Director Xiong hurried to the Fourth Hospital. He changed his clothes as fast as he could, and rushed to the intervention room, "What's the situation...... Dean Wu?!" He was startled by the old dean who suddenly appeared on his own turf.

"I'm leading the team to support. After explaining the reason why he suddenly appeared in the fourth hospital, Dean Wu Youqian pointed to the patient lying on the operating table, "This is a plague patient with DIC precursors and severe gastric fundus venous bleeding. Because of the presence of DIC, gastroscopic hemostatic agents or banding cannot be used, and only interventional embolization of the gastric fundus vein can be used. ”

This was a very serious challenge, but Director Xiong Chumo himself quickly calmed down. He looked at the angiogram data performed during the patient's previous preparation, pondered for a moment, nodded, and gave his opinion, "It's a bit risky, but it's worth a try." ”

For technical departments such as interventional or imaging, the age of the department director is generally not too old. Director Xiong is probably the youngest director in the entire Fourth Courtyard - if a guy like Sun Lien, who is nicknamed "Director", doesn't count, Director Xiong, who is two years younger than Zhou Jun, is indeed the youngest director in the entire Fourth Academy.

"Then work hard for you and do it as soon as possible. After hearing the affirmative answer, Wu Youqian breathed a sigh of relief. If Xiong Chumo can't handle this gastric vein embolization, the only option is to band the scalp or simply perform gastrectomy on the patient. However, banding still does not prevent subsequent bleeding, and gastrectomy poses a greater risk. Either one is a way to quench your thirst.

Under the current conditions, only embolization can save lives.

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Due to the influence of venous valves, venous-related interventional surgery cannot start from the limbs like arterial intervention, so the initial operation is more difficult than arterial intervention. The only good thing is that the veins are generally thicker than the veins, and the internal pressure is not as great as the arteries, as long as the needle can be successfully inserted, at least the follow-up trouble will be slightly less.

"The left and right main branches of the portal vein are unobstructed, and there are no emboli and spongy lesions. Director Xiong reconfirmed the observation results of the ultrasound, not that he didn't trust the other doctors in his department, but it wouldn't hurt to reconfirm this kind of examination that didn't require too much time and effort. "DSA is on, ready for photography. ”

Under the fluoroscopy of the digital subtraction angiography instrument, the 22G Chiba needle pierced Hou Huiying's flank through the midline puncture of the right axillary, and continued down to a depth of about six centimeters, and then the Chiba needle pierced the right branch of Hou's intrahepatic portal vein. Using the channel established by the Chiba needle puncture, Director Xiong slowly sent the 0.035-inch guidewire in his hand into Hou Huiying's superior mesenteric vein.

This step he did very slowly, and through such a complex vascular structure, it required a very steady pair of hands, and an extraordinary amount of patience - it was like controlling a thin, soft wire through a large mass of intertwined water pipes. You can't pierce the pipes, you can't scratch them, and you'll only see a projection from a certain angle — yes, only a projection.

This requires not only sufficient experience and skills, but also excellent knowledge of vascular structure and three-dimensional thinking skills. The blood vessels of the human body are absolutely unable to resist the puncture of metal guidewires. Therefore, when performing interventional surgery, Director Xiong must pay special attention to the touch from the guidewire on his hand. In this way, he can stop his hand before the guidewire accidentally penetrates the blood vessel, and adjust the direction of the guidewire to penetrate.

The whole operation highlighted the word "slow". Forty-five minutes after the operation began, Director Xiong finally delivered the guidewire to the bleeding gastric vein.

As a Class A infectious disease, plague falls under the category of free treatment by the state. But in general, the scope of free treatment is mainly focused on the plague itself, and it is likely that the coils used to embolize blood vessels are beyond the scope of payment. This fee was paid in advance by the four courts.

Regardless of whether the National Health Commission can allocate funds in the future, at least for now, it must be coiled for embolization treatment. This was the largest consensus reached after a quick discussion between the support expert group and the management of the four houses.

After the vascular sheath was installed, the operation finally began. Absolute ethanol and gelatin sponge fragments are injected as a hardener of the arteries first, but this step can be avoided because Hou Huiying does not have gastric varices caused by cirrhosis. Then the coil is fed in, and the coil is released. It took only ten minutes to complete. Finally, the bleeding opening is blocked by using a spring coil to slow down the blood flow window, using 5% sodium cod liver oleate and gelatin sponge particles.

"Portal manometry, 23.2 cm H20. Director Xiong glanced at the instrument, "It is 1.6cm higher than before the embolization, and the embolization is effective." ”

An increase in portal vein pressure means that embolization of the gastric vein has been successful. This can also be seen in the retardation of the contrast agent in the fundic veins.

"That's it. The rest of the work can be left to the other doctors to do, Director Xiong shook his hand and frowned, and said to the nurse on the side, "Help me press my hand, I have cramps." ”

"This intervention room needs to be closed and thoroughly disinfected. Seeing that Xiong Chumo had completed the operation, Dean Wu Youqian, who had been standing next to him, said, "Thank you for your hard work, you are a great hero today." ”

Director Xiong grinned at the nurse and said to Wu Youqian, "It's all my job, and this is nothing." But...... Dean Wu, you only came this time because of the plague patients?"

Wu Youqian smiled kindly, drooped his eyelids, and covered the light that flashed in his eyes.

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The surgery went well, which is a good thing. But for Tang Wen, who woke up, when he opened his eyes, he found that his mother was not around, which was simply too bad.

"Your mother has a stomach ulcer, right?" Sun Lien noticed that Tang Wen was in a state of "panic" on his head early in the morning. He could guess on his heels that he was worried that his mother was suddenly pushed out of the clean room, which might mean that she was dead. Now explain to him, Tang Wen will not believe it. It's better to take the initiative and resolve the entanglement in his heart. "Just now we found out that she had stomach bleeding, and we pushed her directly to the operating room. ”

Sun Lien spoke to Tang Wen through the intercom through the glass wall of the clean room. Neither the CDC doctors nor the expert group doctors in the room had yet to notice that Tang Wen was awake — they were startled by Mr. Sun's sudden remarks. Halfway through hearing this, they realized that it was probably Tang Wen who had woken up, and Dr. Sun was calming his emotions.

"As for these people around you, don't be too nervous. They are all doctors. Sun Lien saw that the state bar of "panic" showed signs of fading, and hurriedly continued to hit the railway while it was hot, "The situation of you and your family is relatively stable. Don't worry, we'll do everything we can to treat you. ”

"Sun Lien, come here. As soon as Sun Lien finished the conversation, Dean Song's voice came from behind him, "I have something to talk to you about." ”