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Chapter 219 Blood can also represent the miracle of life!(1/2)

Qin Yuanwu was very sure that after he left the operating room, he did not call anyone in the department to come down to the operating room. He knew exactly what the level of the subordinates in the department was.

People who are not from his own department are performing surgeries from his own department. How can this not make Qin Yuanwu feel upset?

After his expression suddenly changed several times, he walked in angrily, pointed at Lu Chengcheng who was operating and said, "Who are you? What are you doing? Who called you to come to the operating room?"

Hearing what Qin Yuanwu said, Chen Bing and Kang Xinghua, who were standing next to Qin Yuanwu, were startled, their eyes rolling, their faces full of disbelief.

Naturally, they also saw the man on the operating table performing vascular surgery. At first, they thought it was the person Qin Yuanwu called to come to the rescue! But immediately, Kang Xinghua seemed to react and lowered his voice and said:

"Chen Bing, you called Lu Cheng, right? I saw him when I started to leave the operating room. This person seems to be Lu Cheng."

Chen Bing was a little confused about who this guy was, but when he heard Kang Xinghua say that it was Lu Cheng, and he was the one who called him, something would happen if Qin Yuanwu got serious!

No, when did I call Lu Cheng? Isn’t he still in Shashi? Did he come over today? Why didn’t I know?

Kang Xinghua looked at Chen Bing's more confused expression, and an idea came to his mind, that Chen Bing might not even know about Lu Cheng's coming to Changshi. His expression suddenly became even weirder, and he walked into the operating room.

Kang Xinghua and Chen Bing were not the only ones who were frightened. The circulating nurse, the two nurses who were washing their hands, and the doctors who performed the abdominal surgery, including Zeng Dewei, were all so frightened that they froze on the spot.

This big brother, who has been standing next to us for about ten minutes, is not the one called by Qin Yuanwu?

Then who is he? Why did he come in? Why do you still know Kang Xinghua?

This series of question marks made their expressions gradually become a little uncomfortable.

Think about it, you are on the operating table doing an operation and desperately trying to save someone, but then someone you don’t know or know comes to mess around with you. Isn’t that scary?

Lu Cheng heard what Qin Yuanwu said, but at the moment he was removing the thrombus from the dorsalis pedis artery. When the dorsalis pedis artery pulled the thrombus back, he encountered more forks in the road.

However, Qin Yuanwu's words still made him pause for a brief second, but Lu Cheng was still performing the operation in an orderly manner.

As a surgeon, the operating table is the battlefield. After arriving at the surgeon's position, he is the master of the entire operation. Not to mention Qin Yuanwu, even the current leader of the Health Committee, or Lu Cheng's master Min Hong, they are not allowed to interfere.

Lu Cheng's operation, unless Lu Cheng got off the operating table!

Moreover, during Lu Cheng's operation, he believed that no one would disturb him. This was a rule for staff in the operating room. As for other explanations, he would have to wait until he completed the operation before going into details.

explain.

Zeng Dewei has no intention of doing surgery at this moment. He is the Executive Dean. If anything happens, he will be the first to be separated from the relationship. Moreover, he even went on stage for this operation. Now he is the chief surgeon on the stage. Any bullshit.

Anything can make his crotch wet with yellow mud.

Fortunately, he had already dealt with the bleeding point in the liver, so he casually signaled and asked his assistant to complete the next few surgical operations.

Then Zeng Dewei stepped back a little, giving more space to Lu Cheng.

Obviously he also saw what Lu Cheng meant. No matter what, he wanted to finish the current operation first.

This kind of calm attitude is absolutely necessary for an excellent surgeon.

However, the surgical operation of thrombus removal in vascular surgery is not very eye-catching. When it is closed, no one can see where the catheter has gone or whether the proximal end of the catheter has dragged out the thrombus.

This is an emergency surgery, and Chang City does not have such high-end surgical equipment.

However, although he could not see the scene inside Lu Cheng's operation, when Qin Yuanwu got closer to Lu Cheng, he saw blood clots the size of small loaches one after another on the gauze beside Lu Cheng.

The shape is very nicely placed there.

At a rough count, there were actually seven or eight strips, which were more than the thrombus strips on the gauze he had thrown away before.

On the spot, Qin Yuanwu's eyes flickered, he stopped talking, and countless question marks appeared in his heart again.

Who is he? Where did the thrombus he removed come from? Who is he? How could he remove so many thrombus? What step can he take in the operation? In the end, can the patient's blood supply be connected?

Did the patient survive reperfusion injury on his own?

At this moment, after Chen Bing finished thinking, he explained Lu Cheng's identity next to Qin Yuanwu. He especially emphasized that this was the person he invited from the Second Xiangya Hospital.

However, Qin Yuanwu's focus was not on the identity of the second Xiangya Hospital at the back. He immediately turned around and confirmed: "You mean he is the Lu Cheng from your department?"

"Yes." Chen Bing nodded and added: "Later I went to the Second Xiangya Hospital to study for graduate school. I am very talented. I won the only special prize in the arthroscopy youth competition in so many years!"

"Director Chen, Director Kang, we'll be on stage right away!" Qin Yuanwu is also a very decisive person. Since this is an acquaintance and the person he has a very deep impression on, that's enough.

"We cooperate with Xiao Lu's surgery. Maybe there is a glimmer of hope for this patient's leg. The worst case scenario is amputation."

As Qin Yuanwu spoke, he stood next to Lu Cheng. Zeng Dewei also heard Chen Bing's introduction, and couldn't help but think of the incident half a year ago. After getting the correspondence with the name Lu Cheng, he couldn't help but think to himself,

This Lu Cheng is indeed a talent. He had thought about keeping Lu Cheng at the beginning, but he also knew that Lu Cheng was going to study, so he couldn't keep him at all!

It's just that I only went to Xiangya to study for half a year and managed to be like this now. It's hard to describe a simple talent.

You know, Lu Cheng is still a student. Although it is said that Chen Bing gave him a kick and asked him to come and develop a new department, the fact that the Second Xiangya Hospital was able to release Lu Cheng proved that things are not simple!

The bigger the hospital, the more it wants to lose face. If Lu Cheng was put down to embarrass him, how dare he be so brave?

This is definitely impossible. The more young people want to go out to provide teaching support, the more stringent they must be!

Zeng Dewei doesn't believe that you can learn a lot in half a year. The current requirement at Changshi First People's Hospital is for postgraduate students. Postgraduate students will study with their tutors for at least three years. With such an academic qualification,

When you arrive in the department, you are still just a student. How much can you learn in half a year?

However, there is one question that Zeng Dewei still hasn't figured out yet. Didn't Lu Cheng work in orthopedics before? Why is he now doing vascular surgery?

Could it be that Lu Cheng went to the Second Xiangya Hospital to study as a graduate student in vascular surgery, or was he transferred there?

While Qin Yuanwu was talking, Lu Cheng finally pulled the blood clot that had just been pulled back out of the blood vessel. The diameter was very thin, so thin that it was much thinner than the blood clot strips that Qin Yuanwu usually saw.

So when Qin Yuanwu stood next to Lu Cheng, he interrupted Lu Cheng: "Xiao Lu, where did you get this blood clot?"

The catheter Lu Cheng operated was very thin and long, so Qin Yuanwu estimated that it was at least taken out from the anterior tibial artery or posterior tibial artery, and it was also taken out from the distal end of the artery, because only the diameter there could be so thin.

In normal times, Qin Yuanwu removes the thrombus strip from the popliteal fossa position, or he can also remove it from the anterior and posterior tibial artery!

However, it is indeed a bit difficult to cross so many forked roads from the femoral artery.

"Director Qin, this is the dorsal artery of the foot. The thrombus in the artery in this leg has basically been removed. There may be a thrombus in the dorsal metatarsal artery, but it can be left alone for the time being. The communicating branches in the foot are very developed."

Lu Cheng said with some regret and gave up his position: "Director Qin, it's up to you to verify whether there is any thrombus in the medial and lateral plantar arteries!"

Without arteriography, the specific location of the thrombus cannot be found, so Lu Cheng said conservatively, and if the proximal thrombus is blocked, it cannot be visualized even with angiography, and the thrombectomy still needs to be performed diagnostically. Diagnosis and treatment are integrated.

change.

"Where? Where?" Qin Yuanwu thought he had heard wrongly.

The dorsalis pedis artery, as the name suggests, is the dorsum of the foot.

Brother, you inserted the catheter in the femoral artery, why don't you go and remove the blood clot on the moon?

Kang Xinghua and Chen Bing also heard what Lu Cheng said about the anatomy. They immediately looked at the position of the groin and the dorsalis pedis artery that they usually touched, and they cursed in their hearts that Lu Cheng was not a human being!

And it’s a real dog!

Usually they have more contact with Qin Yuanwu. The farthest end that Qin Yuanwu can reach to remove thrombectomy from the popliteal fossa is the distal end of the posterior tibial artery, peroneal artery and anterior tibial artery. Further down, that is in the vascular surgery department.

, is relatively a blind spot. There are too many blood vessel branches, and even anatomical incision and thrombectomy would take too much time!

When Lu Cheng came up, he asked Qin Yuanwu to take out the branches of the peroneal artery. Wasn't this just to embarrass Qin Yuanwu?

Of course, Lu Cheng didn't mean it either. As long as everyone doesn't explain clearly and thoroughly, it will still be fine.

"It's from the dorsalis pedis artery." Lu Cheng was very convinced, and then he saw Director Chen wink at him again.

Lu Cheng immediately understood: "Director Qin, how about I continue to operate, and you can guide me next to me? This way I will feel more at ease."

So Qin Yuanwu was petrified for nearly four or five seconds without any thought. Then he was interrupted by Lu Cheng's speech, but he did not dare to lose his temper at all. He nodded and said: "Learn from each other, learn from each other!"

Qin Yuanwu immediately understood that Lu Cheng was trying to give him face and was polite to him.

Qin Yuanwu didn't know about the others, but even Professor Zhang from the Vascular Surgery Department of the Second Xiangya Hospital certainly couldn't guarantee that it would be 100% safe from the groin to the dorsalis pedis artery. And Professor Zhang from the Vascular Surgery Department at the Second Xiangya Hospital

The number is international Zhang, the kind who often go abroad to teach.

Awesome?

Although he didn't know how Lu Cheng did it, Qin Yuanwu didn't dare to ask. He couldn't do it even if he asked, and he might not even understand. Why bother?

At this time, Chen Bing also intervened: "Director Qin, you'd better do some popular science for Xiao Lu from our Department of Orthopedics. Dean Zeng, don't you think so?"

Zeng Dewei knew that Chen Bing wanted him to support Lu Cheng at this moment. Everyone could say anything if the patient was going well, but if there was any problem, Zeng Dewei would need to authorize it in the name of the hospital to avoid danger.

"Is it possible to save these two legs?" Zeng Dewei asked Qin Yuanwu and Chen Bing.

He is a hepatobiliary surgeon in the general surgery department. He still understands the anatomy of both lower limbs and knows what the dorsalis pedis artery is, but it sounds mysterious and useless. He wants to get a practical answer.

Qin Yuanwu said conservatively: "If the thrombus in the dorsal artery of the foot and the medial and lateral plantar artery can be removed, the possibility of limb salvage will be increased by at least 50%. In the end, there will be no need to be hospitalized and go to the orthopedics department to have our blood vessels transferred."

Just surgery!”

If Lu Cheng could remove the arterial thrombus during the operation, then he would dare to put a filter in the vein and perform thrombolysis without restraint!

In this case, the chances of giving it a try are still very high!

It's quite okay for patients to stay in the vascular surgery department.

After all, even if bleeding occurs after surgery, surgery can still be performed to stop the bleeding! Coupled with anticoagulation, everything will be fine.

Lu Cheng didn't talk nonsense. This was not the time to talk nonsense. He immediately inserted the catheter into the blood vessel. No one could see anything. But Qin Yuanwu, as the director of vascular surgery, saw Lu Cheng perform at least four or five transfers.

Direction, this means that Lu Cheng has passed through at least three or four forks!

Oh my God, little brother, you really came here to cause trouble. You did the vascular catheter so casually, as if you were walking on the road and turning four or five times.
To be continued...
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