As he was talking, Director Liu Jian of the interventional department came to the door with a thick bag of materials.

first said hello to Gao Yong, then pulled a chair and sat down next to Yang Xi.

Yang Xi gave way to the side, and said with a smile: "Director Liu, whether a man is a man or not, don't think about having a foundation with me." ”

Liu Jian didn't eat this set at all, Yang Xi let him, so he continued to stick it, and put his arm on Yang Xi's shoulder. "Don't hide, brother, I've been coveting you for a long time. ”

Yang Xi turned around, hooked Liu Jian's chin with his fingers, and said with a smile: "Old girl, give the master a smile!"

Liu Jian is a few years older than Gao Yong, and if you round it up, he is already fifty years old, but he is born with a good temper, and he can joke and chat with anyone, especially the most iron relationship with Director Ma.

In line with this relationship, Liu Jian and Gao Yong and Yang Xi are naturally very familiar with each other.

After the joke, Liu Jian put a thick bag of patient information in his hand into Yang Xi's arms, and said, "Help me take a look at this patient, small nodular liver cancer, which was intervened in me three months ago, and it is useless, and it is still thriving." ”

Yang Xi opened the information bag, took out the information in the bag, and a bunch of people surrounded him, and then divided the information into two.

Spread and see, look at the medical records and how long the experience is.

"Director Liu, you objectively said that what is the effect of interventional methods for liver cancer?" Yang Xi looked at the film and asked casually.

Liu Jian said: "Half to half, it still depends on the type." ”

"I have read a medical book, in which the male No. 1 has a lot of experience in the interventional treatment of liver cancer, and has created a unique one that uses three-dimensional reconstruction technology to select interventional approaches, and the effect ......is good," Yang Xi looked at the patient's latest CT film, and then found out the CT film before the interventional surgery three months ago, and carefully compared.

Liu Jian smiled: "That male number one also won the Nobel Prize for this, right?"

Yang Xi was pleasantly surprised: "Have you read that book too?"

Liu Jian said: "The book is a good book, fascinating, and creates a very positive and very good image of a surgeon, but professionally, we dare not compliment, but it can be seen that the person who wrote this book is an insider, but he has rubbed the professional content into his fantasy." ”

Yang Xi nodded and continued: "Then what do you think of the prospect of interventional therapy for liver cancer?"

Liu Jian sighed and replied, "I'm not very optimistic." ”

Yang Xi took his eyes off the CT film in his hand and fell on Liu Jian's face, and said with some surprise: "Your answer is a little unexpected!"

Liu Jian smiled: "Did it frighten you?"

Yang Xi pouted and smiled: "Homophonic stalks, it's not fun." ”

Liu Jianzai sighed and said: "To tell the truth, interventional treatment of liver cancer is nothing more than two methods, one is to close the blood supply of the cancer lesion, and the other is to inject chemotherapy drugs locally. As for local chemotherapy, it is also in vain, the blood supply cannot be sealed, and the chemotherapy drugs cannot be saved. ”

Yang Xi said: "Then you can intervene many times, such as sealing it once a week, and sealing it four or five times in a row." ”

Liu Jian smiled bitterly: "I think that the patient must be able to bear it." ”

Yang Xi frowned and said, "Economic problems?"

Liu Jian shook his head and replied: "The economy is a problem, but not the main one. ”

Yang Xi continued: "The patient's coagulation mechanism can't bear it, right?"

Liu Jian sighed and said, "Yes, once a week, the effect is definitely good enough to go to heaven, but it's a pity that the concubine can't do it!"

Interventional surgery is a kind of minimally invasive surgery, which opens a small opening in the vein on the surface of the body, inserts a catheter guidewire, follows the direction of the blood vessel, sends the catheter guidewire to the lesion, or injects drugs, such as sealing the blood supply of the cancer lesion, or placing stents and other treatment equipment, such as cardiac stents, and then packing coils for the treatment of cerebral aneurysms.

Compared with traditional treatments, interventional surgery is very less invasive to patients, and the clinical effect is not worse than traditional methods, or even better.

However, interventional procedures have a significant impact on the patient's blood system.

When a catheter or guidewire more than one meter long or longer is inserted into the blood vessel, the blood system is bound to have a stress response, the most common is the aggregation of platelets and the formation of blood clots. For this reason, high doses of anticoagulant drugs, such as heparin, must be given at the time of interventional therapy. Although heparin is metabolized quickly in the body, the recovery of the blood system requires a process, and if high-dose heparin anticoagulation is repeatedly used in a short period of time, it is easy for the patient's coagulation mechanism to have problems.

The cancer was not killed, but a diffuse hemorrhage of multiple organs was created, which was more than worth the loss.

Many people think that the risk of interventional surgery is very low, which is definitely a misunderstanding, in fact, there are many complications of interventional surgery, in terms of the probability of producing moths, the general surgery ranks first, and the intervention and obstetrics and gynecology are tied for the second.

As for the most sacred brain surgery in people's hearts......

If you want to comment that among all surgical specialties, extracerebral surgery is the easiest, will you be beaten?

But that's exactly what happened.

A general surgeon, who changed careers to do brain surgery, can be on duty independently for a maximum of one year. But in turn, a brain surgeon came to the Department of General Surgery, and a year later, he could only work as a small follower.

The reason for this is that the anatomical structure is relatively complex, and the functions of tissue organs are also relatively complex.

"This patient was in good condition three months ago, why didn't he send it for cut?" Yang Xi glanced at Liu Jian, his expression slightly dissatisfied.

Liu Jian replied solemnly: "This, we have to make it clear, don't you think that I, Liu Jian, left this patient for intervention for the benefit of the department, just this patient, I first looked for Qin Lao Ghost, and then I also found Lao Ma, but neither of them wanted to take it, what should I do?"

Yang Xi patted his head, grandma has a leg, confused, a few months ago, he hadn't come to the municipal hospital, and he hadn't opened it, just the difficulty of this operation, whether it was for Qin Laogui or Director Ma, it was quite difficult, and he was not sure, so he was naturally unwilling to take over.

"Then you don't know how to go to Liuquan Town to find me?" Yang Xi said seriously.

Liu Jian also patted his head while learning from Yang Xi's appearance, and replied: "Yes, why did you say I forgot about this stubble at that time!"

Yang Xi smiled: "Okay, I won't talk nonsense with you, this patient still has a chance to operate, laparoscopy is unlikely, but pulling a big knife, it can still be cut." ”

Liu Jianxi said: "That's great, I'll go and tell the patient." ”