I Can See Health

Remember [new] in one second! Everyone turned their attention to Lu Chen.

A doubt arose in everyone's mind. Who gave the young man in front of him the courage?

"You don't want the chance for a second assessment?" Qin Sifeng asked in return.

"Yes, of course it is the best." Lu Chen smiled, "If not, then I have to fight for this patient for myself!"

"Good boy!" Qin Sifeng smiled and patted Lu Chen on the shoulder, "Are you so sure?"

Lu Chen nodded slightly, but there was no doubt in his eyes.

…

Show outside the classroom.

"Director, you mean, Lu Chen wants to do pericardiocentesis?" Fang Ruzhang was a little surprised.

To be honest, current specialties are becoming more and more detailed.

Operations such as pericardiocentesis and thoracentesis are completed in specialized ultrasound interventional rooms.

The opportunity for cardiology departments to perform pericardiocentesis in the ward is becoming increasingly rare, because the current doctor-patient relationship does not tolerate any risk.

It had been a long time since Fang Ruzhang had done a pericardiocentesis himself, let alone such a puncture without effusion, which would only be more difficult!

"That's right, didn't you see that he has been located using cardiac ultrasound?" Wan Jingshui said.

"But our assessment this time is to test electrophysiological interventional surgery, not puncture?" Fang Ruzhang was stunned, "Is this something that is in trouble?"

At this time, Yao Jie on the side spoke up.

Although she knew it was inappropriate to speak out in this situation, she still couldn't help but speak out.

"Senior Brother Lu Chen, he passed through blindly before!"

"Ah?" Fang Ruzhang looked back at Yao Jie, "What did you say? Blind puncture? Blind pericardial puncture?"

"Yeah." Yao Jie kept nodding, "I was in the elevator..."

After Yao Jie briefly explained the situation at that time, Fang Ruzhang and Wan Jingshui looked at each other, and they could see the shock in each other's eyes.

Being able to pierce is one thing, but whether you dare to do it is another!

How much courage it took for Lu Chen to conduct a blind penetration at that time.

"Everyone in the cardiology department knew about this matter at that time..." Yao Jie whispered.

"Yeah, why did I forget that he is the champion of the national medical skills competition..." Fang Ruzhang shook his head slightly.

"It seems that I still underestimated him!" Wan Jingshui focused his attention on the big screen again. He was now more and more interested in this student named Lu Chen!

Maybe, he might actually succeed!

…

Inside the catheter room.

After informing the patient and family members of the related risks and obtaining consent for the surgical operation, Lu Chen began to perform pericardiocentesis under the guidance of Qin Sifeng.

Everyone else came outside the catheter room and looked at the situation inside through the glass windows.

"This kid is really tough!" The surgeon in the operating room No. 1 shook his head helplessly, "Actually, if Professor Qin insists on giving him a second chance to take the exam, then I can't object!"

"Don't tell me, the way I look at this student, he is really not pretending to be so calm." Another doctor said, "Besides, it's not like you haven't seen the speed with which he punctured blood vessels before. With the level of technology, pericardiocentesis is within reach, isn’t it?”

The doctor in operating room No. 3 thought about it for a second, whether this was a rough statement or not.

Everyone was thinking about the difficulty of pericardiocentesis, but they forgot how fast Lu Chen performed the vascular puncture before!

"Yu Hewei, do you think Lu Chen can do it?"

The other assessment students gathered around Yu Hewei, and now Lu Chen's results determined their ranking.

From a psychological point of view, most of them did not hope that Lu Chen could pass the examination.

Yu Hewei narrowed his eyes and stared closely at Lu Chen in the catheterization room, "I hope Lu Chen can pass."

Only in this way, he will never have the slightest sense of urgency.

Otherwise, he has been a little relaxed despite being so outstanding.

…

At this time, Lu Chen had washed his hands again and put on gloves.

"Have you chosen the puncture point?" Qin Sifeng stood beside him and said softly.

"Okay, I've marked it." Lu Chen marked the right atrium of the patient's heart on the surface.

"Then let's get started."

Qin Sifeng stood beside Lu Chen like a door god, ready to take over his job at any time.

Lu Chen breathed gently to adjust his condition.

In my mind, the process of piercing continued to appear.

Anesthesia, puncture, needle insertion, and catheter entry.

Every step appears so clearly in my mind.

After the anesthesia was completed, Lu Chen started puncture.

This puncture is different from conventional pericardiocentesis.

When pericardiocentesis is performed in the presence of effusion, the length of entry of the puncture needle makes no difference.

But for this patient, Lu Chen, the puncture spot must have been a few tenths of a millimeter deep.

That may damage the myocardial tissue!

At this moment, Lu Chen moved.

He held the puncture needle in his right hand and inserted the needle at the mark on the body surface!

Lu Chen stared closely at the operating needle in his hand and slowly pushed it forward.

Qin Sifeng was not idle at the side. He held a heart ultrasound probe and "guided" Lu Chen's puncture.

This is also a double layer of insurance!

Lu Chen can understand the dynamics of the puncture needle through the real-time ultrasound image.

"We're in position!" Lu Chen felt some resistance and immediately stopped inserting the needle.

On the screen of the ultrasound machine, the puncture needle also successfully reached the established position.

The remaining step is to enter the catheter.

Lu Chen didn't dare to relax at all. He took the catheter handed over by the nurse and slowly inserted it into the puncture needle.

Under the guidance of the carto cardiac three-dimensional electrophysiological navigation system, he sent the catheter to the opposite side of the previous endocardial surface ablation site.

After the catheter is inserted, the puncture needle is removed.

"Okay!" Lu Chen whispered, "The puncture was successful!"

Qin Sifeng nodded slightly and cast an appreciative look at Lu Chen.

Although these steps take only a short time, the operations involved are not simple.

There can be no errors in every aspect including technique, direction of force, and position!

Outside the catheter room, everyone could not help but breathe a sigh of relief.

Yu Hewei looked at Lu Chen in the catheterization room with a smile on his face, "Lu Chen, you really didn't disappoint me! The next stage will be interesting!"

And in the demonstration classroom.

Fang Ruzhang also realized that what Yao Jie said about blind pericardial puncture was somewhat credible!

Lu Chen's skillful operation skills are no longer comparable to those of ordinary attending doctors or deputy chief physicians.

Without years of clinical training, it is absolutely impossible to have such proficiency!

Wan Jingshui also shook his head slightly and sighed: "I really don't know how Lu Chen trained! Can Jinghua Second Hospital cultivate such outstanding talents?"

…

Catheterization laboratory, operating room No. 3.

When the catheter reached the designated position, Lu Chen began the discharge operation.

This time, after the discharge ablation, the chamber disappeared immediately!

In order to avoid the previous situation, Lu Chen consolidated the ablation a few more times, and the effect was significantly better than before.

After extending the observation time for several minutes, a small number of premature beats still appeared, which was consistent with the preoperative shape. UU reading www.uukanshu． net

Lu Chen calmly adjusted the position of the catheter and measured the fragmentation late potential at a position slightly outside and below, which showed that it was closer to the origin!

After continuing the discharge ablation and consolidating it, the room was finally completely gone!

However, the operation is not over yet.

After ablation, induction experiments must be performed to ensure that the arrhythmia will not easily recur.

Lu Chen stopped the discharge, asked the patient to hold his breath, and injected isoproterenol in an attempt to induce ventricular premature ejaculation.

After observing again for more than 20 minutes, no more room signs were seen on the ECG monitor!

Lu Chen only stepped off the operating table when everything was in normal sinus rhythm.

The ablation of the "internal and external" attacks was successful!

Outside the duct at this time.

"Lu Chen, congratulations, you passed the exam!"

Everyone was slightly stunned for a few seconds. With Qin Sifeng taking the lead, the entire catheter room burst into endless applause!