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707 You are not good enough (Leader ynaB4)

"Mr. Sun, for similar surgery, the effect of intervention is to open blood vessels. Is there any other use?" Xie Ning asked.

"Uncle Ning, it is already amazing to be able to open blood vessels. Especially for this critical and critical traumatic thrombosis, wherever it is opened, the limbs... can be saved by 5-10m up." Mr. Sun explained: "However, interventional thrombosis is difficult. Thrombosis is more than 6 hours long, and thrombosis is particularly difficult. If I don't intervene, I don't understand it very much."

Xie Ning nodded without saying a word. He looked at Zheng Ren who started the operation inside and felt thoughtful.

Soon, the screen in the operation room lit up.

The guidewire extends along the femoral artery, but it does not go very far, and the catheter is also placed in place. The moment the screen lights up, the imaging has begun.

The contrast agent was blocked before going far. The injured person's thigh was less than 1/3 of his thigh, and his blood vessels were severely blocked and blank. This means that blood clots continued to form and had spread from below the knee joint to 1/3 of his thigh.

Ischemia, ooze, and edema cause the injured person's condition to continue to worsen.

In the past two days, there have been too many similar injuries, and Mr. Sun has become numb.

If you bet on emotions, even if you only have a trace, the doctor would have been emotionally broken long ago, so that more people would not be able to receive treatment.

Now, all doctors only focus on the condition and do not think about other situations of the injured.

It is a blessing in disgrace to be able to survive from the front.

On the screen, after the imaging was completed, the surgeon did not stop stepping on the line, but pulled out the ordinary catheter, and the duct removal catheter was immediately removed.

It was the key to the operation, Mr. Sun knew.

The emboli has been formed for at least 6 hours, or even 36-72 hours. It is not considered a fresh blood clot, and it is extremely difficult to remove it.

But the craftsman insisted on doing it, and he should be able to get a piece of pentagram. Mr. Sun had this confidence.

Under the current circumstances, people who are less than the level will never dare to waste time trying again and again. The mountains of wounded people outside are a huge pressure in themselves.

In this case, it is not the time to show off. Do what you can do, this is the key.

"Huh? Uncle Ning? You are not busy, why are you free to come?" Su Yun's voice came from the door of the operating room.

"Su Yun, let me see what's going on here and I know what's going on. Is there nothing wrong with you?" Xie Ning smiled and said, "Did you do the surgery very quickly?"

"It's because the boss did the surgery quickly, and it has nothing to do with me." Su Yun said: "Mu Tao can only make one for forty minutes, and it's as slow as a ox puller."

When Su Yun talked about Mu Tao, he was stressed, as if he had nothing to do with him.

Well... Mr. Sun was stunned.

An interventional surgery for severe pelvic fracture in 40 minutes? It's almost flying, okay?

Why did you become a slow cart with a cow?

He turned his head and glanced at the person who came in. It was a handsome young man.

I’m so angry. Do young people nowadays speak like this? When I was in emergency room and first aid, I didn’t say anything serious at all?

Perhaps, is this the style of their operating room? It is possible. In the operating room of each hospital, the chat style is different. In short, the simpler and easier it is, the better. But which doctor is this? Why is it so inappropriate?

"It's pretty good." Xie Ning smiled.

"Director Jiang, what is the boss doing?" Su Yun asked.

"Ethrotosis surgery." Director Jiang replied.

"Oh, has he slept for a while?" Su Yun asked.

"I just slept for about ten minutes."

"Do it, I'll be exhausted sooner or later." Su Yun cursed.

The few people standing in front of the operating table felt depressed. They had been busy with the operation for at least 36 hours. They had crossed mountains and rivers to transport seriously injured people, and Su Yun was telling the truth.

But, so what?

There are more than a dozen seriously injured people waiting for amputation lying outside. If the thrombus surgery can be successful, it means that the limbs will be kept as long as possible.

Mr. Sun was stunned for a moment and felt a little sighing. When he looked back at the screen, he was shocked to find that the duct removal catheter was no longer in the femoral artery.

Is it an operational error? It must be.

If you get sleepy like this, you will inevitably make mistakes and it is not a big deal.

But...it seems a bit different from the image.

He looked carefully and found that part of the thigh femoral artery seemed to be opened, and the residual contrast agent was spreading in the next capillary branches at a speed visible to the naked eye.

This means that the capillaries have not been completely blocked soon after the blood supply is lost. Once the femoral artery is opened and the blood flows down, the arterial pressure will reopen the capillary network.

Just as I was talking, I took a piece of pentacle?

This speed is too fast.

However, Mr. Sun was not surprised. The operation had just begun. The blood clots in the femoral artery were full. Only one section was removed, which was not particularly helpful to the overall condition and subsequent surgery.

What's more, I'll see again.

"Orthopedics?" Su Yun came over, glanced at Mr. Sun and asked.

Uh... the tone of speaking was very unfriendly. Mr. Sun was surprised. He didn't seem to offend this person, why did he talk to him in this tone?

I was a little dazed, but I couldn't make it up because of this little thing. Everyone was very angry. Mr. Sun knew. He nodded and said, "Well, I am the hospitalization director of the orthopedic department of the provincial hospital."

"The hospitalized officer, is your director here?" Su Yun asked in a lazy voice.

"The director stayed at home. I was pulled over to the emergency room for emergency treatment as soon as something happened." Mr. Sun became more and more annoyed by this sissy and was perfunctory.

"You may not be able to do the surgery..." Su Yun lengthened his tone, and then seemed to be thinking about something.

"I have done it, and I will definitely do it." No matter how good Mr. Sun has a good temper, he couldn't help it. He said coldly.

"Haha." Su Yun smiled, "Following the symptom, the compression should be at 5-6m below the knee joint. The distance is very short. Are you sure to protect the knee joint?"

"Uh..." Mr. Sun hesitated for a moment. In his opinion, the knee joints would definitely not be preserved. The efforts made by the surgeons who are undergoing surgery were to open blood vessels as much as possible, so that the postoperative compartment syndrome would be lighter, heal faster, and cut off a section of the thigh.

"And I see what the boss means. You should not use tourniquet when you amputate your limbs." Su Yun squinted his eyes and looked at the screen, muttering on his lips.

Even he himself didn't believe what he said. However, Zheng Ren struggled to remove the thrombus and open the artery. Generally, it would take at least 12 hours to open the capillaries before the operation was performed.

This is a special thing in a special period.

Usually, we rarely encounter patients who are squeezed by heavy objects for more than 1 hour. Now, 1 hour is considered a fresh squeeze injury. Most people are squeezed by heavy objects for about 1-2 days, and the trauma and necrosis are severe.

At this time, the capillaries are opened and the necrotic tissue will be absorbed into the blood, causing serious complications such as bacteremia and acute renal failure.

Therefore, you must not wait 12 hours before undergoing amputation surgery. Instead, you must hurry up. It is best to start amputation immediately after opening the blood vessels to remove necrotic tissues and minimize the possibility of complications.

Mr. Sun was stunned. There was no tourniquet required for amputation? What should I do if I had bleeding? That was the femoral artery, which was like the blood flowing into a river after the incision.

"So, it's useless to see it. Go and find someone with higher level to come over." Su Yun hugged his arms, looked at the operation on the screen, and exclaimed: "If you want to say that the boss's surgery is getting more and more proficient, it's really amazing."

The tone of praise for Zheng Ren is completely different from the tone of speaking with Mr. Sun, as if he had changed his name.

Sun Zhenxing was stunned. This man really turned his back faster than turning a book. Is the operation good? It may not be. Although he didn't know how to intervene, he couldn't help but complain a few words.

He was a little angry. Even his director never choked to talk to him so much. Who is this person? Why is he so annoying?

But no matter how annoying you are, you can't argue with others in the operating room. Sun Zhenxing let out a long sigh and tried his best to keep himself elegant.

During a few breaths, Sun Zhenxing's mood stabilized.

He focused on the operation and suddenly saw... the thrombectomy catheter was taking out a large section of blood clot from the anterior tibial artery and pulling it out.

Have you passed the knee joint?
Chapter completed!
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