I Can See Health

   Chapter 559 Heinous crime!

   Whether it’s in the catheter room or outside the catheter room, everyone’s heart goes to their throats.

   "Professor Qin, do you really not take the stage for such a difficult atrial septal puncture?"

There were young doctors around and asked, in their opinion, Lu Chen, who was on stage at this time, was younger than their age, and he usually did some simple electrophysiological surgery. Today, they encountered this kind of atrial septal puncture, but Even the deputy chief physicians with general qualifications dare not get started.

  Everyone stared at Qin Sifeng closely, and the female doctor beside him was always ready to prepare a surgical lead suit for him.

  I saw Qin Sifeng smile indifferently, and said calmly: "Today, you all have a good look, study hard, and prepare the video equipment. Today's surgical operation is regarded as a teaching video."

   "What?" Everyone was shocked when they heard Qin Sifeng's words.

  Kyoto University School of Medicine, this is not a pheasant school. It can be used as a teaching video here, which is almost the ceiling of the national surgical operation!

  Why is Qin Sifeng so confident in the young man in front of him?

   A big question arose in everyone's heart, and they stared at the operating table in front of them, daring not to look away easily.

  …

   The catheter room at this time.

  Lu Chen removed the cardiac ultrasound machine and wiped the couplant off the patient's skin.

  Xiao Shikang has been staring at Lu Chen quite nervously.

   As long as Lu Chen is ready to start the puncture, he will assist in the operation at any time, and contact the cardiac surgeon at the first time, so that the cardiac surgeon is on call at any time.

  Because once the heart is at risk of perforation, the patient is immediately converted to open thoracic surgery.

   "Mr. Xiao, prepare an electrode tube."

   At this time, Lu Chen suddenly said. .

   "Electrode tube?" Xiao Shikang was taken aback, "Don't you already have one?"

  Lu Chen stared at the angiographic image in front of him, and said slowly, "Please prepare another one!"

  Xiao Shikang was a little unclear, but he did as he did and instructed the graduate student on the side to get another electrophysiological electrode tube.

  Lu Chen got the electrode tube and directly implanted it into the patient's ventricle through the catheter.

   Everyone was very surprised when they saw this scene, "He, what is he doing?"

   Only Qin Sifeng smiled faintly, "Lu Chen wants to further determine the location of the fossa ovalis."

   "Didn't you use an ultrasound just now?" The young female doctor on the side asked suspiciously, "Also, with this electrode, how can you determine the location?"

While staring at Lu Chen's operation, Qin Sifeng explained: "Because everyone's heart is different, and some have a little transposition. If you judge by the upper edge of the coronary sinus, there may be errors, or you may think that every patient will There are jumps, but they are not. Some patients do not jump. At this time, it is very important to find a suitable place and then puncture."

   "Adding an extra tube and a ventricular electrode can help to determine the highest position of the tricuspid annulus. By adding a corner of the ventricular electrode, the height of the fossa ovalis can be initially determined."

   After listening to Qin Sifeng's explanation, everyone showed a sudden realization.

   However, Qin Sifeng also had some doubts in his heart.

   This method of adding electrodes to determine the fossa ovalis is not very common in China.

   One is that this difficult surgical disease is not common, and the other is that this method is mainly popular in foreign countries and has only been introduced into China in recent years.

  Where did Lu Chen learn these skills?

   How many things have yet to be discovered in this young man?

  …

   No. 3 catheter room.

   When Lu Chen put the electrodes into the patient's ventricle, Xiao Shikang knew his intention.

   "Lu Chen, are you trying to determine the location of the fossa ovalis?"

Lu Chen nodded slightly, "The anatomical site of the true fossa ovalis and the turn of the ventricular electrode are the same as the high position of the tricuspid valve, that is, the level of the bundle of His is slightly backward and upward, so the oval can be judged by adding an electrode. The height of the nest, I personally think it is quite useful."

  Lu Chen said calmly, but Xiao Shikang's eyes widened.

   This one-handed operation is fantastic!

   An inconspicuous electrode tube can play such a huge role in the ventricle.

  Xiao Shikang thought to himself, why didn't he think of this method before?

   However, just knowing the location is not enough, the next puncture is the top priority!

   All the preparations made in the front are for the accuracy of the puncture.

   Make sure you have a 100% success rate!

  Because here, once it's below 100%, it's 0%!

   "Are you going to start piercing?" Xiao Shikang stood beside Lu Chen, ready to go.

   Unexpectedly, Lu Chen shook his head again.

   In Xiao Shikang's surprised eyes, he picked up the catheter and injected a little contrast agent into it.

At the same time, Lu Chen's voice sounded, "Under the unclear and unfamiliar situation, if you feel suspicious, don't try to puncture first, push a little contrast agent to take a look, if there is no resistance, it is very likely that it will be punctured. in the cavity."

  Xiao Shikang looked at Lu Chen's skillful manipulation skills, and couldn't help but recall the dry pericardiocentesis that Lu Chen performed in this catheterization lab a year ago.

   The same amazing people, the same convincing.

   At this time, the graduate student standing beside Xiao Shikang was stunned.

   I thought that there was a little guy like him in the catheterization room, but I didn't expect it to be a big boss!

   Hearing the conversation between Lu Chen and Mr. Xiao Shikang, he found out that this operation has become a one-sided teaching operation!

   Who is this person?

   He has been in the catheterization laboratory for more than half a year, and he has never seen such a person. He looks as old as him, or even younger than him!

  …

  Conduit outdoor.

The smile on Qin Sifeng's face became more intense. He stroked his chin, which was not much of a beard, and laughed loudly: "You should learn from Lu Chen's bold and careful operation. During the puncture process, don't be stingy with contrast agents. , even if you don't go through it, you will know where you are dyed."

   Everyone was a little disdainful when they heard this.

   Pushing contrast agent, this simple operation, everyone can do it!

   There is no need to hold Lu Chen so bluntly, right?

Seeing everyone's faces, Qin Sifeng knew what they were thinking, so he snorted coldly, "You young doctors, don't take it seriously! I saw a doctor doing atrial septal puncture before and encountered a patent foramen ovale. But at that time, the puncture needle had already reached the left atrium, and he still wanted to pursue a sense of breakthrough, but when he saw the staining of the posterior wall in the contrast agent, he felt very scary at the time, and immediately suspended the operation!"

   "It doesn't matter if you make mistakes, but it's the patient who suffers!" Qin Sifeng's face turned cold, "Because of your carelessness, you have caused harm to the patient, that's a heinous crime!"

   (end of this chapter)