967: C967 Arteriovenous Malformation of Small Intestine

C967 Arteriovenous Malformation of Small Intestine

"Chi Hong, what do you think?"

The young miss didn't care about Chen Qun's shocked expression at all. She directly asked Chi Hong, who was in charge of the CT, and acted like she was a big shot on TV.

Female Bookworm pondered for a moment before giving a precise answer.

"It's probably because the tumors in the sigmoid colon are very large and have a lot of blood flow. For ordinary contrast media, those that reach that part will be stained and appear to be bleeding. In contrast, for the structure of the small intestine, its bleeding is intermittent, so sometimes it cannot be clearly demonstrated or detected on CT scans. However, personal guesses are a bit less accurate than computer calculations, so we can better judge when your demo image comes out. "

"Don't rush me, damn it, there's only one projector, then I'll show the other two on the big screen too, compare them, as for the most likely image, I'll show it to the projector."

Chen Qun's actions suddenly became swift as he put forward his view with a calm expression.

"Perhaps, I should take another photo to see where the problem occurred. In addition, for instant imaging, the data are more comprehensive and can yield more accurate results. I went back to the abdominal aorta, then up, and inserted the contrast catheter into the superior mesenteric artery, giving me the contrast medium to determine the location of the small intestinal bleeding. "

Dongfang Wenxin didn't argue with Chen Qun at this moment. She didn't care about the result of her own imaging and directly gave a new order.

"I'll do 3D imaging of the superior mesenteric artery at once."

Liang Shaoming, who had added a lot of knowledge to his knowledge, couldn't help but express his worry as he looked at the blood vessel projection on the screen.

"This entrance is too narrow, what size of a tube do I need to use to get in? "It seems like you are already using the thinnest catheter. Is there a thinner one?"

Chen Qun was too busy to forget his answer.

"Yes, there are three finer ones, but they are almost useless on normal occasions. They are all kept in my Operating Box. The situation didn't seem like it would be necessary now. I could do the work with a conventional catheter, mainly to save time. OK, I have entered the superior mesenteric artery. The image on your big screen should not be changed. The contrast medium is 4 milliliters per second for 20 seconds! "

"The setting is complete. The shooting has begun!"

Chi Hong operated the screen on the side, following Chen Qun's instructions familiarly.

At this time, Liang Shaoming finally had the time to pay attention to the scene on the 3D projector. He saw a bunch of colorful, different thickness and size of blood vessels, appearing in his field of vision like a pile of hemp. In the middle was a slightly red pipe that indicated Chen Qun's real time route, almost synchronized with the black line on the big screen, there wasn't any delay at all.

Even if Liang Shaoming hadn't eaten pork before, he had seen pigs walk before. Knowing that this was the most difficult part of any interventional procedure, one needed to find a path through a pile of cobwebs. This not only required patience, but it also required an excellent ability to understand spatial dimensions. This could not be accomplished through experience.

Moreover, what made everyone most depressed was that many predetermined radiographs might not be able to find the location of the bleeding. After looking for a few more times, the depression and anxiety simply could crush many doctors and cause them to collapse on the operating table.

At this time, Chen Qun was quietly staring at the big screen. With his solid clinical experience, he was directing the lead wire through the small intestinal arteries. The big screen was flickering, constantly adjusting its position, and the scene became more and more complicated. Almost at the same time, the 3D projector next to him also used the same blue light to draw out an even more complicated capillary network.

"We've found the bleeding spot. Look at the upper left corner, that furry spot is where the blood is seeping through."

The moment Chen Qun finished his words, the black line that connected to the capillaries instantly turned light red. The other blood vessels surrounding the capillaries also turned green, which was exceptionally clear on the black and white CT image. Next to the 3D projector, the same nine curves and eighteen rotations of the rose-colored blood vessels appeared, followed by green branches growing from all sides.

Liang Shaoming's mouth suddenly opened wide, he knew that on any hospital's CT projector, only black and white would appear, and if there were color pictures, they would definitely be processed, even though it looked like a simple process of developing color, with a huge computing power behind it, it could be said to be an absolute dark technology.

The machines and equipment of their Xiangyun Hospital were all the most advanced in the country, and could be considered first-class internationally. At most, there would be a slight deviation in technology, but even with this kind of machine, just completing a 3D image would still take half an hour before the computer was able to complete its calculations.

As for the young miss, she could do instant imaging. Whether it was her computational ability or her most important program, it was not something that could be bought with money.

There was no mistake about his following Chen Qun's general direction. After ten years of hard work and Chen Qun's ability to learn, not only would it be a matter of selecting a Fellow, but he would also become the world's leader in the field of respiratory medicine. He would start a technological revolution that would make it impossible for all the doctors in the respiratory department to bypass his existence.

This was the greatest ambition he had buried in the depths of his heart!

"Chen Qun, keep going straight ahead. At the front, keep going towards the left. After passing through the circular blood vessels in front, you will see the bleeding spot. "Slow down, don't run to the fork in the road. There are three roads in the same place!"

With a wave of her hand, the young miss directly enlarged the projector's image by three times, and then used her middle finger to indicate the direction of the projector's advance. Chen Qun naturally followed the Miss' instructions and walked forward.

To him, practice was not very necessary anymore. He had already developed an unconditioned reflex towards the human body's structure, and many of the operations had turned into a habitual reaction. Before he could even understand it himself, he had already completed the Travelling Through.

"Slow down a bit. After this point of divergence, the angiographic catheter will reach the bleeding point."

"We've arrived at the location, let's begin filming!"2

As the image became clearer, Chen Qun's hand stopped moving and a disorderly structure appeared in front of the rosy blood vessel.

Chi Hong, who was in charge of the recording, exclaimed, "This is an arteriovenous malformation of the small intestine?"

"Yes, it should be congenital. It has existed since before birth, and the proportion increases with the growth of the body. It was this vascular malformation that caused the bleeding of the small intestine at this time. I need to stop the bleeding with a spiral, Xin. Let the computer estimate the distance of the bleeding. "

Dongfang Wenxin rolled her eyes at Chen Qun. She knew that this guy wanted her to show off on purpose. Otherwise, with Chen Qun's' rich clinical experience ', he wouldn't have asked a nurse for any opinion.

The eldest miss made two gestures with her finger on the three-dimensional projection, and finally gave the answer to the computer's judgment.

"Prepare a 1. 5 mm diameter, 3 cm long spiral!"

As she gave her answer, she performed her duties as an instrument nurse, and then she felt she had lost a lot of money.

"Here, Master Chen Qun, the spiral plate is right in front of you. You're not even going to reach out to take it, you're going to squeeze a nurse out of her. Do you want to wait for me to feed you?"

Chen Qun replied with a serious look.

"Nurse, please follow the rules of the operation room, you cannot go against the procedures!" Alright, I will tell you the truth. I'm afraid that I'll do it myself, but you said that I've deprived you of the fun and responsibility of an instrument nurse. It's also very difficult for me! "

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