Chapter 280 Emergency Thrombolysis
The patient was identified with basilar artery infarction and was prepared to be rushed to the Department of Neurology.
"What should I do, what should I do?" the patient's family member, who was in his 70s, was obviously panicking.
Except for the constant muttering in his mouth, he had no idea at all.
"Interventional thrombolysis is recommended. Yun Tian carefully checked the patient's film and said with great certainty.
"Interventional thrombolysis?Have you been able to complete interventional thrombolysis now?" asked Director Li Lishan, who was transporting the patient with Yuntian, in surprise.
"Hmm. During this time in the imperial capital, many patients with emergency interventional thrombolysis were done. Yun Tian nodded.
"Send it directly to the intracardiac catheterization lab, you go to prepare for the operation, and I will communicate with the family. "Li Lishan and Yuntian haven't seen each other for a long time, but their trust in Yuntian is no less than that of Director Shi and Director Lin.
It hasn't changed over time.
Yuntian said that he could do it, but Li Lishan didn't say a word, and directly asked the patient to be transferred to the intracardiac catheterization laboratory.
The catheterization treatment room in Shennei of Xihua Hospital is being prepared, so Yuntian can only perform the operation in the cardiac catheterization laboratory first.
The cardiac catheterization laboratory is still busy, and Director Tang's cardiac stent is still full, but he still adjusts the operating room for Yuntian as quickly as possible.
Without Leng Chengye's help, there was no 913 trained medical staff.
Director Tang, who hadn't seen him for a long time, stayed.
"I'll prepare you for the operation, you can go and brush your hands. "Director Tang's concern remains the same.
Although Xihua Hospital still lacks too much in interventional surgery compared to 913, Yuntian still feels that there is a sense of peace of mind that cannot be compared with 913 when performing surgery in Xihua Hospital.
That's what it feels like home.
Although I have received the same amount of kindness these days in 913 Cloudy Days, it feels really good to be home.
Yuntian went to brush his hands, and when he came back, Director Tang had already made preoperative preparations.
Yun Tian habitually glanced at the disposal room outside the leaded glass.
Director Li Lishan, Director Lin, and Director Shi actually appeared in the disposal room, and there was a small shadow behind a few people, and Director Lin Yuntian looked outside.
Turning his head and pulling Lu forward, he raised his eyebrows at Yuntian and smiled.
"The family has signed and can be operated on. Director Li Lishan pressed the walkie-talkie, told Yuntian the results of his communication, and by the way, he also raised the list signed by his family members.
Yun Tian nodded vigorously.
Emergency thrombolysis, Yuntian has done many cases.
In the imperial capital, in the later stage, Yuntian was basically able to brush up to seven surgeries a day, so even if several hospitals provided patients for Yuntian later, and the problem of the source of the disease was basically solved, there was still no way to be selective.
Therefore, the patients of Yuntian surgery will still have such and such special and complex problems, which is quite difficult.
Acute cerebral infarction is the most common.
Therefore, during this period, the level of emergency thrombolysis with clouds has also increased significantly.
After Director Tang finished the preoperative preparations, he didn't
There is leaving.
Instead, he stood in the position of Ichisuke, ready to be an assistant to Yuntian.
Yun Tian took a deep breath and began to perform the surgery.
disinfect
Local anesthesia,
Needle insertion!
The same cāo) work, Director Tang, who had not seen Yuntian for a long time, flashed violently in his eyes!
This kid has been to the emperor for less than a month, right?
The already amazing one-shot seems to be more stable and accurate!
Micro guidewire enters.
Yuntian is still accustomed to speeding up the travel speed of microwires in large blood vessels.
Seeing the rampage of the micro guidewire galloping in the femoral artery, Director Tang couldn't help but exclaim.
"Xiaoyun, you ......" Director Tang looked at Yuntian and stammered when he spoke.
"Hmm. Yun Tian lowered his head and responded, without the slightest pause in the movements of his hands!
"Although, although it is said that speeding up the travel speed in the large blood vessels is good for the operation, but your speed is too fast, right? You are not afraid of a mistake and piercing the femoral artery?" Director Tang asked Yuntian seriously.
"I'm absolutely sure. Yun Tian smiled and replied as he spoke.
Except for the last time at the annual meeting, when Yuntian gave a lecture, Li Yingfa used this question as a point to attack Yuntian, it was the first time that someone asked such a question in person.
The last time he was attacked was different, and Yun Tian only felt strong concern from Director Tang's words.
"Your surgical level has actually improved to this extent!" Director Tang's voice was a little lost.
Although he knew that it was impossible to let Yun Tian turn to his heart and be his assistant, Director Tang couldn't accept the speed of Yun Tian's surgery for a while.
After all, Yuntian's first operation, pulmonary angiography, was still pressed by Director Tang, and after that, Yuntian went on to perform many surgeries, and it was always Director Tang who pressed Yuntian.
Speaking of which, Director Tang can also be regarded as the enlightenment teacher of Yuntian interventional surgery.
Right now, it's only been a month, and the little guy who used to have surgery and still needed to press the table by himself can completely crush himself at the level of surgery!
This made Director Tang how to accept it for a while.
The microguidewire quickly travels to the vertebral artery position.
Director Tang cleaned up his heart and focused on doing what Yuntian should do as an assistant.
When the pressurizer is turned on, the condition of the vertebral artery and its branches appears on the screen.
Mid-basilar artery infarction.
The microcatheter is in place and urokinase is injected.
Next, there is a waiting time of nearly half an hour for thrombolysis.
Director Tang supported a round stool with his feet, and the two sat down together to rest for a while.
In the past, it was when doctors were talking and laughing.
But in the face of Yuntian, Director Tang actually had a feeling that he didn't know how to talk about it.
Yun Tian didn't laugh, and besides, he was still a little tired when he just got off the plane, so he just sat on the round bench and didn't speak.
Twenty minutes of silence left quietly in the silence of the two.
A slight feel came from the microwire, indicating that the blood flow in the basilar artery had been restored.
"That's it. Yun Tian said a word, he didn't speak for a long time, and his voice was a little hoarse.
"It's less than 30 minutes, how do you know it's through?" Emergency thrombolysis, Director Tang has also done it, but Yuntian has done cerebrovascular, and Director Tang has done the most coronary arteries.
Although the blood vessels are different, the two surgeries are completely connected. 、
That's why Director Tang has such questions.
"Feel, when the blood vessels are restored, the microcatheter triggers a spiral of traction. For Director Tang, Yun Tian described it as carefully as possible.
"Feel?" Director Tang was also stunned by Yun Tianxiu!
Although Yun Tian said in detail, Director Tang was confused!
Feel such a mysterious thing, everyone has their own experience.
Director Tang shook his head, even if Yun Tian understood it, he was still confused.
The compressor injector is turned on again, and basilar artery vascularization is restored,
The surgery was successful.