"Are you a patient who just finished the bone cement?" Director Han asked coldly.

"Director Han...yes...yes..." said the young doctor in orthopedics quickly.

"What are you doing?" Director Han cursed angrily, "Have you ever seen relevant patients?! What's the use of finding him!"

“…”

Director Xu was stunned. The anger that had just been humiliated again had already melted like ice and snow. He stared at Director Han in a daze.

Han took out his cell phone and dialed it with his round fingers.

"Professor Zhou? Is it convenient for you? Bone San made bone cement and it was said to be a foreign body in the heart after the operation."

"Pericardial tampon? Is it?"

Director Han asked the young doctor who was in the orthopedic department with his cell phone.

The little doctor nodded repeatedly.

"Yes, Professor Zhou."

"Okay, prepare for external circulation and surgery immediately!" Director Han said immediately without hesitation.

He turned his back faster than reading the book. The coldness just now disappeared, and there was a smile on his face when he hung up the phone.

But when he looked at Director Xu, his smile flew away. Director Han dialed the phone number again while looking around at the people in the small conference room.

"Everyone goes to the operating room and see what you are doing!"

“…”

Everyone is silent.

What are you doing when you pull all orthopedic doctors to the operating room?

There is no way to hold so many people in one surgery. Is this going to humiliate everyone in orthopedics in person?

Although I think so, no one dares to refute Han Chu's words.

People speak on the moral prostate, and although orthopedics are "many and powerful", they cannot speak out in both open and secret. What can they do if they can't bear it?

Anything that is so frightening... When Han Chu was young, he was not afraid of people who faced several trucks. He used unknown means to drink and chat with others, and he was just a big deal!

"Idiots, a bunch of idiots!" Han Chu snorted coldly, turned around and walked out of the small conference room.

...

...

"Congwen, what patient?" Li Ran asked.

"There is something wrong with orthopedic bone cement." Zhou Congwen sat in the operation room for vascular intervention and said lightly, "There is no way, I can only open it and take a look."

"What is bone cement?" Li Ran raised his hand and pulled a smile on his face.

"Yes... you will know after you look." Zhou Congwen sighed and pondered with his cell phone. He wanted to make a call but in the end he didn't call.

"Shen Lang, Director Jiang, Director Teng, I have something to do with you, please continue to practice." Zhou Congwen pressed the intercom button and said.

After saying that, he got up and went out, and Li Ran followed behind him.

"Congwen, why do I feel something is wrong with you?" Li Ran asked very seriously.

After arriving at the Second Hospital of Medical University, Li Ran's condition did not improve at all. He still had a bad face, as if someone owed him how much money he was.

"The patient's condition is very serious." Zhou Congwen said, "Bone-knitting cement, as a new method to treat compressive fractures of vertebrae, can effectively restore vertebrae height, increase vertebrae strength and mechanical stability, and quickly relieve pain."

"So good?" Li Ran felt from Zhou Congwen's words that this was a very awesome new technology.

"Although bone cement is considered to be a relatively safe minimally invasive surgery, there are many complications, especially bone cement leakage." Zhou Congwen shrugged, "I met... I saw a report in a foreign journal saying that heart foreign objects appeared five years after bone cement."

"Five years! Why did it take so long!" Li Ran was surprised.

"Well, I can't tell why, but similar situations do happen."

"Which magazine? I'll take a look." Li Ran asked.

Zhou Congwen was stunned. The patient was encountered in the imperial capital and the article was written by himself. Li Ran deliberately made things difficult for him!

The team is getting harder and harder to lead. Zhou Congwen thought to himself whether he should speak by himself in the future.

"The overall cement leakage rate after vertebroplasty is 55.4%, the main leakage pathways include the intervertebral disc space, with a probability of 25.2%, the epidural venous plexus, with a probability of 16.0%, the posterior wall of the vertebral body is 2.6%, the probability of nerve foramen is 1.6%, and the probability of paravertebral blood vessels is 7.2%.

Zhou Congwen refused to respond and continued to talk along with the previous topic.

"Vascular-derived bone cement leakage is not uncommon, and this often occurs at the beginning of injection of bone cement." Zhou Congwen continued.

"Then the bone cement solidifies and appears in the heart?" Li Ran asked in surprise.

"Yes." Zhou Congwen sighed, "You must not be impressed by what you say now. You should take surgery to take a look."

"Can a few millimeters be seen?"

"How many millimeters?" Zhou Congwen shook his head, "Although I haven't seen the movie, I guess it should be a few centimeters, and it can even penetrate the heart."

Li Ran was completely stunned this time.

What Zhou Congwen described was not like a medical method, but like magic.

The bone cement is originally a liquid, which flows into the heart with the flow of blood, and then condenses into a sharp column, piercing the heart directly.

This is too hard to imagine.

Is this the rhythm of mechanical ascension? (Note)

Zhou Congwen didn't explain much, and he strode to the operating room. As soon as he got off the elevator, Zhou Congwen saw dozens of people standing outside the operating room.

"Professor Zhou, thank you for your hard work." Director Han greeted him with a kind smile on his face.

"Have the patient been sent in?"

"Yes." Director Han waved, and Director Xu lowered his head and came to report his medical history.

The patient, female, 78 years old, has a previous history of "atrial fibrillation" for 5 years.

He was admitted to the hospital for 7 days due to accidental fall injury.

Physical examination: forced position, limited lumbar flexion and extension movement, tenderness and percussion pain in the lower lumbar vertebrae. Auxiliary examination: lumbar CT showed compression fracture of L4 vertebrae.

Diagnosed as lumbar compression fracture, osteoporosis, atrial fibrillation, and percutaneous vertebra plasty.

Five hours after the operation, the patient suddenly reported chest tightness and chest pain. After more than 10 minutes, he was accompanied by persistent upper abdominal distension, nausea, and vomiting twice.

Electrocardiogram shows extensive ST segment elevation, D-dimer 2.66 mg/L (normal: 0~0.55 mg/L), BNP 116 pg/ml (normal: 0~100 mg/L).

The CT of the chest and abdomen showed high-density foreign body in the right atrium of L4 vertebrae and inferior vena cava, and a strip-shaped high density foreign body in the right atrium. The patient then developed progressive chest tightness and dyspnea, accompanied by angrily opening of the jugular vein and sweating profusely.

"How is hemodynamics?" Zhou Congwen asked.

"What?" Director Xu was stunned.

"Vision Signs." Zhou Congwen said coldly.

"Blood pressure is 96/56 mmHg, heart rate is 140 beats/min. Echocardiac next to the bed shows a large amount of pericardial effusion, about 300ml, and Director Zhang has already entered." Director Xu said in a crying voice.

"Preparation of extracorporeal circulation group." Zhou Congwendao.

"I'm rushing to the hospital, so it shouldn't be delayed." Director Han continued.

"Okay, I'll go and have a look."

"Professor Zhou, can the patient survive? How do I explain to the patient's family?" Director Han asked in a low voice.

"If you don't die now, you won't die."

Zhou Congwen gave him a safe answer.

...

...

Note: I have thought a lot about the principles of mechanical ascension and have always wanted to write it, but... I will take a look before closing the paper and try to write one.
Chapter completed!