Dr. Yao can only find evidence from the interns and insisted on asking: "You said, what did you do to the patient? I think you didn't have the film that opened the incision to give the patient a heart compression in the chest? Have you changed your gloves?" Maybe it was a false signal of rescue alarms created by these interns.

Dai Nanhui was the first to accept the dirty water, and he almost exploded and shouted: "We ran over from the next door to save people when we heard the alarm."

The two words "cold, quiet." burst out from the mouth of the immortal brother Cao Zhao.

This makes everyone calm down. It includes students, including Dr. Yao.

In any case, first of all, as a doctor, we must figure out what happened to the patient, whether the patient is worried about life, and who is responsible for the rest.

In agreement with the teacher's words, Xie Wanying said in a calm voice: "I opened the incision protective film to determine whether the electrode of the pacemaker wire is connected to the patient's epicardial membrane and has not fallen."

pacemaker?

There may be more people doing interventional surgery now, and I only know that pacemakers are related to interventional surgery. In fact, when the pacemaker was first used, it was not installed with interventional surgery, but with traditional surgical procedures.

To describe it specifically, the pacemaker installed in the interventional surgery is a wire that sends the electrodes to the heart cavity through the peripheral veins and is installed in the endocardium without opening the chest, which reduces the patient's pain and saves the trouble of surgical operations and is very popular in clinical practice.

Surgery installation of pacemakers requires the doctor to open the chest pericardium and connect the electrode to the epicardium of the heart. The chest must be opened and not favored by patients.

There are many advantages of intervention. Surgical installation is too painful. The technology seems to be backward and can be eliminated by advanced intervention. Besides, what are the methods of surgical installation?

This is not the case. In clinical practice, it is always convenient to use which one is more suitable for patients to treat. To date, in pediatrics, surgery is the first choice for children aged five to install pacemakers. This is due to the repeated emphasis on pediatric characteristics: children will develop. You need to pre-place longer wires for the child to grow taller. If interventional surgery is used, too long wires cannot be placed in the heart or peripheral blood vessels. Some children have a heart malformation, and it is difficult to locate the electrode installation position during interventional surgery, and can only be installed by surgical methods. Children are active, and surgery is not like interventional surgery that must be fixed on the front chest where sebum is thin and difficult to place. It is better to fix it in other places where sebum is thick.

Similarly, since Xiaohui has undergone thoracic surgery today, if you need to install a pacemaker, why do you need to intervene? It is more convenient to install the electrode on the epicardial membrane during the thoracic opening process.

Speaking of this, why does Xiaohui need to install a pacemaker? Isn’t this child a disease that requires pacemaker treatment?

In clinical practice, pacemakers are indeed used to treat diseases. Most of these patients go through interventional surgery and use permanent implantable pacemakers. Another type of pacemaker is mainly used for temporary pacemakers for rescue and backup, such as the last time Teacher Lu rescued.
Chapter completed!