I Can See Health

   Chapter 426 Let Lu Chen guide the work!

   On the screen, the host from Kyoto Central Hospital was also a little confused.

   These doctors from the First Affiliated Hospital of Kyoto University, why are they so calm?

The host cleared his throat and continued: "As we all know, ventricular tachycardia from epicardial origin is difficult to operate on the one hand, and high risk on the other hand. According to literature reports, 5-30% of VT patients have lesions, which may Originated in the epicardium. Traditional endocardial mapping and radiofrequency ablation have not been successful, so we need to find another way."

   "Let's let the Cardiology Department of the First Affiliated Hospital of Kyoto University speak!"

   This time, the host played a trick and called the name directly.

  Lu Chen wanted to stand up and answer, but it wasn't his turn.

   A doctor in the front row responded directly.

  Lu Chen knew him, and he was also a training doctor in the catheterization lab.

   Dr. Guipei said: "We can puncture the pericardium to reach the epicardium, and then perform epicardial ablation!"

   The host nodded slightly.

   "Then do you know the difficulty of this kind of pericardiocentesis?"

  Doctor Guipei scratched his head, "It's very difficult, I can't do it anyway."

   "Haha" the host smiled, "This kind of pericardiocentesis has no effusion, and the professional term is called dry pericardiocentesis."

   "Dry pericardiocentesis has very high requirements on the operator, and must be cautious before the guide wire and catheter can be sent into the middle of the two layers of pericardium that are close to each other."

"The operation space of the radiofrequency ablation catheter after puncture is limited, and coronary vessels must be avoided to avoid coronary perforation. Every step of the operation needs to be extra careful. A little careless operation of key parts will lead to coronary rupture and myocardial Piercing etc."

   "Unfortunately, the doctors in our hospital's cath lab have not done this kind of surgery yet."

  …

   After everyone's discussion, the patient's condition, diagnosis and treatment methods are very clear.

   The last step is the actual clinical operation.

   This is also the hardest step!

   "I wonder if your colleagues in the hospital have any relevant experience?" The host continued to ask questions. Their original intention was to learn from other hospitals through this discussion meeting.

  Arrhythmia originating from the epicardium may not have been done by ordinary hospitals!

   At this time, a thick voice sounded in the conference hall.

  Lu Chen followed the voice to see that it was Professor Qin Sifeng!

On the other end of the    remote screen, all the doctors fell silent, all with a listening attitude.

I saw Qin Sifeng sitting in the first row, holding the microphone, and said with a hearty smile: "Actually, our hospital hasn't spoken much, it's not that we don't know it, but it's just a coincidence that I just encountered a similar one recently. patient!"

   The host raised his brows and continued, "Professor Qin, are you talking about ventricular tachycardia originating from the epicardium?"

   Qin Sifeng shook his head, "Ours is atrial fibrillation originating from the epicardium, but it is similar to ventricular tachycardia, and the principle of ablation is the same. The final operation went well."

   "Then I take the liberty to ask, dare to ask the surgery teacher, are you here today?"

   The host's sudden remark made everyone in the First Affiliated Hospital of Kyoto University stunned.

   Qin Sifeng paused for a while, but said slowly: "I really came to the scene."

   "Then I'm going to find this teacher to share my surgical heart!" The host said immediately.

After    finished speaking, everyone looked at Lu Chen in unison.

  Lu Chen looked a little embarrassed, cleared his throat a little, and then stood up.

"I…"

   "Classmate, if you want to speak, please wait a moment." The host interrupted Lu Chen's speech with a smile.

   "I did the last surgery." Lu Chen took the microphone.

   As soon as Lu Chen finished saying this, the host on the screen was immediately dumbfounded.

   How could this person who looks like a student become a surgeon?

  This...this is impossible...

   Something must have gone wrong!

   However, when the host saw Qin Si's smiling face, he immediately denied the idea.

   followed by Lu Chen's speech.

   Regardless of whether everyone believed it or not, he began to slowly talk about the surgical patient he encountered during the assessment.

   Including the introduction of the patient's condition, the specific process of the operation, and the difficulties that need to be paid attention to, all of which are explained in great detail.

   This time, the host couldn't believe it.

   If you can tell it in such detail, you are definitely a surgeon!

   However, the host still finds it hard to believe that this too young doctor can actually perform such a difficult operation? !

   The strength of the First Affiliated Institute of Kyoto University has reached such a terrifying level?

   After a long silence, the host said, "Professor Qin, I have an unkind request."

"you say."

   "I would like to invite this young interventional doctor to come to our central hospital to guide ... to guide the work." The host said, "We do not have any experience in this kind of epicardial surgery."

   Qin Sifeng did not answer immediately, but glanced at Lu Chen.

  Lu Chen nodded, of course, this kind of opportunity is very rare!

   Qin Sifeng saw this and replied, "That's ok, you both inform me on the day of the surgery, and I'll send our doctor over there."

   "Thank you, Professor Qin!"

  …

   The whole discussion meeting is coming to an end.

  Although Lu Chen didn't say much, and his speech was not particularly impressive, the focus of this conference was all on him.

   This is what Lu Chen didn't expect!

   I simply came to a conference, and I really encountered an epicardial arrhythmia!

   But Lu Chen didn't wait long.

   The next day, in the morning.

   Kyoto Central Hospital immediately sent someone to pick up Lu Chen.

   Patient and his family, agree to undergo radiofrequency ablation today.

   Came to the Cardiology Department of Kyoto Central Hospital, Lu Chen also met an old acquaintance, Yu Hewei!

   "Brother Yu, are you here too?" Lu Chen smiled and greeted Yu Hewei.

   Yu Hewei, known as the leader of the younger generation in the field of electrophysiology in China!

   It’s definitely not wrong to have a good relationship with him.

   "Yeah. I watched your first-stage assessment video." Yu Hewei smiled, "The entire epicardial surgery was done very well! Have you encountered this situation before?"

   "No, it's my first time." Lu Chen smiled.

   "It's the first time to do dry pericardiocentesis, and it's not easy!" Yu Hewei was also there at the time, but he could only see through the glass window.

  After a few words of greeting, today's surgery began.

   The chief surgeon was the host of yesterday's meeting, Lu Chen was the first assistant, and Yu Hewei was the second assistant.

   As soon as he walked into the catheterization room, Lu Chen was taken aback.

   The patient lies on the operating table.

   And on his head, the health value is only 54, and its changing trend is (—)!

   (end of this chapter)