"Rejected?" Ruan Bin was slightly surprised after hearing this. Although the First Affiliated Hospital of Modu is not one of the top hospitals in China, it is definitely a first-class hospital, ranking among the top 30 in the country.

If you can make people in the interventional department feel that they are not too sure, the difficulty of the operation is definitely very high!

"What disease?" Ruan Bin asked curiously.

"The left subclavian artery is occluded, the left upper limb is numb, sore, weak, dizzy, blood pressure in both arms is contracted, especially the left arm is almost immobile!" Zhou Tianlei sighed.

"Is the occlusion severe?" Ruan Bin asked.

"Well, the result of the examination is that the left subclavian artery occlusion is about 3 centimeters! My dad took him to my city hospital for surgery, but the operation failed, and the operation was immediately suspended not long after the operation began, and the operation was unsuccessful! Later, my dad took him to another city hospital, where the hospital said that the difficulty was too high and the risk was too high, and he did not dare to try the operation. So I'm going to take me here now. In the morning, the interventional department and neurology department consulted. After some research and evaluation, they still felt that the operation was too risky, and suggested that we go to the Beijing Affiliated University in the capital to have a look! It is estimated that the operation over there is relatively high!" Zhou Tianlei said.

"Occlusion up to 3 centimeters, that's very rare. Then you are going to go to the capital now?" asked Ruan Bin. Even the interventional department and neurology department did not dare to take over the situation rashly, which seemed to be very tricky.

Of course, if you sign the operation book and do not hold you accountable for the failure of the operation, I believe they will dare to accept and try the operation.

However, it is not the worst step at present, and there are still options, Zhou Tianlei will definitely not sign so rashly. If he signs it, it will be equivalent to handing over his uncle's life to the doctor.

Success, everyone is happy.

Failure, you can't make the hospital responsible even if you sign!

"I'm still thinking about it, I'm going to come over and ask Director Qian, isn't he a big guy in the whole department, what if he has any way or dares to do it?" Zhou Tianlei said.

After all, he has interned here, and Director Qian will be more thorough in his understanding for the sake of acquaintances.

If you are not an acquaintance, which doctor would reveal too thoroughly to a patient with you? Anyway, it is a sentence, the operation is very certain, or you should be transferred to the hospital. As a doctor, Zhou Tianlei certainly understands this truth.

"Director Qian seems to be operating, but it is estimated that it will come out soon. ”

Sure enough, before he finished speaking, he saw Director Qian coming out of the No. 1 operating room.

"Let's go, go and ask. ”

Director Qian was also very surprised when he saw Zhou Tianlei: "Zhou Tianlei, why are you here?"

"Hehe~ Director Qian, long time no see!I brought my uncle over to see a doctor, the situation is more complicated, can you help take a look?" Zhou Tianlei explained his intentions.

Director Qian looked at the time, it was just time for dinner, and there were not many patients in the emergency department at this time.

"Okay, go to my office. Director Qian nodded.

"Thank you, Director~"

"I'm going too~ By the way, I'm too lazy to go to the canteen to eat~" Ruan Bin also followed.

Inside the office.

Ruan Bin called for takeaway, and by the way, he called Director Qian Zhou Tianlei and his uncle together.

Director Qian took a sip of water, picked up Uncle Zhou Tianlei's medical records and examination results, as well as the information of a previous operation.

Zhou Dacheng, male, 58 years old, medical history of 1 year, left subclavian artery occlusion, numbness of the left upper limb, blood pressure and systolic blood pressure difference between the arms reached 59-83mmHg, and the left radial artery fluctuation was almost "unpalpable".

After looking at it for about ten minutes, Director Qian said with a solemn face: "The branch of the subclavian artery supplies blood flow to the brain, and if it is not treated in time, it may cause cerebral infarction at any time. Moreover, if you accidentally cause a chain reaction during surgery, it will also cause cerebral infarction! No wonder people from the interventional department and neurology department have suggested that you transfer to another hospital, which is very rare! It is estimated that there are two hospitals in Beijing that are good at this kind of surgery. ”

"Ah, director, don't you think you're too sure?" Zhou Tianlei's face changed.

"Well, the main thing is the uncertainty of the opening operation and the various complications that may occur during the opening process, and the most important thing is that your uncle's occlusion is too long and too big, reaching 3 centimeters! Usually 1 cm occlusion is rare. ”

"Therefore, when the catheter and guidewire are opened, it is always easy to stray into the dissection when the catheter and guidewire are opened. Because it is subintimal opening, if you continue to try to achieve opening, you may lose the left vertebral artery, which is not the best result. Director Qian answered professionally.

"Your uncle had better have surgery as soon as possible, otherwise cerebral infarction will occur at any time. Director Qian did not forget to remind.

"Huh?"

"Director, are you sure to do this surgery?" asked Zhou Tianlei with an expectant expression.

If Director Qian can do this operation, he doesn't plan to let his uncle go to the capital.

After all, it's a long way to go there, and no one knows when a cerebral infarction will occur. The most important thing is to wait in line for surgery after going to the hospital there!

The bigger the hospital, the shortage of beds!

"Let me tell you this, I'm sure of it, but at most it's fifty percent! If you go to one of the two hospitals in Beijing, I guess they will have a higher grasp, 60 or 7 percent! After all, I have a lot of general education, and they specialize in this area. Director Qian said euphemistically.

"Fifty percent, it's very high!" Zhou Tianlei was slightly disappointed and admired.

"Well, I don't think this surgery can be handled by traditional interventional means, and the plan of interventional access must be changed!" Ruan Bin said.

Just like Director Qian said, the occlusion reaches 3 cm, which is estimated to be difficult to dredge with traditional approaches, and it is easy to stray into the dissection when the guidewire is opened!

Since Ruan Bin is a master of resuscivative aortic cystectomy (REBOA) with blind exercises, he certainly knows that this arterial intervention is not easy to do.

Don't go the usual way!

"Haha, Ruan Bin is the same as I thought, the focus is on how to study a new approach surgery plan, Ruan Bin, do you have any solutions?" Director Qian looked at Ruan Bin with interest.

Maybe this genius will have some good advice?

Ruan Bin pouted after hearing this, I won't do this interventional operation, so I want to think of a new way to approach, Lao Tzu won't!

"Ding-dong...... Temporary task of the system: save the uncle of a former colleague and get a chance to win a lottery in the system!"

Wait a minute?

The system also has this function of lottery?

Ruan Bin met it for the first time!

The rewards of this system are becoming more and more diverse!

"I, I want to think about it!" Ruan Bin originally said that I couldn't think of it, but as soon as I saw that there was a lottery reward, why don't I give it a try? In case I draw a superb beauty as a wife, ahh