"Director Chen, is it appropriate for me to run to Chang City like this?" Lu Cheng asked after getting in the car.

Before coming to Changshi, Min Hong and Lin Hui actually told him to be careful. Although Chen Bing was Lu Cheng's old director, if something really happened here in Lu Cheng, it was a favor for Chen Bing to tell him the truth.

, if he didn’t tell the truth, then Lu Cheng wouldn’t be able to find professors like Professor Min Hong, Zhu Lihong and Chang Weilong to tell the truth.

The operation performed on Yue Nanji the day before yesterday was because of Yue Nanhan's relationship. Let's put it this way. If Yue Nanji was not Yue Nanhan's brother, Lu Cheng might not show up in the operating room. Even if he did, Lu Cheng would be sure to do the vascular surgery himself.

He may not necessarily care about surgical matters.

The best embodiment of medical ethics does not mean to take action when you can, but to leave professional diseases to specialists.

People who can perform surgeries across disciplines are special cases, such as Xue You and Qin Yuanwu. They can both perform vascular surgery and thoracic surgery. They used to be from the same family, but now that vascular surgery and thoracic surgery have separated, Xue You

He specializes in thoracic surgery, while Qin Yuanwu also specializes in vascular surgery.

That’s not to say that you can’t cross disciplines to do surgery, but you’re definitely not as good at it as you are in the field you’re more familiar with.

Moreover, the domestic medical environment itself is not very good. If this interdisciplinary matter is not within the scope of surgery, if something goes wrong, it will definitely be a big deal.

If it were only in the field of orthopedics, even if there was a force majeure accident during Lu Cheng's operation, no one would say anything. However, if the patient had an accident during the operation of other disciplines, then Lu Cheng would be burdened with all the consequences.

The responsibility is great!

The prerequisite for being a good doctor is to be a doctor. To be a doctor for a long time, what is necessary is to protect yourself well.

Although some people say that the probability of a medical accident is very low, one in a thousand or even one in ten thousand.

But you have to know that if you include outpatient patients and their family members, a doctor may come into contact with more than 11 million people in his lifetime, and there may even be 100,000 people including family members.

Among so many people, as long as one person has a brain convulsion, he may be dead.

Chen Bing turned on the turn signal while driving. After turning the corner and returning to the steering wheel, he said: "Xiao Lu, I understand your worries. When a doctor is as cautious as you, this must be the first priority."

"But this time is different. Qin Yuanwu went to Tianjin City for consultation and surgery, and he may not have registered with the medical office of our hospital. He was talking about a relative of his who fell from the construction site while working and was too late to be sent to Changshi City.

, so he had to go to Jin City to perform surgery."

"He doesn't have much confidence now, or the situation may be complicated. If he asks you to come over at this time, even if you don't do anything, he can't say anything. No one can guarantee everything in life."

"If we simply talk about the mortality rate, the most people die in the hospital, and the ICU is the place with the highest mortality rate. The hospital is a place to save lives, but it is not a paradise for saving lives!"

"Don't worry, we'll see what happens after we go there. If you're sure, you can help. If you think something's wrong, just stand by the stage and don't go up. The person injured this time is Qin Yuanwu's nephew

.”

Chen Bingdu said this, so Lu Cheng could only nod.

However, Lu Cheng himself was still thinking about the circumstances under which he could become a little bolder.

If it was in the past, with Chen Bing here, Lu Cheng might have gone straight to it. Anyway, he could only trust Chen Bing. But now, he belongs to the Second Xiangya Hospital, so he can't rely on Chen Bing to handle everything.

It’s on.

This is something Lu Cheng must take into consideration.

The speed of the car was very fast. After getting on the expressway, in less than half an hour, Chen Bing got off the expressway and went straight to the People's Hospital of Tianjin City.

When the two of them arrived at the entrance of the hospital, someone came to guide them and drove the car to the nearest place to the underground garage. Chen Bing and Lu Cheng were asked to get out of the car, and then someone put Chen Bing's car in a suitable place.

Where to park.

After hurriedly going to the second floor and changing their clothes, Chen Bing and Lu Chengcai finally arrived in the operating room.

In the operating room, there are many people gathered at the moment, and some people are doing craniotomy!

Qin Yuanwu was also taking the bolt from his foot.

Still nearby, three or four people in green clothes were waiting, and they said they could cut the waist at any time.

Qin Yuanwu was concentrating on the operation. His face was covered with sweat and his face was red. He looked very nervous. Next to Qin Yuanwu, a nurse stood with her butt stuck out and stretched out her hand to wipe his sweat.

"Director Qin, what's going on now?" Chen Bing approached and asked in a lower voice.

Qin Yuanwu said: "There are multiple emboli. The most serious one now is the emboli in the left renal artery. There is a CTA over there. Xiao Lu, please take a look at it."

As soon as Lu Cheng heard this, he immediately asked: "Director Tan, did the patient have any underlying diseases before?"

Lu Chengcheng felt something was wrong. Generally speaking, the patient's renal artery was a large artery, and embolization was rare in this area. How could the renal artery be embolized after a trauma?

"There are no other diseases, but when I did the electrocardiogram before the operation, I found atrial fibrillation. Now the heart problem has stabilized, but the renal artery and right lower limb are all blocked."

"I am removing the thrombus in the renal artery. Xiao Lu, can you help remove the artery in the lower limbs?"

Lu Cheng took over the CTA film and took a look, what a guy!

The transition point directly from the femoral artery to the popliteal artery, the internal iliac artery, the branches of the femoral artery, and the internal and external pudendal arteries were all blocked.

Renal artery, internal and external pudendal artery——

This embolism is really cruel. Let’s not talk about other things. Let’s start with the man’s lifeblood. Then we take a preliminary look at the patient’s age: 33 years old!

This is really deadly.

The lower part of the popliteal artery is not visualized.

After Lu Cheng read it, he said, "Director Qin, have you removed the emboli from the anterior suprarenal artery?"

The renal artery is a branch of the abdominal aorta and is divided into left and right branches. Both arteries are divided into internal and external or anterior and posterior trunks near the renal hilum. Later segmentation can divide the kidney into many small segments. This is the origin of the classification of renal segments.

"There's still a while." Qin Yuanwu replied.

Then after thinking for a moment, Qin Yuanwu asked a little uncertainly: "Do you need me to do a renal artery puncture and intubation for you?"

After all, Lu Cheng is an orthopedic surgeon, so he cannot be required to directly know the basic techniques of vascular surgery.

Orthopedic training does not require a rotation in vascular surgery. It is not necessarily that Lu Cheng has never seen arterial puncture and cannulation.

Qin Yuanwu's words frightened the person standing next to him and trembled violently. Damn it, Qin Yuanwu is a ruthless person. He said before that he invited a master to come over. He really thought he was some master!

Tianjin People's Hospital does not have a specialized vascular surgery department, and now the thoracic surgery department also handles vascular surgery.

But even so, there is no problem if anyone in their department can be pulled out to do a puncture or the like.

Lu Chengdao: "That's not necessary. I plan to switch to incision and thrombectomy directly, and it may be faster. This will not affect your operating field of vision. Do you think it is okay?"

Lu Cheng's plan makes sense. First, when he performed thrombectomy on Yue Nanji, it was because Qin Yuanwu had already performed the femoral artery cannulation, and there was no CTA at that time. All operations were done on the femoral artery.

It’s not much different from cutting it open.

Second, the patient had a history of atrial fibrillation before the operation, and there may be more emboli than those in Yue Nanji. If each one is removed from a very long distance, it will be time-consuming, laborious, and potentially unpleasant. Although the trauma is smaller, there is no need to remove them.

He made himself half dead.

Qin Yuanwu thought for a while and said without hesitation: "Then it's all your fault, Xiao Lu."

The reason why he didn't do this job himself and left it to the people at Tianjin First People's Hospital was to avoid that if something went wrong during the operation, the leg would not even have a chance to be rescued.

After Lu Cheng received Qin Yuanwu's affirmative answer, he went to wash his hands. The lower limb surgery was obviously prepared before the operation, so when laying out the sheets, Qin Yuanwu also left the view of the right lower limb open. And the entire

The right lower limb has been sterilized, which allowed Lu Cheng and Chen Bing to go on stage directly without any pre-operative preparation.

Chen Bing also followed Lu Cheng to wash his hands. He was the one who brought Lu Cheng here to Jin City. It would be unreasonable if he didn't come.

After Lu Cheng and Chen Bing walked out of the operating room, Bu Hao, director of the Thoracic Surgery Department of Tianjin People's Hospital, spoke: "Director Qin, who are these two?"

I mean, don’t you introduce these two masters?

"They are all from the Department of Orthopedics of our hospital, and Director Chen is still the director of our Department of Orthopedics." Qin Yuanwu thought for a moment, but still hid the key words of Lu Cheng.

After all, although there is a chance that his nephew's leg can be saved, it is difficult for anyone to say this in advance. There is no need to keep saying that Lu Cheng was hired by Chen Bing from Appendix 2.

Bu Hao felt that I was very embarrassed at that time!

You called two people from the orthopedics department to come and collect blood clots, but they didn't want to call me to come and collect the blood clots. Director Qin, you are really good at showing off your intentions.

Do you really think that the blood clot in your leg should be left to a leg surgeon to remove it?

Also, when did the First People's Hospital of Changshi become so chaotic that all the blood clots in the legs were taken out by oneself?

Bu Hao thought to himself that he was in charge of thrombosis at Tianjin People's Hospital after all. No matter how bad he was, he was still better than two laymen?

However, the patient lying down is Qin Yuanwu's nephew. He can do whatever he likes.

But he said with joy: "Oh, it turns out to be Director Chen. Then I have another chance to study hard."

Qin Yuanwu did not think deeply about this sentence, but was concentrating on doing his own surgery again.

…

After both Lu Cheng and Chen Bing came on stage, they immediately began to dissect the femoral artery vigorously. Although Chen Bing could not help during the thrombectomy, Chen Bing used to be in charge of trauma surgery and did an anatomy of the femoral artery.

It's still within reach.

Bu Hao called someone to come on stage to help, so Lu Cheng and Chen Bing were able to double perform the surgery. In less than five minutes, they completed the dissection of the femoral artery triangle and took out the red femoral artery.

This speed also makes Bu Hao feel scared. If it were him, he would never dare to expose the artery so quickly. Near the femoral artery is the femoral vein and nerve. I am afraid that only orthopedics people treat this like this.

It's so familiar.

After clamping the proximal end of the blood vessel with a blood vessel clamp, Lu Cheng did not directly cut off the femoral artery, but cut half of it, and then inserted the catheter!

The tip of the catheter was inserted for only ten seconds, and then with a slight rotation, Lu Cheng used the balloon catheter to inflate, and then pulled back to remove the first thrombus!

It's just that, after taking out the first thrombus, Lu Cheng frowned severely!
To be continued...