I Can See Health

   Chapter 417 Let me try

   "What?! He's operating again?"

  Wan Jingshui turned his head and looked at the No. 3 operating room.

   Sure enough, Lu Chen moved again!

  The chief surgeon also came back and pushed in the cardiac ultrasound machine.

   When Wan Jingshui saw the echocardiograph, he was shocked, "Is this meant to..."

   In the classroom, everyone who saw the accident here did not leave, and sat back to their original positions.

  From beginning to end, only one person remained unmoved, and that was Yao Jie.

   She stared at Senior Brother Lu Chen on the screen, her eyes couldn't hide the joy.

  …

   Catheter lab, operating room No. 3.

   "Classmate, are you sure you want to do this?" The chief surgeon looked at Lu Chen with a very solemn expression on his face.

"Yeah." Lu Chen nodded, "I did this not all because of my assessment, but mainly because of this patient. If it is not resolved at one time this time, the next time I have to perform puncture and intubation, as well as anesthesia. Why should I suffer this second sin?"

   The chief surgeon was uncertain, "Well, you can use cardiac ultrasound to locate first. I have already contacted Professor Qin, and he will come right away."

   "Okay." Lu Chen nodded slightly, then took the cardiac ultrasound probe and positioned it on the patient.

  Why use cardiac ultrasound?

  Because Lu Chen came up with a feasible solution, that is, to perform ablation from the opposite side of the endocardium, that is, on the side of the epicardium, so as to achieve the effect of "internal and external pinching".

  However, this solution requires transpericardial puncture to insert a catheter to the lateral side of the heart, which is extremely difficult and risky.

   This is also the only way Lu Chen can think of at the moment.

   Usually pericardiocentesis, patients usually have moderate to large pericardial effusion.

  Although there are certain risks, as long as the positioning is good, the needle is inserted into the pericardium to drain the effusion.

   In the current puncture, the patient does not have any pericardial effusion. After the needle is inserted into the pericardium, it is easy to damage the myocardial tissue.

   Its difficulty and risk are several times higher than those with pericardial effusion!

   And there is another point, is the current Lu Chen capable and qualified to perform this kind of puncture operation?

   So that the chief surgeon needs to contact the chief examiner, Professor Qin Sifeng, to make the next diagnosis and treatment plan.

  …

   Soon, Lu Chen performed a cardiac ultrasound to mark the body surface, and Qin Sifeng also rushed to the catheterization room.

   "What's the matter? Call me over in such a hurry?" Qin Sifeng walked in front of the crowd with his hands behind his back.

  The chief surgeon in the No. 1 operating room followed Qin Sifeng and whispered: "The patient in the No. 3 operating room is a bit special. I thought it was a routine premature ablation, but just found out that the origin seems to be in the epicardium."

   "Epicardium?" Qin Sifeng paused slightly, "We haven't encountered many here! Which dark-faced student picked this case?"

   "It seems to be called Lu Chen." The chief surgeon in the No. 1 operating room said.

   "It's him?" Qin Sifeng was stunned and listened to his footsteps.

   In the eyes of all the instructors in the training class, Lu Chen's advancement to the next stage is a sure thing. I didn't expect to kill Cheng Yaojin halfway through!

   After all, he won the second place three times in a row. Whether it was the trainees or the instructors in the training class, everyone was very optimistic about Lu Chen.

   "Did he give up?" Qin Sifeng asked.

  The chief surgeon in the No. 1 operating room continued: "Professor Qin, he didn't give up, but came up with a way to insert a catheter from the epicardium through pericardiocentesis."

   Qin Sifeng heard the words, frowned at first, then smiled, "This kid, he really knows how to toss, it's not easy!"

   "That's why we called you here," said the chief surgeon in the No. 1 operating room.

   "Okay, let's go have a look." Qin Sifeng nodded slightly and continued to walk towards the No. 3 operating room.

  …

  In Operating Room 3.

  Lu Chen has used a cardiac ultrasound machine to mark the place close to the right ventricle.

   The epicardium can be ablated by simply puncturing from here and inserting the catheter.

   However, this was the first time that Lu Chen had encountered such ablation without effusion.

   Taking advantage of Qin Sifeng's passing, he was already training in the system simulation surgery room.

  Pericardiocentesis is one of the clinical skills that Lu Chen is more familiar with, with a proficiency of about 90%.

   Now he will deliberately remove the pericardial effusion and simply practice puncture without pericardial effusion.

  Because of the foundation, Lu Chen's training process was relatively smooth.

   At this time, Qin Sifeng also arrived.

   Wearing a surgical gown and a lead gown, he slowly walked into the No. 3 operating room.

   "Professor Qin!" Lu Chen stepped forward immediately.

   "Well, the origin of your patient room is in the epicardium?" Qin Sifeng said straight to the point.

   "Yes." Lu Chen nodded helplessly, "I have ablated the inner lining many times, and it has a certain effect, but after removing the discharge, the chamber has long since recovered."

   "So you're thinking that the origin of ventricular early is in the epicardium?" Qin Sifeng glanced at Lu Chen.

   "Well, to be more precise, the origin of premature ventricular contraction is between the endocardium and the epicardium, but it is closer to the epicardium, so it has a certain effect on the endocardium, but it cannot be maintained." Lu Chen said slowly.

   Qin Sifeng nodded slightly when he heard the words, "It makes sense. This kind of ventricle originating from the epicardium is very rare. This should be the first case that our hospital has encountered this year!"

   showed the auditorium of the classroom, and everyone was talking.

  On the big screen at this time, there was only operating room No. 3, and the conversation between Lu Chen and Qin Sifeng was also spread.

   "A room in the epicardium?" Fang Ruzhang was stunned, "Director, it seems that we haven't met the three areas in our hearts for several years."

  Wan Jingshui nodded: "The last time, it was two years ago, when I encountered a case of premature epicardial chamber."

   "Director, how did you deal with it at that time?" Fang Ruzhang said again.

   "Did a second operation." Wan Jingshui thought about it.

  …

   Catheter lab.

Qin Sifeng looked at Lu Chen with a smile on his face, "You can see these things, it's not easy anymore, the next operation is completely beyond the outline, you don't have to do it. As the chief examiner of this assessment, I will apply for you additionally. a test."

   Everyone was stunned when they heard this.

   Reapply for an assessment?

   "Professor Qin, is this not in line with the rules?" said the chief surgeon in operating room No. 1, "Although none of us expected this situation, it is an assessment after all, and we need to bear these uncertainties."

   "Really?" Qin Sifeng's eyes were burning, "Then what is the significance of our assessment?"

   "The purpose of this assessment is to select a group of outstanding students." The chief surgeon in the No. 1 operating room paused.

"You said it yourself, pick out a group of outstanding students, instead of stumbling them!" Qin Sifeng snorted coldly, "Take this epicardial room as an example, if it were you, you could diagnose it and do Is there any appropriate treatment?"

The chief surgeon was stunned for a while, but did not reply for a while. He glanced at Lu Chen, thinking in his heart that if he encountered the epicardial compartment, he could be as calm as Lu Chen and successfully judge that the ablation failed. the reason?

  The answer is uncertain.

   The chief surgeon in the operating room No. 1, he himself can't guarantee that he will be able to diagnose and treat!

   At this moment, Lu Chen suddenly said, "Professor Qin, let me try it."

   This voice was a bit abrupt in the eyes of everyone.

   But Lu Chen's eyes were firm, he looked back at Qin Sifeng, and said solemnly, "I'm sure about pericardiocentesis, and under the positioning of the cardiac ultrasound machine, the risk will be minimized!"

   9:30 After drinking with the leader, go home

   (end of this chapter)