This is a patient who was done today with radiofrequency ablation of liver cancer.

Liver cancer is advanced, with multiple intrahepatic metastases. Ten years ago, the diagnosis would have declared the patient to have no therapeutic value, and the patient would have died after three to six months of survival.

However, with the clinical development of interventional surgery, this kind of disease can not only delay for a period of time, but also increase the cure rate from 0 to about 25%.

In addition, 912 carried out a study of 3D reconstruction by 64-slice CT surgeons, which improved the cure rate of liver cancer again.

Embolization + radiofrequency ablation is indeed an effective means for the treatment of liver cancer, even if Zhao Wenhua slanders Zheng Ren, he has to admit that the surgeon has great benefits to do 64-slice CT 3D reconstruction by himself.

The patient in front of me had a liver cancer resection a year ago and had a recurrence after surgery. Because the left hemiliver is resected and the recurrence of the lesion after surgery is contraindicated, there is only one means of interventional treatment.

Zhao Wenhua admitted the patient to the hospital in the outpatient clinic, underwent interventional embolization, and underwent radiofrequency ablation this morning.

The lesion was close to the diaphragm, and Zhao Wenhua chose transthoracic radiofrequency ablation.

This is just an ordinary means of operation, whether it is Zhao Wenhua or Director Kong, there have been no less than a thousand cases.

The effect is also very good, as long as you pay attention to the burning needle path, there will be no complications of implant transfer.

Clinical data suggest that implant transfers are really rare.

But in front of the patient, there is another complication - bleeding.

Zhao Wenhua was manic in his heart, he was really a dog, and he carefully burned the blood vessels and needles when he withdrew the needle, and he even had the problem of bleeding.

It's amazing.

The only thing I hope for now is that the bleeding will stop on its own.

Three sets of hemostatic drugs were used, and even a micropump was used to pump the posterior lobe into the pituitary gland, but the bleeding still could not be stopped.

Thoracic surgery consultation, Fang Lin came to the chest bottle.

In just an instant, the chest bottle was almost full, and Fang Lin had no choice but to clamp the chest tube with hemostatic forceps. He judged that the patient was most likely going to have open heart surgery. However, after explaining to Zhao Wenhua that it was the judgment of the chest department, Zhao Wenhua refused the suggestion of thoracotomy surgery.

In fact, Zhao Wenhua's idea is also very simple, how thick can a radiofrequency needle be? But the thickness of an ordinary needle will not be so great as the damage to blood vessels. Moreover, at the place where the needle is inserted, there are no large blood vessels at all, and when the needle is removed, it is also carefully burned.

I did everything I could, even if it was bleeding, I guess it should have stopped. At this time, if you open your chest, it is at least a medical accident.

Wouldn't it be better if we could stop the bleeding on our own, and everyone would be happy in the end?

Now that the doctor-patient dispute is so serious, normal complications are counted as medical accidents, and I am really distressed, Zhao Wenhua is worried, and he pulls down his hair one by one.

Fang Lin was helpless, sighed and went back. He is just a doctor who consults and does what is relevant to himself. As for whether the patient should be transferred to general chest surgery for treatment, Zhao Wenhua has to make an idea.

This is a medical practice, and Fang Lin can't just drag the patient to the operating table.

Zhao Wenhua watched the film and felt sad. He carefully recalled the operation process, there was nothing that could be improved, and he was also trembling, and his level was played to the limit.

As long as it is surgery, there will be complications, and no matter how high the level is, it cannot be avoided.

Zhao Wenhua tried to avoid it as much as possible, waiting for Zheng Ren to make a mistake first. That guy is like walking a tightrope, no matter how difficult the operation is, he has to go up and try it, and it's strange if he doesn't make a mistake.

But something unexpected happened to him, Zheng Ren didn't make a mistake, he made a mistake first.

It's not a mistake, it's just bad luck and complications. (Note 1)

If Zheng Ren did not exist, this patient Zhao Wenhua would have admitted it. Sent to the thoracic surgeon for thoracoscopic hemostasis, a very small operation, can quickly solve the problem. But after Fang Lin made a suggestion, Zhao Wenhua felt that it was a conspiracy.

What is the relationship between Fang Lin and Zheng Ren, no one in the whole hospital does not know.

That accident, that rescue, Zhao Wenhua knows. This is Zheng Ren, a dog, looking at himself viciously, waiting for himself to make a mistake, Zhao Wenhua thought in his heart, and rejected Fang Lin's suggestion without hesitation.

Just waiting for Fang Lin to leave, Zhao Wenhua began to hesitate and become anxious again.

What should I do if the bleeding can't stop? He went to check the patient's blood pressure almost a few minutes, for fear that the blood pressure would not stop dropping. When it really comes to that point, everything is going to be on stage.

Hope not.

Every time the arterial blood pressure monitoring fluctuates by one or two values, Zhao Wenhua's heart will continue to beat. Ascend and he sees hope. When he descends, he falls into hell.

It was already half past three in the middle of the night, and he was still anxiously observing and judging.

The hemostatic forceps, Zhao Wenhua never reopened, he gradually had an idea. Bleeding is due to negative pressure in the patient's chest, and the bleeding at the site of the ruptured blood vessel cannot be stopped.

If you want to change the negative pressure state, there is only one way - let the blood accumulate in the chest.

After that, the blood vessel occludes, the bleeding stops, and the problem of atelectasis is slowly solved, which seems to be a solution.

After hesitating for a long time, Zhao Wenhua decided to adopt this method.

Despite this, he still takes great care of his patients. Later, I simply stopped walking around and took care of the bedside myself. At this time, he didn't worry about anyone, only when he was in front of the patient's bed, that worried heart would be more stable.

It's not getting better, it's not getting worse, it's just not changing. Blood pressure is maintained at 80/40 mm Hg under the premise of continuous blood transfusion, which is considered hemorrhagic shock, but it is not serious.

In addition, the patient's basal blood pressure before surgery is low, and this blood pressure is acceptable.

It's just that such a night is so difficult.

Almost every doctor has had such nights, more or less.

If it weren't for Zheng Ren, Director Wei would still be doing extremely complicated operations on the operating table......... No, if it weren't for Zheng Ren, the patient would have died when he came to power, and he wouldn't have had to suffer a long time ago.

Zhao Wenhua watched the film again, returned to the patient's bedside, sat on the bench, and looked at the monitor blankly.

The patient's family was grateful to Dade and explained that there were complications before the operation, but they didn't expect to meet it.

This is bad luck, and the patient's family is reasonable and recognized.

Professor Zhao has been bedside care since the onset of the condition, and the patient's family has expressed their gratitude. Only Zhao Wenhua knows in his heart that what to do is the best choice.

It's just that he can't make that choice.

Although it was just an ordinary complication, no one could avoid it, Zhao Wenhua still wanted to try not to enter the palace for the second time, and he couldn't give Zheng Ren a handle to attack him.

Zheng Ren is okay, as soon as he thinks of Su Yun, who looks like a boy group star next to him, Zhao Wenhua can't stop being bored from the bottom of his heart.

That man's heart is the worst!

……

……

Note 1: Desperately add luck to Boss Zheng in order not to make mistakes. As a doctor, luck is really important.

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