Chapter 146 accidents in demonstration operation

The ladder classroom is crowded with people, and even the windows and corridors are full of people. Originally, it was a teaching operation for students, but it turned out to be the best opportunity for doctors to observe and learn.

Although Qi Hong had already occupied four positions, he gave up his position to several old professors and became a member of the corridor.

Thomson Henry, the name alone is enough to say everything, the world's best neuroscientist and surgeon, the last brain tumor resection, caused a great sensation. This talk about pioneering scientific research surgery naturally attracted more experts and professors to study.

"The 39 year old patient, 23 weeks pregnant, 19 weeks ultrasound, found tumor in the embryonic caudal vertebrae. Because pregnant women have antiphospholipid syndrome, the risk of surgery is huge. The existence of tumor increases the risk of mother and fetus! Therefore, we must choose the appropriate surgical method to solve the tumor in the placenta

With the beginning of the teaching experiment, a pirate surgeon with red beard showed us an ultrasound picture of a patient. With the movement of the mouse, a tumor with a diameter of 10.8 cm appeared in the field of vision, which was half the size of an embryo.

"Although this tumor is not a malignant tumor, it monopolizes the blood supply of the embryo, leading to the weakening of the heart of the embryo, which makes it impossible for the embryo to survive to the fertile stage. The patient has always insisted on keeping the embryo, so our only choice is to remove the tumor and let the embryo keep healthy and normal development. "

"Unfortunately, the patient's antiphospholipid syndrome prevented her from performing long-term surgery, which resulted in the risk of thrombosis and loss of life. Moreover, the patient has a record of three miscarriages, and is an elderly woman, so the risk is more serious. "

"First, I injected unfractionated heparin to control the risk of thrombosis before the operation. And then we use new technology that can monitor transesophageal echocardiography to monitor the patient's heart, so that if there's any problem, we can know the risk ahead of time. "

Professor Thomson demonstrated a new device on the screen with a thick and short palm, which is one of the fundamental reasons why he agreed to carry out the operation. Of course, another advantage comes from the medical device enterprises. If the operation is successful, he can receive a valuable promotion "service fee".

Chen Qun was not talking about the operation in advance. He was a little disappointed, but he listened attentively.

"The second step, I used the most conventional method of caesarean section to complete this unusual operation. Perhaps many people think that conventional surgery is not much groundbreaking and novel, but they forget one thing. The longer things exist, the more practice has proved the most feasible and safe way. Any progress of new technology is based on the foundation of old technology. "

Hearing this, Chen Qun's impression of the red bearded pirate doctor has been greatly improved. To be sure, at least, he didn't teach surgery to show off his skills.

"The umbilical cord is 50 cm long and has enough space to allow the embryo to lie in the lower part of my mother's body and allow me to complete the removal of the tumor. This is not a difficult thing. Any intern here can complete this part. The difficulty is that I need to remove the tumor and put the embryo back into the mother. As a result, it leads to a technical problem. "

Thomson looked around the crowd and pointed his chubby finger to the light and shadow on the screen.

"We can't get too much involved in the uterine wall, and we have to make sure that every needle in the operation fits exactly as it was before the incision. To ensure that the uterus in the next four or five months time, to withstand the punches and kicks of that strong little life, without any damage. This requires a wealth of experience and fine stitching techniques. "

During the conversation, the assistant had finished the preparation work of disinfection. Thomson took the scalpel from the nurse and slowly made a long transverse incision in the patient's abdomen.

At the point where the blade passed, he had already taken the operation cotton and the assistant of hemostatic clotting grease, quickly wiped the blood stains of the incision, and at the same time, smeared hemostatic clotting grease on the wound.

An almost perfect open exposure.

Chen Qun saw Professor Thomson's sophistication and strength, and his assistant's perfect cooperation. He understood why the broken system always emphasized that the operation was the result of team cooperation, and simply did not pretend to take notes, and focused on the big screen.

"Hook!"

Thomson used a loud voice to show that everything was under his control.

Before the sound fell, I heard the alarm beep of the buzzer.

"Transesophageal echocardiography showed that the anterior wall of the heart was impaired!"

"Systolic pressure 92, give me the floating catheter!""I.v. is down. She's had a heart attack!"

A series of urgent sounds resounded through the whole teaching room.

Thomson made a quick decision, "suture the wound immediately, terminate the operation!"

Almost at the same time, Chen Qun saw his and several colleagues' mobile phones ring at the same time.

"Teacher Huang asked us to go to the operating room below and give a reliable rescue plan right away!"

As soon as Qi Hongcai picked up his mobile phone, he immediately called out to several guys around him. All of a sudden, the accident made countless comments in the classroom ring at the same time.

Liu Yang, who was sitting in the front row, immediately stood up and said in a loud voice to the microphone, "everyone, please be calm. All non group professors below the level will stop talking immediately. To speak, please raise your hand! We will immediately organize a team of experts for on-site consultation! "

Listening to the domineering words, Chen Qun couldn't help rolling his eyes. As expected, Xiangyun hospital was full of arrogance. Professor and doctor yiganzi immediately lost the right to speak. As for the deputy chief doctors at other levels, they were passers-by and had no chance to speak.

"Let's go. We don't want to visit an operation that" the operation is perfect, but the patient died. "If we don't go on, Huang Shiren will eat people!"

The big Iron Army pushed Chen Qun and pushed him to the door of the classroom.

Hearing these words of complaint, Chen Qun suddenly thought of something in his mind. The bypass machine and extracorporeal circulation in heart surgery turned into a vegetative patient, which appeared in front of him like a lantern.

Almost in an instant, he came up with a wonderful idea. Looking at Qi Hong with a dignified face and two big eyes, he showed a look of pity. He decided that there was no damn system task this time, and he would also complete it as a task.

As soon as he got out of the classroom, he immediately used the "time stop" skill he had. He saw that the skill used 100 hours of normal training time to exchange for one hour of rest time. Only then did I know that breaking the system is changing the pattern to charge, embezzling the huge profits brought by his giant panda surgery video.

In the system space, the patient appeared on the operating table, almost succeeded the first time, and solved the emergency problem the second time.

Regardless of the surgical perfection, he immediately drilled out of the system space and let the external time flow again.

"Since the patient can't be treated with conventional surgery, maybe we can use interventional puncture to drain the tumor in the embryo. Zhou Lin, check the information immediately. What is the risk of interventional surgery for antiphospholipid syndrome? Tiejun, you are tall and big, continue to open the way ahead, Zhou Lin, send a message to Mr. Huang, we are running down the stairs! "

Qi Hong still keeps calm and orders in an orderly way. He glances at Chen Qun, opens his mouth to say one or two words, and stops at once.