188 Imaging begins
The little girl cried very sadly, but Yuntian was at a loss, and finally had to ask Lu for help.
Let Lu Anwei, a frightened child.
Yuntian had the heart to talk to Le Lao about Le Shuyi's worries and his own illness, but Le Lao's persistent tinnitus was slightly serious, and the communication was not smooth.
So, Yun Tian thought about it and gave up.
I don't know how Lu comforted the little girl, when Yuntian returned to the duty room again, the little girl's thread had stabilized, and she had returned to her gentle, gentle, and well-bred appearance.
"Doctor Yun, I'm sorry to trouble you. Le Shuyi's eyes were red, and he said sorry to Yuntian decently.
"It's okay, you don't have to worry too much about your grandfather's condition, Yuntian will be clear after the inspection. Don't worry too much. Le Shuyi was too worried about his grandfather's illness, although Yun Tian felt that it was very likely that Le Lao was pulsating tinnitus, but when the diagnosis was not clear, Yun Tian had the heart to comfort but did not dare to say it.
in case of
What if it's caused by something more serious?
In the case of joy and sorrow, not to mention whether Le Shuyi will find trouble for herself, this little girl may not be able to bear this joy and sorrow.
Therefore, regarding Le Lao's illness, although Yun Tian is more optimistic in his heart, he doesn't dare to say a word.
After a night without words, Yun Tian calculated the drinking time of Le Lao early, and went to the cardiac interventional catheterization laboratory to discuss the scheduling time with Director Tang. It just so happened that when the time for the old water was up, there were no other surgeries in the intervention room.
So, as soon as the time came, Lu accompanied Le Shuyi and pushed Le Lao to the catheterization laboratory.
Lu accompanied Le Shu and waited outside.
Yun Tian wore a lead suit alone to brush his hands.
Leng Chengye and Zhao Lei began to turn the patient, lay orders, and disinfect.
This is the third time that Zhao Lei has done the work of disinfection, so Zhao Lei has done it very skilled.
Zhao Lei, in fact, is usually more skinny, intelligent, and quick to accept, during this period of stimulation by Yuntian, his learning attitude has never been more correct, coupled with the relationship with Yuntian, everyone in the department has taken care of him, so Zhao Lei has made rapid progress.
Although it is not comparable to Yuntian, among all the interns, it can be regarded as a rapid progress.
Although it is much more difficult to overselect transverse sinuses and sigmoid sinuses for angiography than total cerebral angiography, it is nothing at all for Yuntian to be able to do posterior inferior cerebellar artery superselection.
But thinking of Le Shuyi's worries. Plus it's a new dormitory.
So Yuntian still bought 5 hours of intensive training time.
5 hours of continuous transverse sinus and sigmoid sinus angiography.
The clouds have almost reached the point where you can do the imaging with your eyes closed.
When Yuntian brushed his hands out, the preparations such as laying orders had been completed.
Leng Chengye and Zhao Lei went to brush their hands together.
Yun Tian directly performed local anesthesia and began to puncture.
After the two of them came back, Yuntian had already done femoral vein puncture. The microguidewire has entered the blood vessels.
The micro-guidewire is still soaring
Former.
Although the speed is just as fast, the hand is just as steady, and the position is just as accurate.
However, Leng Chengye can clearly feel that Yuntian's cāo) work level has improved.
It's just that from last night to today, I spend all my time with him except for bedtime!
During this period, Yuntian did not do anything related to interventional surgery except for reading.
Why?
Overnight, Yuntian's intervention technology has been significantly improved again?
Leng Chengye was very confused!
It seems that every time he sees Yuntian have surgery, his level of interventional surgery will improve, and the speed of improvement makes him feel very desperate!
Isn't the improvement of the level of interventional surgery based on one operation after another?
How can there be a level of improvement in sleep and such a thing happens!
Is there really a genius in this world?
In the past, everyone liked to call themselves geniuses, but I felt that all people, wisdom, is similar, but who works harder and who is more efficient.
But right now, Yuntian just slept for a while, and the level of interventional surgery can be significantly improved!
It's incredible!
Leng Chengye felt that Yuntian, the mountain that was pressing on his head, he might never have a chance to cross it again!
A kind of despair lingered in Leng Chengye's heart, lingering for a long time!
Leng Chengye's heart turned around. , the clouds have cāo) as a microguidewire to reach the bilateral internal carotid arteries.
"Turn on the pressurized injector. Yun Tian whispered.
Leng Chengye was still immersed in his own thoughts and did not react.
Zhao Lei opened the compressor as soon as possible, injected contrast agent, and started internal carotid arteriography.
This is followed by external carotid and vertebral arteriography.
This kind of imaging is not difficult for Yuntian.
The only difficulty is the choice of imaging time.
However, after five hours of continuous work in the system training space, his imaging level has been greatly improved.
After the three angiography were completed, Yun Tian carefully analyzed the images of the angiogram.
"Piercing bag. Yun Tian whispered.
Leng Chengye was still habitually stunned for a moment before reacting.
The arteriography has been completed, what should I do at this time?
When Leng Chengye was stunned, Zhao Lei had already taken the puncture bag and opened it on the edge of the clouds.
Leng Chengye was a little embarrassed.
These several surgeries have occupied the position of Ichisuke.
The position of Ichisuke is the best position for the observer's cāo).
But this same position should take on the work of serving the surgeon.
But he only stood in a position, but he did not fulfill his obligations, which made Leng Chengye feel a little embarrassed.
I think I need to be more focused.
In fact, it's not that Leng Chengye is not focused enough, Leng Chengye himself didn't notice that every time Yuntian asked for help, he would subconsciously think about why he made such a request.
Rather than being like a qualified assistant, the first time to carry out the operator's orders
。
So that these rare hands-on opportunities were all executed by Zhao Lei meticulously.
Yuntian held a puncture needle and punctured the right bone vein on the right side.
It's the same to the point, and then intubation!
The microguidewire also quickly enters the distal internal jugular vein.
Then start the quick overselection.
Transverse sinuses and sigmoid sinuses were selected for angiography.
Obtain an image of the venous sinuses.
Confirm the stenosis.
Finally, Yuntian used a microcatheter to connect to the medical monitor, and after exhaust calibration, the pressure before and after the vent was calibrated, the pressure gradient across the stenosis was calculated.
Since then, all the surgeries have been completed.
Leng Chengye skillfully took over the work of pressing to stop the bleeding.
Yun Tian took off his lead suit and began to evaluate the images obtained by his own photographs.