Inner Mongolia, Horqin right-wing central banner.

The gastroenterology department of a second-class hospital is conducting a hospital-wide consultation.

The director, deputy director, and inpatient general of the relevant department sat in the office, boredly looking through the patient's medical records and films, but no one spoke.

The deputy chief of the medical department, who presided over the consultation of the whole hospital, glanced at everyone, then at the time, and said, "Then let's stop here." ”

"Section chief, do you want to ......?"

"The patient's diagnosis is clear, and he has advanced liver cirrhosis, so he can only recommend the patient to go to a higher-level hospital for treatment. ...... in our hospital," he said, glancing at the silent doctors and shaking his head.

Subsequently, standing up, the Deputy Chief of the Medical Section adjourned the meeting.

The Interventionist sat in the corner, his head down.

He doesn't think patients can't be treated, but they can't be cured on their own.

Severe ascites, dry limbs, the whole person looks like a four-legged spider, lying on the bed, not even breathing smoothly.

Listening to the sound of the patient's breathing like a wind box, the interventionist felt that his airway began to spasm.

He really wanted to learn from the surgeon in the live broadcast room, but he knew that it was just an unrealistic idea.

With his head down and leaving the gastroenterology department, he sighed a little. This second-class hospital in Horqin seems to be an incurable disease, but perhaps in the live broadcast room of the operation, it is just an ordinary disease.

While thinking about all kinds of miscellaneous thoughts, he walked back to his department.

Just as he was pondering, the sound of a 120 ambulance rang on his mobile phone.

He immediately became energetic, as if he had invisibly injected a dose of adrenaline into his vein.

I quickly ran to the duty room, took out the PAD from the locker, and came to a small room as fast as possible, turned on the mobile phone and PAD, and began to watch the live broadcast room of the operation.

In the dark, interventional doctors feel that today's live broadcast is very important to them.

The PAD plays a live broadcast of the patient's surgery, and he uses his mobile phone to view the patient's information.

He was stunned when a few words fell into his eyes.

My hunch was right!

Spider-Man! Boot Signs! These symptoms are exactly the same!

It turned out to be Budd-Chiari syndrome, not advanced cirrhosis, refractory ascites!

His hands trembled slightly, but then fell silent.

The surgeons in the live broadcast room have already started the operation.

The camera machine had been returned, and a wave of remorse rose from the bottom of my heart. But he didn't have time to regret it, to think about what if.

Engrossed in watching the live broadcast of the surgery in the PAD, he tried to remember every detail with his memory, which had already begun to decline due to his age.

He knew it wasn't possible, but he had to do something.

The interventional doctor was stunned for a moment, the guidewire looked wrong!

Familiar is familiar, but it just doesn't look right.

Don't...... The interventional doctor had a guess in his heart, but the surgeon in the live broadcast room of the operation did not explain it from the beginning, and this time he would not make an exception because he couldn't understand it.

Countless thoughts converge in the interventional doctor's mind, spin, and turn into a huge whirlpool.

Instead of using a microwire, the surgeon uses the most common guidewire, but with a somewhat strange shape...... It seems to be the one who has fallen......

When the guidewire enters the inferior vena cava, it ignores the numerous venous branches and comes to the point where the contrast agent is blocked.

The interventional doctor's right wrist moves slightly as if it were a marionette.

He didn't even realize that his wrist was moving, it was a subconscious movement. Subconsciously, the guidewire comes to this position, and the next step is to solve the problem.

The interventionist didn't know what the problem was, but he felt that the inferior vena cava was blocked by something unknown and was the source of the problem.

Sure enough, the strangely shaped guidewire moved slightly, directly penetrating the blockage.

Is the inferior vena cava opened?

Immediately, the stent enters along the guidewire.

The stent was opened, the contrast was made, and the inferior vena cava was completely patencious.

The operation is over, and the live broadcast room is closed.

It's so simple...... The interventional doctor sighed in his heart, but immediately, an electric current flowed throughout his body.

This surgery, such a simple operation, can be done by yourself!

Looking back, the "spider man" who was hospitalized in the Department of Gastroenterology, the interventional doctor seemed to have some understanding.

He began to search for various sources of Budd-Chiari syndrome.

As for the operation in the live broadcast room, such a simple operation, even if you want to forget, there is nothing to forget.

It is opened, the stent is lowered, the imaging is imagiated, and the operation is over.

It's even simpler than appendicitis, a geometric order of magnitude!

If you can do it yourself, you can definitely do it!

The interventional surgeon was excited to realize. But he immediately suppressed this excitement, settled down, and began to search for various literature on Budd-Chiari syndrome.

He knows that it is not difficult to see people carrying burdens, and he is tired of carrying burdens and breaking shoulders.

For TIPS surgery, the surgeon is extremely simple, and the puncture is completed with one needle. However, after many days of research, the interventional doctor finally had no choice but to give up.

Videos of the surgery alone are absolutely not enough.

He couldn't grasp how the surgeon could tell where to puncture.

I hope that the interventional surgical treatment of Budd-Chiari syndrome will not be so easy to be overlooked, but it is very important!

Searching, pondering, and after a few hours, the interventionist excitedly walked around the small storage room.

There was no information in the library of the second-class hospital of the Horqin Right Wing Central Banner in Inner Mongolia, and he searched for it on the network of the provincial library.

There is not much information on the provincial map, but two articles on Budd-Chiari syndrome have been found.

Comparing the surgical experience of the surgeon with the patient in the gastroenterology department, the interventionist thinks that he can do it!

Just a very simple operation!

Sometimes, it's just a layer of window paper, and if it's pierced, there's no secret to speak of.

More than 100 years ago, tuberculosis was like this, and more than 20 years ago, when there was no interventional surgery, Budd-Chiari syndrome was incurable. Even with surgery, there is a problem with the location of the second hepatic hilum and the mortality rate is extremely high.

And the condition is ...... It's also fairly simple. The inferior vena cava has a membrane that is initially open and gradually closes with age.

This closure is physiological, not pathological.

When the inferior vena cava is completely closed in youth, venous blood return is blocked, and venous return can only be completed through collateral circulation.

So, everything makes sense.

This is not ascites caused by portal hypertension in the advanced stage of cirrhosis, but ascites caused by inferior vena cava occlusion!

And it can be cured after interventional treatment!

The interventional surgeon was excited, and he virtualized countless surgeries in his mind, without the slightest difficulty!

Go to the gastroenterology department, find the director, find the patient's family.

The interventional doctor printed out the information he found, prepared it properly, and went to the gastroenterology department with confidence.

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