Doctor Peerless

Chapter 646 The Dean is Here

A mitral valve replacement surgery is done.

Adding, subtracting, and subtracting, 10% of the completion is lost.

At this rate, after 10 surgeries, it is estimated that the dungeon will be finished.

This copy of cardiothoracic surgery not only involves a wide range of operations, but is also much more difficult than the previous ones.

Zhou Sheng raised his spirits.Must be more serious.

Watch Lao He's demonstration carefully, and make fewer mistakes!
Zhou didn't have much time to complain in his life.

The dungeon's second operation is about to begin.

Zhou Sheng didn't even go out of the operating room.As soon as the scene changed, there was a wave of people in the operating room, from patients to anesthesiologists to nurses.

Surgical equipment has also changed.

Only Lao He is still Lao He.

The system loads the patient information.

The 56-year-old patient, Mr. Liu, is from Qinzhong. Six years ago, he developed symptoms of chest tightness and chest pain with no obvious cause, especially when the weather changed.
Symptoms were relieved by resting on the spot, but no systematic treatment was given.This year, he developed symptoms such as "chest pain and tightness accompanied by dry cough", and came to the hospital for hospitalization. During the treatment, he underwent CT and CTA examinations and was diagnosed with aortic dissection.

When Zhou Sheng saw this disease, his head immediately changed from one to two.

Cardiothoracic surgery really covers a wide range. Just after the heart surgery, another vascular surgery came.

The surgery involving the aorta is definitely a fourth-level operation, which is a higher level than the mitral valve replacement just now.

Hearing the name of this disease, one knows that this disease does not seem to have much to do with the heart.Mainly aortic issues.

The physiological structure of blood vessels is divided into three layers, intima, media, and adventitia.

When the blood in the aortic lumen enters the aortic media from the aortic intima tear, the media is separated, forming a true and false two-chamber separation of the aortic wall.This condition is called aortic dissection.

If it is subdivided, this disease should belong to vascular surgery.

But vascular surgery is only available in very few large general hospitals.The aorta comes out of the heart.Therefore, when problems arise, the cardiothoracic surgery department usually takes care of them.

For example, the Central Hospital is like this.

As in the system, there is no category of vascular surgery.So it is also placed in the copy of cardiothoracic surgery.

Cardiothoracic surgery copy, really all-encompassing.

Again, as long as it is something in the chest cavity, whether it is the heart, lungs, esophagus, or aorta, it is all within the scope of cardiothoracic surgery.

The best way to treat aortic dissection is surgery.

In the medical field, aortic dissection is generally divided into type A and type B according to the location of the aortic dissection.

The aorta exits the heart and ends in the abdominal cavity, shaped like a hook.The "hook tip" connecting the heart is called the ascending aorta (coming out from the heart upwards), and the part that follows the bend is called the aortic arch, and after the bend is the descending aorta that leads almost straight to the abdominal cavity.

Type A occurs in the ascending aorta and aortic arch.Very close to the heart.

Type B is in the descending aorta.

From here it can be seen that Type A is far more dangerous than Type B.

Type A generally requires thoracotomy for thorough treatment. B-type minimally invasive stent surgery can get a good therapeutic effect.

The patient Zhou Sheng is currently dealing with is in relatively good condition.The site of aortic dissection is in the descending aorta.

All the circumstances are known.

The dungeon operation will begin immediately.

……

The patient is placed in the supine position.

Percutaneous radial artery puncture under local anesthesia...

Another puncture.

Commonly done in minimally invasive interventional surgery.

Compared with pericardiocentesis and thoracentesis, this puncture is more meticulous and skilled, and the blood vessels in the human body are not that thick.

Mainly to use the equipment skillfully.

According to the old rules, He Congshuang will take the lead in operating again.

Zhou Sheng watched carefully, but the process was quite cumbersome.

Even Zhou Sheng has good talent and good hands-on ability.

Points are also deducted frequently.

5% less completion...

10% less completion...

15% less completion...

After a puncture, the diameter of the aorta was measured, and the guide wire was placed...

Finally put the stent in.

The whole process is not long, only less than 2 hours.

The time is not long because there is no opening and closing of the chest, which wastes time.

The time for really delicate operation is no less than replacing the mitral valve.

After the surgery is done.

Zhou Sheng was sweating profusely.

During the operation, 20% of the completion degree was deducted. After the operation, 20% of the completion degree was rewarded. Once calculated, no deduction or reduction.

Zhou Sheng was quite satisfied with the result.

Zhou Sheng predicted that the more surgeries he performed, the less and less he would be deducted points.

So as long as you stay steady and not wave, you will definitely be able to pass the customs smoothly.

Duplicate operations one after the other.

Zhou Zhousheng fought for a whole year in this instance.

In reality, 8 hours have passed.

At midnight, Zhou Sheng returned to reality from the virtual world of the dungeon.

The intermediate dungeon of cardiothoracic surgery was completed, and the final completion rate stayed at 70%, so he let out a sigh of relief on Monday.

Looking at the time, it was only 6 hours before dawn.

I have to go to the morning shift tomorrow, and there is no time to brush up the last remaining high-level copy of cardiothoracic surgery today.

At this moment, Zhou Sheng's stomach growled.

Hurry up to the restaurant to warm up the prepared supper. After eating, I return to the room until dawn again.

……

The next morning.

Father's knock on the door woke Zhou Sheng from his sleep.

The voice of the old man outside the door: "What time is it, don't get up yet, don't you want to go to early work today?"

Zhou Sheng yawned and opened his eyes, looking at the time, my God, it's almost time to go to work.

I slept so soundly that night that I didn't even wake myself up with the alarm from my phone.

Zhou Sheng got up quickly and washed up.When I came to the restaurant, my grandfather and father were eating.Zhou Yisheng casually ate two bites of breakfast, and hurried to the hospital.

……

Zhou Yisheng arrived at the emergency center just in time for the shift.After changing into his white coat, he was not in a hurry to go to the clinic. He was going to the ward to check on Boss Zhu's recovery.

Although the prediction given by the system is that the condition will recover soon.

But the system prediction is only for the disease, not for predicting the future.

For example, the operation was performed perfectly at that time, if the follow-up treatment is not effective, the condition may change.

This patient was the first cardiac surgery performed independently in an emergency center.Zhou Sheng didn't dare to be careless at all.

Come to the ward.

Boss Zhu was half lying on the bed, awake and looking good.His wife was also by his side.

Besides the old couple, there was actually another person in the ward.

This person is Dean Cheng.

Zhou Sheng's heart tensed. Why did Dean Cheng come here? Could it be that he did not ask his superiors for instructions and directly performed this heart surgery.

Dean Cheng came over after hearing the sound, do you want to criticize yourself?
But how did Dean Cheng know that the emergency center had performed this operation? Although he is still the director of the emergency center in honor, he actually doesn't care about the specific business of the emergency center now.

Is it possible that someone still informs him?
……

(End of this chapter)