Chapter 1716 Draw a Knife to Help (1)

"Director Mao?" Zheng Ren's voice came from the other side of the phone.

Mao Chi calmed down and asked casually, "Boss Zheng, what are you doing?"

"Massachusetts General Hospital had a consultation, and it happened that Director Luo saw me having a toothpick stuck on the liver. Isn't this a consultation together," Zheng Ren said.

"..." Mao Chi smiled bitterly.

What the hell is this request for a consultation at Massachusetts General Hospital?

Consultation, not to mention Massachusetts General Hospital, even among the large tertiary hospitals in the imperial capital, there are very few consultations.

In addition to the tasks of the health care team, the only consultations Mao Chi has heard about in the past two years is the only thing about interventional bullet embolization that he was going to tell Professor Zhang.

As for myself today, it is called a rescue platform, not a consultation.

And the toothpick stuck on the liver...what the hell.

"Hello? Is the signal so bad?" Zheng Ren's puzzled voice came from the other side of the phone, interrupting Mao Chi's thoughts.

"Boss Zheng, there is something I want to trouble you with." Mao Chi said, "I am a little brother. I have an external iliac vein and inferior vena cava stent. The stent ran away and entered the heart..."

"Oh?"

Before Mao Chi could finish speaking, Zheng Ren on the other side of the phone immediately came to his senses. He immediately said: "Don't discuss it, there is an operation, a heart!"

"What's wrong?" Another young and familiar voice sounded.

"Director Mao, is the patient in your department?" Zheng Ren asked excitedly.

"Boss Zheng, no. On the side of the International Hospital." Mao Chi was speechless.

This kind of trouble, why didn't I hear the fear from Boss Zheng's words, but instead showed a burst of excitement and eagerness to try it?

Did you not explain it yourself?

If there is such a possibility, Boss Zheng must have heard it wrong.

Mao Chi paused, feeling a little uneasy. If Boss Zheng was young and irritable, misheard his condition, and rushed over excitedly, it might lead to things that could not be explained.

He coughed and said, "Boss Zheng, the big frame didn't hold up and fell off into his heart."

"Yeah, I know." Zheng Ren said a little excitedly: "First, use interventional surgery to take it out. If it can be taken out, it will be fine. If it doesn't work, you will have to open your chest and open your heart to take a big shelf. Director Mao, is there cardiopulmonary bypass? Is there an anesthesiologist?"

"..." Mao Chi really didn't know what to say this time.

What people don't understand, the door is clear.

"There is an extracorporeal circulation machine. I don't know if it can be used. Anesthesiologist, there should be no extracorporeal circulation machine."

"It's okay, I'll take someone directly." Zheng Ren said, "Director Mao, let's go over here, wait a moment on your side."

"Oh, thanks."

Mao Chi finally managed to stabilize his mind and did not forget to thank him.

He hung up the phone, but he still couldn't believe it. Is Boss Zheng's level so high?

"Director, who are you calling?" Professor Zhang asked strangely just now, just waking up from his confusion.

"Go back to Keli to see the patient, I'll wait for someone here." Mao Chi said.

"Yeah!" Professor Zhang became a little more energetic. Wait, it must be someone waiting for 912 Cardiothoracic Surgery.

I didn't hear it clearly just now, I just felt that the director's tone was a little polite. Is it Elder Gu?

Professor Zhang was a little confused, Gu Lao, that is an academician of the Academy of Engineering. It shouldn't be a big problem to find Elder Gu for the operation.

As long as the patient doesn't die, things don't continue to ferment.

He got out of the car, greeted Director Mao, and walked into the inpatient department. Thinking of Elder Gu coming, Professor Zhang's footsteps lightened a bit.

Mao Chi stood at the gate of the inpatient department, holding a mobile phone in his hand, his hands behind his back, looking at the vast night.

Can Boss Zheng perform this operation? Mao Chi kept thinking about this question in his mind.

If there is an interventional operation, Boss Zheng should be possible. Open chest... It seems that Boss Zheng has recently done a patient with valve tumor, and it is estimated that the operation is not a big problem.

Thinking of this, Mao Chi smiled bitterly.

Are you looking for someone to help yourself?

A burst of arrogance rose out of thin air, Mao Chi gave Zheng Ren a call.

"Boss Zheng, I will send the patient to the stage first, and Keli will leave someone to pick you up. You can go directly when you arrive." Mao Chi said.

"Okay, okay, we have already boarded the car." Zheng Ren said: "It will be there in half an hour."

"International Hospital, in the eleventh ward on the third floor of the first hospital." Mao Chi left the address, and then turned to go upstairs.

Professor Zhang was not surprised that Mao Chi came up by himself. Now he can't pay attention to so many things.

As long as someone comes to the rescue, that's a good thing.

The patient was given low-molecular-weight heparin anticoagulation, and on the ECG monitoring, a series of rapid and regular QRS complexes with a frequency of 200-220 beats/min. Most of the QRS complexes are not widened and deformed, and the shape of the sinus rhythm is maintained. ST segment depression and T wave inversion can be seen everywhere.

Such a fast heart rate can induce complications such as cerebral ischemia.

Mao Chi saw that the patient's condition was particularly poor, and he knew that there was absolutely no delay. It's better to go up and see the situation first. If you can pull the big shelf out, it will be perfect.

Although the time comes to toss Boss Zheng for a while, it is not unreasonable to have someone with a heart to guard him.

The big deal is to invite Boss Zheng to have a meal.

The patient was sent to the operating room as quickly as possible. No matter how Professor Zhang explained his condition to the patient's family, Mao Chi went directly to the operating room to change his clothes and prepare for the operation.

Before taking the stage, he did not forget to instruct Professor Zhang to leave a person in the ward to wait for Boss Zheng and his party.

Hybrid operating room, patients under general anesthesia.

Director Mao brushed his hands at the fastest speed. The tension of the anesthesiologist can be seen, the strength of the anesthesia is average, and the severe supraventricular tachycardia can no longer be controlled.

Puncture, enter the guide wire and catheter, and start angiography.

Mao Chi didn't even wait for Professor Zhang to come to the stage, he greeted him, and just pulled the doctor under Professor Zhang to start the stage.

Angiography showed: the inferior vena cava and the stent in the right atrium, originating from the opening of the hepatic vein and ending at the right atrium side.

Mao Chi was very nervous.

But he did not panic, but performed the operation step by step.

Because of the existence of external iliac vein stenosis, which affected the operation, Mao Zhi first placed a large scaffold at the stenotic position of the iliac vein to relieve the stenosis.

Then he put the catcher down.

The right atrium is divided into anterior and posterior parts. The anterior part is called the proper right atrium;

There is an ear-shaped protrusion on the front and upper part of the proper atrium, which is called the right atrial appendage. The surface of the inner wall of the proper atrium is not smooth, and when the cardiac function is impaired, the blood flow is slow.

Because the surface of the inner wall of the inherent atrium was not smooth, the large frame was stuck on the wall of the atrium, and Mao Zhi tried twice without success.

He calmed down and prepared for the third attempt.

"Director Mao, wait a moment." Zheng Ren's voice suddenly came from the intercom.