Zheng Ren and Lin Ge came to the cardiothoracic surgery department. In the office, Zhao Yunlong was standing in front of the film reader and frowned and watched the film.

Because I have already gotten off work, the second-line professors in other departments have not arrived yet, so it is normal for me to arrive a little later this time.

"Old Zhao, what patient?" Zheng Ren asked.

"Mr. Zheng, please take a look." Zhao Yunlong saw Zheng Ren and Lin Ge come in together, and did not say hello to Lin Ge, and directly pulled Zheng Ren over to watch the film.

Zheng Ren glanced at him and his heart sank.

The patient's mediastinum was covered with white space and was seriously infected, which had invaded the viscera and aorta.

"The patient was 62 years old and ate mandarin fish at home two weeks ago and got a fish bone. Later, he took aged vinegar and ate steamed buns, wanting to choke." Zhao Yunlong said.

So that's the case, no wonder the big pig's hooves call this a bloody incident caused by a steamed bun.

Zheng Ren nodded and started watching the movie with his arms held.

"There were no strong symptoms at that time. After 3 days, coughing and sputum began to appear. After 1 week, it was difficult to breathe, and the sputum was yellow-green. A day ago, the sputum turned black and yellow. The doctors in the local hospital recommended to come to the imperial capital for diagnosis and treatment." Zhao Yunlong introduced.

"The mediastinal abscess is very serious, so you need to hurry up and take the surgery." Zheng Ren said.

"Well, I consider that the aorta is invaded and I need to lower the aortic stent." Zhao Yunlong said: "If you can do it without artificial vascular anastomosis, try not to use it."

"Well, then the operation will be too big. Moreover, the infection is too severe, and the possibility of bacteremia and sepsis... There must be complications." Zheng Ren immediately understood what Zhao Yunlong meant.

"I would like to see who will consult in the interventional department after a while. If it is a sensible person, I will call Su Yun." Zhao Yunlong said in a low voice with a smile.

"Who did you do the surgery?" Zheng Ren asked.

"I'm going to the second-tier professor Zhang is not good at it." They are all his own people, Zhao Yunlong said bluntly.

This is the case in clinical practice. It is not necessarily that the professor's level is higher than the hospitalization level, nor is it necessarily that the nationally renowned professor's level is higher than that of others.

Generally speaking, nationally renowned professors may not be of much higher level. Many people give up clinical practice when their hands, eyesight, and energy began to decline from their peak, and started running nationwide and giving speeches touring.

In this way, the popularity across the country will increase, but the corresponding surgical level will also decrease.

Some things are difficult to achieve. People who have really had surgery are silently squatting in the hospital for surgery, and they rarely have the chance to let everyone know.

Even if someone knows it, it is just a famous person in a small circle.

"Professor Zhang..." Zheng Ren said, looking around, seeing that only Lin Ge was sitting on a chair and was reporting on his mobile phone, he whispered: "Can aortic arch replacement be done?"

"It can be done, but the mortality rate is particularly high." Zhao Yunlong said.

Zheng Ren knew it in his heart.

He did not continue to ask whether the surgery was done by others had nothing to do with him.

Continuing to watch the movies with his arms, Zheng Ren was like a stone sculpture, and he remained motionless without the wind and rain.

More than ten minutes later, the second-line professors on duty in the relevant departments came in one after another. Someone knew Zheng Ren, so hello. Most of them didn’t know him, so they just passed by.

"Is this a patient's film?" A voice came from behind.

"Professor Zhang is a film for emergency patients." Zhao Yunlong responded in a deep voice.

Zheng Ren turned his head and saw a doctor about fifty years old with gray hair standing behind him.

His hair was meticulously carved, and his snow-white clothes were like swordsmen in white, and he could fly in the wind. He looked very energetic and elegant.

"Hello, Professor Zhang." Zheng Ren greeted politely.

"Boss Zheng, do you also have research on our cardiothoracic surgery?" Professor Zhang greeted coldly.

"Isn't this anatomical stent a much smaller risk if the surgery is performed?" Zheng Ren smiled and said, "The stent is good, but it is still difficult to peel off the abscess."

"This operation cannot be done at all." Professor Zhang directly denied it when he heard Zheng Ren talk about the operation.

Zheng Ren didn't say anything, just smiled. The muscles on Zhao Yunlong's face trembled a few times, and he couldn't say anything.

"Everyone is here, Mr. Zhao, please introduce the patient's condition." Linge sat in the middle, and he began to preside over the meeting on behalf of the Medical Office.

Zhao Yunlong reported his medical history, which was much more detailed than when he was narrating it with Zheng Ren.

The patient has been suffering from high fever, which is a sign of severe infection. The bacterial culture is mainly Pseudomonas aeruginosa, and there are other drug-resistant bacteria.

The film is very obvious, mediastinal gas accumulation and mediastinal abscesses are particularly diagnosed, and they are complicated.

But it is even more difficult to deal with treatment.

"Let me tell me what I think." Professor Zhang stood in front of the video reader and said calmly.

His gray hair seemed to tell his rich clinical experience. His whole body looked clean and calm, and a bookish atmosphere rushed towards him, making people feel trust unconsciously.

"I don't deny that the patient needs surgical treatment. But after reading the film, we can see that because the delay in the lower hospital was too long, part of the aortic outer membrane has been damaged." Professor Zhang's voice was very nice, with a slight hoarseness in the thick.

"In this case, there is no chance to peel off the abscess. If the operation is forced, the chance of the patient dying on the operating table is greater than 95%. " Professor Zhang said loudly: "If the patient's family insists on surgery, I suggest that at least the 3D reconstruction of the chest cavity 64 row t will be done before talking about it."

Zheng Ren shook his head in his heart.

Three-dimensional reconstruction of the 64-row t-row t... What he should say is the three-dimensional reconstruction of blood vessels and mediastinum.

Even if the medical department comes forward, it will take at least tomorrow. According to the normal process, it will be early to get the results the day after tomorrow.

He said it very clearly and understood the underlying meaning very clearly. The surgery cannot be performed, at least it cannot be performed tonight.

Because today Professor Zhang is in the second-tier class. If something happens, he needs to take responsibility.

Even if you do it, you will talk about it tomorrow or the next day.

If you don’t have to be on duty, just sit there and watch the operation. Success and failure will have nothing to do with him.

However, Professor Zhang said it more smoothly, first of all, emphasizing the seriousness of the disease. For such a serious disease, it is also necessary to do three-dimensional reconstruction before the operation to understand the disease.

What a slick Tai Chi master, Zheng Ren thought.

Seeing that everyone was silent, Professor Zhang picked up the medical records and began to talk nonstop.

Starting from testing for leukocytes, neutrophils, and reactive proteins, it is very clear.

The class was really good, Zheng Ren thought to himself.

"Do you have any comments?" Linger paused and asked.

"Let me say a few words." Zheng Ren stood up, smiled gently, and said.

...

...
Chapter completed!