452 Do you have time?
It turned out that when Yuntian was operating in the cardiology department today, in addition to the people from the 913 neurology department in the treatment room, there were also people from the cardiology department. Word Pavilion
The two young doctors in the cardiology department are also newborn calves who are not afraid of tigers.
After listening to Yuntian's explanation so much, the two of them didn't even report to Director Zhang, so they secretly tried according to what Yuntian said.
Without Yuntian's ability to operate, the results of the two can be imagined.
I actually fell off the stent in the coronary artery!
Stent removal is one of the serious complications of interventional surgery.
Once not properly treated, it can cause secondary complications such as severe dissection, hemorrhage, myocardial infarction, and death.
Secondary complications refer to complications that lead to recurrence.
Stent detachment is one of the most serious complications of interventional surgery.
In such a situation, if you want to remove the stent and perform subsequent treatment, you must have a very experienced and skilled doctor.
Originally, Huayang Shu was a good choice.
It's just that the two of them operated according to the surgical method Yuntian said, and the position was a little awkward, and it was in a place where Dr. Huayang Shu did not often operate.
Therefore, Dr. Huayang Shu is not absolutely sure that he will be able to take it out.
In a hurry, Director Zhang hurriedly came to Yuntian for help.
"Removing the stent!!" Hearing that it was such a complication, Director Shao also had a tingling scalp!
It's a really hard thing to deal with!
Not to mention the stent detachment that occurred during coronary artery surgery.
"Where is the fall?" Director Shao couldn't help but ask again, and he couldn't help but have a glimmer of hope in his heart, don't be in the coronary artery!
If it is a coronary stent, it is not very difficult to take it out.
"At the entrance of the collateral of the coronary artery!" Director Zhang replied honestly.
Sure enough, it's in the coronary arteries!
Director Shao, the only hope is dashed.
Intracoronary stent detachment is one of the most difficult conditions of all stent shedding types.
After all, the coronary arteries are so small that the stent is in this position, and it is very unlikely that the stent will be removed.
The smaller the blood vessels, the more difficult it is for interventional surgeons to operate.
What's more, the coronary arteries are responsible for supplying blood to the heart, and the heart is constantly beating, and there is also the reason for physiological electricity.
In the face of many difficulties, even the world's top doctors dare to try to remove the detached stent in the coronary artery.
There is no absolute certainty that you will be able to take it out.
Therefore, for coronary artery stent detachment, the common treatment is to release it on the spot.
After all, the diameter of the canal in the coronary artery is small, and even if there is no plaque and stenosis, there is not much room for circulation.
If the blockage lasts too long, it will quickly cause blood clots in the coronary arteries, and then cause real coronary embolism.
It is extremely difficult to remove the stent in the coronary artery, so the doctor often takes the method of releasing the stent in the coronary artery when the stent falls off.
But now, this patient is because the stent is dislodged at the entrance to the collateral branch of the coronary artery.
In this place, the bracket will never dare to be released on the spot.
At the entrance of the collateral branch of the coronary artery, the shape of the blood vessel must not be straight, and the stent that is stuck in half is released on the spot, and there is only one result. It is a coronary perforation.
The freed nail will puncture the coronary artery directly.
So, the patient's condition is not in general critical.
"Let's ask Xiaoyun what he means!" Director Shao thought about it, originally he didn't want to let him go to this troubled water tomorrow.
After all, in the patient's current situation, it is almost impossible for the stent to be removed smoothly.
But now, after all, it is a human life, and Director Shao knows that Yun Tian has a calm personality, so Director Shao decided to let Yun Tian make his own decision.
Director Zhang also nodded, and glanced at Director Shao gratefully.
The reason why I explained so much to Director Shao just now was that I was afraid that Director Shao would stop me, so I went to Yuntian for help.
Dr. Yun is young and in the limelight!
Give yourself a favor, the surgery is done, and it is not the icing on the cake.
But if you do it badly, maybe your good future will be ruined.
But who can be a doctor and ignore life?
As the chief doctor of cardiac interventional surgery, Director Zhang has done cardiac stent surgery for decades, how could he not know the risks of this operation?
But out of reverence for life, Director Zhang was unwilling to give up the last glimmer of hope, so he came to Yuntian.
Fortunately, Director Shao is still the Director Shao he is familiar with!
Although there was reluctance, it did not stop himself.
The two hurried into the disposal room.
Even Director Zhang, who was in a hurry, was startled by the group of young neurologists who looked like refugees in the disposal room.
However, Director Zhang didn't have time to wonder what happened to this group of young doctors.
Go straight to the walkie-talkie and prepare to tell the situation tomorrow.
The walkie-talkie is placed in the best visual position where the disposal is leaded glass.
As soon as Director Zhang approached, he was suddenly stunned.
What is Dr. Yun doing inside?
From Director Zhang's point of view, when he looked at the operating table where Yun Tianzheng was.
I could only see Yuntian's fast twisting right hand.
The micro guide wire is in Yuntian's hand, almost flying!
This......!!!
Where is this good guy doing surgery?
The speed of this linkage micro guide wire can catch up with the crazy energy of drilling wood for fire!
Although, Director Zhang has never seen primitive people drill wood to make fire.
But you can imagine how fast it would take to get the tinder from the wood.
At this time, Yuntian's operation is even better.
"Lao Zhang, what are you doing in a daze?" Director Shao said with a smile on the side.
At this time, Director Shao was very proud.
Just he wrote a sentence on the door of his head, what do you think of my apprentice?
"Dr. Yun's surgical technique is so violent!! Director Zhang wiped the beads of sweat on his forehead, and couldn't help but sigh!
The two words of rage perfectly describe the shock in Director Zhang's heart at this time.
"Where is it berserk? Which eye of you saw that Dr. Yun's operation was violent! Look at Dr. Yun's operation, which action is not meticulous? If you don't understand it, don't talk nonsense!"
Although the word furious perfectly expressed Director Zhang's shock, Director Shao was not happy to hear it.
Berserk surgery?
What kind of wolf and tiger word is this?
"You're berserk when you have surgery!"
"All your apprentices are berserk when they do surgery. ”
"Everyone in your department is berserk when they do surgery!"
Director Shao was dissatisfied and muttered.
……
Director Zhang is full of black lines.
I almost forgot that Director Shao is the most short-sighted.
Dr. Yun is really Director Shao's heart, he is just a praise full of praise, but because of the improper use of words, it seems that he has offended Director Shao.
"I was actually too excited, and I was shocked by Dr. Yun's surgical method!" Director Zhang explained dryly.
Turning his head, he promoted the walkie-talkie, and said to Yun Tian in the operation room: "Doctor Yun, I have a patient here, the stent fell off at the entrance of the collateral branch of the coronary artery, I want you to help me take it out, do you have time?"