Chapter 220: The Shock of the Interventional Department (Part 1)

Jia Yanguan, director of the interventional department, was a little speechless when he saw Director Qian coming to him and said that he wanted to borrow an operating room for surgery, so he said to Director Qian that he would not let the patient transfer to their interventional department for interventional surgery?

That's not how you want to get a commission.

But when Director Qian was about to operate on Uncle Zhou Tianlei, he was instantly stunned.

He looked at the medical records, and he had consulted with someone from the neurology department in the morning. This surgery is too risky!

Jia Yanguan pulled Director Qian to the side and whispered, "Old Qian, don't you know that the risk of this operation is unusually high? If the patient has a cerebral infarction during the operation, the problem will be a big problem!"

"That kid had been in my emergency department for a while, and the patient was his uncle, and he asked me for help, and of course I had to help. Director Qian pointed to Zhou Tianlei in the distance and said softly.

"Even if he has been in your emergency department, you should know the risks of this operation! I advise you not to take this risk. In case something happens during the operation, you have to bear a lot of responsibility!" Jia Yanguan said seriously.

"Or is that kid signed and you don't have to be responsible for the accident during the operation?"

"No!" Director Qian shook his head, and continued: "I have come up with a brand new surgical plan, and the operation has a great success rate!"

When Jia Yanguan heard this, he was taken aback, and hurriedly asked: "What is the solution? Can solve the problem of straying into the dissection and avoid the left vertebral artery?"

These two problems are so fatal that they and the neurologists have been thinking about it for a long time, but there is no more feasible and big enough surgical plan!

"Of course it can be solved, and my surgical plan is like this. A dual-approach approach is adopted in the ward, and puncture and catheterization are also performed through the left radial artery. On the other side, the guidewire enters from the radial artery and then exits through the femoral artery!

"Hey, this double approach is amazing! revitalize the whole operation!" Jia Yanguan, as the director of the interventional department, is of course very rich in interventional experience. As soon as he heard Director Qian's idea, his eyes lit up. His train of thought was instantaneous!

"Old Qian, old Qian, you are worthy of being a general practitioner, you can even come up with such a surgical plan, it's too awesome. Jia Yanguan admired.

"Hehe, I didn't come up with it. ”

"What, it's not you? who is that?" Jia Yanguan was stunned. His interventional and neurology departments were helpless. If it wasn't for Director Qian, a general practitioner, who else in the hospital could come up with it? Could it be that Lao Qian turned to his teachers for help?

"Dr. Nguyen Bin Nguyen from our emergency department. Director Qian said.

"Ruan Bin, your little genius in the emergency department?!Oh my God, he can come up with this idea?" Jia Yanguan was shocked.

Last time, he asked Ruan Bin to come over and help with zero-contrast coronary stent implantation, and he was shocked.

Now I can even come up with a feasible solution for this super difficult surgery, which is really genius!

It's really a terrible thing for such a genius to waste in the emergency department, if you can dig up their interventional department, hehehe!

"Old Qian, why don't you transfer Ruan Bin to my interventional department, I think he can definitely show his strength in the interventional department, maybe he can invent a new interventional procedure, do you want to think about it?" Jia Yanguan said with a smile.

"Get out!"

“......”

Soon, when the people in the emergency department wanted to perform this interventional operation on Uncle Zhou Tianlei, many people were shocked.

In particular, Deputy Director He Weicai was very surprised when he heard about it: "How dare Director Qian take over?"

"They changed the interventional approach, and this surgical plan should be fine. ”

"It is worthy of being the director of the general department, very powerful. ”

"He didn't come up with it, it was Ruan Bin!"

"What?

............

In the operating room.

The operation has finally begun.

Director Qian was the chief sorcerer, Ruan Bin was an assistant, and even Jia Yanguan came over to join in the fun as the second assistant.

He mainly came to see the new approach to this surgery. This is an additional experience for him to encounter similar complex patients in the interventional department.

Anesthesia is effective.

Director Qian began to try to puncture the left radial artery!

At this point, the detector shows that the left radial artery pulse is so weak that even the artery is gone. The difficulty of the piercing is very huge!

"Old Qian, do you want to change me to pierce it?" Jia Yanguan asked with a smile. He plays with interventional surgery almost every day. Director Qian didn't play much in the emergency department. In terms of proficiency, he is definitely higher than Director Qian!

"Hehe!" Director Qian glanced at the other party, and the piercing needle in his hand pierced directly.

"Didn't hit, haha!" Jia Yanguan gloated.

"What's the fuss, even if you come here, you may not be able to succeed in piercing it once!" Director Qian pursed his lips, pulled out, and went down with the second needle.

Jia Yanguan was blushed by Director Qian's words, because he didn't dare to guarantee that he would be successfully pierced every time.

"The piercing was successful!" Ruan Bin looked at the TV surveillance and spoke.

is worthy of being a veteran driver of the whole department, and he has succeeded twice, which is already very good.

Of course, if with his world-class level. It should be right the first time!

The next step is to open the subclavian artery occlusion after the left radial artery is successfully catheterized......

Director Qian is very steady every step of the way.

Minutes and seconds passed.

Soon, another crucial step arrived.

I saw Director Qian manipulating the arterial guidewire to enter from the radial artery and then from the femoral artery, and then dock with the subclavian artery.

"I can't find the femoral artery!" When Director Qian manipulated the arterial guidewire from the subclavian artery to enter the femoral artery, he found that he couldn't find the femoral artery and couldn't complete the precise docking!

"Come again!"

Still failed.

"I just said that this surgical plan is good, but the operation is not easy, try it for me?" Jia Yanguan said.

"You try. Director Qian nodded, and did not force his face.

Jia Yanguan came to the position of the main knife and began to operate.

A minute later.

"Ahem...... Failure is the mother of success, do it again!" Jia Yanguan's old face turned red, he also failed!

"Playing interventional surgery every day, and playing such a dish, it's a shame. Director Qian said with disdain.

“......”

The second time, continue to fail!

The third time, continue to fail!

"Fake, no, we need to look into it. Jia Yanguan stopped.

"Why don't I try?" said Ruan.

"Let him try, he's very slippery blind!" Director Qian nodded.

Ruan Bin.

At this time, he has a world-class subclavian artery stent implantation, with experience and the pinnacle of operation methods, this soon completed the difficult precise docking, as if completing a needle in the body, which built a perfect bridge for subsequent balloon expansion and stent implantation!

", cow break!" Jia Yanguan was dumbfounded.

"Look at it, every resident doctor in our emergency department is better than you!" Director Qian said with a smile.

"It's as if you've succeeded. ”

“......”

The operation was continued, and finally the occluded blood vessels were opened, the patient's intracranial blood supply was restored, and the symptoms of numbness and weakness in the upper limbs disappeared.

I believe that I can be discharged from the hospital tomorrow or the day after tomorrow!

The operation went smoothly and bypassed the most difficult occlusion area and did not force the crushing area. Therefore, there is no cerebral infarction because the branch of the subclavian artery supplies blood to the brain. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~