Chapter 3653 【3653】Too difficult
Chapter 3653 [3653] Too difficult
Two words, as long as the insiders hear the keywords, there is no need to say any more, understand.
Think about it. For this intervention surgery, how to do internal fixation is always a big problem.
Through small blood vessels, if you put a pliers needle thread, etc. for sutures? You need to break through basic disciplines such as physics materials.
How to fix without suture?
The doctor borrows the little common sense in life.
For example, when sending a big water to save people, how can the firefighters throw the rope in the water flow to the other end of the rope?
There are methods, such as making a rope circle, throwing it in the place where there is fixed objects such as stones in the water.
Sometimes it ’s what is going on without the rope without drifting. It turns out that the other end of the rope falls in the corner vortex on the opposite side, and the other end of the rope will be stirred by the vortex. If you do n’t force it, it ca n’t come back.
These small common sense are used by doctors to perform interventional surgery.
Through the description of the two methods, it will be found that no matter what kind of foundation that wants to make a fixed, there must be a point that can make the rope easily hook.
In other words, firefighters borrow the terrain of terrain. Doctors need to borrow the terrain of the patient's own heart structure.
Some patients are different from ordinary people. If they are not very good, the operation is naturally finished.
Shen Youhuan had to explain two more sentences, and explained it in detail for his failure: "The patient had done an ultrasonic diagram for the patient during a heart physical examination."
Either an ultrasonic cardiac percentage or an electrocardiogram or an intervention of coronary stent surgery. In the meticulous examination of the heart myocardial structure, it is not a strong point. It is like a case of the first child.
Examination. Since the patient had no symptoms such as myocardial disease before, the doctor did not put the attention point in this regard. Therefore, it was not checked.
It happens that the discharge electrode in this operation is in the right ventricle. If the doctor needs to use the active fixing method mentioned above.
The anatomical characteristics of the right ventricle are that the structure of the internal surface of itself is rich in the structure of the spine beams, such as multiple small piles, a round sleeve as a round sleeve, which is very easy to fix.
As mentioned above, it is necessary to check that the problem of the spine beam requires cardiac magnetic resonance, so Shen Youhuan did not know that the patient may change the surface structure of the right heart chamber before surgery.
It is most likely that the patient's elderly physical indicators are degenerating, and the spine beams of the right ventricular heart atrium atrophy, and the electrical activity is reduced. In this way, the doctor can't hold the electrode and can't stimulate it, resulting in the failure of the surgery.
If you can't put the right ventricle, you can put the right atrium.
The right atrium is also not good. The right atrium does not have a spine beam like the right ventricle, but it has the right heart. If the ordinary person, the wire is sent to the right heart ear to catch the electrode.
The problem is blindly inserting today. Without perspective, if the doctor wants to accurately send the wire to the right heart ear to make the right heart hook, it may be lucky. If it is not good for the right heart, the doctor can use another with another.
This method, use the active fixing kicker to actively fix it on the right atrium wall. This kind of active fixing the line guide line is characterized by screws on it.
Chapter completed!