Early in the morning, waking up to the familiar smell of perfume, Yun Tian was stunned for five minutes when he looked at the door and ceiling of the duty room.

It's still the duty room that I'm familiar with, or the ruined practice of letting Dr. Huang beat his feet with Dior perfume as an air freshener.

Yun Tian confirmed that he had indeed returned to the familiar Xihua Hospital.

It's finally back!

I still feel the best in Xihua Hospital!

Seeing the chair on the side, Yun Tian thought of Lu who rushed away yesterday, this silly girl, a self-made bracelet moved her, she was really a silly girl who was easy to deceive.

I still have to self-examine and give this silly girl more attention.

When I got to the office, everyone was there.

Even Director Shi and Director Lin are there.

Although everyone didn't express too much, Yuntian really felt the strong concern.

After a brief introduction to the existing patients, Director Shi took Yuntian away.

"Our cath lab is almost ready, do you want to try your hand?" Director Shi walked briskly and excitedly.

Yun Tian was very surprised, he came back yesterday, and subconsciously took the patient to the heart, but he didn't expect Director Shi to have almost prepared the catheterization laboratory!

Director Shi came back more than ten days earlier than himself, and this speed can be regarded as a god speed.

However, Director Shi grabbed Yuntian in the direction he was walking a little strangely.

"This direction seems to be going to the maternity building, right?" Yun Tian asked in surprise.

"Well, yes, our cath lab is on the 4th floor of the maternity building. Director Shi said proudly with a wink.

"......!" Yun Tian was speechless, so he had to give Director Shi a thumbs up.

"Last time, Director Xia of the obstetrics department just wanted the ward in the west of our TCM department, but I didn't expect Director Shi, your old man, to directly take away other people's nests for the sake of Director Lin!

Yun Tian rarely smiled and said a little more to Director Shi.

"For the sake of his wife, it's worth it!" Director Shi smiled and winked at Yuntian seriously.

Cloudy sky is embarrassing.

The matter between himself and Lu naturally can't escape Director Shi's eyes.

"Well, it's worth it!" Yun Tian let go of his shyness and nodded seriously from Director Shi.

Director Shi is a well-known spoiled wife, Director Lin is worth it, isn't his stupid girl equally worthy?

At this moment, Yuntian seemed to have some understanding.

"There is a closed corridor connecting to the elevator on the 4th floor of the inpatient department, and patients can directly transfer from the closed corridor to the department. Director Shi took Yuntian upstairs from the first floor of the obstetrics department, and specially told Yuntian another passage connected to the department.

Indeed, most of the patients in the neurology department are critically ill, and most of them are the elderly, and if you go in and out of the maternity building, it will inevitably seem a little out of place.

It would be great if there was another passage that could lead directly to the department.

And the patient's

Operation, when the situation is critical, is related to the patient's life.

There is a special transport channel, which is also a guarantee for the life safety of patients.

The maternity building is spacious enough.

The entire 4th floor covers an area equivalent to half the size of a neurology department.

The cath lab simply doesn't need such a large place.

"I think that when the interventional surgery is fully carried out, the existing space in the neurology department will definitely not be enough, and at that time, the vacant space here can be used as a supplement. "Director Shi is obviously thinking more long-term than Yun Tian.

It would be great if the spare space here could be developed into a ward.

After all, as a provincial key department, the current illness of Xihua Neurology is completely insufficient.

With the introduction of new programs and procedures, it is inevitable that the source of disease will increase, and the number of hospitalizations will also increase.

Pushing open the newly renovated cath lab, the new equipment and instruments are ready.

Yun Tian touched the brand-new robotic arm, and a sense of familiarity arose.

It's all the models and devices that I'm used to.

Yuntian couldn't help but start debugging the equipment and entering the parameters he was used to.

"When will it be put into use?" Yun Tian asked. In the face of the brand-new machine, Yuntian has a feeling of leaping to try.

"It's up to you. Director Shi replied with a smile.

Yuntian can't wait to start two surgeries right away, just like a child who has just gotten a new toy, he doesn't want to delay for a minute, and he wants to play when he gets it.

However, Leng Chengye and Manager Huang are still resting.

He has two less helpers, and it is brand new equipment, Yuntian plans to endure it for two more days, and wait for Leng Chengye to come back.

Yun Tian fumbled around and stayed in the new catheterization lab for nearly an hour before he was reluctant to leave.

"Jingle bell ......" Director Shi's phone rang.

"Please consult with the Department of Respiratory Medicine, there is a patient with infectious shock and cerebral infarction, the middle cerebral artery is distal to the M1 segment, can it be done?" Director Shi put down the phone and asked.

Beyond the M1 segment of the middle cerebral artery are intracranial arteries and small branches.

Not only are the blood vessels extremely small, but there is also a lack of collateral circulation.

So once it is blocked, the situation is more serious.

The recovery is also very bad.

The best course of action is to perform local thrombolysis or thrombectomy in the shortest possible time.

However, because the blood vessels in the M1 segment are extremely narrow, they are very prone to complications such as vasospasm.

It is one of the most difficult sites in intracranial vascular thrombolysis therapy.

Emergency thrombolysis therapy for intracranial vessels is only a tertiary procedure for interventional neurology.

However, only the middle cerebral artery above the M1 segment was classified as a level 4 operation.

It is enough to see the difficulty of thrombectomy in this area.

Therefore, Director Shi solemnly asked Yuntian if he was sure?

"Let's see the patient first!" replied Yun Tian, not daring to say anything to death, after all, Yun Tian had not done this part so far.

But fortunately, after so many surgeries in the imperial capital, Yuntian's experience points are full of reserves

When, even if he can't do it for a while, Yuntian wants to believe that he can use the experience pile to pile up the experience of this technique in the system training room.

The two hurried to the respiratory medicine department.

Director Zhan of the Department of Respiratory Medicine was already waiting at the elevator door.

"The patient, 76 years old, was admitted to the hospital with a lung infection, infectious shock, and two hours ago suddenly developed a crooked corner of the mouth, weakness in the right lower limb, and slurred speech. Urgent MRI and angiography, found that the middle cerebral artery M1 is distal to the embolization, the family strongly requested surgery, I heard that Xiaoyun came back, yesterday did emergency thrombolysis, so I called you to ask. Seeing Director Shi and Yuntian, Director Zhan guided the two to the ICU while hurriedly introducing the disease.

This is not an ordinary M1 segment with far embolism!

The patient is co-infected with shock, and the hypotension of shock will cause vascular filling, which will naturally increase the difficulty of surgery!

"Doctor, please, please, you must save my father!" A woman in her forties saw Director Zhan and Director Shi coming in, hugged Director Shi's legs, and begged bitterly.

"You get up first. Director Shi began to patiently comfort the family, while Yun Tian began to check on the patient's condition.

Obvious anemia looks!

"What other diseases?" Yun Tian asked, depending on the degree of anemia of the patient, I am afraid that there is still kidney failure!

"Combined with uremia, and moderate anemia!"

Uremia can cause severe anemia in the later stages!

Anemia will further affect the filling of blood vessels!

With a three-pronged approach, the difficulty of this operation far exceeds the difficulty of the established fourth-level surgery!

That's the fourth of the four!