Auto chess in the operating room

Chapter 344 Physician Tang Can't Be Treated With Common Reason
"How about it, Dr. Tang, can you complete the operation?"

Director Huang asked expectantly. The patient's daughter and son also stretched their necks and looked at Tang Lou anxiously.

"no problem."

Tang Lou gave an affirmative reply directly, but was about to say that he had a better plan when Director Huang interrupted him.

"Professor Yang, since Dr. Tang is able to perform the operation, let's go to the consultation room. You will explain the details and attention points of the operation to Dr. Tang, and we will start the operation as soon as possible."

Director Huang led the way directly, Professor Yang thought about it, and then followed.

As he walked, he asked, "Doctor Tang, how many cases of body-pulmonary shunt have you performed before?"

Wang Xiaoying was also very curious to see that a young doctor who is not much older than her can have such a profound accumulation, and the body-to-lung shunt is not an ordinary operation.

"No."

Tang Lou was thinking about how to put forward his biventricular correction surgery plan concisely and concisely, so he answered casually and fell into his own thinking.

Seeing Tang Lou's perfunctory attitude and lack of answer, Professor Yang was shocked.

I even feel a little incomprehensible, it's fine for young people to be ignorant, why Professor Liu and Director Huang are also playing around together.

Moreover, Tang Lou's attitude made him even more angry. Even if a young man is a bit outstanding, he should not be so arrogant and rude.

However, after all, it was in someone else's hospital. Professor Yang controlled his dissatisfaction, but his tone was a little cold: "Professor Liu, are you joking? You have never done a body-lung shunt, so you dare to let him On the operating table?"

Hearing that Tang Lou said he hadn't done it before, Professor Liu and Director Huang took it for granted. Director Huang explained directly: "Professor Yang, maybe you don't know, but Doctor Tang's surgical talent is amazing. He only needs to see it once to understand the general operation." Yes. Moreover, Dr. Tang has completed a lot of original surgeries during the few short operations in our department. Therefore, we cannot treat it with common sense."

Professor Yang looked at Professor Liu again, who gave him an affirmative nod. Professor Yang almost shut himself off.

When will surgery not require repeated practice and accumulation, and it will be enough to read it once?

Wang Xiaoying also looked at Tang Lou suspiciously, but the latter still seemed immersed in his own world.

Could this be a genius way of doing things that is different from ordinary people?

At such a time, shouldn't one concentrate on listening to Professor Yang's question, and then deal with it as if walking on thin ice.

In Wang Xiaoying's opinion, it is a once-in-a-lifetime opportunity to get the guidance of Professor Yang, a senior expert in the 301 PLA Hospital. I don't know how many young doctors can't ask for this opportunity.

After all, Professor Yang is a guest, so he endured his anger and entered the consultation room, and then began to explain his operation design carefully:
"The whole operation adopts tracheal intubation and intravenous anesthesia, and the operation is performed through a median sternotomy at room temperature. Due to the development of the pulmonary arteries on both sides of the patient, I recommend the modified Waterson operation, that is, artificial blood vessels are inserted between the subclavian artery and the pulmonary artery. An end-to-side anastomosis between the aorta and the pulmonary artery was performed."

Although Professor Yang has some doubts about Tang Lou's attitude and level, it does not hinder his professional analysis. After all, he is very rigorous and responsible for surgery.

"Because of the patient's age, body weight, and pulmonary vascular development, I suggest choosing an artificial shunt tube with a diameter of less than 4 mm. When intraoperative oxygenation is poor, cardiopulmonary bypass should be established in time, and at the same time, it should be done well, and the pulmonary artery and its branches should be observed during the operation. Development."

While Professor Yang was seriously analyzing, Tang Lou also picked up a piece of paper next to him, and began to deduce and construct a schematic diagram of his biventricular correction surgery.

With talent and concentration, it wasn't that Tang Lou deliberately didn't give Professor Yang face, but was completely immersed in the art design, drawing diagrams stroke by stroke, and smiling with satisfaction from time to time.

Because Professor Yang was separated by the long conference table, he didn't see the content of the Tanglou painting. He thought he was taking notes seriously, which finally comforted him a little. It was not hopeless.

However, I am still not very confident about the results of the surgery.

Professor Yang explained carefully, especially the details that he thought young doctors might overlook.

Director Huang and Professor Liu also listened carefully, confirming their experience with each other, and kept nodding. I have to say that Professor Yang is indeed an authoritative expert in this field, and he has put a lot of effort into it.

Wang Xiaoying listened even more adoringly, holding a notebook to record, looked at the opposite side, also fell into hard thinking, kept taking notes, and occasionally Tang Lou, who was in a state of enlightenment, was very proud, and now he knew what Professor Yang said. Great!

Professor Yang is also very satisfied with the serious listening attitude of several people:

"Because the diameter of the shunt tube of the patient is <4mm, high hematocrit, use of extracorporeal circulation surgery, and postoperative platelet application, it is very easy to cause tube embolism after surgery, and this should be paid special attention to"

"In addition, based on my personal clinical experience, special attention should be paid to changes in blood oxygen saturation after surgery. Once blood oxygen saturation is found to drop significantly and the continuous murmur disappears in the right or left second intercostal space on auscultation, first consider artificial vascular occlusion. Or distorted, the artificial blood vessel needs to be replaced immediately. For anticoagulation after shunt, my experience is to give low molecular weight heparin or aspirin early, which can not only reduce the complications of postoperative bleeding, but also effectively prevent early thrombosis.”

"Yes, what Professor Yang said is very good."

Professor Liu couldn't help but admired it, and then looked at Tang Lou: "Tang Lou, do you remember?"

As for Tang Lou, he just finished the last stroke, satisfied with the leveling of his art diagram, raised his head, and answered casually in a trance: "Yes."

Professor Yang also finished his sharing, then looked at Tang Lou, and ordered again seriously: "My personal experience has basically been shared, as long as the difficulties I just mentioned are solved in the surgery later, this surgery will also be good. It's [-]% successful. If it can't be done, I suggest giving up the operation, it's still too late. Doctor Tang, do you have any questions?"

Tang Lou was in the excitement of developing a new surgical method, and now wanted to go to the operating room for practice, so he couldn't wait to get up, and replied directly: "Okay, I'm ready, Director Huang, we will start the preoperative preparation immediately. "

Seeing that Tang Lou got up impatiently and was about to prepare for the operation, Director Huang also smiled at Professor Yang in embarrassment: "Young people are like this, they are more impulsive."

Director Huang stopped Tang Lou seriously: "Doctor Tang, please deduce it in detail. If there is anything you don't understand about the whole operation, please bring it up now."

"No, I've already thought it through."

Tang Lou walked out of the consultation room directly, his tone was very confident, even a little bit sharp.

Looking at Tang Lou's back, Professor Yang opened his mouth slightly and shook his head. Young people nowadays really don't understand the rules.

"Then let's get ready, let's go to the operating room?"

Professor Yang also wants to see what kind of operation such a proud young man can perform.

Wang Xiaoying also looked at Tang Lou's back, her face was a little angry, when did Professor Yang belittled by such a young doctor.

"It's time to see, why can't we treat it with common sense!"

(End of this chapter)