Chapter Eighty-Eight: Genius

And the director is also a person who attaches great importance to practical operation, if you want a doctor to grow, you must teach them by hand, so that they can practice in clinical practice, so that there will be progress! Otherwise, everything is just on paper!

And the patient has now been stopped by him from bleeding through the biggest bleeding opening, and his vital signs are basically stable. It will be fine when Hou Quanhai undergoes surgery later.

Even if Hou Quanhai makes a mistake during the operation, with his on-site guidance, it can be remedied in time!

This is also the reason why he was so bold to let Hou Quanhai prove himself.

"Good! Thank you, Director, for your trust. Hou Quanhai didn't expect that there was another place of bleeding, of course he wouldn't ask if there was another place for bleeding at this moment. Wouldn't asking it like this instantly expose the horse's feet that he didn't understand at all?

Anyway, since you accidentally got this chance, let's go for it!

"If I succeed in stopping the bleeding in the remaining bleeding area, I should be considered an interventional operation!"

"So, krypton~genius!"

"System!"

[System Points]: 4200

[Uterine artery interventional embolization] - not started.

"This is a level 4 operation, and it is estimated that krypton gold is very expensive, so let's recharge 20,000 points first!" At this time, Hou Quanhai had more than 40,000 deposits, so he was not stingy.

At most, go to Xia Yu to earn it back in the future!

"Charge!"

"Level up!"

"Ding Dong - deduct 9000 points, [Uterine Artery Interventional Embolization] - Beginner!"

"Shhh...... It is worthy of a fourth-level operation, and the entry is 9,000. ”

"Keep upgrading!" He felt that the entry was still a bit too big, at least at the proficiency level.

"Ding-dong...... Deduct 18,000 points, [Uterine Artery Interventional Embolization] - Proficiency level! ”

[System Points]: 9200

Seeing that there were still nine thousand and two points left, Hou Quanhai secretly smacked his tongue in his heart: "Nine thousand for entry, eighteen thousand for proficiency, more than thirty thousand for the director level, and expert level...... If a fourth-level surgery is upgraded to a world-class operation, it will cost more than 100,000 in total! ”

mmp!

Sure enough, it's a system for rich people to play!

After the upgrade, Hou Quanhai instantly had more experience and knowledge about this operation in his mind, as well as dozens of surgical experiences.

I also know how to use these surgical instruments and judge by looking at pictures!

The director of the door quickly withdrew all the instruments, and he planned to let Hou Quanhai re-operate from scratch by himself!

Otherwise, there is nothing to practice in the operation!

"Let's start, if you don't understand something, you can ask me, and if you don't dare to grasp the operation, stop immediately, let me come! Got it? The door director said in a serious tone.

"Yes!" Hou Quanhai also knew that this was not a joke, and he had to be responsible for the patient!

The operation began again.

After Hou Quanhai familiarized himself with the instrument, he was cannulated through one femoral artery, the arterial sheath was indwelled, and the Cobra catheter was selected to first cannulate the contralateral common iliac artery, and DSA angiography of the contralateral iliac artery was performed.

His speed was very slow, more than three times slower than the door director just now.

First, he is currently only proficient, and of course not as fast as other old drivers.

So just take your time! Too fast, he was afraid that the old heart of the door director couldn't stand it!

"What should I do at this time?" The door director suddenly asked.

"The opening of the contralateral internal iliac artery and the uterine artery should be observed for visualization. If the uterine artery is developed, the initiation, morphology, and the presence or absence of fibroid staining are observed. If it is confirmed that there is no problem, the catheter can be further fed into the internal iliac artery and a 0.89mm or 0.96mm white or black loach guidewire can be used to look for the uterine artery! Hou Quanhai didn't raise his head.

"Huh? Not bad, that's right! "The door director was slightly surprised, this kid can! No wonder you're so confident. He said briefly about this step just now, but he didn't expect this kid to really remember it!

The operation continues.

"The next step is crucial, which is to find the entrance to the uterine artery! If you're not sure, you can stop, and if you don't understand, you can ask me. The door director continued.

"Okay."

At this moment, Hou Quanhai had already spiraled the tip of the guidewire into the distal blood vessel, and he was looking for the entrance to the uterine artery.

Although he was only at the proficiency level at this time, it was not a problem to find the entrance to the uterine artery, but it took him some time to find and judge.

A few minutes later.

"Director, this should be the uterine artery, right?" Hou Quanhai suddenly raised his head and asked the door director.

The door director looked at the screen and smiled, "Guess! He felt that Hou Quanhai would definitely not be sure before he asked him, so he planned to test the other party!

However, Hou Quanhai did not answer, but introduced the catheter and used a guidewire to introduce the catheter into the distal uterine artery.

"Hey, hey, you haven't confirmed how it was introduced?" The door director frowned.

"Hehe, Director, I was just joking with you just now, of course I'm sure it's the uterine artery!"

Door Director: ......

"You kid!"

After entering the uterine artery, Hou Quanhai slowly extended the catheter in, and he had to be very careful at this time! It requires you to accurately position and move, try not to let it touch the arterial wall, and do not use too much force, in case it hurts the arterial wall.

Here is very particular about the feel and operation, your two-handed control of the guidewire must be synchronized with the display on the screen, otherwise there will be a big problem!

Hou Quanhai is operating very slowly at the moment.

In fact, the door director on the side was also a little worried, he was afraid that Hou Quanhai would use too much force, after all, the other party was operating for the first time.

However, when he saw Hou Quanhai slowly extending the catheter to the depths step by step, he breathed a sigh of relief.

Then, Hou Quanhai performed DSA angiography to observe where the second bleeding point was!

"Found it!"

The guidewire leads through, and then the catheter is introduced.

"Director, since the patient is bleeding heavily caused by an abortion, should Fudaxin injection be slowly injected through the catheter before embolization, right? As for how many grams, uh, I don't know. Director, how much? Hou Quanhai asked with a smile.

"Hey, you kid can! You can see the steps I just did! The door director was stunned, he thought that Hou Quanhai would skip this step just now, but he didn't expect this kid to remember his surgical steps after reading it.

"0.75 grams!"

"Great! So how many specifications of gelatin sponge particles should be used next? Hou Quanhai continued to ask deliberately. In fact, he knows how many specifications should be used for this size of rupture, and if it is a large rupture, he has to use gelatin sponge strips, not granules. Now the cracked place is too fine, so it will be fine to use pellets.

But at this time, he still pretended not to ask. Although he is a genius, he can't show too much against the sky, right?

"Embolize with 1.0X0.1X0.1 specifications!" The door director said, at this moment, there has been a storm in his heart, this kid is definitely a genius!