245 division of labor and cooperation
The condition of the patient is critical, and the rescue of a patient with cerebral infarction is a race against time.
Cerebral vascular infarction, the infarcted blood vessels corresponding to the brain tissue is seriously insufficient, and the brain tissue ischemia will soon cause damage, thus causing corresponding dysfunction.
Hemiplegia, crooked mouth and eyes, and speech dysfunction caused by stroke are all sequelae caused by damage to insufficient blood supply to brain tissue.
Therefore, restoring blood supply to the blood vessels in the shortest time after infarction is the best and most fundamental way to treat cerebral infarction.
However, in addition to thrombolysis to restore blood supply, it is imperative to place stents to improve vascular stenosis in addition to thrombolysis.
However, the patient's condition is originally an extremely difficult stent placement, and such an operation can only be completed by Yuntian at present.
Therefore, everyone's eyes were looking at Yun Tian, Yun Tian didn't notice everyone's gaze, looking at the display screen with perfect neurology imaging diagnosis in hand, Yun Tian was carefully analyzing the patient's condition.
"From the patient's point of view, it is more suitable for interventional thrombolysis, and vascular stent placement is performed after thrombolysis. Although Yuntian has never done such an operation as emergency interventional thrombolysis, combined with the knowledge related to neurological interventional surgery he mastered during this time, the moment he analyzed the image just now, Yuntian took off an intermediate skill book and obtained the relevant knowledge of emergency interventional thrombolysis, so he quickly made a judgment.
Recently, Yuntian's collection has been quite rich, and there are as many as three intermediate skill books in stock alone, in addition to two advanced skill books, and two ordinary skill books.
Therefore, in the face of the patient's condition, Yuntian did not hesitate to shoot away the intermediate skill book in exchange for emergency thrombolysis related skills.
"Well, the emboli is not too big, and it is more suitable for interventional thrombolysis. Director Shao also looked serious and agreed after listening to Yuntian's opinion.
For cerebral infarction, there are two commonly used methods of neurointerventional surgery,
One is thrombolysis, in which thrombolytic drugs are directly injected into the thrombus through an interventional microcatheter to quickly dissolve the blood, which is called interventional thrombolysis.
There is also a method of thrombectomy, that is, through interventional surgery, the blood stasis that blocks the blood vessels is removed.
Obviously, Director Shao also agreed with Yuntian's decision that patients were more suitable for thrombolysis.
"Interventional thrombolysis and stent placement must be done at the same time, can you complete it?" Director Shao then asked Yuntian seriously.
Director Shao is tall and big, and he is usually not serious, but at this time, he looked at Yuntian with a stern face and asked cautiously, and the coercion of the director of a major department of an emperor's tertiary hospital exuded without reservation.
Leng Chengye, who had been beside him, did not take a half step back slightly.
Director Shao's momentum is indeed too strong.
"Hmm. Master Shao's invisible pressure Yun Tian was unaware, raised his head and nodded cautiously at Director Shao, and then turned his gaze to the screen again.
After receiving Yun Tian's affirmative reply, Director Shao stared at Yun Tian seriously for ten seconds.
But the clouds and heavens were calm, and their eyes were on the display screen of the nuclear magnetic resonance cāo) work, without a trace of waves.
"Lao Yan, you assist Xiaoyun in making preoperative preparations, and I will go with the patient
Family communication. After receiving Yuntian's affirmative reply, Director Shao handed Director Shi another inquiring look, and immediately began to make arrangements after receiving the latter's affirmation.
A group of people came out of the cāo) room, and there was only an old man in his sixties waiting at the door.
"How's my wife doing?" the uncle was visibly nervous, and his forehead was covered with fine beads of sweat.
But the uncle is obviously of very high quality, except for the eagerness in his eyes, the whole person can be regarded as peaceful and upright, but his two hands are tightly pinching the corners of his clothes, trembling slightly.
"The cause of the fainting has been identified, and it is an infarction at the site of the previous intracranial narrowing. Director Shao went straight to the point and informed the family members of the patient's condition.
"The purpose of your wife's admission to the hospital this time is to install two stents at the site of intracranial vascular stenosis to unblock blood vessels and strengthen intracranial blood supply. ”
"Now, if there is an infarction in the stenosis, the surgery will still be done, but the operation will be changed, and it will be a simple intracranial stenosis, and now we have to dissolve the embolus that blocked the blood vessel and then do the stent implantation. ”
Director Shao is obviously very experienced in patient-patient communication.
A few simple sentences explain the patient's illness very clearly.
While walking, he explained the patient's condition to his family, and motioned to Yuntian and others to push the patient to prepare for surgery.
The more minutes a patient has had a cerebral infarction, the more damage to the brain tissue.
Therefore, in such an emergency, the doctor will first give the patient various preparations before the operation, and then wait for the family to sign before proceeding with the operation.
Otherwise, it would be a waste of time to wait for the family to think twice before making preoperative preparations.
Although the preparation before surgery is very complicated, the psychological construction time required by the family is often longer.
Therefore, in order to save time, doctors often do not wait for the patient's family to agree to sign before making preoperative preparations.
Instead, after making all the preparations, just wait for the family to sign off, and then proceed directly to the operation.
However, this time the preoperative communication was very smooth, and as soon as Yun Tian and others pushed the patient into the interventional catheterization laboratory, Director Shao's call arrived.
The family has signed and can proceed with the surgery with peace of mind!
The family did not affect the progress of the patient's surgery. Naturally, it couldn't be better.
Yan Ren and Leng Chengye pushed the patient into the cāo) room to make preoperative preparations.
Yuntian found his invisible little tail ==== Manager Huang and prepared the consumables he needed.
All day today, Manager Huang followed like a little tail in the clouds.
When consumables are needed, Manager Huang can always appear in time.
But when he doesn't need him, Manager Huang seems to have a turtle breath, which makes people feel his existence.
Manager Huang is very familiar with the surgical process and instrument requirements for intracranial vascular stent implantation, and has obviously done enough homework.
However, the current surgery requires emergency interventional thrombolysis first.
Therefore, some consumables such as microcatheters that are not used for stenting are needed.
Originally, Yuntian was also worried that Manager Huang did not carry it, such as
If you go to the company to get it temporarily, it will be too time-consuming.
At that time, I can only choose the consumables that are always available in the catheterization laboratory of the 913 gods, Yuntian has seen the standing consumables of 913, almost all of them are imported products, most of the materials of imported products are more advanced, and the feel is better, but Yuntian is not very used to it.
However, Yun Tian obviously underestimated Manager Huang's treasure chest!
As soon as Yuntian reported the consumables he needed, Manager Huang lowered his head and rummaged in the treasure box for a while, and soon prepared the consumables that Yuntian needed!
He gave a thumbs up to Manager Huang, who scratched his head a little embarrassedly.
When the consumables were ready, Yun Tian entered the locker room and changed into a new brush shirt, of course, the absolute anti-radiation clothing that was worn was not changed.
Then put on the lead coat and start brushing your hands.
"Enter the system training space. ”
The moment he picked up the brush, Yun Tian whispered.