I Can See Health

Remember [new] in one second! Whether it’s in the catheter room or outside the catheter room, everyone’s heart is in their throats.

"Professor Qin, are you really not going to perform this kind of difficult interatrial septal puncture in person?"

There were young doctors around asking. In their opinion, Lu Chen, who was on the stage at this time, was younger than them. He usually did some simple electrophysiological surgeries. Today, he encountered this kind of interatrial septal puncture, but Even the deputy chief physician with general qualifications dare not get started.

Everyone stared closely at Qin Sifeng, while the female doctor on the side was ready to prepare a surgical gown for him at any time.

Qin Sifeng smiled indifferently, and Yun Danfeng said lightly: "Just watch it carefully, study hard, and prepare the video equipment. Today's surgical operation can be 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. If it can be used as a teaching video, it is almost the ceiling of surgical operations in the country!

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

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

…

Inside the catheter room at this time. .

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

Xiao Shikang kept staring at Lu Chen nervously.

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

Because once there is a risk of heart perforation, the patient must immediately undergo open-heart surgery.

"Teacher Xiao, prepare an electrode tube."

At this time, Lu Chen suddenly spoke up.

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

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

Xiao Shikang was a little confused, but he still followed the instructions and asked the graduate student on the side to get another electrophysiological electrode tube.

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

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

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

"Didn't you just use ultrasound to see it?" The young female doctor on the side asked doubtfully, "And, how can we determine the position using this electrode?"

Qin Sifeng watched Lu Chen's operation closely while explaining: "Because everyone's heart is different, and some are a little transposed. If you judge by the upper edge of the coronary sinus, there may be errors, or it may be different for every patient. There is jumping, but actually it is not. Some patients do not jump. At this time, it is very important to find a suitable place and puncture it. The location chosen is very important. "

"Adding an extra tube and a ventricular electrode will help determine the highest position of the tricuspid valve annulus. By adding a corner of the ventricular electrode, the height of the fossa ovale can be preliminarily determined."

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

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

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

First, this difficult surgical procedure is uncommon, and second, this method is mainly popular abroad and has only been introduced to China in recent years.

Where did Lu Chen learn these skills?

…

Inside Catheter Room No. 3.

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

"Lu Chen, do you want to determine the location of the fossa ovale?"

Lu Chen nodded slightly, "The anatomical position of the true fossa ovale is the same as the turning of the ventricular electrode, just like the high position of the tricuspid valve. That is, the level of the His bundle is slightly posterior and upward, so we can judge the fossa ovale by adding an electrode. The height of the nest, I personally think is quite useful.”

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

This one-hand operation is really wonderful!

An inconspicuous electrode tube can actually 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 past are for the accuracy of puncture.

Be sure to ensure a 100% success rate!

Here, once it's below 100%, it's 0%!

"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, "In unclear and unfamiliar situations, if you feel suspicious, don't try to puncture first. First push a little contrast agent and take a look. If there is no resistance, it is likely that it will be punctured." "Inside the cavity."

Seeing Lu Chen's skillful operation skills, Xiao Shikang couldn't help but recall the dry pericardiocentesis that Lu Chen also performed in this cath lab a year ago.

The same amazing people, the same impressive.

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

I thought that a little guy like him came to the cath lab, but I didn't expect that he turned out to be a big boss!

After hearing the conversation between Lu Chen and Teacher Xiao Shikang, UU Reading www. uukanshu.net He found that this operation had become a one-sided teaching operation!

…

Outside the duct.

The smile on Qin Sifeng's face became even richer. He touched the small beard on his chin and laughed loudly: "You should learn from Lu Chen's bold and careful operation. Don't be stingy with the contrast agent during the puncture process." , even if you haven’t worn it, you will know where you dyed it.”

Everyone was a little disdainful when they heard this.

Pushing contrast agent is a simple operation that everyone can do!

There's no need to praise Lu Chen so bluntly, right?

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

"It doesn't matter if you made a mistake, but it is the patient who suffers the loss!" Qin Sifeng's face turned cold. "Because of your carelessness, you have caused harm to the patient. That is a heinous crime!"