Chapter 1056 Huge cross-flap pressure difference

"The operation is not very difficult, tell the nurse to prepare for postoperative patients." Zhou Congwen had just finished brushing his hands and returned to the operating room to start to clean the hand again, put on clothes and go on stage.

Director Li didn't care about the conflict between Zhang You and Teng Fei, and he was shocked by Zhou Congwen's words...

Half an hour!

What is enough for such a short time?

He subconsciously raised his wrist to look at the time and recorded the current time. Director Li was also preparing to give Zhou Congwen some pre-operative preparation skills.

It must be an interventional surgery, and it will definitely not be an open-thoracic surgery. Director Li knows this.

He also heard that people in the emperor used interventional surgery to treat valve diseases, but they were all very mild valve stenosis and the surgical effect was not satisfactory.

Various accidents during the operation make people afraid of this technique.

That is the heart, not the big iron door of your home. Just use a hammer to knock it a few times.

The balloon is hard on the inside, and the rescue of various arrhythmias makes people feel irritated, not to mention other complications.

Besides, most doctors cannot even make the balloon ride on the valve, let alone the next steps.

According to Director Li’s understanding, many surgeries will have various complications in the heart by just stimulating the blood vessels, and the operation cannot be performed at all.

Zhou Congwen seemed to have no idea about the complications at all. He thought it was very simple - just use the guide wire to penetrate the balloon and push the narrow valve open.

If it weren't for the DK-crush operation that Zhou Congwen and Huang Lao cooperated, Director Li would have thought he was a layman in circulating interventional surgery and the kind who knew nothing.

As he thought about it, Director Li burst into laughter.

Of course, in his heart, his expression has always been very serious.

Zhou Congwen is still young. After getting the world's number one, he thinks he is invincible in the world. He thinks he can do all the surgery related to his mind.

It seems that he doesn't understand what a profession is.

The director of the Vascular Department of the First Hospital of Medical University is such a stupid and bold one. He removed the filter two years ago, but it turned out to be reversed... Who knows if Zhou Congwen would cause such a ridiculous "stupid thing".

It is estimated that the operation will fail, and then Zhou Congwen has no choice but to open his chest to solve the problem.

Director Li still believes in Zhou Congwen's surgical level, after all, he is the best in the world.

But half an hour is impossible, eight hours are still the same.

Director Li kept his eyes open and prepared to see the operation.

Shen Lang had already laid the order inside and was doing femoral artery puncture.

Director Li picked up the medical record and took a look at the preoperative echocardiac report of the child.

Before reading the report, Director Li thought the child's condition would not be very serious, and Zhou Congwen was just like that.

However, he held the medical record clip and had no time to feel the thickness of the medical record, but his eyes were staring at the echocardiac return form.

Pulmonary valve stenosis (severe), transvalve pressure difference of 167mmHg, pulmonary valve annulus internal diameter of 8.7mm, pulmonary valve is three lobes, uniformly thickened, the maximum open valve inner diameter is about 2.3mm, the right ventricle is obvious hypertrophy about 6.4mm, the right ventricular outflow tract is secondary hypertrophy, about 5.6mm thick, and the outflow tract inner diameter is about 5.5mm.

Cross-flap pressure difference is 167mmHg!

Cross-flap pressure difference is 167mmHg!!

It's so high!

The pressure gradient across the pulmonary valve is ≤25 mmHg, and the operation effect is good; if the pressure gradient after the operation is >36 mmHg, the operation is declared to have failed.

Generally speaking, the transvalve pressure difference for adult patients with pulmonary valve stenosis performed by Director Li is generally around 80mmHg. No matter how large the pressure difference is, he will not dare to undergo surgery. He is advised to go to the imperial capital and go to the higher hospital.

This stress difference indicates that the patient is in serious condition and will not recover well after surgery.

But,

In front of you,

5 and a half months old,

Only a little over ten kilograms,

The preoperative blood oxygen saturation was 85%, and the cross-valve pressure difference was a terrifying 167mmHg!

Zhou Congwen actually took half an hour to resolve the battle!

Director Li passed these conditions in his mind and almost cried.

If a similar patient goes to the First Hospital of Medical University, neither he nor the Department of Circulatory Internal Medicine will dare to treat each other. Finally, everyone will persuade the patient to go to the Imperial Capital or the Magic City for treatment.

In fact, deep down he had already sentenced his child to death.

"Director Li, you didn't have a good rest yesterday?" Zhang You suddenly spoke, interrupting Director Li's inner surprise and confusion.

"Ah?" Director Li was stunned, "What's wrong, Director Zhang."

"Look at your hands, they're shaking." Zhang You said, "Or don't eat in the morning and have low blood sugar? I'll give you 10 sugar."

"I..." Director Li shook his head and pressed the medical record clip in front of Zhang You. "Director Zhang, the cross-valve pressure difference is 167mmHg, how can I do the operation? Have Professor Zhou seen the patient before the operation? He won't miss this report."

"He did the echo heartbeat by himself." Zhang You was immediately happy when he heard Director Li say this.

Director Li looks so stupid that he is so stupid that he is so in line with his expectations, so he should not be too perfect!

Zhang You still remembers how he felt when he saw Zhou Congwen performing a B-ultrasound with his own hands and measuring a 167mmHg cross-flap pressure difference.

Unexpectedly, Director Li also thought so.

"It's just 167mmHg, it's okay." Zhang You said as if he was calm and gentle.

Tengfei glanced at Zhang You with contempt.

Zhang You pretended too much. Did he treat himself as Mr. Huang?

"The surgery cannot be done." Director Li whispered, "Don't do it, something happens again. This is the first surgery established by the Chest Pain Center. If something happens... it is unlucky."

"We are materialists." Zhang You straightened his chest, and his big teeth emitted a yellowish luster. "What auspicious or unlucky is feudal superstition."

Director Li was speechless and choked.

He looked at the situation in the operating room through the leaded glass.

The moment Zhou Congwen came on stage, the anesthesiologist wearing lead clothes made a gesture to the outside, and then the technician got up and closed the lead door.

The operation began, silently.

Director Li kept hiding that number in his heart - 167mmHg!

Such a major surgery for transvalve compression is impossible, what did Zhou Congwen think?

The child was in a state of general anesthesia, and various instruments in the operating room were ringing.

Director Li looked at the percutaneous blood oxygen protection monitoring value, which was only 85%, plus 167mmHg, and he felt that his old joke was full of pleasure.

Dean Lin also asked him to find faults, and he had prepared well before, believing that Zhou Congwen's surgery must have few problems and he had to be extremely careful to discover it.

But who would have thought that after I came to the sophomore year of medical school, I discovered so many problems before the operation was started.

I can’t even figure out the indications of the surgery, what kind of surgery I’ll do!

Now Director Li is increasingly convinced of a "rumor" - the so-called world number one was used by Mr. Huang to write his resume for Zhou Congwen. In fact, Zhou Congwen's level is not enough at all.

Yes, it must be the case.

The 167mmHg cross-valve pressure was still stubbornly undergoing interventional surgery. This alone is enough to prove everything.
Chapter completed!