Chapter 22 The shock of the interventional department
When Jia Yanguan, director of the interventional department, saw Director Qian coming to him and said he wanted to borrow an operating room for surgery, he was speechless, so he told Director Qian that why he would not transfer the patient to their interventional department for the interventional department?
This is not how you want to get more commissions.
But when Director Qian was about to perform surgery on Uncle Zhou Tianlei, he was stunned for a moment.
He looked at the medical records and he consulted with people from the neurology in the morning. The risk of this surgery is too great!
Jia Yanguan pulled Director Qian aside and whispered, "Old Qian, don't you know that the risk of this surgery is extremely high? If the patient experiences cerebral infarction during the operation, the problem will be huge!"
"That kid studied in my emergency department for a while. The patient was his uncle. He asked me for help, so of course I had to help." Director Qian pointed to Zhou Tianlei in the distance and said softly.
"Even if he has been in your emergency department, you should know the risk of this surgery! I have consulted with people from the interventional department and the neurology department, and the risk of the surgery is huge. I advise you not to take this risk. If something happens during the operation, you have to bear a considerable responsibility!" Jia Yanguan said seriously.
"It's still that kid who signed up for an accident during the operation and you don't have to be responsible?"
"No!" Director Qian shook his head and then said, "I came up with a brand new surgical plan, and the operation has a great success rate!"
When Jia Yanguan heard this, he was shocked and asked: "What solution? Can you solve the problem of accidentally entering the dissection or avoiding the left vertebral artery?"
These two problems are so fatal. They and the people in the neurology department have considered it for a long time but they have no more feasible surgery plan to grasp a large enough operation!
"Of course it can be solved. My surgical plan is like this. A double-arrival solution is adopted in the ward, and a puncture can be performed through the left radial artery. On the other side, the guide wire enters from the radial artery and then passes out from the femoral artery! Do you see if it is feasible?" Director Qian smiled faintly.
"Hey, this double approach is amazing! It has revitalized the entire operation!" As the director of the intervention department, Jia Yanguan has of course very rich intervention experience. When he heard about Director Qian's idea, his eyes lit up. His thoughts suddenly became clear!
"Old Qian, Lao Qian, you are worthy of being a general practitioner. It's so awesome to even think of such an operation plan." Jia Yanguan said in admiration.
"Haha, it's not what I thought of."
"What, isn't you? Who is that?" Jia Yanguan was stunned. The people in his interventional department and neurology were helpless. It was not that Director Qian, the general subject, came up, who else could come up in the hospital? Could it be that Lao Qian asked for help from his teacher and his generation of experts?
"Dr. Ruan Bin from our emergency department." Director Qian said.
"Ruan Bin? You little genius in the emergency department?! Oh my god, can he come up with this idea?" Jia Yanguan was so shocked that he could not help.
Last time he asked Ruan Bin to come and help with zero-contrast coronary stent implantation, it was amazing.
Now, even this extremely difficult surgery can come up with feasible solutions. It’s really a genius!
Such geniuses are really wasteful in the emergency department. If they can be found, hehehe!
"Old Qian, why don't you transfer Ruan Bin to the interventional department? I think he can definitely show off his skills in the interventional department. Maybe he can invent a new interventional technique. Should you consider it?" Jia Yanguan said with a smile.
"roll!"
“…”
Soon, when the emergency department was about to perform this interventional operation on Uncle Zhou Tianlei, many people were shocked.
Especially when Deputy Director He Weicai heard about it, he was very surprised: "How dare Director Qian take over?"
"They changed the interventional approach and this surgical plan should be fine."
"I am worthy of being Director Qian, a general genius, and I am very awesome."
"It's not what he thought of, it's Ruan Bin!"
"What? Damn!"
…………
In the operating room.
The operation finally began.
Director Qian is the chief scientist, Ruan Bin is the assistant, and even Jia Yanguan is here to join in the fun and become the second assistant.
He mainly came to see the new approach to this surgery. This will give him more experience when he encountered similar and complex patients after he entered the interventional department.
Anesthesia is effective.
Director Qian started to try to puncture the left radial artery!
At this time, the detector shows that the left radial artery is pulsating and is very weak, and even the artery disappears when it is weakest. The puncture is very difficult!
"Old Qian, should I replace it with me for the puncture?" Jia Yanguan asked with a smile. He was doing interventional surgery almost every day. Director Qian didn't play much in the emergency department. In terms of proficiency, he was definitely higher than Director Qian!
"Haha!" Director Qian glanced at the other party, and the puncture needle in his hand was directly stabbed.
"I missed, haha!" Jia Yanguan said gloatingly.
"Fuss, even if you come, you may not be able to pierce it successfully in one go!" Director Qian curled his lips, took out, and then went on the second shot.
Jia Yanguan's face turned red by Director Qian's words because he didn't dare to guarantee that he would succeed in piercing each time.
"The puncture was successful!" Ruan Bin looked at the TV surveillance side and spoke.
He is worthy of being a senior general practitioner. He succeeded twice and is already very awesome.
Of course, if you use his world-class level, you should succeed in one go!
Next, after the left radial artery is successfully catheterized, it begins to open at the subclavian artery occlusion...
Director Qian is very steady every step.
Time passes by minute by minute.
Soon, another key step came.
Director Qian manipulated the arterial guidewire into the radial artery and then penetrated out from the femoral artery, and then connected with the subclavian artery.
"The femoral artery cannot be found!" When Director Qian manipulated the arterial guide wire from the subclavian artery to enter the femoral artery, he found that he could not find the femoral artery and could not complete the precise docking!
"Come again!"
Still failed.
"I just said that the operation plan is good, but the operation is quite difficult. Let me try it?" Jia Yanguan said.
"You try it." Director Qian nodded, without forcing his face.
Jia Yanguan came to the main surgery position and started to operate.
One minute later.
"Ahem... Failure is the mother of success, come again!" Jia Yanguan's old face turned red, and he also failed!
"It's embarrassing to play interventional surgery every day, and you're still playing so much." Director Qian said contemptuously.
“…”
The second time, continue to fail!
The third time, continue to fail!
"Fake, no, I have to study it." Jia Yanguan stopped.
"Or what, I'll give it?" Ruan Bin said.
"Let him try it, he is very fucking blindly!" Director Qian nodded.
Ruan Bin.
At this time, he had world-class subclavian artery stent implantation. With his experience and peak operation methods, he soon completed a difficult and accurate docking, just like completing a needle threading in his body. This built a perfect bridge for subsequent balloon expansion and stent implantation!
"Damn it, awesome!" Jia Yanguan was stunned.
"Look, every resident in our emergency department is better than you!" Director Qian laughed.
"It seems like you have succeeded."
“…”
The operation continued, and finally the occluded blood vessels were opened, the patient's intracranial blood supply was restored, the upper limbs were numb and weakness disappeared.
I believe I will be discharged from the hospital tomorrow or the day after tomorrow!
Due to the relatively smooth operation, the most difficult occlusion ward was bypassed and the ward was not forcibly crushed. Therefore, there was no cerebral infarction because the branches of the subclavian artery were caused by heavy bleeding that supplied the blood flow of the brain.
Chapter completed!