428 if three years ago

Dr. Cronin didn't have much time to enjoy the food from heaven.

Before the meal was eaten, Wei Hongyi's phone rang urgently.

"Dr. Wei's phone ringtone, it's really special, the sense of rhythm is super strong!" Cronin even squirmed a few times with Wei Hongyi's phone ringing.

But then, Cronin didn't have time to shake the rhythm.

Wei Hongyi's expression was serious, and it seemed that the phone call was like a call from the operating room.

Therefore, Cronin took the initiative to give up the rhythm of shaking.

"Okay, I'll come right over. Wei Hongyi hurriedly responded, and was about to throw down his chopsticks and leave.

"Wei, is there anything I can help you with?" has been hospitalized by Wei Hongyi for the past two days, and Cronin is not a person who does not understand the Entu newspaper.

Seeing that Wei Hongyi looked very anxious, Cronin took the initiative to ask.

"Several young doctors had embolism when they were doing the closure of the aneurysm in the posterior circulation, and now they need to be treated. Wei Hong responded.

Suddenly he patted his head again.

"Dr. Cronin, would you mind taking your lunch break and help me deal with this patient?" Wei Hongyi felt that he was stupid.

When an aneurysm in the posterior circulation is embolized, the best thing to do is to remove the embolus directly.

No one else can remove the embolism of the posterior circulation, but the Dr. Cronin in front of me can.

I don't need to put the gold scalpel, I'm really confused.

"There was an embolism during the aneurysm operation, let's see the patient's condition first!" Dr. Cronin immediately got up, but turned his head again, and shoved the uneaten food on his plate into his mouth fiercely, before striding away with Wei Hongyi.

Doctors are like that, no matter what, they are not as important as treating diseases and saving people.

When the patient comes, everything has to be compromised for the patient!

What's more, it's just some food!

Well

Of course

Food can't be wasted!

When the two rushed to the operating room, the two young doctors who were operating on Wei Hongyi almost cried when they saw Wei Hongyi.

"Dr. Wei, what should I do if the vertebrobasilar artery is blocked?" the surgeon had a cry in his voice, obviously crazy.

"Don't worry, have you used heparin?" Wei Hongyi asked anxiously as soon as he entered the operating room.

"The 1000 unit IV drip has been used. The voice of the doctor on duty was panicked, but the usual basic qualities were still there.

Although this is the first time I have encountered such a situation, the basic method of handling it is still clear.

So when Wei Hongyi asked about heparin, the doctor said that he had already used it.

"Tirofiban hydrochloride has also been injected with 500 μg, but the blood flow is still not smooth again, do you want to give it another injection?"

The basic methods are still clear to young doctors.

After all, before going on stage for surgery, these possible questions are a must-ask from a senior doctor!

However, knowing the procedure is one thing, but experiencing it is another.

It's even more impossible not to panic when you experience something like this for the first time.

So although the two young doctors were very flustered, they were still very good in Wei Hongyi's opinion!

For the first time, it was very good to be able to use all the methods that came to mind reasonably, and as for being a little flustered, it was a matter of course.

After all, doctors are mortal too!

"Don't worry, turn to the imaging image first and see the blockage!" Wei Hongyi nodded at the young doctor and said.

Wei Hongyi deliberately raised his voice by two points, deliberately controlled his voice to be low by two points, and slowed down his speech speed by two points.

It sounds like there's a natural sense of relaxation and stability.

"Okay, okay, okay!" Maybe it's because Wei Hongyi's arrival makes the surgeon feel dependent.

When Wei Hongyi began to give orders, the surgeon began to adjust and carry out Wei Hongyi's orders.

With the surgeon's work, the results of the previous imaging appear clearly on the screen.

At the entrance to the aneurysm, a thrombus is formed, and the distal blood flow is completely lost.

This proves that the patient's acute thrombosis during surgery is very serious.

And the embolism is also very severe.

The entire blood vessel was blocked, and even with heparin and tirofiban hydrochloride, there was no sign of dissolution of the thrombus and no improvement in distal blood flow.

This should be the two young doctors who damaged the lining of the blood vessel without knowing it, so after the stent was inserted, it caused a blood clot and quickly plugged the entire blood vessel!

At present, the most important thing is to deal with the thrombus immediately and restore the blood supply to the blood vessels, otherwise in the current situation of embolism, the patient is likely to die soon due to insufficient blood supply to the vital center.

In general, because the thrombus has just formed, after continuous use of heparin and tirofiban hydrochloride, the patient's thrombus is completely dissolved and blood circulation is quickly restored.

But at the moment, the patient's condition is very special, after the application of heparin and tirofiban hydrochloride, my blood clot does not have any reaction!

Comparing the results of the two contrasts, it was not found that even after the use of heparin and tirofiban hydrochloride, the patient's blood vascularity was not restored in any way, and the blood clot did not change in any way!

Now, the only feasible way is to cancel the post-circulation and use the interventional method to remove the thrombus as quickly as possible, and the patient may still have a chance to live!

"Can the thrombosis be removed?" After comparing the two films, Wei Hongyi understood that if the blood clot was not removed in time, the patient would have no hope of survival!

"No, even if you do it reluctantly, if you use the SWIM method to aspirate at this position, it is very likely to affect the aneurysm that has just been closed and even cause the aneurysm to rupture!" Dr. Cronin frowned.

He shook his head heavily!

"Is there no other way?" the two young doctors listened to Dr. Crowning's words, and their faces were disgraced!

This is the first time that the two have gone on stage to complete a tertiary surgery!

I didn't expect such a problem to happen!

If the patient walked away on the operating table like this, the two young doctors would not even dare to imagine what the consequences they would have to face, and they could hardly imagine it!

Possibly, it could be the end of an entire academic career!

Strictly speaking, the academic careers of the two have not even begun,

still

It's almost over!

The two young doctors were completely dispossessed.

"It's not impossible, if someone can strictly fix the suction position and have strong control, it is possible to complete the operation!"

"It's just that this difficulty is too high, and the requirements for the stability and control of both hands are extremely high, if it was three years ago, I might be able to challenge it!" Cronin also sighed deeply in the face of such a situation, but now, he has begun to go downhill, and he no longer has the courage to try such a work!

"Yuntian, I'm going to call Dr. Yun!"