Live Surgical Broadcast
v1 Chapter 361: Just cure
"Director Kong, have you asked?"
"Oh, ok, wait a moment, I will remember."
Zheng Ren said, while picking up the pen, he found an A4 paper with the last process of treating the patient in the Imperial City.
They are all old doctors, and there is nothing nonsense. Although there are not many, they are all said to be dry.
The treatment process in the Imperial City is similar to that of Zheng Ren. It is also intravenous injection of low molecular weight heparin sodium, followed by thrombolysis. They are afraid that there will be emboli, and a venous filter will be placed to filter the thrombus.
Of course, the patient is going to have a miscarriage.
Because of the special constitution, without abortion, the situation of thrombocytosis does not improve, and the thrombus will continue to be produced.
The approximate process of treatment is almost the same as what I thought. Zheng Ren just hangs up the phone with confidence.
Continue to explain the condition to the patient's family, sign, and then Zheng Ren handed over the pre-operative communication to Yang Lei on duty, and then returned to the operating room again.
Professor Rudolf Wagner wore a surgical gown and sat on a white bench, boring waiting for the end of the thrombolysis time.
The patient's vital signs have gradually stabilized and the oxygen saturation has risen to 90%.
This is also timely diagnosis and treatment, and sent to the hospital for treatment at the first time of the onset. If you delay for a while, it is not so easy to recover.
"Fugui, how long has the thrombolysis?" Zheng Ren asked.
"Urokinase has been given for 15 minutes. Look at the situation, it should be almost the same." Professor Rudolf Wagner said: "Boss, the consumables you choose are really rough."
As soon as the professor started to spray the wind and the wind was minimally invasive, Zheng Ren was also more helpless.
Imported big manufacturers have nothing to do with themselves, and they can't be on call. The long-wind minimally invasive consumables should be imitation, the quality is slightly worse, but the advantage is that it can be delivered in time, and the price is relatively close to the people.
Yes, it is better than nothing.
Because the hospital did not carry out similar operations, and there was no independent vascular surgery for interventional surgery, no corresponding materials were purchased.
You can only take temporary purchases, which is a responsible choice for both the hospital and the patient.
As for the ease of use, Zheng Ren also knows that compared with the consumables of foreign major manufacturers, it must be worse.
It is reasonable to teach the spray.
Feng Xuhui stood in the corner of the operation room. When he heard the professor's words, his face was black.
Zheng always can't refuse to use his family's consumables. This big leg must be hugged.
"Nothing, let's make use of it first." Zheng Ren smiled and began to change clothes and brush his hands.
Feng Xuhui was relieved when he heard the words of Zheng Ren.
In this way, it is certainly not a long-term solution. When the next meeting is held, it must be reported to Chairman Ma. Whether it is materials or crafts, it is true that time is changed and strengthened.
Feng Xuhui thought of it.
After half an hour of urokinase thrombolysis, Zheng Ren has already brushed his hands and went to the stage to prepare for surgery.
The lead door slowly closed, Zheng Ren stood in the position of the surgeon, and the professor still served as an assistant.
Inferior vena cava filter implantation, in general, is the most difficult, the most difficult step - emergency rescue of pulmonary embolism has been smooth, Zheng Ren did not go to the system operating room alone training, they began to operate directly.
The puncture of the catheter thrombolysis was completed. The professor has placed the 9F filter delivery sheath and then slowly placed the filter through the delivery sheath.
The windy minimally invasive lower cavity filter is a replica Simon Nitinol filter.
The whole is mushroom-shaped and consists of a "roof"-shaped head and a pyramid-shaped tail.
This special shape has an unparalleled advantage. The SimonNitinol filter is a fourth-generation filter that combines the advantages of all previous products and is improved.
The mushroom-shaped shape can block the blood clots to the maximum extent and prevent the blood clots from passing through the filter, causing pulmonary embolism.
Although the technology of Changfeng Minimally Invasive is relatively rough and simple, the material of the filter is titanium-nickel memory alloy, which does not cut corners.
This point, Zheng Ren is still quite satisfied.
The filter enters the lower cavity from the femoral vein, and Zheng Ren begins to step on the line.
Slowly send the filter up the inferior vena cava until the lowest level of the renal vein, Zheng Ren opened the filter.
Because of the blood flow velocity and stress below the level of the renal vein, the possibility of further dissolution of the "card" thrombus can be increased.
More importantly, such an operation does not affect the function of the kidney due to the insertion of the filter, and tries to avoid the following complications.
After placing the filter, Zheng Ren began pulmonary angiography.
Seeing that most of the pulmonary embolism has been dissolved, Zheng Ren is relieved.
Withdrawal to the delivery system, Zheng Ren left, the professor has already remembered that the post-pressing work is his own. He did not leave at the same time as Zheng Ren, and made a good scene.
When pressure was used to stop bleeding, Zheng Ren began to change clothes.
The entire operation took less than an hour, and more than half of the time was also used for pulmonary thrombolysis.
This is because the discovery is earlier, and the diagnosis and treatment are timely.
Zheng Ren is also very emotional, this girl's luck is really good. Pulmonary embolism, the disease, was attacked twice in succession.
I don't know if she will learn lessons, in the future...
Who knows what will happen in the future. Zheng Ren is only responsible for treating the disease and has no right to control the private life of others.
Even the parents of the patient can't manage it, can they manage it?
After stepping down, Zheng Ren took off the lead clothes and took them into the system space to come to the director of the old Pan.
"What brought you back?" asked the old director Pan.
"Yeah." Zheng Ren nodded. "When the Iraqi people went to eat, they just happened to have an acute episode of pulmonary embolism. They pulled her back to the emergency department and rescued them."
"The luck is really good." Director Pan said the same feeling. "So young, how can I get this disease?"
"It should be during pregnancy, the body's thrombocytosis, leading to the formation of a large number of tiny emboli in the veins of the lower extremities. The embolus is detached and tied to the pulmonary artery." Zheng Rendao.
Director Lao Pan had encountered a similar situation before ~lightnovelpub.net~ It was only at that time that there was no such complete surgical treatment, only thrombolytic therapy.
Most patients, even without a diagnosis of pulmonary embolism, died.
The advancement of the technical level has made many diseases that were once terminally ill become treatable diseases.
The compression stops bleeding and the patient is sent to the ICU.
Zheng Ren is a little embarrassed. After he came to the emergency ward, the frequency of sending patients to the ICU is getting higher and higher.
I am afraid that ICU will become a special intensive care unit in the emergency ward.
And the doctor of the ICU explained the patient's condition, Zheng Ren left, communicated with the patient's family and explained.
The patient's father was a lot older in a few hours, and the wrinkles in his eyes were like gullies and bitter.
Successful rescue is a happy thing. But what about it later?
God knows.