The 477 bracket can't get through
Everyone saw the microwires on the screen that were still firmly in the coronary blood vessels. Lots of fun
A glimmer of hope rose in everyone's hearts!
Perhaps, the patient can still be saved!
But at this time, there is only a glimmer of hope.
The patient's blood vessel tear is still extending towards the coronary sinus!
The continuation of the tearing blood vessel must be stopped immediately!
Otherwise, under the impact of blood, the intima tears through the coronary sinus, and continues up, the blood vessels tear to the aorta, causing aortic dissection, and the patient can immediately confess on the operating table!
However, it is easier said than done to stop the tear from continuing!
Yuntian and Dr. Huayang Shu operated separately at this time, and I have to say that Dr. Huayang Shu's operation was also very powerful.
After the initial period of shame, Dr. Huayang Shu gradually showed his true level.
The implantation of the pacemaker went very smoothly, and with the support of the pacemaker, the patient's heart rate was restored, and the restlessness finally improved.
Next, it's up to Yuntian to operate!
"Little balloon!" Yun Tian suddenly shouted.
It seems that Yuntian is preparing to use the little male wolf to seal the tear in the opening of the coronary artery.
A small balloon to prop up the opening of the coronary artery is a good idea.
As long as the intimal tear is blocked, there is no continuous blood rushing, and the intima can be prevented from continuing to tear!
If the patient's condition does not deteriorate further, there is a good chance that he will be able to be resuscitated in the current situation.
So the most important thing now is to close the opening of the coronary intima tear.
Therefore, everyone was staring closely at the clouds on the operating table at this time.
As long as he gives any instructions from his mouth, someone will take the initiative to complete his instructions in a timely manner.
Therefore, as soon as Yun Tian shouted, Director Zhang turned his head and began to search around the disposal room.
Sure enough, I saw Manager Xiao Huang in the corner of the disposal room, who was burying his head in the treasure chest.
"Director Zhang, the small balloon and stent are ready. Please hurry up and send it in Dr. Yun. ”
Manager Xiao Huang raised his head from his huge treasure chest, held three stents and a small balloon and said to Director Zhang.
"Didn't Dr. Yun report the specifications?"
Director Zhang was very surprised, just now Yuntian only shouted a small balloon, and this side is ready.
Don't you even need to report a specification?
After all, not everyone's situation is different, people are tall, short, fat and thin, and the thickness of coronary arteries will naturally be different.
Generally, when using consumables such as small balloons, they need to be carefully measured and estimated.
Now is the rescue period, there is no way to do a detailed calculation, but generally at least the operating doctor needs to report an approximate model.
But Manager Huang is not here, and at the same time that Dr. Yun shouted out the demand for consumables, Manager Huang was already ready here.
Could it be that Dr. Yun's friends are all so good?
Director Zhang was a little curious.
But out of trust in Yuntian and Manager Xiaohuang, Director Zhang still arranged for good people to send Yuntian in.
Soon, the small balloon was sent to the operation room as soon as possible through Director Zhang's arrangement.
A small ball carries everyone's hope.
Soon along the smell seems to reach the location of the coronary artery tear.
However, because the lining of the blood vessels is torn, the condition at the entrance to the coronary artery is not good.
Although the ball can not be stretched out at this time, it is necessary to find the best position at this time and use the fastest and most appropriate way to stretch the ball away.
The operation of the small balloon to open and close the tear means that Yuntian can successfully prevent further tears in the intima of blood vessels.
Can it prevent the appearance of arterial dissection?
Whether it can successfully save the patient's life.
Everyone was nervous.
Yuntian's hands were very stable, and Xiaoqiang's position passed through the coronary tear smoothly under Yuntian's skillful operation.
Then, in such an emergency situation, Yun Tian did not directly open the small balloon like other doctors.
Instead, the small balloon is moved to a position a little further away from the mouth.
Then it starts to stretch out slowly.
While opening the small balloon, Yun Tian also slowly controlled the small balloon to move forward slightly.
This helps to drain blood from the middle of the dissection when the lining of the blood vessel is torn.
And for the closure of the front end of the sandwich, the effect will be better.
Although the operation speed of Yuntian is not very fast.
But the operation is very stable.
Soon, the anterior end of the intima of the coronary dissection tear is reattached.
The intimal layer was also absent and continued to tear in the direction of the coronary sinus, and the patient's condition was temporarily controlled.
At this time, the patient's coronary intimal tear is infinitely close to the coronary sinus.
"It's dangerous! A little further, if you really want to cause aortic dissection, the patient will have to be on the operating table!"
All those who had followed the operation breathed a sigh of relief.
By this time, the patient's hopes of survival have been greatly improved.
But it's just hope.
At this point, there is still a long way to go before the patient is out of danger.
But in any case, the chance of survival of the patient is at least 30% or more at this stage of rescue.
Director Zhang not only clenched his fists fiercely.
Previously, Yuntian said that he was 90% sure that he would be able to save the patient.
Director Zhang didn't believe it.
Coronary artery dissection is present, and the mortality rate of patients is as high as more than 95%.
Can you be 90% sure? At least Director Zhang won't believe it.
But at this time, Director Zhang was extremely eager to hope that what Yuntian said was indeed the truth.
This patient must not have any problems.
We must save the patient.
"Doctor Yun, the stent is ready, can you see if it's appropriate?" Because Yun Tian hadn't said what stents he needed, Doctor Xiao Huang had already prepared them.
And Huayang Shu also felt that Yuntian should use a stent to support and fit the torn coronary intima next.
That's why I asked at this time.
"Not for the time being, I need guidezilla to guide the extension catheter!" Yun Tian ignored the three stents handed to him by Dr. Huayang Shu.
Instead, they made other requests.
"Why don't you use a stent first, the small balloon won't be blocked for long!" Dr. Huayang Shu said anxiously.
The small balloon should only be used as a temporary emergency measure to close the opening of the coronary intima tear.
The detached intima must be re-propped up and attached to the blood vessel wall by the support of the stent. Only then can the patient be considered to have been rescued.
Seeing that Yuntian didn't want a stent, Dr. Huayang Shu had some confusion.
"I need guidezilla to guide the extension catheter, and the stent can't get through it right now!"
Dr. Huayang Shu has his own opinions, and Yun Tian doesn't mind.
When rescuing, everyone needs to work together, so Yuntian carefully explained to Dr. Huayang Shu.