tell me, what's going on? The dean's relatives are not so good, right?

Is there any big secret about Lin Feng, I don't know?

...

Tan Jianzhao was in a daze, and followed the army to the gate of the hospital.

Three minutes later...

A low-key Audi slowly stopped at the gate.

"Warmly welcome Professor Lu Jianming to the First Academy of the City to guide the study!"

In the midst of a warm welcome, Professor Lu Jianming and student Liao Xuewen got off the bus with a smile on their faces.

"You're welcome, you're welcome~~~"

"Pengxi shining, Pengxi shining!"

A courtesy,

This status also makes many doctors yearn and motivate them to work hard.

......

Because Professor Lu Jianming still had urgent matters to return to the provincial capital, Professor Lu Jianming decided not to rest and did it directly.

Of course, it is also because he has seen the patient's information on the road, done the surgical evaluation, and also selected the surgical method, which is very confident.

Back to cardiac surgery,

Start preparing for surgery...

It took more than an hour...

The patient was admitted to the operating room and the operation was ready.

Interventional surgery has a lot of radiation, so it is necessary to wear heavy radiation protection clothing.

At this time, Lin Feng also came to observe Professor Lu Jianming's surgical strength on the spot.

......

16：00

The operation has officially begun!

Anaesthesia......

Disinfectant cloth...

Preoperative selection positive opening...

Placket......

Insert the super-slip guidewire...

The super-slip guidewire went all the way down to the iliac artery, all the way to the first conical stump occlusion section... (Causes of arterial occlusion: most of them are atherosclerotic plaques that need to be opened)

Twist left and right and rush forward, but find it a little difficult...

Tried for about 20 minutes...

The opening failed, the hardness of the single guide wire was not enough, and it failed to pass the blocked section...

Professor Lu Jianming is full of confidence, he has expected the difficulty, but these can't stop him!

Replace the guide wire, replace it with another guide wire...

20 minutes passed...

Fail, still can't pass...

Professor Lu Jianming frowned slightly at this time, but he was still very confident, and there was still a trick!

He began to use a new method - parallel guidewire technology ...

Another 30 minutes passed...

Still lost! Fail! Finish!

Professor Lu Jianming: "........."

Zhao Wang Yang: "........."

Doctors: "..............."

Although I knew that this operation was difficult, I didn't expect it to be so difficult!

This is only the first blocked road section, it has been stumped, so what about the next three blocked road sections?

Lu Jianming wiped his sweat with confidence and steadied his mind.

Unafraid!

I still have a back move!

Professor Lui Jianming regained his confidence.

Interventional surgery has a standard process, 1-5, and now 1, 2, 3 are not possible, then the fourth step is to be carried out.

Method 4: IVUS guidance method!

Another 30 minutes passed...

Still lost! Fail! Finish!

Go on!

Method 5: Reverse intervention method!

That is, enter from the other direction, in the opposite direction.

Reimagined...

Confirm the position of the true lumen of the blood vessel...

1 hour later...

Failed again!

Because of the reverse guide wire through the collateral blood vessels, the guide wire with a softer head end, better tactile feedback and torque transmission is usually selected, but Professor Lv Jianming tried it and found that the patient's blood vessel had poor reverse conditions and it was difficult to open this occlusion section.

Lu Jianming sighed: "Let's go back to the positive direction..."

Zhao Wang Yang: "........."

Doctors: "..............."

Egg pain ~~~

......

Professor Lu Jianming was still very confident at this time.

According to the international gold standard (the experience of countless people), when the previous methods are not working, a new method can be carried out at this time - ADR technology!

Suddenly!

Grunt~~~

Professor Lu Jianming suddenly had a stomachache!

"Oops! Stomach pain! "

Professor Lu Jianming's face changed slightly, eating bad things, as a foodie, he is very sensitive to this aspect, because he has too much experience.

"What to do? Now the operation is underway..."

"Pause first..."

Thinking about it, Lu Jianming stopped the operation and said to everyone.

"My stomach is a little uncomfortable, I'll go to the toilet first..."

Zhao Wangyang, doctors and nurses: ".................."

Zhao Wangyang hurriedly said, "Professor Lu, you go!" "

Soon, Professor Lu Jianming took off his lead clothes, left the operating table, and went to the toilet.

After 20 minutes...

Professor Lu Jianming is back!

Another 10 minutes passed...

Professor Lu Jianming went to the toilet again!

30th minute, third toilet...

50th minute, fourth toilet...

70th minute, fifth toilet^

Zhao Wangyang, doctors and nurses: ".................."

Lin Feng: ".................."

The gaze began to become weird, Professor Lu Jianming, you are too pitted, right?

The patient is still in bed!

This state of operation in progress will be dangerous at any time!

Professor Lu Jianming, who had already been stretched to the point of collapse, felt everyone's gaze at this time, Rao was the imposing and majestic big man, and he was also a little embarrassed at the moment.

He also wants to continue the operation!

However, his stomach seems to be against him, and he always wants to go to the toilet!

"Nope... How about letting my students try it? "

Lu Jianming looked at student Liao Xuewen.

Liao Xuewen was excited in his heart: "Do you want me to go up to the main knife?" Great, I've been looking forward to it for three years! "

I have been waiting for this opportunity for three years!

Lu Jianming: "Xuewen, it's not convenient for me now, this operation, you come on... I'm there to guide you..."

Liao Xuewen was excited: "No problem, teacher, I will definitely not let you down!" "

I was so excited that my face turned red and I roared loudly!

Lu Jianming: "Let's start..."

Liao Xuewen wore a lead suit and stepped onto the operating table, his heart was excited: "Roar... Surgery, here I am! "

Grunt~~~

Suddenly, Liao Xuewen only felt a pain in his stomach.

Worst!

"I seem to have eaten that with the teacher... Now I'm going to have a stomachache too..."

Liao Xuewen's face turned green on the spot.

"I'm sorry, teacher, I want to go to the toilet too..."

Lu Jianming: "........."

Zhao Wangyang, doctors and nurses: ".................."

Lin Feng: ".................."

Are you guys having fun?

Lu Jianming wanted to scold Liao Xuewen, but his stomach hurt again.

Nima!

Almost cried!

Dash to the toilet.

The master and apprentice went to the toilet together.

Zhao Wangyang, doctors and nurses: ".................."

Lin Feng: ".................."

The atmosphere is so quiet!

After a while,

"Or not? I got it? Lin Feng couldn't help it and broke the calm, "Anyway, I also did interventional surgery. "

One word awakens the dreamer!

"Yes! Dr. Lin will also intervene in surgery! "

"Last time, Dr. Lin did a successful job, and we also learned the relevant videos, which seems to be no worse than this."

The crowd started talking.

Zhao Wangyang hesitated: "Lin Feng, are you confident?" "

Lin Feng nodded: "There is still confidence, let me try?" If it doesn't work, I quit? Anyway, it doesn't affect the patient. "

Zhao Wangyang thought about it, yes, anyway, the situation is so bad, then Professor Lu Jianming may not be able to count on it, it is better to let Lin Feng try.

With Zhao Wangyang's consent, Lin Feng put on a lead suit and walked onto the operating table.

After trying to single guidewire/single guidewire upgrade/parallel guidewire/IVUS guidance/reverse technology failed, Lin Feng did not make any changes and used ADR technology guidewire.

Spiral, forward...

Flowing clouds and water, easy and natural...

All the way...

Come to the occlusion section...

Spiral thorn prick ... Suddenly...

Finally, it worked!

Successfully opened the occlusion section, successfully rebuilt the right crown blood supply, and finally put in the stent!

The whole journey took less than 10 minutes!

Compared with the previous process, which took almost 2 hours, there was no progress at all, which was a sharp contrast.

"Groove, awesome!!"

A regular doctor shouted excitedly!

“6666~~~"

"Awesome!!"

Other doctors and nurses cried out.

Lin Feng looked up and asked Zhao Wang Yang: "Or... Do I continue to open the other three occlusive segments? "

Zhao Wang Yang laughed: "Go on, go on!" "

With his more than 30 years of professional cardiovascular experience, he found that Lin Feng's technique was much stronger than Professor Lu Jianming!

Not a hierarchical one!

That's scary!

Seeing that Hunter Xinxi, he wanted to see if Lin Feng could handle the other three occlusion sections.

Lin Feng nodded.

Continue the same process: Single Guidewire / Single Guidewire Upgrade / Parallel Guidewire / IVUS Guidance / Reverse Technology...

If it doesn't work, replace the next one...

Outcome!

In the second occlusion section, Lin Feng spent a total of 13 minutes, using a single guide wire to directly open it and put it into the bracket!

In the third occlusion section, Lin Feng, with his rich experience, directly skipped the single guidewire process, selected a parallel guidewire, spent 24 minutes, opened it up, and put it into the bracket!

All the doctors and nurses looked at Lin Feng's gaze, it was like a god!

666 is floating wildly in the head!!

now

Professor Lu Jianming and student Liao Xuewen are still in the toilet and have not returned!

。