There is a needle on each shoulder joint and under the outside of the collarbone.

This is where the blood vessels of the brachial plexus enter and exit, and the anatomy is very complex, and if you are not careful, you will damage the nerves and blood vessels.

It is a very difficult procedure to remove a small foreign body from deep into the human body.

Because whether it is color ultrasound or X-ray positioning, it is to obtain a flat image, and it is impossible to accurately locate the needle, and sometimes it is seen in a certain position, and there is no cut in at all, because it is difficult to find which layer of tissue the thin needle is hidden in.

There is one in each hip and knee joints, and there are also two upper arms, forearms, thighs, and lower legs.

These needles are horizontal and vertical, and there is a creepy feeling to look at.

It's hard to imagine that a ten-month-old baby has so many needles hidden in its small body, and these needles are still deliberately pierced.

The original footage of a horror movie actually appeared in real life.

Each needle was carefully discussed, and the method of removal was finally determined.

After discussion, it was decided to use endoscopes that can be used with endoscopes, and small incisions should be made as much as possible if endoscopes cannot be used, and color ultrasound positioning fine needles should be used throughout the operation to achieve as accurate surgery as possible and reduce damage.

At the end of the meeting, it was already more than eight o'clock, and everyone was still hungry.

Yang Ping paid out of his own pocket and invited everyone to eat at a restaurant near the hospital.

During the meal, a graduate student was uncomfortable, always worried that there were needles in the meal, so he tossed the food in the bowl and chewed it slowly with each bite, for fear that he would swallow it without discovering a needle.

He knew it was impossible, but he just couldn't suppress the thought.

The nurses in the department are very caring, and everyone spontaneously takes turns to feed Xiao Minmin milk powder and change diapers.

To do these jobs, nurses with child-rearing experience are naturally proficient, and those who are not married and have children seem very rusty.

Xiao Minmin slowly adapted to the care of everyone, and when she no longer saw everyone, she turned her head and fell into her grandmother's arms, and then let go of her throat and cried.

But there was one thing that stumped the nurse.

Due to the need for surgery, it is necessary to keep a needle on Minmin's head, so that in case of unexpected rescue during surgery, the medicine can be pushed at any time.

Intravenous access is established before surgery, which is a routine procedure and is prepared.

Imagine if there is an accident during the operation, such as an allergic reaction to anesthetics, and then prick the needle during the rescue, it will not only delay time, but also make mistakes in the busy.

If there is an indwelling needle, directly open the temporarily closed indwelling needle pipeline to push the drug into the patient's body, saving time, and every second is of the essence for rescue.

But this kind of operation can't be completed anyway, no matter how coaxed, as long as the nurse shows the needle, this guy doesn't need to look at it to know that there is a needle, Ricko is frightened, he clutches his grandmother's clothes tightly, and his limbs keep kicking, as if he is desperately trying to escape, and the cry is heart-rending and resounding throughout the ward.

The nurse tried to control her, but she still struggled desperately, her face was bruised, and her breathing was wheezing like a hyo asthma attack.

In this way, the nurse did not dare to restrain her strongly, so there was no way to start if she wanted to prick the needle.

"Let's go to the operating room and leave the needle after anesthesia!" Nurse Cai had no choice but to ask the nurse to give up.

It took a long time for the little guy to breathe smoothly and his face turned from purple to red.

But the crying never stopped, and the grandmother had to hold her in circles in the ward, and the nurse saw the situation, afraid that the grandmother would not be able to hold on, and wanted to help, Minmin's crying was even louder.

There was no way, the doctor on duty had to sedate Minmin and put her to sleep, which solved the problem.

The old lady couldn't help but keep sobbing, and the old man sighed and said, it's all fate, it's all fate, and there are tears in his eyes.

At their age, what will they do with this child in the future.

The police contacted her mother, who was allergic, and the woman said that she was married, and the child was awarded to her ex-husband, and she did not want to have anything to do with the child anymore, so she should not call her in the future.

What will happen to this child in the future?

When the old couple thought about it, they couldn't sleep.

In the middle of the night, the grandmother had severe chest pain and tightness, breathless, sweating profusely, like a boulder pressing tightly on her chest.

The old man hurriedly called the nurse, and when the nurse saw it, she quickly called the doctor.

The doctor on duty happened to be Li Guodong, who immediately preliminarily judged that it was an acute myocardial infarction, and while calling the nurse to rescue him, he did an emergency electrocardiogram, took blood to check the myocardial enzyme spectrum in the emergency department, called the chest pain center to ask for support, and then reported to Yang Ping.

Dr. Yu, the doctor on duty at the chest pain center, quickly came and looked at the electrocardiogram, which was an acute myocardial infarction, combined with the myocardial enzyme spectrum that had just come out, it was determined that acute myocardial infarction required emergency rescue, coronary angiography and interventional coronary stent dilation.

At this critical moment, it was a race against time, and immediately took the green channel, and Dr. Yu took the regular trainee to push the grandmother to the catheterization laboratory in the chest pain center.

Li Guodong typed out a letter of intent, talked to the old man and signed, and reported to the general duty of the hospital.

In this kind of rescue surgery, it is humanitarian, and it is not about money, saving people first, and talking about money after the operation.

Regardless of whether the money is paid or not, it will not affect the rescue.

The old man had no master, so he rushed to the catheterization laboratory, and his granddaughter was here alone.

Staying here, my wife now needs to be rescued, and her life and death are uncertain.

The nurse on duty is quite experienced, and Corey is fortunate to have a trainee nurse, and the nurse on duty leaves a trainee nurse to help take care of the baby, and sends another trainee nurse to push the old man to the catheterization laboratory in a wheelchair, and then comforts him not to worry.

After receiving the report from the nurse on duty, Nurse Cai rushed to the department from home in the middle of the night and urgently dispatched additional manpower.

Yang Ping, Song Zimo, and Xu Zhiliang also rushed to the department respectively, and then went to the catheterization laboratory of the chest pain center.

Minmin's grandfather sat in a wheelchair, holding the wheelchair with both hands, staring at the door of the catheterization lab, tears streaming down his cheeks.

How can I live so hard in this life, people who are in their seventies, who are about to enter the ground, still suffer from this sin.

People say that raising children to prevent old age, this son not only did not prevent old age, but also tossed the two old people to the point that life is worse than death.

Nurse Cai was afraid that the trainee nurse would not be able to take care of the old man, so he sent a nurse from home to take care of the old man in the cath laboratory, and the old man could not have any more problems.

Yang Ping was preparing for the catheterization lab to see what was going on, and met the director of the chest pain center at the door, he had just received a call and came from home, and the director lived nearby.

"Doctor Yang, let's go in and have a look!"

Director Guan does not know the specific situation now.

Everyone followed Director Guan to quickly change their hand clothes, put on lead clothes, and entered the catheterization laboratory, where Dr. Yu was undergoing interventional surgery and had just completed the puncture and catheter insertion to push the contrast agent.

"Acute myocardial infarction, cardiogenic shock, loss of consciousness, left ventricular assist device to maintain blood pressure, ventilator to assist breathing-" Dr. Yu saw his senior doctor, Director Guan, and immediately reported, but the operation did not stop.

The contrast agent spreads along the blood vessels, and the image of the branches of the coronary arteries is immediately displayed on the screen, and the contrast agent stops at the beginning of the left main coronary artery and does not extend downward.

"Oh my God! The beginning of the left main trunk is completely occluded!! ”

Director Guan didn't care about brushing his hands, so he immediately found a pair of sterile gloves to put on, quickly put on a surgical gown, and went to the stage in person.

The left main refers to the proximal part of the left coronary artery that originates from the left coronary sinus to the anterior branch, and together with its branch vessels, innervates 60% to 90% of the heart muscle.

When the left main coronary artery is completely occluded, patients are at extremely high risk of developing fatal left ventricular dysfunction and malignant ventricular arrhythmias!

This type has the highest risk and lowest survival rate in acute myocardial infarction, and the vast majority of patients die suddenly outside the hospital, and even if they have the opportunity to receive emergency coronary intervention, there are still very few successful cases of rescue.

"Steady, don't panic, find the opening of the left trunk - stand away, I'll come!"

Director Guan had already put on his surgical gown and asked Dr. Yu to get out of the way, and he stood in the position of the chief surgeon.

Jiang is still old and spicy, with rich experience, strong psychological quality and precise techniques, Director Guan found the opening of the left main coronary artery as soon as possible, quickly opened the occluded main artery, restored the blood flow of the occluded blood vessels, and the movements were smooth and in one go.

Under his leadership, the Chest Pain Center actively carries out various high-risk and complex cardiac interventional surgeries, implements the concept of multidisciplinary comprehensive treatment and monitoring unit of cardiac multidisciplinary intensive care, and combines cardiac assist device treatment and multi-organ failure intensive treatment with high-risk complex coronary artery technology, which greatly improves the level of treatment of emergency, critical and severe cardiovascular diseases.

If Dr. Yu hadn't followed the treatment procedures and went to the left ventricular assist device and ventilator in time, this patient probably would not have had a chance to be rescued.

"What were you doing slowly? Usually I don't pay attention when I do it, and I panic when it is critical, can I hesitate in this case? At the first time, find the opening of the left main coronary artery, quickly open the blood vessels, and restore the blood supply to the myocardium, what are you just hesitating about? ”

Director Guan harshly criticized Dr. Yu, a young doctor, attending doctor, and a proud protégé of Director Guan.

The more you value it, the more stringent the requirements.

"Take a good look back at the rescue just now and see if there are any loopholes? Is there anything that needs to be improved? Your hesitation just now shows that the operation is not proficient, and at the last moment, the test is proficiency, how can there be time for you to hesitate. ”

Director Guan still criticized Dr. Yu, and was very dissatisfied with the hesitation at the critical moment.

In fact, Dr. Yu was fast enough, and it only took 15 minutes from going to the scene to examine the patient to going to the operating table.

It's just that I really lack experience, and I'm a little timid at critical times, and I don't dare to make quick judgments.

Director Guan threw the finishing touches to Dr. Yu: "You come, this case, write something to me tomorrow, remember next time, don't hesitate, this is the moment of life and death in one second." ”

Dr. Yu took over the work from Director Guan, who stared at the screen: "Send to CCU after surgery, pay attention to acute heart failure, lung infection, and metabolic acidosis after surgery." ”

"Professor Yang! This patient was temporarily rescued, and it is uncertain whether he will survive in the future, but there is great hope. ”

Director Guan knew that Yang Ping was a young talent in the hospital and respected him very much, so he spoke very politely.

"Thank you, Director!"

Yang Ping said politely.

Director Guan waved his hand: "Xiao Yu's movements are quite fast, from the time he went to the scene to see the patient, to the time when the coronary artery was opened, it did not take more than half an hour, and it is estimated that it will not work later, and the left ventricular auxiliary device and ventilator are used in time." ”

Criticism should be criticized, affirmation or affirmation, Director Guan is very pertinent.

The first is the latest.