Director Kong, did you ask?"

"Oh, okay, wait a minute, I'll take note. ”

Zheng Ren said as he picked up the pen and found an A4 piece of paper, on which he wrote the general process of the last patient's treatment in the imperial capital.

They are all old doctors, and there is no nonsense, although there is not much to say, but they are all dry words.

The treatment process in the imperial capital is very similar to Zheng Ren's treatment, which is also intravenous injection of low molecular weight heparin sodium, followed by thrombolysis. They were afraid that the embolus would fall off, so they placed an intravenous filter in place to filter out the blood clots.

Of course, the patient has to have an abortion.

Because of the special constitution, if you do not have a miscarriage, the thrombocytosis will not improve, and blood clots will continue to occur.

The general process of treatment was similar to what he thought, and Zheng Ren hung up the phone with confidence.

Continue to explain the condition to the patient's family, sign, and then Zheng Ren handed over the preoperative communication to Yang Lei on duty, and then returned to the operating room again.

Professor Rudolf Wagner, dressed in a surgical gown, sat on a white bench and waited boredly for the thrombolysis time to end.

The patient's vital signs have stabilized, and the oxygen saturation has risen to 90%.

This means timely diagnosis and treatment, and the first time the disease is sent to the hospital for treatment. If you delay for a while, I'm afraid it won't be so simple to recover.

"Fugui'er, how long has it been thrombolysis?" asked Zheng Ren.

"Urokinase has been given for 15 minutes, depending on the situation, it should be about the same. Professor Rudolf Wagner said: "Boss, the consumables you have chosen are really crude. ”

When he heard that the professor was slightly invasive, Zheng Ren was also helpless.

The big imported manufacturers themselves have no connection, and they can't be on call. The consumables of Changfeng Minimally Invasive should be imitated, and the quality is slightly poor, but the advantage is that they can be delivered in time and the price is relatively close to the people.

Yes, it's better than nothing.

Because the first hospital of the city did not carry out similar surgeries, and there was no independent vascular surgery department for interventional surgery, the corresponding materials were not procured.

It can only be procured on an ad hoc basis, which is a responsible choice for both hospitals and patients.

As for whether it is easy to use or not...... Zheng Ren also knows that compared with the consumables of large foreign manufacturers, it must be worse.

The professor squirted, and it makes sense.

Feng Xuhui stood in the corner of the operation room, and when he heard the professor's words, his face darkened suddenly.

Mr. Zheng must not refuse to use his own consumables, this big thick leg must be hugged.

"It's okay, let's make do with it first. Zheng Ren smiled and began to change clothes and brush his hands.

Feng Xuhui was slightly relieved when he heard Zheng Ren's words.

In this way, it is definitely not a long-term solution, and the next time we have a meeting, we must report to Chairman Ma, whether it is materials or processes, it is true to seize the time to change and strengthen.

Feng Xuhui thought in his heart.

Urokinase thrombolysis for half an hour, Zheng Ren had finished brushing his hands and went to the stage to prepare for surgery.

The lead door slowly closed, and Zheng Ren stood in the surgeon's place, and the professor still acted as an assistant.

Inferior vena cava filter implantation, in general, is very simple, the most difficult step - emergency rescue pulmonary embolism has been smoothly passed, Zheng Ren did not go to the system operating room for individual training, so he directly started the operation.

The puncture of the catheter thrombolysis has been completed, and Zheng Ren first placed the 9F filter delivery sheath, and then slowly inserted the filter through the delivery sheath.

The minimally invasive lower chamber filter is an imitation of the SimonNitinol filter.

The whole is mushroom-shaped, consisting of two parts: a roof-shaped head and a cone-shaped tail.

This special shape, the filter is the fourth generation of filters, which combines the advantages of all previous products and improves them.

The mushroom-shaped shape can block the blood clot to the greatest extent and prevent the blood clot from passing through the filter, causing pulmonary embolism.

Although the technology of Changfeng Minimally Invasive is relatively rough and simple, the material of the filter is titanium-nickel memory alloy, and there is no cutting corners.

Zheng Ren is still quite satisfied with this.

The filter enters the lower cavity from the femoral vein, and Zheng Ren begins to step on the line.

Slowly sent the filter down the inferior vena cava, until it was below the lowest level of the renal vein, Zheng Ren turned on the filter.

Because of the velocity and stress of blood flow below the level of the renal veins, the likelihood of further lysis of the "stuck" blood clot increases.

More importantly, this operation will not affect the function of the kidneys due to the placement of the filter, and try to avoid subsequent complications.

After the filter was placed, Zheng Ren began to perform pulmonary angiography.

Seeing that most of the pulmonary embolism had been dissolved, Zheng Ren was relieved.

Withdrawn to the delivery system, Zheng Ren left, and the professor already remembered that the postoperative compression work was his own. He didn't leave at the same time as Zheng Ren like last time, making a good embarrassing scene.

When the pressure stopped the bleeding, Zheng Ren began to change his clothes.

The entire operation took less than an hour, and most of the time was used for pulmonary artery thrombolysis therapy.

This is because it is detected relatively early and the diagnosis and treatment are timely.

Zheng Ren was also very emotional, this girl's luck is really good. Pulmonary embolism is a disease that has been rescued after two attacks in succession.

I don't know if she will learn her lessons and ...... in the future

What will happen in the future, who knows. Zheng Ren is only responsible for curing the disease, and has no right to manage the private life of others.

Even the patient's parents can't take care of it, can they manage it themselves?

After stepping down, Zheng Ren took off his lead coat, put it into the system space, and came to Director Pan's side.

"You brought it back?" asked Director Pan.

"Hmm. Zheng Ren nodded, "I went to dinner with Yiren, and I happened to encounter an acute attack of pulmonary embolism, so I pulled her back to the emergency department for rescue." ”

"It's good luck. Director Pan also sighed with the same emotion, "How could you get this disease at such a young age?"

"It should be during pregnancy, when there is an increase in platelets in the body, which leads to the formation of a large number of tiny emboli in the veins of the lower limbs. The emboli is detached and plugged into the pulmonary artery. Zheng Rendao.

Director Pan had encountered a similar situation before, but at that time, there was no such complete surgical treatment as it is now, and only thrombolytic treatment was possible.

The vast majority of patients die without even being diagnosed with pulmonary embolism.

The progress of technology has turned many diseases that were previously terminal diseases into treatable diseases, which Director Pan feels deeply.

After the compression hemostasis is over, the patient is sent to the ICU.

Zheng Ren was a little embarrassed, after he came to the emergency ward, the frequency of sending patients to the ICU was getting higher and higher.

Are you afraid that the ICU will become a dedicated intensive care unit for the emergency ward in the future?

Explain the patient's situation to the doctor in the ICU, Zheng Ren leaves, communicates with the patient's family, and explains.

The patient's father had aged much more in a few hours, wrinkled at the corners of his eyes, and haggard and sad.

The success of the rescue is a thing to be happy about. But what about later?

God knows.

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