Start with the emergency physician

“I’ll do this operation!”

Zhou Yuan’s words made the two chief physicians present stunned.

“!”

“What do you call to do it? Do you know what cerebral infarction is and how dangerous the patient’s situation is?! ”

Even the two great experts in neurology and brain surgery can only sigh, an intern actually said that he can do it?

“I’m skeptical, do you know what carotid endarterectomy is?”

Zhou Yuan frowned.

It was nothing to be suspected of the level of surgery, and his status as an intern was there.

However, the level of theory is actually questioned!

Zhou Yuan glanced at the old man lying on the emergency bed, and then said quickly: “Carotid endarterectomy is a method to remove thickened carotid intimal atherosclerotic plaque and prevent cerebral infarction caused by plaque shedding, and has been proven to be an effective method for preventing ischemic cerebrovascular diseases. ”

“The operation has been carried out in Europe and the United States for 60 years and has proven to be a very safe and effective operation, and is the gold standard for the treatment of moderate to severe carotid artery stenosis, currently about 150,000 cases per year in M country alone.” The corresponding carotid artery stenting is not the first choice due to its high cost, high incidence of perioperative stroke, and high rate of postoperative restenosis. ”

“Now that the patient’s carotid artery stenosis is greater than 50%, carotid endarterectomy is the best treatment.”

When he said this, Jiang Xiaoqi had already arrived.

Jiang Xiaoqi had studied neurology, had a certain understanding of cerebral infarction, and had contact with similar patients, so she was called over.

“I said, I’ll do this operation, let’s not delay it any longer, okay?” Zhou Yuan was a little impatient.

Wait any longer, this old man’s life is in danger!

“No, you can’t do it. The carotid artery is too narrow, the scope of cerebral infarction is very large, more than 60%, and accompanied by bleeding, a large number of masses are formed, and cerebral blood vessels are also blocked. I have never seen a patient with such a serious cerebral infarction! Jiang Xiaoqi looked at it for a while and said seriously.

“What a fool! Look! The doctoral students who came back from Harvard were helpless, and the two of us, the director who had been studying on the head for more than forty years, could only stop, what kind of fun are you an intern! The director of brain surgery was furious.

“All stop, I will be responsible for this operation, let Zhou Yuan do it!”

Suddenly, He Jianyi spoke up and interrupted everyone’s words.

Jiang Xiaoqi and the others immediately widened their eyes.

“He Jianyi, are you even fooling around?” The director of the neurology department asked aloud.

He Jianyi quickly looked at the results of the old man’s examination and said, “I am the person in charge of the emergency department, and I have the final say here.” You are just here for the consultation, you can’t do anything, then we will do it in the emergency department! ”

He Jianyi is the person in charge here, and as soon as the words fell, Zhang Ling and other little nurses immediately began to push the emergency bed.

“Operating Room One.” Zhou Yuan said skillfully.

“What about the signature of the patient’s family? Master, the patient’s family has not yet arrived! “The ocean eagerly walked in at this time.

“I’ll sign it!” Zhou Yuan could no longer allow time to be wasted on such a meaningless matter.

“What do you sign as an intern, I’ll sign it!” He Jianyi took a deep look at Zhou Yuan and scolded with a slight reproach.

The signature of the family is too deep, and when there is a doctor’s signature, if there is any medical accident during the operation, then the doctor’s career may be ruined.

Moreover, it is possible that the family of the patient who did not sign will go to court to compensate for huge losses, etc.

Zhou Yuan is a good doctor with a bright future, and will one day become a leader in the medical field, and he He Jianyi is almost at the end of his career.

If someone had to sacrifice for this, He Jianyi chose to sacrifice himself to save his disciples!

“Teacher…” Zhou Yuan was stunned, and he couldn’t help but be a little moved.

“Slippery, go for surgery!”

Saying that, He Jianyi signed his name on the informed consent form for surgery.

“Ocean, Nisuke. Wang Kai, Sansuke. ”

In the process of walking to the operating room, He Jianyi had already made arrangements.

The ocean on the side made a bitter face.

“Listen to this, Master, you plan to be a helper again?”

He Jian nodded: “Otherwise?” Such a major operation, I don’t worry if I don’t participate in it! ”

Ocean joked: “I don’t worry about it, I will all go to be a helper!” ”

He Jianyi patted Haiyang’s head: “Just you kid talks a lot!” You see how honest Liu Kai is! ”

Liu Kai smiled cheekily: “Haha, it’s enough to see Junior Brother Zhou Yuan and Master you perform surgery!” ”

After a few minutes, the main knife, the first to the third assistant, the instrument nurse, the anesthesiologist, etc. are all in place.

Zhou Yuan put on a heavy lead suit and stood in front of the operating table, and the steps of carotid endarterectomy flashed in his mind.

First, the anterior edge of the sternocleidomastoid muscle in the anterior neck makes all the openings, separates the common carotid artery, internal neck and external carotid artery, temporarily blocks the above blood vessels, incises the common carotid artery bifurcation, peels off the thickened plaque of the arterial intimum, and resutures the blood vessel wall.

Before the operation, He Jianyi touched his chest nervously and glanced at Zhou Yuan: “Are you sure?” I was quite bottomless, but subconsciously thought that you might be able to. ”

“Because you surprised us so much.”

Zhou Yuan smiled and said, “Teacher, believe me!” ”

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