191 coronary artery stent implantation
Director Tang turned his head and just saw Yuntian standing in the disposal room.
"You go and call Dr. Yun in. Bring me another chair. Director Tang said with a slow and difficult face.
"Good. Dr. Tan replied.
Then he dragged out a round stool from the corner of the wall, helped Director Tang to sit down, and then hurriedly opened the door of the disposal room.
"Is Director Tang uncomfortable?" asked Yun Tian with concern.
"It's vertigo caused by not resting well. Director Tang said please come in. Dr. Tan replied.
Halfway through the operation, Director Tang had vertigo,
At this time, he asked himself to go in, and Yun Tian guessed that Director Tang most likely wanted to complete the operation on his behalf.
So Yuntian is not a guest, he enters from the dressing room next to him, wears lead clothes directly, and brushes his hands.
When changing clothes, Yuntian called the system and entered the system training room.
Although they are all interventional surgeries, cardiac stent surgery is an interventional procedure for the cardiovascular and cerebrovascular circulatory system.
The anatomical condition of Yuntian's surgical path is not understood.
Redeemed 20 hours of intensive training time at a time.
I also consumed an intermediate skill book and learned about coronary artery stent surgery.
In 20 hours, the cloudy sky is only cāo) made less than 10 coronary stents.
After thinking about it, Yuntian continued to redeem for another 20 hours.
After a full 40 hours, Yun Tian drank two more bottles of energy elixir in the middle.
In 40 hours, Yuntian performed a total of 25 surgeries.
Although there are energy potions that can restore energy. But 40 hours is already the limit of a cloudy sky.
After the last 60 hours of work, although he had energy potions, Yun Tian also slept for a whole day and a night.
Today, Yuntian did not dare to challenge for 60 hours.
Therefore, after doing 25 coronary stents, Yuntian poured two more bottles of energy medicine, and then chose to leave the system training space.
Back to reality, the action of Yuntian's hand brushing has hardly changed.
Continue to brush your hands, and then walk into the cāo) work room.
Director Tang has already taken advantage of the time to brush his hands in Yuntian to finish communicating with the patient.
During interventional surgery, only local anesthesia is done on the surface of the skin, so the patient is fully awake.
After communication with Director Tang, the patient agreed to accept Yuntian for his operation after comprehensive consideration.
"I'm watching you operate on the side, Xiaoyun pleases you. Director Tang closed his eyes and said very hard, it seemed that the vertigo attack was very serious.
"Okay, I'll give it a try. "Although 25 coronary artery stents have been performed in the system training space.
Yun Tian still didn't dare to say anything.
Say give it a try yourself.
"Well, okay, you just have to do your best. Director Tang didn't dare to put too much pressure on Yun Tian, and comforted Yun Tian to do what he could.
It wasn't until Yuntian disinfected that Director Tang handed over the micro-guidewire in his hand to Yuntian.
Although Director Tang was not feeling well just now, half of the microwires that entered the patient's body were firmly controlled by Director Tang.
It was not until Yun Tian was ready at this time that Director Tang handed over the micro guide wire in his hand to Yun Tian
。
The cāo) of interventional surgery are actually similar.
It's just that the departments are different, and the blood vessels selected for interventional surgery are different.
Yuntian spent 2,400 experience points in the system training space to exchange for 40 hours of training time, consumed an intermediate skill book, and learned anatomical knowledge related to coronary artery stent surgery.
25 coronary artery stents have just been completed, so Yuntian is very familiar with the blood vessels that are now being overselected.
Yuntian took over the micro guide wire, this time the micro guide wire is not the domestic prestige consumables that Yuntian is used to, but imported consumables, held in the hand, the texture is slightly soft, and Yuntian slightly twisted the micro guide wire to adapt slightly before starting to overselect.
The speed of Yuntian's superselection is a little slow in terms of deliberate control.
However, for coronary artery stent surgery, vascular superselection and neurology surgery approach are similar to those before entering the heart.
However, because the material of the micro guide wire in his hand is not suitable, Yuntian is extremely cautious.
Director Tang looked at Yun Tian skillfully and nodded slightly.
For the time being, there is nothing to remind yourself, and the places that should be paid attention to and cāo) are handled very well as the clouds.
As the micro-guidewire gradually entered the heart, Director Tang also began to get nervous.
The guidewire reaches the entrance of the coronary artery smoothly.
Open the pressurized injector and the contrast agent enters.
With the injection of contrast medium, the vascular shadow appears clearly on the screen.
The distal distal left anterior descending artery is narrowed and blocked by more than 70%.
At this time, the image displayed on the screen is a large bite on a tree pole for no reason.
Determine the site of vascular stenosis, and start to make a microguidewire to slowly enter the coronary artery.
This is the first intimate contact between Yuntian and the coronary arteries.
Although in the system space, Yuntian has completed coronary artery stent implantation in 25 experimental subjects.
Although the test subject is a full-scale simulation.
But after all, psychological pressure is not the same.
Therefore, when the patient really performs cāo) work, Yun Tian is still very nervous.
Therefore, Yuntian controls the movement of the microguidewire as robustly as possible.
As he approached the distal end of the left anterior descending artery, Yun Tian's hand movement stalled slightly.
He took a deep breath before he began to continue.
Director Tang looked at Yuntian's cāo) and didn't say a word.
Yuntian is not at all like the first cāo) coronary artery surgery. The places that should be paid attention to were handled very well, and Director Tang watched from the sidelines, and he couldn't find anything wrong at all.
The microwire gradually passes over the narrow, and then it is difficult to pass through the narrowed area that is blocked by more than 70%.
More than 70% of the blood vessels are blocked, leaving very little space for microwires to be used.
Moreover, when passing through the stenosis site, the microguidewire should try not to touch the stenosis plaque and the tube wall, so as not to cause the plaque to fall off partially, or even rupture the blood vessel.
Every time he came to this link, even Director Tang was very cautious and embarrassed.
Yun Tian paused slightly, took a deep breath, controlled the micro guidewire, and went smoothly
Through the narrowing site.
Director Tang also let out a long sigh.
The next cāo) is much simpler.
After entering the stent and reaching the corresponding position, open the stent and contrast again.
The left anterior inferior branch of the coronary artery that was seen before was bitten off and the missing part has been repaired,
The surgery was successful!
"Xiaoyun, how do you feel that you have coronary intervention, this speed is faster than me, and you are more skilled than me. ”
Director Tang is a straightforward person, and he said directly what he felt in his heart.
After speaking, I felt that my statement seemed a little ridiculous.
After all, Yuntian is only the first time to have coronary coronary intervention stent surgery.
But what I just felt didn't seem like an illusion.
The speed and timing of the clouds are very good.
The operation was successful, the microguidewire was withdrawn, and the bleeding was stopped by compression.
Dr. Tam took on the job very consciously.
Yun Tian helped Director Tang to rest in the heart duty room.