Start with the emergency physician

Exchange students from Yanjing International Hospital?!

Fu Bowen was almost so frightened that his glasses fell off.

“You’re the exchange student this time?” Fu Bowen said bluntly.

“Yes, yes, I’m here to learn.”

The corner of Fu Bowen’s mouth twitched.

It turned out to be Dean Fang’s old guy’s person.

No, although Yanjing International Hospital and our hospital are friendships, it is still necessary to suppress Zhou Yuan, otherwise the old side will jump on his head!

Zhou Yuan smiled a little embarrassed: “Dean Fu, how do you see my operation?” ”

Fu Bowen: “Well… Great. ”

Fu Bowen glanced at Zhou Yuan a few more times.

The more you look at it, the more pleasing it becomes.

Handsome.

Good technology.

Also modest and calm.

“Lu Chenxi, this young man is good.” Fu Bowen said meaningfully.

Lu Chenxi’s face turned red, and he threw down the sentence “I’ll go back to the doctor” and left in a hurry.

“You come with me.” Fu Bowen said to Zhou Yuan.

Taking Zhou Yuan to the office, the two discussed some details of aortic dissection aneurysm resection.

Said to be a discussion, Fu Bowen was asking in the process, and Zhou Yuan was explaining doubts.

At first, Fu Bowen still held the attitude of doubting the letter, and later directly mentioned many difficult points and incomprehensible points of this operation, all of which were solved by Zhou Yuan in a few words.

“Elephant nose … And how did you deal with it? Fu Bowen asked the question that bothered him the most.

Elephant trunk surgery is a necessary step for aortic dissection aneurysm, but patients have many complications in addition to the aneurysm, and it is difficult to perform elephant trunk surgery.

Zhou Yuan smiled. “Dean Fu, the reason why you think that elephant trunk surgery is difficult to do well is because you want to build an elephant’s trunk at one time and complete the operation directly?”

“What if you don’t build it all at once?” Fu Bowen was stunned.

Zhou Yuan said helplessly: “The patient’s aortic dissection aneurysm is too large, and he has other diseases, and it is almost impossible to put it in place at one time, so I chose to divide the elephant trunk surgery into two stages. ”

“The first stage is to perform ascending aorta and aortic arch repair at the same time, and suspend an artificial blood vessel, the “elephant trunk”, in the descending aorta. Its purpose is to avoid direct dissociation of the aneurysm of the aortic arch in the second stage, so as to anastomosis the artificial blood vessel directly with the end of the “elephant trunk” implanted in the first stage, providing the basis for the second stage of elephant trunk surgery.

Second, for patients undergoing descending aortic dissection, the “elephant trunk” artificial blood vessel implanted in the first stage can open the compressed true cavity. The “elephant trunk” itself plays an internal role in lining and reinforcing the wall of the descending aortic aneurysm, which can prevent the descending aortic aneurysm body from continuing to expand and reduce the risk of surgery. ”

“Section … What about the second stage? Fu Bowen seemed to see the door to the new world, and his lips were already a little trembling.

Zhou Yuan said unhurriedly: “The second stage is thoracic aorta or thoracic and abdominal aorta replacement. This stage is very similar to standard thoracic aorta or thoracic aortic aneurysm repair. ”

“At this stage, the second elephant trunk artificial blood vessel is folded into the cavity of the first elephant trunk artificial blood vessel. A broken end is formed at the reverse fold of the two elephant trunks, so that this broken end is anastomosed with the end of the severed end of the descending aorta, and after anastomosis, the artificial blood vessel of the reverse fold is pulled back for arch anastomosis. ”

“In this way, elephant trunk surgery can perfectly enter the aorta, replace human blood vessels, and reduce the risk of surgery.”

Fu Bowen’s eyes widened, he quickly experimented in his mind, and asked the nurse to push a mannequin and operate it directly on the model.

Ten minutes later, Fu Bowen raised his head and stared at Zhou Yuan with incredulous eyes.

“You thought of this yourself?!”

Zhou Yuan nodded.

Master-level aortic dissection aneurysm resection does not include this, segmented elephant trunk surgery is indeed Zhou Yuan’s own idea.

Fu Bowen lowered his head and was silent for a long time.

Finally, he said in a firm tone: “You will become a leader in medicine!” ”

Looking at Zhou Yuan’s departing back, Fu Bowen’s heart was extremely excited, but at this moment, he suddenly felt a throbbing pain in his heart.

Fu Bowen immediately pressed his chest, felt out a few pills, chewed and swallowed, and after a few minutes, Fu Bowen, who was full of cold sweat, finally eased up.

“Perhaps, with Zhou Yuan, it is still unknown who the next president of Renhe Hospital is.”

Just now, Fu Bowen thought about death, and also thought about who the position of dean belonged to after death.

“I’ll have to hold on a little longer, at least, until these young people grow up!”

……

After completing the operation, Zhou Yuan returned to the emergency department.

After returning this time, the eyes of the entire emergency department looking at Zhou Yuan changed. The little nurses said hello when they saw Zhou Yuan, smiling, and even Hou Liang was willing to fight for Zhou Yuan.

In such a harmonious atmosphere, the short intern exchange quickly came to an end.

After that aortic dissection aneurysm resection, Zhou Yuan did not encounter other operations, and originally planned to rub a severed limb and replant it and go back, but he could only give up.

At this time, Zhou Yuan, an exchange student of Yanjing International Hospital, and Li Li, an exchange student of Renhe Hospital, were sitting in the conference room, with President Fang and Dean Fu sitting on the main seat, and a circle of directors and deputy chief physicians around them, ready to score the final score of this intern exchange.

———

The monthly ticket is almost five hundred, come two big brothers to vote for me, thank you, I continue to code!