366 intravenous thrombolysis bridging posterior circulation arterial thrombectomy

Director Zeng's words made Yun Tian gradually frown!

"Does that mean there are no patients scheduled today?" Yun Tian interrupted Director Zeng dissatisfiedly.

"Don't you have any of them, can you think of a way?" Yun Tian asked anxiously after speaking.

At the beginning, when Director Zeng's words were rudely interrupted by Yun Tian, his face was a little unbearable, and the corners of his eyes couldn't help twitching.

But then, when I heard Yuntian's children's general unyielding questions, I didn't let Director Zeng talk about it!

This guy is a child who hasn't grown up yet, and he almost got angry with him!

"You should call Director Guo of the emergency center now and ask him to coordinate. Let all patients with cerebral infarction be sent to our hospital as much as possible, and the more infarctions, the greater the chance of encountering posterior circulation infarction. "But all the directors who have some achievements have experienced the period of Yuntian's crazy surgery, so I can't understand Yuntian's mentality at this time.

Director Zeng glanced at Yun Tian who was doing the operation with some amusement, and before he could speak, Director Shao spoke beside him.

In fact, several major hospitals in the imperial capital, especially 913, which has the highest neurological department, are not short of disease sources.

Occasionally, however, there will be such a situation where the resources of the emergency center are tilted.

But like Director Shao, it is a request for patients with cerebral infarction to send more, and ordinary hospitals rarely mention it.

After all, emergency physicians generally have only a general understanding of patients, especially such medical patients. In many cases, there is only a rough estimate.

Therefore, when each family has an important person, the inclination of internal medicine patients will be slightly worse.

After all, unlike surgery, you need fingers or toes, and the attending doctor can tell you at a glance.

Especially for patients like Director Zeng, who need posterior circulation embolism, many patients are not in typical condition, and it is difficult to distinguish.

If it is much easier to ask for the source of the disease like Director Shao, anyway, the stroke will be sorted out for you, and it will be much easier for the emergency center to do things.

However, posterior circulation embolism only accounts for about 7% of cerebral infarction, so if this is done for patients, it will inevitably increase the data of other patients with cerebral infarction.

The 913 Department of Neurology is also hard to find, which will greatly increase the department's capacity to undertake and operate!

Such an idea was also proposed by Director Shao.

Director Zeng listened to Director Shao's opinion and hesitated.

"Today, one day, you should be able to handle it. Director Shao comforted.

"Patients who don't have posterior circulation can also be ordinary patients! ”

"Of course, it is equally important to accumulate the surgical volume of patients with posterior circulation embolization as soon as possible. "When I heard that there was a patient, Yun Tian was so hungry that his saliva was about to flow down.

Quickly patted the breast, indicating that he was not a picky eater at all.

As long as the patient needs to have neurointerventional surgery, it is fine.

After speaking, he felt that he seemed to be in too much of a hurry, so he reluctantly emphasized it again.

Hearing Yun Tian's words, the entire doctor's office remembered a chuckle!

What a good doctor who is not a picky eater.

A few older doctors even gave Yun Tian a thumbs up.

Even Zhao Lei lowered his head honestly, Yuntian, this guy, today's performance is too embarrassing.

It was Lu, who raised his head majestically, and his face was full of pride in the clouds.

Well, I have to correct it, it's not that Yun Tian is too embarrassed, but that he is too embarrassed!

Glancing at Lu, Zhao Lei silently changed his words in his heart.

After a while, Director Zeng came back after making a phone call.

49, the patient's family wanted to switch to intracranial thrombectomy. Director Zeng nodded at Yuntian, said hello, and turned to Director Shao.

"49?" Director Shao asked in surprise.

"The patient who was admitted to the hospital urgently in the early hours of this morning was brought to our hospital with sudden symptoms such as dizziness, nausea, and vomiting at around 1 a.m., and sudden aphasia and left limb movement disorder at around 4 a.m. ”

"The NIhss score was 12 points, and the MRI showed brainstem ischemic stroke, and the MRI angiography showed basilar artery occlusion. After communicating with the family, the family did not agree to do the interventional thrombectomy at that time. So just intravenous thrombolytic therapy was performed. ”

"I just went out on the phone and the patient asked for venous thrombectomy. ”

Director Zeng roughly described the patient's condition.

"You can have surgery! As long as the family agrees, the operation can be carried out immediately!" Director Shao didn't answer, and Yun Tian hurriedly said.

"Patients who have already done intravenous thrombolysis, and then arterial thrombectomy, I haven't tried this situation yet, Xiaoyun, are you sure?" Although Director Shao has reminded himself many times that it is best for him to listen to Yuntian's arrangement in everything.

However, Director Shao has never experienced such a thing as intravenous thrombolysis patients being transferred to arterial thrombectomy, so he still asks Yuntian with some trepidation.

"Professor Ma Gehai in the United Kingdom has reported a case of left internal carotid artery and middle cerebral artery occlusion, the nIhss score was 20 points at the time of admission, and the intravenous thrombolysis bridging arterial thrombectomy was urgently performed, and the postoperative NIhss score was zero, and the MRI only showed a small amount of ischemia in the left striatum! Yun Tian replied with a smile.

"Professor Mark Hai has also had such an operation?" asked Director Shao in surprise.

"Yes, some time ago, Professor Mark Hai published a paper in a certain journal......" Yuntian explained carefully.

"Is there really such a paper?" Because it was a recently published paper, Director Shao didn't pay attention to it at all.

So I asked again in surprise.

"There really is such a paper, let's go see the patient first, right?" Yun Tian explained several times in a row, and said that he was a little impatient, and in response to Director Shao's words, he pulled Director Shao to prepare to see the patient.

"Okay, you see the patient first, don't be reluctant, let's do it if you feel sure!" Seeing that Yuntian has done so many surgeries, Director Xiao still has a certain grasp of Yuntian's surgical skills

Gripped.

And there is no need to deceive himself about the thesis.

If it is only bridging venous thrombolysis surgery and arterial thrombectomy, Director Shao feels that Yuntian's technology can be completely coped.

After instructing Yuntian, Director Shao led everyone to check the patient's condition.

"Doctor, can my father still have arterial thrombectomy? Before, my brother accompanied the old man to see a doctor, so he didn't dare to agree to the operation! Now, I don't know if I have time to do it?" A man in his thirties hurriedly asked anxiously when he saw everyone.