Chapter 306 Does having good basic skills mean you can’t be a human being?!

In fact, when Lu Cheng just called, Yin Yu had thought about whether to take advantage of the fact that Lu Cheng might not know the value of what he just said, and then work on a project alone, and then bring together men, women, old and children.

They are all distinguished, and the so-called proportions are calculated according to age groups.

The operation is actually not very difficult, and with Yin Yu's status and reputation, it is even less difficult to get this subject. It is basically a breeze.

However, after serious consideration, Yin Yu gave up the idea.

Because the problems Lu Cheng talked about are some of the basics of vascular thrombectomy when large-scale stress thrombosis occurs after emergency trauma. Vascular thrombectomy is not possible, but the basics have been worked out.

If there are no people and no place to start in this world, then it is easy to say that you are a pioneer. But when someone is already starting the latter, you suddenly lay out the basics, which obviously has a lag.

So after careful consideration, I decided that it was more important to have a good face.

Moreover, if we can talk about cooperation with Lu Cheng in this kind of matter, it will be the best of both worlds.

It’s good to have the best of both worlds, there is no need to have the best of all three, so after the arrival of Gu Zhangshang, a person who did not want BL, Yin Yu directly suspended the current topic and stopped talking about it. Otherwise, everything has not even started yet.

, Cooperation with you Yin Yu is cooperation, and cooperation with another ancient measurement is also cooperation.

Doesn’t this deserve the participation of those who have seen ancient measurements?

Even if you just eat and drink, there are still subjects that you can study? How can there be such a good thing?

Although he thought so in his heart, he definitely couldn't say it with his mouth. In line with the fine tradition of being a guest from afar, Yin Yu said politely: "Professor Gu, why are you here so early? You didn't even say a word, so I can come in person."

Pick you up."

Gu Zhangjiang looked at the serious smile on Yin Yu's face and said to himself, you are such a bad old man and you have always had a problem with me. I will know that you must have arranged the surgery to the first one. If I finish checking

Come over to the room again, and maybe your surgery will be finished.

I want to tell you in advance whether you are free in the morning. I guess you will arrange the operation to the last one. I have figured out what you are thinking. If it were not for the convenience of Xiao Lu coming to your ninth hospital, this

What does Yin Yu have to do with Taiwan surgery?

Gu Zhangjiang was thinking about whether he should discuss with the medical department of Ruijin Hospital and get Lu Cheng to study at Ruijin Hospital through various means.

"Aren't you here to study? How dare you ask Professor Yin to pick him up in person? Is this like being a student? Teacher Xiao Lu, do you think so?" In order to avoid Yin Yu knowing that the patient was taken from him by Lu Cheng

Gu Zhangjiang could only pretend that he and Lu Cheng had never met before.

Otherwise, Yin Yu will probably talk about this matter again later.

When Yin Yu heard this, he quickly introduced: "Xiao Lu, this is Professor Gu, the famous surveyor of Ruijin Hospital. This is Lu Cheng from our hospital. You should have heard of Professor Gu."

Gu Zhangjiang didn't pay much attention to Yin Yu's words about not wanting Bilian. Is Lu Cheng from your Ninth Academy? He doesn't even draft his speeches?

"I know each other. Professor Yi from Peking Union Medical College, Professor Zhang from the Second Xiangya Hospital, and Professor Feng from West China Hospital all told me about him." Gu measured which pot he could not open and which pot he was about to continue talking about.

.

Yin Yu realized that something was wrong, and quickly pretended to check the time and interrupted: "Professor Gu, Xiao Lu, let's go back to the operating room first. I think the operation can start."

Yin Yu didn't know that Lu Chengxiao didn't know that Lu Cheng's surgery video was secretly copied and shown by many professors, but no matter what, she couldn't mention it directly in front of Lu Cheng. Otherwise, Lu Cheng would be angry now

If you quit, aren't you dumbfounded?

Gu Zhangshang didn't really want to find fault with Yin Yu. He just hoped that Yin Yu would be a little calmer. He had some dirty information on his side.

Although the person who took the video to find fault was not Yin Yu, it was also spread by the vascular surgery department.

Yin Yu then took Lu Cheng and Gu Zhangshang to another operating room. When Lu Cheng saw that he was not back to the original operating room, he seemed to understand something instantly.

Yin Yu didn't want Gu Zhangjiang to know that they had just performed a larger blood vessel thrombectomy than the one they were about to perform, so he directly arranged Zhuo Zhuo's operation separately in another operating room. In this way,

It is estimated that as long as Lu Cheng and Yin Yu don't tell them, even if Gu Zhangjiang tries his best, they won't know.

As for the fact that the patient was transferred out of Ruijin Hospital in the first place, that is called emergency evacuation. Whether it was possible to find Lu Cheng at night and call him to the stage is another matter. Maybe his leg has been amputated now.

.

It’s not easy to say this directly in ancient measurement. Otherwise, the practice of pushing more difficult patients to the Ninth Hospital to shirk patients and find a pick-up man would not be a glorious thing.

After arriving in the operating room, Zhuo Zhuo had already been given spinal anesthesia.

He was lying on the operating table, stripped down to a pair of underwear, and the air conditioner in the operating room was turned on to 19 degrees, so it was a bit cold.

When Lu Cheng and the others entered, Zhuo Zhuo was still asking: "Doctor, nurse, could you please cover me with something? It's so cold in this operating room."

The anesthesiologist smiled and said: "That's not possible. It's not that we won't cover you, but the operation is about to start. After the sheets are laid out later, you won't feel cold. Now you can only

Just bear with it for a little while, and you'll be fine soon after the disinfection is finished."

"And after the anesthetic takes effect slowly, you won't feel cold anymore."

After the anesthetic takes effect, the first thing to disappear is the sense of temperature, and then the sense of pain. More powerful anesthesiologists can even maintain the sense of motion under spinal anesthesia.

After Zhuo Zhuo heard the explanation, he said, "That's okay. I just feel a little cold."

He held the quilt tightly, feeling that the air conditioner here was turned on too hard. Especially when the iodine complex started to disinfect for the first time, he almost stopped jumping.

The anesthesiologist was about to reply when he heard the circulating nurse say: "Professor Yin, you are here. The operation will start soon. You can wash your hands now."

As soon as Zhuo Zhuo heard this, he immediately asked with joy: "Is Professor Yin here?"

"Well, I'm here, don't worry. The operation will start soon, and Xiao Lu is here too," Yin Yu replied.

Lu Cheng called Teacher Zhuo. Zhuo Zhuo felt relieved when he heard Lu Cheng's voice. He was just afraid that Lu Cheng wouldn't be there. In this operating room, even he felt like a bird waiting to be slaughtered.

When the lamb comes in, he takes off his pants first. At this time, he is the most insecure. It is a particularly happy and warm thing to have an acquaintance...

Yin Yu looked at the situation on the table, nodded, and said: "Xiao Lu, Professor Gu, let's go wash our hands?"

…

By the time Lu Cheng and others came back from washing their hands, the hand-washing nurse and the sterilizing doctor had already completed the steps of spreading the sheets. Zhuo Zhuo's entire body was covered by the large sheets, and his head was spinning left and right there, with his eyes wide open.

He looked for someone with his eyes open.

This action was noticed by the anesthesiologist, so he slightly opened the big sheet covering the shelf and said, "Zhuo Zhuo, if you want to watch your operation process, you can watch it here. There is a screen here.

.”

When Zhuo Zhuo heard this, he was immediately frightened and said quickly: "No, you'd better cover me first."

Although Zhuo Zhuo's wealth was indescribable, now that he was being operated on as a patient, he really didn't want to watch the process. What's more, it still involved whether his little brother could stand up like him, so he was a little scared.

So the anesthesiologist covered him, and Zhuo Zhuo could only wait quietly.

After Lu Cheng, Yin Yu and others came on stage together, Yin Yu and Gu Zhangshang immediately started to find the femoral artery, and directly inserted it to install a femoral artery guide sheath! Impartially, they just inserted it.

The most central.

A thin-walled tubular sheath composed of a tension tube, a sheath tube and a hemostatic valve!

This skill took less than a minute. Lu Cheng instantly felt that if we were talking about intubating tubes, few people could compare to those from vascular surgery. The introducer sheath was one-way, even when it was inserted into the artery.

, there is no need to worry about blood flowing back, and then the guide wire of the sheath is pulled out!

According to traditional angioplasty, a catheter needs to be sent in at this time, and then an angiogram is performed to show the narrowed part of the blood vessel, and then a guide wire is sent through the narrowed segment.

However, this will waste a lot of time, and it is also difficult to send the guide wire in. There are a lot of bifurcations that need to be passed through, which will prolong the operation time. Moreover, preoperative angiography has shown the bilateral internal iliac arteries, the internal and external pudenda.

The artery is narrowed, so Lu Cheng only needs to thread the guide wire to these locations.

The angiographic image is hung right in front, so you can clearly see the stenosis.

Yin Yu got out of the way, and then Lu Cheng sent a long guide wire through the introducer sheath. In order to facilitate everyone's viewing, after Lu Cheng sent the guide wire to the stenosis of the left internal pudendal artery,

, and another contrast agent was injected.

In an instant, the part controlled by Lu Cheng's guidewire was seen on the display screen, and it happened to pass through the narrow area.

Zhuo Zhuo is a stenosis of blood vessels caused by atherosclerosis, so the angioplasty required does not require the placement of a stent. It only needs to be expanded with several different types of balloons. After the expansion, oral medication is taken to regulate lipids.

Can.

The principle and process of the surgery are not complicated, it just depends on the operation.

This time, because of the surveillance, Yin Yu knew how accurate Lu Cheng was in delivering the guide wire blindly!

This kid must have controlled the ratio of blood vessels to the whole body. Those words he said before were all a trap for himself. If he did it secretly, I am afraid that what awaits him will be in vain, and he may even make a joke.

Before his results come out, Lu Cheng can publish the article at any time.

After all, he still needs to collect a lot of data, and Lu Cheng only needs to use the data to write articles.

This was the first time Gu Zhangjiang saw Lu Cheng operating, so he immediately gave a thumbs up and said with emotion: "If you hadn't seen it with your own eyes, it would be unbelievable. Someone can actually control the guide wire blindly.

So accurate?"

The next operation seemed a little simpler. Lu Cheng inserted three catheters of different sizes and models, used a 5ml syringe to draw physiological saline, and injected the balloon to slightly expand it. Under fluoroscopy, the pressure of the balloon on the stenosis can be seen.

, if the indentation happens to be located in the effective expansion section of the balloon, pressurized injection can be continued until the indentation disappears.

Generally, each expansion lasts 15 to 20 seconds and can be repeated 2 to 3 times.

Then use a large syringe to draw out the contents of the balloon, which is physiological saline or other things.

There is actually nothing to see. People in vascular surgery and interventional surgery like Yin Yu are basically tired of seeing this scene.

The next operation is actually even simpler. Under the condition of monitoring, the angioplasty of the internal iliac artery and the internal pudendal artery is also a piece of cake. It is just that the internal pudendal artery is more difficult to navigate.
To be continued...