1185 Postoperative complications (3250022 ask for monthly pass) (repair)
This is a patient with radiofrequency ablation of liver cancer today.
In advanced liver cancer, multiple metastasis in the liver. This diagnosis can be declared ten years ago that the patient has no therapeutic value and will die after three to six months of survival.
However, as interventional surgery is carried out in clinical practice, this type of disease can not only delay for a period of time, but also the cure rate has increased from 0 to around 25%.
In addition, 912 conducted a three-dimensional reconstruction study on 64-row CT surgeons, which once again increased the cure rate of liver cancer.
Embolization + radiofrequency ablation is indeed an effective means of treating liver cancer. Even if Zhao Wenhua complains about Zheng Ren in secret, he has to admit that the 3D reconstruction of the 64-row CT is indeed of great benefit.
The patient in front of him had a hepatoma resection a year ago, which relapsed after the operation. Because the left hepatitis resection and the recurrence of the postoperative lesions are contraindicated in surgical procedures, there is only one method of interventional treatment.
Zhao Wenhua admitted the patient to the hospital in the outpatient clinic. After undergoing interventional embolization, he underwent radiofrequency ablation this morning.
The lesion is close to the diaphragm, and Zhao Wenhua chose the method of transthoracic radiofrequency ablation.
This is just an ordinary operation method. Neither Zhao Wenhua nor Director Kong have done so many thousand examples.
The effect is also very good. As long as you pay attention to the burning needle, there will be no complications of implantation and metastasis.
Clinical data show that there are really few transplantation transfers.
But the patient in front of him had another complication - bleeding.
Zhao Wenhua was manic in his heart. It was so bad that he was so angry that he carefully burned blood vessels when he removed the needle. The needle even caused bleeding.
It's really fucking.
The only thing I hope for now is to stop the bleeding by itself.
Three sets of hemostatic drugs were used, and even the micro-pump pump was used to pump posterior iloxin into the pituitary gland, and the bleeding was still unstoppable.
Thoracic surgery consultation, Fang Linlai's chest vial was removed.
In just a moment, the chest vial was almost full, so Fang Lin had to use hemostatic forceps to clamp the chest tube. He judged that the patient was likely to have a thoracic surgery. However, after explaining to Zhao Wenhua that it was a thoracic judgment, Zhao Wenhua refused the suggestion of thoracic surgery.
In fact, Zhao Wenhua's idea is also very simple. How thick can the radio frequency needle be? However, the thickness of an ordinary needle will not cause much damage to the blood vessels. Moreover, there are no large blood vessels at the point where the needle is inserted, and it is carefully burned when it is released.
I have done everything I can do, and even if I have bleeding, I probably should stop it. If I open my chest at this time, it will be at least a medical accident.
Wouldn't it be better if you could stop the bleeding by yourself?
Now that the dispute between doctors and patients is so serious, normal complications are considered medical accidents, I am really distressed. Zhao Wenhua is worried, pulling his hair down one by one.
Fang Lin sighed helplessly and went back. He was just a doctor who consulted and did something related to him. As for whether the patient should transfer to general chest surgery, Zhao Wenhua would have to make the decision.
This is the medical industry rule. Fang Lin can’t just drag the patient to the operating table and do it.
Zhao Wenhua was worried when he watched the film. He recalled the operation carefully, and there was nothing to improve. He was also trembling and his level reached its limit.
As long as it is surgery, there will be complications. No matter how high the level is, it cannot be avoided.
Zhao Wenhua tried his best to avoid it and waited for Zheng Ren to make a mistake first. That guy was like walking a tightrope. No matter how difficult the surgery was, he had to try it. It would be strange if he didn't make a mistake.
But something unexpected happened. Zheng Ren did not make a mistake, but he made a mistake first.
The patient's postoperative bleeding was not because he made a mistake, but because he was not lucky and had complications. (Note 1)
If Zheng Ren was not present, Zhao Wenhua would have admitted that he had fallen into the patient. He was sent to the thoracic surgery department for thoracoscopy to stop bleeding. The small procedure would be able to solve the problem soon. However, after Fang Lin made the suggestion, Zhao Wenhua felt that this was a conspiracy.
No one in the hospital doesn’t know what the relationship between Fang Lin and Zheng Ren is.
Zhao Wenhua knew about that accident and that rescue. This was Zheng Ren, a dog. He looked at him fiercely and waited for him to make a mistake. Zhao Wenhua thought to himself and refused Fang Lin's suggestion without hesitation.
Just waiting for Fang Lin to leave, Zhao Wenhua began to hesitate and became anxious again.
What should I do if the bleeding cannot be stopped? He went to see the patient's blood pressure almost a few minutes, for fear that the blood pressure would not be stopped. At that time, he would have to go on stage.
Hopefully, don't do this.
Every fluctuation of arterial blood pressure monitoring will make Zhao Wenhua's heart beat continuously. As soon as he rises, he sees hope. When he falls, he feels like he falls into hell.
It was already three in the middle of the night, and he was still observing and judging anxiously.
Zhao Wenhua never opened the hemostatic forceps again, and he gradually had a way of thinking. The bleeding was because the patient had negative pressure in the chest cavity, and the bleeding could not be stopped at all.
There is only one way to change the negative pressure state - let blood accumulate throughout the chest cavity.
After that, the blood vessels are blocked and the bleeding stops, and slowly solving the problem of atelectasis seems to be a solution.
After hesitating for a long time, Zhao Wenhua decided to adopt this method.
Despite this, he still took care of the patient very carefully. Later, he simply stopped walking around and took care of himself in front of the bed. At this time, he was worried about anyone. Only when he was in front of the patient's bed would his nervous heart be more stable.
The situation has not improved or worsened, but it has not changed. The blood pressure is maintained at 80/40 mmHg under the premise of continuous blood transfusion, which is considered hemorrhagic shock, but it is not serious.
In addition, the patient's preoperative basal blood pressure is relatively low, which is acceptable.
But, such a night is so difficult.
Almost every doctor has had such nights, more or less.
If it weren't for Zheng Ren, Director Wei would probably still be undergoing extremely complicated surgery on the operating table... No, if Zheng Ren was not there, the patient would have died when he was on stage, and there would be no need to suffer.
After watching the movie again, Zhao Wenhua returned to the patient's bedside, sat on the bench, staring blankly at the monitor.
The patient's family was grateful and explained that there were complications before the operation, but they encountered it unexpectedly.
This is a bad luck, and the patient's family is reasonable and recognized.
Professor Zhao has been taking care of the bedside since the situation occurred, and the patient's family expressed gratitude. Only Zhao Wenhua himself knew in his heart that what to do was the best choice.
It's just that he can't make that choice.
Although it was just an ordinary complication and no one could avoid it, Zhao Wenhua still wanted to try not to enter the palace as much as possible and could not give Zheng Ren the handle to attack him.
Zheng Ren was fine. When Zhao Wenhua thought of Su Yun, who looked like a boys' star next to him, he couldn't help but get bored from his eyes.
That person has the worst mind!
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Chapter completed!