"Mr. Sun, similar surgery, the intervention function is to open blood vessels, is there any other use?" Xie Ning asked.

"Uncle Ning, it's already great to be able to open blood vessels. In particular, this kind of acute and critical traumatic thrombosis is opened to where and where the limbs are ...... You can keep it by going up 5-10cm. Mr. Sun explained: "However, it is difficult to do interventional thrombectomy, thrombectomy is particularly difficult for more than 6 hours. ”

Xie Ning nodded, didn't speak, and looked at Zheng Ren inside to start the operation, thinking thoughtfully.

Soon, the screen in the operation room lit up.

The guidewire ran down the femoral artery, but not far, and the catheter was in place. At the moment when the screen lights up, imaging has already begun.

The contrast agent didn't go far before it was blocked. Below 1/3 of the injured person's thigh, the blood vessel occlusion was severe and blank. This means that the blood clot is constantly forming and has spread from the knee below to 1/3 of the thigh.

Ischemia, exudation, and edema lead to the continuous deterioration of the condition of the injured limb.

In the past two days, there have been too many similar injuries, and Mr. Sun has become numb.

If you focus on emotion, even a little bit, the doctor will have an emotional breakdown long ago, so that more people will not be able to be treated.

Now, all doctors focus only on the condition and do not think about the other conditions of the injured person.

It is already a blessing in misfortune to be able to come down from the front alive.

On the screen, after the imaging was completed, the surgeon did not stop stepping on the threads, but pulled out the ordinary catheter, and the thrombectomy catheter was immediately lowered.

When it comes to the key to surgery, Mr. Sun knows.

Embolism has been formed for at least 6 hours, or even 36-72 hours, which is not considered a fresh thrombus, and it is extremely difficult to remove.

But the surgeon insisted on doing it, and he should be able to take out a piece of plug, and Sun always had this confidence.

In the current situation, people who are not up to the level will never dare to waste time trying again and again. The mountains of wounded people outside are a huge pressure in themselves.

In this case, this is not the time to be reckless. Do what you can do, that's the key.

"Huh, Uncle Ning, you're not busy, why do you have time to come over?" Su Yun's voice came from the door of the operation room.

"Su Yun, I'll take a look at the situation on this side and know it in my heart. Are you okay with that face?" Shainin smiled and said, "Did you do the operation quickly?" ”

"It's the boss's quick operation, which has nothing to do with me. Su Yun said: "Mu Tao can only make one in forty minutes, which is as slow as a cow-drawn cart." ”

Su Yun talked about Mu Tao without any pressure, as if he had nothing to do with him.

Forehead...... Mr. Sun was stunned.

Forty minutes for a severe pelvic fracture intervention? It's already flying, okay?

How did it become a slow cart with oxen?

He glanced sideways at the man who walked in, a handsome young man.

What a big tone, do young people nowadays talk like this? When you are in the emergency room, you don't have any serious words at all?

Perhaps, this is the style of their operating room? Possibly. In the operating room of each hospital, the atmosphere of chatting is different, in short, the simpler and more relaxed, the better. But what kind of doctor is this, why is it so indecent?

"It's good. Shainin smiled.

"Director Jiang, what is the boss doing?" asked Su Yun.

"Thrombectomy. Director Jiang replied.

"Oh, did he sleep for a while?" asked Su Yun.

"Just slept for about ten minutes. ”

"Come on, sooner or later, I'll be tired of this shit. Su Yun scolded.

The hearts of several people standing in front of the operating table were gloomy, they had been busy with the operation for at least 36 hours, and they had also carried the seriously injured over the mountains and mountains before, Su Yun was telling the truth.

But so what?

Outside, there are still more than a dozen seriously injured people waiting for amputation. If the thrombectomy is successful, it means that a section of the limb will be preserved as much as possible.

Mr. Sun was stunned for a moment, and felt a little embarrassed. When I looked back at the screen, I was shocked to find that the thrombectomy catheter was no longer in the femoral artery.

Was it a mistake? Definitely.

Sleepiness is like this, and mistakes are inevitable, and it is not a big deal.

But...... The image looks a little different.

He looked closely and saw that the femoral artery in his thigh appeared to be partially open, and the residual contrast agent was spreading at a speed visible to the naked eye in the capillary branches next to it.

This means that the loss of blood supply has not been long in coming, and the capillaries have not been completely blocked. Once the femoral artery is opened, blood flows down the river and arterial pressure reopens the capillary network.

Just after speaking, I took a plug?

This speed ...... It's too fast.

However, Mr. Sun was not surprised, the operation had just begun, and the blood clots in the femoral artery could be said to be full, and only one section was removed, which did not help the overall condition and subsequent surgery.

How it will be, it will be seen.

"Orthopedics?" Su Yun walked over, squinted at Mr. Sun, and asked.

Belch...... The tone of his speech is very unfriendly. Mr. Sun was surprised, he didn't seem to offend this person, why did he talk to himself in such a tone?

is a little trance-like, but I can't worry about this little thing, everyone is not angry, Mr. Sun knows. He nodded and said, "Well, I am the general resident of the orthopedic department of the provincial hospital. ”

"Hospitalist, is your director here?" asked Su Yun in a lazy voice.

"The director stayed at home, and I was pulled over to the emergency department as soon as I had an accident. Mr. Sun became more and more bored with this sissy and spoke casually.

"You may not be able to do the operation......" Su Yun lengthened his tone, and then seemed to ponder something.

"I've done it, and I'm sure I can do it. No matter how good Mr. Sun's temper is, he can't hold it back, he said coldly.

"Huh. Su Yun smiled, "Looking at the imaging situation, the crush should be 5-6cm below the knee joint." The distance is very short, are you sure to save your knee?"

"Uh......" Mr. Sun hesitated, in his opinion, the knee joint would definitely not be saved. The efforts of the surgeon who are undergoing surgery are to open the blood vessels as much as possible, so that the postoperative compartment syndrome is lighter, heals faster, and has less than a section of the thigh.

"And I think the boss means that you can't use a tourniquet when you should amputate your limb. Su Yun squinted at the screen and muttered.

He didn't even believe what he said. However, Zheng Ren laboriously removed the blood clot and opened the artery, which usually requires at least 12 hours apart, and then the operation is performed after all the capillaries are opened.

That's the special thing in this special time.

In normal times, it is rare to encounter patients who have been squeezed by a heavy object for more than 1 hour. Now, 1 hour is considered a fresh crush injury, and most people are squeezed by heavy objects for about 1-2 days, and the trauma is severely necrotic.

At this time, the capillaries are opened, and the necrotic tissue will be absorbed into the bloodstream, causing serious complications such as bacteremia and acute renal failure.

Therefore, it is absolutely impossible to wait for 12 hours before amputation, but to hurry up, it is best to start amputation as soon as the blood vessels are opened, remove necrotic body tissue, and minimize the possibility of complications.

Mr. Sun was stunned, there is no need for a tourniquet for amputation? What about bleeding? It is the femoral artery, the kind that flows like a river of blood after the incision.

"So, if you look at it in vain, go find someone with a higher level. Su Yun hugged his arms, looked at the operation on the screen, and admired: "To say that the boss's surgery is becoming more and more proficient, it's really amazing." ”

The tone of praising Zheng Ren is completely different from the tone of talking to Mr. Sun, as if he is a different person.

Sun Zhenxing was stunned, this person really turned his face faster than turning a book. Did the surgery do well? Not necessarily. Although he didn't know how to do interventional surgery, he couldn't help but slander a few sentences.

He was a little angry, even if he was his own director, he had never choked up and talked to himself like this, who was this person? Why is he so annoying.

But hate it, hate it, and you can't quarrel with people in the operation room. Sun Zhenxing let out a sigh of relief and tried his best to maintain his demeanor.

After a few breaths, Sun Zhenxing's mood stabilized.

He stared intently at the operation, and suddenly he saw ...... The thrombectomy catheter is removing a large section of the blood clot from the anterior tibial artery and is pulling out.

Is it already knee-related?

How did he get the kind of blood clot that had been embolized for more than 48 hours......