331 The most severe vertebrobasilar artery occlusion
"Stroke center?" Yun Tian finished the morning operation, and took advantage of a little time at noon, just happened to meet Director Shi, so he mentioned the idea of a stroke center to Director Shi.
"You wait here for me, I'll call Lao Li over now. Director Shi was obviously very interested in the proposal of the Yuntian Stroke Center, and immediately picked up the phone and called Director Li Lishan.
"Establish a stroke center?" Director Li Lishan rushed over as soon as he received a call from Director Shi, obviously very interested in Director Shi's idea of establishing a full-weight center.
"We are now carrying out interventional thrombectomy and setting up a stroke center, which obviously has great benefits in terms of saving time for patients. Waiting for the two directors to sit down, Yuntian introduced it seriously.
"Yes, standardize the rescue process and carry out interventional surgery as soon as possible, which not only saves treatment time, but also improves the success rate of emergency rescue a lot. Director Li Lishan immediately contacted him for questions related to first aid and rescue.
"Yes, early rescue has immeasurable benefits for postoperative recovery and postoperative treatment of patients!" Director Shi also said the benefits of the curse center for the post-recovery treatment of patients.
"Organize! Immediately form!" Director Li Lishan slapped the table and gritted his teeth.
"Okay, let's do it together!" Director Shi also nodded and said.
"Then I will refer to the relevant procedures of foreign stroke centers and sort out a feasible plan first!" Yun Tian nodded.
It is not easy to set up a stroke center, and it requires a lot of manpower, material and financial resources.
But with Director Li Lishan and Director Shi here, it is naturally not Yun Tianxin's turn to ask for money, and Yun Tian only needs to be responsible for the technical part.
The core of the technical part is how to make the emergency department and neurology cooperate with their own interventional surgery.
There is only one center for all the norms and processes, and that is to provide services for interventional thrombectomy.
Therefore, it is very appropriate for Yuntian to write the corresponding specifications and processes.
"Okay, Xiaoyun, you just have to make a request, and leave the rest to our two teachers. Li Lishan said happily.
Obviously, Director Li Lishan took advantage of this time to elevate his status to the same height as Director Shi.
Cheeky began to call himself Yuntian's teacher.
Director Shi naturally understood what Director Li Lishan meant by drawing you, but Director Shi, who has always liked to compete with Director Li Lishan for the exclusive right to be a teacher, rarely did not refute it out loud this time, obviously acquiescing to Director Li Lishan's statement.
A short party ended quickly.
Although the time is short, the significance of the discussion is profound.
The establishment of a stroke center is unique in the entire province of Kunnan, and even in the southwest region.
This proves that the whole province of Kunnan and even the southwest region have taken a big step forward in stroke treatment.
The decision to set up a stroke centre was made in a brief meeting.
No one could have imagined that an unsuccessful undergraduate intern could easily lead to the completion of the first stroke center in the Southwest.
After a brief meeting, Yuntian returned
I went to the cath lab on the 4th floor of the obstetrics department and prepared to continue the afternoon surgery.
There are only two stent implants in the afternoon, which is a chronic surgery, and as for how many emergency surgeries will be performed today, Yuntian is still uncertain. Just after a chronic surgery, Yuntian's phone rang.
"Doctor Yun, a patient suspected of emergency vertebrobasilar artery occlusion, can you come down and take a look?"
"Okay, I'll come over right away!" Yun Tian agreed to the phone, and before he even had time to change his hand clothes, he put on a white coat and rushed to the emergency department.
Vertebrobasilar artery occlusion, because of the special blood supply site, once the vertebrobasilar artery is occluded, it will cause avascular necrosis of important parts such as cerebellum and brainstem.
If not treated in time, the patient's disease will deteriorate dramatically or even die in a short period of time.
It is a more dangerous condition in stroke.
However, the vertebrobasilar arteries, whether anticoagulation or thrombolytic therapy, arteriovenous thrombolysis, or other treatments, are very poor.
Even if interventional thrombectomy is applied, the operation is very difficult because of the special location and poor support environment.
Vertebrobasilar artery emergency thrombectomy is one of the most difficult neurointerventional procedures!
Even internationally, there are not many studies on this type of thrombectomy.
There are very few people who can complete such a technique.
Some time ago, Yuntian completed a vertebrobasilar artery branch implantation, so the emergency doctor just made a phone call in a hurry and called Yuntian to take a look at the specific situation.
When Yun Hall arrived at the emergency department, he found that Director Li Lishan was not there.
Thinking of the issue of preparing for the construction of a stroke center discussed with Li Lishan and Director Shi at noon today, Yuntian estimated that Li Lishan and Director Shi should go to do some related work.
Otherwise, Director Li Lishan has been in the emergency department for many years and 24 hours a day, and basically will not leave easily.
"Doctor Yun, hurry up and help me see the patient's condition!" Dr. Duan of the emergency department was so anxious that he was sweating profusely.
"Director Shi was not there, and he didn't answer the phone I called him, saying that the phone was temporarily unavailable. The patient, 72, was taken to the hospital by 120 when he suddenly fainted while shopping for groceries. When Dr. Duan saw Yun Tian, he said as if he had grasped a life-saving straw.
"The patient is now unconscious, his vital signs are basically normal, and his brainstem should not be in danger for the time being. has been put on a non-invasive ventilator, blood pressure 170/100mmHg...... "With Yuntian by the side, Dr. Duan's Xu has obviously calmed down a lot, and after sorting out his thoughts a little, he quickly reported the patient's condition to Yuntian!"
"Doctor, doctor, isn't your director here yet, hurry up and save my old man, hurry up and save my old man!" As soon as Yun Tian and Doctor Duan appeared outside the door of the emergency room, the patient's family members hurriedly pulled over Doctor Duan and asked.
"Dr. Yun has already come, and we are now rushing to see the patient's condition to see if we can treat it as soon as possible through surgery. Dr. Duan hurriedly pointed to Yuntian to comfort the patient's family.
The patient's family sees
Yun Tian was so young that he was stunned for a moment.
But he didn't doubt Dr. Duan's words.
Then he grabbed Yun Tian: "Doctor Yun, please save our old man." ”
"Okay, I will definitely do my best, you let me go now, I will see the patient's condition first. Yun Tian pulled out the hand held by the patient, answered, and entered the emergency room.
The patient's family members didn't know why they suddenly felt sad and slapped their thighs and cried loudly.
"Don't worry, this Dr. Yun is very powerful, I heard that he has saved a lot of patients in the past few days. There were also onlookers on the side who saw that the patient's family was too sad, so they comforted him.