Chapter 404 A multi-disciplinary expert!

Professor Fang Jingsheng's words made several other professors suddenly startled!

Although they didn't speak, they all looked at Fang Jingsheng from the Department of Vascular Surgery with questioning eyes. The meaning in their little eyes seemed to be saying, Big brother?

Are you really lying? Are you really going to call so many of us and just listen to a guy like this who doesn’t have all his hair?

Can you take responsibility?

"I also believe in Xiao Zhou." One of them, who looked young and wore thick glasses, suddenly said this.

"This should be Zhou Chengxiaozhou who spent some time in the No. 9 Hospital of Magic City. It's hard to say in other fields, but in orthopedics, he is indeed a very good teacher."

"Director Tong of our department has many praises for him!"

"Professor Fang, Professor Du! Professor Ni!" Although Zhou Cheng didn't know the person who spoke, he knew several other people.

Tong Dawei, as the director of trauma surgery, they are all professors and have the most exposure to emergency surgeries.

As long as Fu Youhan has some brains, he will not advocate for Zhou Cheng to bring out Tong Dawei's reputation!

"Professor Ni, you can just open the abdomen. Professor Du, you guys will continue to deal with the intracranial hematoma. After I have blocked the artery, I will open the arteriovenous fistula and restore the external circulation. In this way, the amount of bleeding in the limbs will be reduced."

If it decreases or even disappears, the blood pressure should also go up." Fang Jingsheng was also very sure.

When Zhou Cheng was at the No. 9 Hospital in Shanghai, he was also exposed to vascular surgery, so he was very confident in Zhou Cheng's thrombus removal. Now that Zhou Cheng is here, the whole process of embolization after embolization is not so scary!

If you can save your life, you may be able to save one or two limbs in the end. This is already an excellent result!

What else do you have to worry about?

The patient is about to die. Emergency call is needed. Life-saving is the most important thing!

Where is there so much time to make choices and hesitate?

If it's an elective surgery, what if we talk nonsense together for three days and three nights?

Central venous pressure (CVP) is the pressure where the superior and inferior vena cava enter the right atrium. It is measured through the superior and inferior vena cava or the right atrium internal catheter. It reflects the right atrial pressure and is one of the main indicators for clinical observation of hemodynamics.

.More suitable for monitoring critically ill patients than pressure measured from limbs.

I am asking how you can find the splenic artery, not why you want to embolize the splenic artery.

There are several bleeding points, can you put them in?

Now this?

Zhou Cheng actually didn't use any tools and just relied on the catheter.

Zhou Cheng nodded and said: "Okay. What I am going to do now is to embolize the brachial arteries of both upper limbs. The bleeding points in the brachial arteries are large and numerous, and the blood loss and blood loss speed are the highest!"

But during this operation, no matter who it was, they couldn't handle it casually when they got to the stage. This was the professional quality of a doctor. At the same time, Zhou Cheng was trying his best to control his emotions.

If it were so easy to open the abdomen, anyone could do it with a knife. How do you get in and how do you get out? You have to deal with the external oblique muscles, the rectus abdominis, these anatomical levels one by one.

processed.

And Fang Jingsheng was the one who knew Zhou Cheng quite well!

Du Li looked at Zhou Cheng seriously, then pursed his lips and asked, "Can you do operations?"

But, after all, it is just a game of chess, and abandoning the piece will just result in losing in the end.

What did you say?

besides?

I can only nod and say yes!

This is a better monitoring standard.

What about Zhou Cheng? He is a magical figure who can perform thrombectomy across lower limb arteries that are thinner than the femoral artery. Can you still believe what he says?

"After the spleen ruptures in acute abdomen, there will be a large amount of abdominal bleeding, which is very fatal."

Zhou Cheng started the operation position at that time. Although he could not see the direction of the blood vessels in the abdomen and could only see the blood vessels in the lower limbs, with this field of view, he could also insert the metal catheter into the common iliac artery.

The common artery then flows backward, passes through the abdominal aorta, and reaches the location of the celiac trunk.

Anesthesiology, general surgery, vascular surgery, and orthopedics, Zhou Cheng basically ‘handled’ four of them at once.

"Of course you come on stage. Go wash your hands quickly!" Fang Jingsheng was only thinking about himself at first, so he forgot that Zhou Cheng was not from Huashan Hospital. To go on the operating table, he had to be approved by at least one chief surgeon, such as Fang Jingsheng.

Lift.

Fang Jingsheng left the catheter sheath without asking any questions.

real or fake?

Just after hearing Zhou Cheng's words, the professor of the anesthesiology department stopped playing with everyone——

Zhou Cheng shook his head and said: "What I mean is that after drilling, use a guide wire and a hose, send the hose to the center of the hematoma, and then directly aspirate the hematoma."

Du Li had already peeled off his scalp, but the time was too short, and he hadn't had time to open the window. When he suddenly heard this, his eyes immediately raised: "You mean interventional embolization + conventional craniotomy for hematoma removal?"

Then, he blocked the splenic artery of Professor Ni's ruptured spleen in the acute abdomen that he was about to undergo.

Now Professor Ni, who was clearly running to save his life, chose the left upper quadrant approach in a hurry, incised the subcutaneous tissue, and was dealing with the muscle layer.

If you do it blindly, you are really playing with fire on the line of life.

Therefore, Du Li's words were not polite and even contained a slight threat.

Seeing Zhou Cheng taking over, Fang Jingsheng immediately went to the opposite side to perform embolization of other arteries. Zhou Cheng kept the arterial catheter sheath that Fang Jingsheng had just done.

Without the extremely fatal factors such as arterial bleeding in the limbs and splenic rupture, the life window can at least be extended from a few minutes to dozens of minutes, giving us longer time to deal with it!

This is where everyone is most vulnerable.

Fang Jingsheng could believe it then, but what about now?

For normal people, even if the spleen is completely removed, it will not greatly affect the quality of life, even if it is to save lives!

At this time, the ruptured splenic artery was blocked, which was naturally a very good thing.

Even if Zhou Cheng is somewhat capable.

Opportunities like this are fleeting.

Zhou Cheng sent the tip of the catheter to the splenic artery, crossing the left gastric artery and common hepatic artery!

While preparing to insert the embolic agent, he said to Fang Jingsheng over there: "Teacher Fang, should I embolize the splenic artery first?"

Some people will suffer from psychological stress disorder if only one leg is amputated. There will be all kinds of mental abnormalities, and they will all disappear. Only those with great courage can accept such a result.

Not to mention medical students, laymen all know that wherever there is a leak, plug it up, and when it comes to clothes, sew wherever there is a tear.

"I can prepare a mirror, but are you sure you can cure the bleeding? With such frequent bleeding points, even after the hematoma is cleared out with a cranial endoscope, there is a high possibility that bleeding will occur again."

But at least it will not add trauma and stress to the patient that is equivalent to amputation.

When Fang Jingsheng had just opened a catheter sheath port for the femoral artery, Zhou Cheng happened to take it over, and Fang Jingsheng also put in an embolic agent made of gelatin sponge particles.

Zhou Cheng’s voice is still very stable!

The anesthesiology department should not interfere with clinical treatment choices. This is true, and I am not pushing it too much, but I have to monitor and monitor the whole process, and adjust the patient's vital signs at any time. If you don't show me the patient's blood pressure, I will play with you.

A chicken feather?

I don't know anything about his death.

It's not easy in such a professional place.

Are you brave or timid?

If you are brave, why are you in such a hurry?

Just wait until the cranial endoscope is put in and slowly stop the bleeding, if you are timid.

He doesn't want to talk, argue, or show off, he just wants to save people.

If under the supervision of interventional surgery, Zhou Cheng can accurately send the catheter or guidewire to the splenic artery.

But the blood that comes out is present in the skull, which is a very fatal thing in itself. If a brain herniation occurs, no matter how fast it can die, he will die faster than you.

If you say you don't know how, I will beat you right now!

"Professor Fang, continue what you are doing."

Needless to say, Professor Fang Jingsheng's expression was confused from the moment he heard Zhou Cheng say that he wanted to embolize the splenic artery...

Du Li felt that I was embarrassed at that time!

If you had told me earlier, why would I open such a big scalp flap?

This move is called losing your legs and hands to save your life!

However, under normal circumstances, if a person is alive and has no limbs, then think about it again, what is the quality of life of this living body itself?

What is the meaning of his life? In addition to bringing psychological comfort to his family, will he himself have to endure psychological suffering that is more terrible than death throughout his life?

Now I am so honest that I act like a younger brother on stage, not like an associate professor of orthopedics at all.

And even if you want to use cranial endoscopy, you still need to open a bone flap!
To be continued...