Inner Mongolia, Korqin Right Wing Central Banner.

The Department of Gastroenterology in a Secondary Hospital is conducting a hospital-wide consultation.

The director, deputy director of the relevant department, and the hospitalized officer were sitting in the office, looking through the patient's medical records and films boredly, but no one spoke.

The deputy chief of the medical department who was in charge of the whole hospital looked at everyone, then looked at the time, and said, "Then let's get here."

"Section Chief, do you want it..."

"The patient's diagnosis is clear. It is the advanced stage of cirrhosis. I can only recommend that the patient go to the superior hospital for treatment. In our hospital..." As he said that, he glanced at the silent doctors and shook his head.

Then, he stood up and the deputy chief of the medical department announced the end of the meeting.

The interventional doctor sat in the corner, drooping his head.

He does not think that the patient cannot be treated, but he cannot be treated by himself.

Severe ascites, thin limbs, and the whole person looks like a four-legged spider. He is lying on the bed and doesn't even breathe smoothly.

Listening to the patient's breathing sound like a windbreaker, the interventional physician felt that his airways began to spasm.

I really want to learn from the surgeon in the surgery live broadcast room, but he knew that this was just an unrealistic idea.

He lowered his head and left the Department of Gastroenterology, he sighed a little. This second-level hospital in Korqin looked an incurable disease, and perhaps it was just an ordinary disease in the live operating room.

While thinking about all kinds of mixed thoughts, I walked back to my department.

Just as I was thinking, the sound of a 120 ambulance sounded from my phone.

He immediately became energetic, as if he had invisible injected an adrenaline shot in his in vitro.

He quickly ran to the duty room, took out the PAD from the locker, and then went to a small room as fast as possible, turned on his mobile phone and PAD, and started watching the live broadcast room of the surgery.

In the dark, the interventional doctor felt that today's live broadcast was very important to him.

PAD plays a live broadcast of the patient's surgery, and he uses his mobile phone to view the patient's information.

When a few words fell into his eyes, he was shocked.

My premonition is right!

Spiderman! Boot-like signs! These symptoms are perfectly consistent!

It turns out it is Buga syndrome, not late stage of cirrhosis, stubborn ascites!

His hands trembled slightly, but then he calmed down.

The surgeon in the live surgery room has begun the operation.

The camera machine has returned, and a feeling of regret has risen from the bottom of his heart. But he has no time to regret and think about the possibility of it if it is.

He focused on watching the live broadcast of the surgery in PAD, and tried to remember every detail with his memory that had already begun to decline because of his age.

Although he knew it was impossible, he always had to do something.

The guide wire entered the inferior vena cava, which was wrong! The interventional doctor was stunned for a moment. The guide wire looked wrong!

Familiarity means familiarity, but it looks wrong.

Could it be... the interventional physician had a guess in his mind, but the surgeon in the live broadcast room had not explained it from the beginning, and this time he would not make an exception because he couldn't understand it.

Countless thoughts gathered in the minds of the interventionist, whirling, and turned into huge vortexes.

The operator used not micro guide wires, but the most common guide wires, but the shape was a bit strange... It seemed to be taken down...

When the guidewire enters the inferior vena cava, it ignores countless vein branches and arrives at the position where the contrast agent is blocked.

The interventionist's right wrist seemed to be a marionette, and he moved slightly.

He didn't even realize that his wrist had moved, which was a subconscious action. In the subconscious, when the guide wire came to this position, the next step should be solved.

The interventional physician did not know what the problem was, but felt that the inferior vena cava was blocked by something, which was the source of the problem.

Sure enough, the strange-shaped guide wire moved slightly and directly penetrated the blockage.

Is the inferior vena cava opened?

Immediately, the bracket entered along the guidewire.

The stent was opened, the symptom was evident, and the inferior vena cava was completely unblocked.

The operation is over and the live broadcast room is closed.

It was so simple... The interventional physician sighed, but then an electric current flowed through his body.

This surgery is such a simple surgery, you can do it yourself!

Looking back at the "spider-man" hospitalized in the Department of Gastroenterology, the interventional physician seemed to have some clarity.

He began to search for various information about Bugat syndrome.

As for the operation in the live broadcast room? Such a simple operation, even if you want to forget, there is nothing to forget.

It is to open, remove the stent, symptomography, and the operation is over.

It's simply simpler than appendicitis, an order of geometric magnitude!

You can do it yourself, you can definitely do it!

The interventional physician realized it excitedly. But he immediately suppressed the excitement, settled down, and began to search for various documents about Buga syndrome.

He knew that it was not difficult to carry the load, and he was tired of carrying the load himself.

The TIPS surgery was very simple, and the surgeon was completed with one injection. However, after many days of research, the interventional physician finally gave up.

Surgery video is absolutely not enough.

He was unable to grasp how the craftsman judged where the piercing was the key.

I hope that the interventional surgical treatment of Bugat syndrome will not have the kind of point that is easily overlooked but is crucial!

Looking for and thinking, a few hours later, the interventionist walked around the small storage room excitedly.

The library of the Second A Hospital of Korqin Right Wing Zhongqin Banner, Inner Mongolia has no information, he searched it on the network of the provincial library.

There is not much information about the picture, but I have found two documents about Bugat syndrome.

Compare each other and overlap with the surgery with the patients in the gastroenterology department. The interventional physician thinks he can do it!

Just an extremely simple operation!

Sometimes, there is nothing secret to it if it is broken.

This was the case with tuberculosis more than a hundred years ago. More than twenty years ago, when there was no interventional surgery, Buga syndrome was incurable. Even if there was a problem with the location of the second liver hilar position, the mortality rate was extremely high.

And the condition...is quite simple. A layer of membrane-like substance grew in the inferior vena cava, which was opened at first, and gradually closed as they grew older.

This closure is pathological.

When the inferior vena cava is completely closed in youth, the venous blood return is blocked, and venous return can only be completed through collateral circulation. In order to establish a venous return channel, there will be tortuous veins on the surface of the patient's abdominal skin, like a reptile.

So, everything can be explained.

This is not ascites caused by advanced portal hypertension in cirrhosis, but ascites caused by occlusion of the inferior vena cava!

And it can be cured after interventional treatment!

The interventional physician was excited and virtualized countless surgeries in his mind, without any difficulty!

Go to the Department of Gastroenterology, find the director, and find the patient's family.
Chapter completed!