225 is difficult to ride a tiger
In the canteen of the 913 Hospital in the imperial capital, because of the end of the meeting, more than 200 doctors rushed over to see Yuntian's operation, so Director Shao arranged everyone to have dinner in the canteen.
At this time, Director Shao had already sent someone to urge him twice, saying that the operation was about to start.
So more than 200 doctors were rushing to pick up the food, and only the sound of eating echoed in the entire cafeteria.
Suddenly, a little doctor's phone rang, and a cheerful ringtone attracted everyone's attention.
The little doctor quickly picked up the phone with some embarrassment. Because I was eating, I pressed the hands-free with my hand.
"Damn, come here, I've seen blood!" a mournful shout rang out in the cafeteria.
Seeing blood is a common term used by doctors for seeing blood in a puncture.
This shout made the entire canteen people who were eating stunned for a moment.
Has the surgery really begun, and the puncture has been successful?
Is it really that fast?
Everyone was stunned, and then they threw away the plates one by one and began to rush to the conference room.
Everyone gave up all kinds of entertainment tonight, gave up the buffet in the hotel, and went to the canteen of 913 Hospital to pick up a boxed lunch, isn't it just to see Dr. Yun's surgery?
Depend on!
Before I finished a meal, I actually saw blood!
Are you the devil?
Is it Superman?
So fast?
Thinking of the desperational micro-guidewire that traveled in the large blood vessels like a wild horse galloping in the cloudy sky, everyone couldn't help but speed up the sprint towards the conference room again!
Damn, be slow, be slow.
Now rushing over the frenzy, it is impossible to enjoy the picture of Dr. Yun traveling through the micro-guidewire in the large blood vessels as fast as lightning again!
At this time, everyone just hopes to catch up with the most critical step of the operation, starting with the expansion of the small balloon.
More than 200 people rushed out of the cafeteria all the way to the conference room!
The scene is spectacular!
attracted the attention of passers-by.
"What's wrong? What's wrong? What's going on?"
"It looks like it rushed out of the cafeteria, could it be that something happened in the cafeteria?"
"Let's go, let's go to the cafeteria!"
"Shouldn't you run after them?"
The unknown organ crowd was shocked by the image of more than 200 people running wild at the same time.
Some of the people who ate melons began to run to the canteen to see what was happening.
There are also some people who eat melons who subconsciously run forward with the army, wanting to see what is going on!
So much so that a strong crowd formed on the way from the cafeteria to the conference room.
It wasn't until all the doctors rushed into the conference room and sat down and started to watch the big screen that they stopped following the melon-eating crowd who were running together.
"Damn, why did you run to the conference room?"
"It's like you're in class. ”
"Are these all doctors? Now doctors are so crazy about attending lectures?"
"Damn, Doctor 913 is surging in order to catch up with class!"
"In front of the 200 913 doctors who rushed to class, the top students, tremble!"
“9
13 Doctors rush to class!"
Many people who came back to their senses and ate melons felt deeply stimulated
In order to take a class, more than 200 people ran wildly together, thinking that something was wrong.
Therefore, the circle of friends, Weibo, and small videos have all been swiped by various related messages of 913 doctors.
Let 913 Hospital give a wave of free publicity.
This was something that neither Director Shao nor the hospital expected.
At this time, everyone who hurried to the conference room did not blink their eyes, and began to follow the movements of the twisted fingers on the big screen.
The microwires of Yuntian have been over-selected in place and have reached the vertebral artery.
The crowd was relieved, but fortunately, they arrived before the point cāo) made!
Leng Chengye showed more and more the qualities of an excellent assistant, and Yuntian was selected in place, and Leng Chengye opened the pressurized injector at the right time.
As the dye is injected, an image under the vertebral artery appears on the screen.
The first patient's intracranial vascular stenosis was also located at the basilar artery.
At this time, under the contrast agent, there is a large piece in the middle of the basilar artery that seems to have been bitten off.
The degree of stenosis is more than 90%.
And under the narrowed plaque, a small arterial branch is exposed.
Obviously, it is not only the basilar artery stenosis that affects blood circulation, but also the branches of small blood vessels under the plaque.
"The plaque is so big, and with such a support, it is easy to have problems with reperfusion. ”
"Yes, this operation is not easy, not only to hold up the plaque, such a severe stenosis, after dredging reperfusion can have problems in minutes. Seeing the imaging situation, everyone who hurried to the conference room started talking.
From the current condition of the patient, in addition to the small blood vessels under the plaque, the stenosis is more severe, and the risk of hyperperfusion during surgery is also very serious.
Hyperperfusion is a rare but serious complication of intracranial stenting that occurs in vessels that have declined in vascular autoregulation and have adapted to hypoperfusion.
Because the aortic stenosis is severe, the blood flow is not enough for a long time, so the capillaries become extremely abundant.
As soon as the blocked large artery is dilated, the perfusion pressure of the capillaries suddenly increases in a short period of time, which will cause the blood-brain barrier to break, resulting in serious consequences such as brain swelling and cerebral hemorrhage.
Therefore, for patients with severe stenosis for a long time, it is not easy to place this stent.
Everyone in the conference room was worried about the problem of high perfusion, and Yun Tian naturally took it into account.
Therefore, after the imaging was completed, Yun Tian did not take action for a long time, but let the machine display screen stay in the imaging picture, and Yun Tian looked at the screen and fell into deep thought.
Leng Chengye was already completely familiar with Yuntian's habits.
The thinking time after each imaging will last more than 5 minutes.
Therefore, Leng Chengye did not move, quietly waiting for Yuntian's next move.
"The stenosis is so severe, the compensatory blood vessels are very abundant, and the possibility of hyperperfusion is quite large, old Shi, you
The student has not moved, can you do it?" In the disposal room outside, Director Shao asked with some concern when he saw that Yun Tian had not moved.
To avoid the occurrence of hyperperfusion, it is not only necessary to do the surgery well and steadily, but more importantly, to have rich experience!
Although Yuntian easily completed a neurointerventional fourth-level embolization operation yesterday afternoon, vascular embolization tests the understanding of intracranial blood vessels and anatomy.
After all, Yuntian is only a student who has only been exposed to neurointerventional surgery for three months!
Naturally, there is a great lack of experience.
That's why Director Shao is a little worried!
It's just that now it's a public demonstration of surgery, and in front of so many people, if Yuntian surgery comes down, it will naturally not look good, but it will be even more troublesome if there is high perfusion.
Therefore, Director Shao was very worried, and hoped that Yuntian could take down the operation, and was worried that Yuntian would be reluctant, and once there were complications of high perfusion during the operation, not only would the scene be very embarrassing, but the patient's life would also be in danger.
Therefore, at this time, Director Shao was quite difficult to ride a tiger.