504 need me to find a few suppliers with fast delivery
In the case of interventional surgery, the rupture of the heart usually does not mean that the heart is actually broken.
Rather, it refers to the rupture of blood vessels on the heart, oozing blood, rapid tamponade of the pericardium, and limiting the heart's pulse.
Here I have to mention the structure of the heart.
In the outer layer of our heart, there is a dense layer of connective tissue that protects the heart.
The so-called connective tissue is what we often call fascia.
The fascia structure is very dense and usually has little elasticity.
So there is a certain gap between this fascia and the heart.
It is precisely because of the existence of this small void that the heart is given the freedom to fluctuate.
However, once the blood vessels supplying the heart rupture, blood flows out quickly into the space between the pericardium and the heart.
This gap is gradually filled, the heart is squeezed, the blood supply fluctuates well, and finally because the squeezing stops beating, the patient's life is drawn.
Therefore, the phone of Dr. Huayang Shu on the street, he raised his legs and ran wildly to the operating room.
"Hurry up and let the people in front let go, don't block Dr. Yun's way, hurry up and let go!"
Director Shao didn't go far either, so he heard Yun Shantian's words for the first time.
Although he is not a cardiologist, anyone with a little medical knowledge knows that the patient's condition is very critical.
Director Shao naturally can't outrun Yuntian, but as an old doctor, he naturally knows how to assist Yuntian.
Therefore, while dragging his huge body and chasing Yun Shantian's footsteps, Director Shao held his hands to his mouth in the shape of a trumpet and shouted frantically towards the front.
Maybe it's because the speed of the clouds is too scary.
Or maybe the shape of the cloud sky is too dexterous.
Of course, it is also possible that Director Shao's shouting played a role.
In short, although there are many people in the aisle, Yunshantian's journey is quite smooth.
When Director Shao rushed to the disposal room, Yun Shantian had already finished brushing his hands and stood on the stage.
"What's the condition of the patient?"
As soon as Director Shao walked into the disposal room, he asked everyone.
According to the old rules, there are still a large group of young doctors watching the operation in the treatment room, and Director Zhang of the Department of Cardiology is also impressively listed.
"The patient, a 72-year-old female, was admitted to the hospital with sudden pain two hours ago, troponin was elevated, electrocardiogram and cardiac color ultrasound both supported myocardial infarction, and during the imaging, there was a leakage of contrast medium. ”
"How's it going?"
Shao was worried again, and subconsciously asked.
"The heart rate and blood pressure are not very good, I can't see clearly here, the alarm keeps ringing!"
"Judging from the current picture, it should be a type 2 free-type piercing. ”
"Just now, Dr. Huayang Su has arranged for a pericardiocentesis. I don't know if I can get it back. ”
Director Zhang's hands were clenched into fists tightly, and although he was talking to Director Shao, his eyes were always fixed on Yun Tianzuo.
Because it is an emergency operation, the speed of brushing Yuntian's hands is particularly fast.
When Director Shao arrived at the disposal room panting, Yun Tian had already finished brushing his hands and stood on the operating table.
"The contrast agent continues to leak, and you have already done a pericardiocentesis. The micro-guidewire is still there, but the position is a bit difficult to handle, and I don't dare to rush into the small balloon. ”
As soon as Yun Tian came to the stage, Dr. Huayang Shu also began to introduce the patient's condition to Yun Tian at the same time.
But it is indeed surprising that the words that dare not rashly get on the small balloon will come out of the mouth of Dr. Huayang Shu!
You must know that before Yuntian did not emerge, Dr. Huayang Shu was definitely the uncrowned king of heart crown interventional surgery in China!
If such an operation is carried out, even Dr. Huayang Shu does not dare to rush on, just ask, who else dares to do such an operation.
If there was no Yun Tian, such a patient, Dr. Huayang Shu would definitely grit his teeth and rush up.
After all, there is no choice.
But since the sudden rise of Yunshantian, Dr. Huayang Shu himself has not found out that psychologically, Dr. Huayang Shu has become more and more recognized by Yuntian and relied more and more on Yuntian.
After listening to Dr. Huayang Shu's introduction, Yuntian looked up at the display screen on the machine.
The patient's bleeding point was located at the end of the coronary artery branch, apparently by the doctor who operated on it today, and the improper performance caused the taste thread to penetrate the patient's coronary artery terminal blood vessels.
Fortunately, it was the peripheral blood vessels that ruptured.
So the amount of bleeding is not too large.
Cardiac tamponade is not serious.
With Dr. Huayang Shu by his side, he performed a pericardiocentesis in time to avoid cardiac tamponade.
The patient's heparinization has begun to reverse because Dr. Huayang Shu has started to reverse it at the time of medication.
The patient's condition should be considered relatively good, and there is hope for rescue.
Now the most important thing is to use a small balloon to seal the breach in a timely manner, as long as the peripheral blood vessels do not continue to bleed the patient
None of the other crises will be exacerbated.
If the current condition can be controlled and maintained, there is a high probability that the patient will be saved.
It is precisely because the tear is located at the peripheral blood vessels.
Therefore, whether it is compressed with a small balloon or sealed with a membrane stent, the level requirements for the author are extremely high.
The smaller the blood vessels, the more difficult it is to work, and the more peripheral the blood vessels, the smaller the blood vessels.
The blood vessels at the end of the coronary arteries are obviously not much larger than a human hair.
It is definitely not an easy task to seal the breach accurately in such a fine blood vessel.
Therefore, even Dr. Huayang Shu said that he was not sure about such an operation.
"Prepare the small balloon ......" Yun Shantian checked the condition of the blood vessels at the breach and began to arrange the consumables needed.
The very small balloon at the peripheral blood vessels is not usually prepared, so in this case, it is necessary to urgently notify the supplier to deliver the goods.
This back and forth will take a lot of time.
It is a great threat to the lives of patients.
But for Yuntian, there is no such situation.
Of course, I am afraid that only Yuntian can enjoy such treatment in the entire land.
Manager Xiao Huang is conscientious, Yuntian has 8 surgeries a day, and Manager Xiao Huang will definitely spend enough time in the corner of the disposal room.
As long as Yuntian is in the operating room for a minute, Manager Xiao Huang will never be late or leave early.
Therefore, other doctors have to go through great risks and waste time waiting for suppliers to deliver goods, but Dr. Yun does not have this problem.
Little Gold, you have always carried his magical treasure chest, and you can take out the consumables that Yuntian needs at any time like magic.
So at this time, I was a little dumbfounded when I heard Yuntian burst out so many rare specifications of consumables.
"In such a short period of time, with so many infrequently used consumables specifications, which one will supply faster?"
Doctor Huayang Shu asked in surprise.
"At the door of the disposal room, there is a young man in a black suit with a big black suitcase, you just need to ask him!"
Yun Tian replied.
"How long will it take for him to deliver the goods? Will it delay the treatment of the patient? Do you want me to call a few suppliers who can deliver in a timely manner?"
Dr. Huayang Shu asked worriedly.