"Infused with cold blood and stop jumping fluid!"

"The heart re-supply blood..."

"Re-jumped!"

In the operating room, Fang Han's voice sounded from time to time.

Solis doesn't understand Chinese, and the nurse is not from Solis's team. Except for Lin Xintong, the other nurses are temporarily transferred from the provincial hospital, so Fang Han and Solis have a tacit understanding. Solis is the main agent, but the instructions are issued by Fang Han.

As for cardiac surgery, the requirements for nurses are also quite high. Establishing extracorporeal circulation is very dangerous. Whether the heart can be beat again after re-supplying blood is very important. Jiang Intermediate People's Hospital has not had a heart surgery before, so nurses have no way to operate the extracorporeal circulation machine, and it is impossible for them to keep up with it.

"Re-jumped."

Both the main venue and the observation room of the Jiang Intermediate People's Court were in a mood fluctuating with the rhythm of the operation.

“Doctor Solis’s operation is really perfect.”

"In addition to Solis, the teamwork is also very tacit."

The doctors watching the operation expressed their opinions one after another.

Cardiac bypass surgery is a large-scale operation, and there are quite a few doctors involved, and there are several more doctors required for liver resection. In this operation, in addition to Fang Han as the first assistant, the doctors of Solis' team basically participated.

Compared with liver surgery, cardiac surgery also requires cutting the bypass material during the operation.

Cardiac bypass surgery is the operation of establishing a channel between the proximal and distal end of the coronary stenosis, so that the blood bypasses the stenosis and reaches the distal end. The material of this channel is taken from a section of blood vessels of the patient.

According to the selected blood vessels, bypass surgery is divided into large saphenous vein bypass, internal thoracic artery bypass, and radial artery bypass.

The first cardiac bypass surgery performed by Puhawkins Hospital was the Great Saphenous bypass. After the left anterior descending branch shunt transplant of the Great Saphenous Vein, it was gradually applied to the treatment of recurrent stenosis cases after refractory angina, acute myocardial infarction, severe ventricular arrhythmia and catheter balloon dilation.

After the Great Saphenous Vein bypass surgery, there are internal thoracic artery bypass surgery and radial artery bypass surgery, which is a process of continuous improvement of cardiac bypass surgery.

After the first patient with large saphenous vein bypass, through prognosis and statistics, it was gradually found that patients with large saphenous vein bypass are more likely to develop endometrial hyperplasia. In severe cases, the bridge may be blocked within 3 months. Most large saphenous vein bridges will have different degrees of blockage in 5 years after surgery.

In comparison, the radial artery is currently considered an ideal bridge blood vessel material, and the radial artery itself has a related anatomical and physiological basis.

This time Solis used radial artery bypass surgery.

...........

Although the nurse team is unfamiliar, Fang Han, a doctor with a good heart surgery level as an assistant, the entire operation went smoothly and it took not long. The operation was completed in two and a half hours.

The first surgery was completed and the rest was less than half an hour, and the second surgery was started. It was already half past the time.

There was also postoperative analysis in the afternoon. Fang Han, Solis and others went directly to the Binjiang Hotel for lunch and arrived at the main venue at 3:00 in the afternoon.

When Fang Han followed Solis into the main venue, other experts and doctors had already arrived. When Fang Han came in with Solis, many people exclaimed.

"The young man next to Solis is Ichisuke just now?"

"No, I'm too young."

"Are you twenty-five years old?"

Some people have just begun to question, and Zhao Manni's voice has already sounded.

"Dr. Solis and Dr. Fang from the emergency department of Jiang Intermediate People's Hospital who was the first assistant in the operation just now have arrived at the scene. In the afternoon, it was a postoperative analysis. If you have any questions or doubts, you can ask Dr. Solis or Dr. Fang on the spot..."

"It's really the help I just now."

"Fang Han from Jiang Intermediate People's Court?"

"I'll go, this young man who opened his chest just now. Did he make a mistake?"

"Young people are amazing nowadays. They are so young and have done so well in the surgery."

Many cardiac experts who didn't know Fang Han before were a little unbelievable.

Fang Han was wearing a mask during the operation just now. Although many people also saw that Fang Han was young, they never thought he was so young.

Fang Han and Solis were sitting on the main stage, with a microphone in front of them. Zhao Manni was wearing a cheongsam and sat diagonally opposite Fang Han and Solis, and the three of them were diagonally facing the audience.

"Dr. Solis and Dr. Fang had two consecutive surgeries in the morning, it should be very tiring, right?"

Zhao Manni asked in English first, and then in Chinese. The English level of female master's degree is still very high and can be used as a translator.

"It's okay, for surgeons, longer surgery is also often done." Solis smiled, without any airs.

Solis seems to get along better than Jon.

Of course, this relationship is also aimed at the present, not the beginning.

When he first arrived in Yanjing, Solis was also quite arrogant, but after experiencing the illness, poisoning and long-term contact with Fang Han, Solis' arrogance had gone a lot after half a month of visiting the Jiang Intermediate People's Court.

With all the plans, Solis has been in China for almost two months. For such a long time, it naturally gives people a different feeling than Jon.

Zhao Manni asked a few questions about the opening remarks and then got to the topic.

"Before asking questions, can Dr. Fang tell you about the surgery just now? It seems that Dr. Solis used radial artery bypass surgery just now. I don't know much about this, and I don't know if it's right?"

"It's radial artery bypass surgery." Fang Han nodded.

"Can Dr. Fang tell you the advantages of radial artery bypass surgery?" Zhao Manni asked.

As he asked, Zhao Manni also looked at everyone in the audience and said with a smile: "We were all amazed at Dr. Fang's chest opening during the operation just now. I heard that Dr. Fang, you also have a high level in heart surgery."

In the afternoon postoperative analysis, except for random questions, the prelude was like a program, and there were scripts. Zhao Manni knew very well what to ask and what not to ask.

In today's meeting, Solis is a gimmick and Fang Han is the real protagonist.

Fang Han nodded and said, "Of course, I'm very happy."

"Since the first cardiac bypass surgery, cardiac bypass surgery has been continuously improved. From the initial large saphenous vein bypass to radial artery bypass, it is a process of continuous maturity and improvement."

"Compared with the great saphenous vein and internal thoracic artery, the radial artery has great advantages and is currently the most ideal bypass material. First, the radial artery is one of the main blood supply vessels in the forearm. Except for the upper 1/3 section being slightly covered by the brachioradial muscle, the lower 2/3 section is relatively shallow on average and is easy to obtain during the operation.

At the same time, there are not many branches in the entire length of the radial artery, especially in the lower 2/3 segment, the terminal branch and the ulnar artery form a shallow palm arch and a deep palm arch. Most people ligate or remove the radial artery and will not cause insufficient blood supply to the fingers.

The radial artery is a small artery with a moderate diameter and a moderate thickness of the tube wall. The distal inner diameter is about (2.45±0.32) mm, which is more suitable for the coronary artery diameter. After transplantation, it can withstand high-pressure blood flow from the aorta and perfusate the myocardium, and rarely deformed and hyperplasia. At the same time, the radial artery has a moderate length, and it can be bridged to any common target blood vessels, and even sequential anastomosis can be used to supply as many coronary branches as possible......"

Fang Han made a very detailed analysis and explanation.

"Who is this Fang Han from?"

"Jiang Intermediate People's Court is so proud of it."

"But it's not to mention it, this young Doctor Fang has no idea about his knowledge and level."

When Fang Han explained and analyzed, there were also many discussions in the audience.

After Fang Han analyzed the advantages of radial artery bypass surgery, Solis shared some of his own experiences and experiences, and there were still a lot of them.

"This Solis was hiding when he was in Yanjing, and this time he was much more frank." Wang Zhicheng felt angry.

At Yanjing Hospital, Solis also had several surgeries, and the surgery was over. He was too lazy to explain. It depends on yourself how much you understand. How can you talk so easily this time?

"Director Wang, I'm very curious, why did Solis follow Fang Han to Jiangzhong?" Zhang Jiahao asked.

Zhang Jiahao has been curious about this question for a long time. Even if Fang Han had done a heart retrieval and repair, it would not make Solis admire him, right?

After coming today, Zhang Jiahao discovered a problem. Solis had no airs in front of Fang Han, and it can be said that he was completely in cooperation with Fang Han.

"If it weren't for Fang Han, this foreigner would have almost gone to see their God."

Wang Zhicheng did not hide it and simply said the story. The practical things Solis said were not very meaningful to them, and they didn't care. They just chatted below.

"There is still this?" Zhang Jiahao laughed at him.

"Don't say it, this little party is really hard to see through, it seems like you can do anything."

Wang Zhicheng shook his head: "At first I thought he was a Chinese medicine doctor. He stayed in the Chinese medicine department for less than two days. He went to the emergency department for liver surgery. If he did liver surgery, he would have liver surgery. Everyone got used to it, so he had heart surgery again..."

Zhang Jiahao also smiled bitterly when he heard this.

Before meeting Fang Han, Zhang Jiahao was always very proud, an expert in his early forties, a top-notch domestic expert, young and high-level.

From Zhang Jiahao's perspective, he was able to reach his current position at the age of 40. It can be said that he has already stood in a position that 90% of doctors in the country will never reach in their entire lives.

But after meeting Fang Han, Zhang Jiahao always felt that he was a little useless.

It’s like when he was in school, he was originally the first-class student in a rural middle school. When he arrived at a key high school in the city, he suddenly found that there were many geniuses in other schools.

Of course, it is precisely because of the pressure of so many geniuses in key high schools in the city that Zhang Jiahao worked hard and became the first again, and went straight to the road.

But when he was in the city, those geniuses were at least the same age as him and started at the same starting line. Even if he was backward because of the initial rural primary and township middle schools, he could still catch up.

Can you face Fang Han?
Chapter completed!