Chapter 674: Master Zu appreciates the food
Outside the door of the interventional operating room, several family members are besieging Dr. Yu.
"Why are you doing surgery with the door closed, what can't we see?"
"I just heard a scream, didn't I stuff a red envelope, didn't I take anesthesia?"
"We can't see anything, we don't even know if you steal organs."
Seven or eight family members, every word you say to me completely drowned out the voice of Dr. Yu's explanation, and Dr. Yu had no choice but to increase the volume of his voice to continue to explain.
"There is a sterility requirement in the operating room, and family members are not allowed to enter, and this is the rule in operating rooms all over the world---"
"In the operating room of the United States, how can family members go in and see!"
The patient's son-in-law, a middle-aged man with glasses, said in a loud voice, as if he had just returned from the United States, pointing and pointing.
Fortunately, Dr. Yu has been to the United States, otherwise he was really frightened by his confident appearance.
"yes, why don't you let us see surgery?"
"Why is there a scream inside?"
The patient's wife's index finger was already pointing to Dr. Yu's nose.
Probably someone had noticed the noise here, several security guards were already standing nearby, and a security guard came up and separated Dr. Yu from his family: "If you have something to say, everyone be civilized." ”
"Inside the rescue, the patient is local anesthesia, several times there was cardiac arrest, through electrical defibrillation rescue, the patient felt uncomfortable and screamed manically, because the rescue is racing against time, there is no time to use other anesthesia." Dr. Yu continued to explain patiently.
"What? Got your heart stopped? ”
"If you don't have this ability, don't take this job."
As soon as they heard that their hearts had stopped, the family members became excited again.
"It's not that we made him stop beating, the patient has an acute myocardial infarction, and his heart will stop beating at any time---"
Dr. Yu really couldn't explain it, so under the protection of the security guards, he had to retreat back to the operating room through the side door and close the side door as well.
---
Ninety percent of the right coronary artery trunk is blocked + severely calcified lesions; The left coronary artery trunk is completely occluded, and the two bifurcations of the anterior descending artery and the circumflex branch are completely occluded + severe calcified lesions.
On the fluoroscopic screen, the first blockage, the blockage of the main trunk of the right coronary artery, is successfully opened, the passage is very spacious, the transition is smooth from front to back, and the blood immediately passes through this channel, circulating its irrigation zone, irrigating the heart muscle cells and saving them from death.
Saving the heart muscle as soon as possible is the key to the success of this surgery.
Director Guan took a deep breath, he specialized in cardiovascular system interventional surgery, and never dared to make such a big move in a small coronary artery like Yang Ping.
It only took a few minutes, Yang Ping successfully rotated the hard calcified tissue, the young man's hand is indeed good, the end of the more than 100 centimeters of rotary grinding guide wire is the rotary grinding head, even if such a long guide wire is used to control the rotary grinding head, the rotary grinding head can still be controlled freely in Yang Ping's hands, and the precise rotary grinding will not hurt the blood vessel wall while carrying out exaggerated rotary grinding.
Yang Ping continued to perform the rotational abrasion of the blockage of the left coronary artery, and every action of the surgical operation was extremely skillful, and no one could see that this was just an amateur interventional doctor.
The knocking and kicking of the door outside never stopped, and no matter how the door knocked outside, everyone ignored it.
"Endlessly?" Director Guan frowned.
"Lao Ji, you accompany Professor Yang, I'll go out and have a look." Director Guan is going to go out in person.
At this time, Dr. Yu had already returned to the operating room, looking gray-faced, and Director Guan asked, "What's the matter?" Didn't communicate well? Why is there still a knock on the door outside? ”
"The family can't communicate, let's have surgery first!" Dr. Yu's helpless look.
Seeing this, Director Guan had no intention of going out, so let's finish the operation first.
The soul of the grinding head is like a broken foot, invincible, the director is not mentally prepared, the blockage of the left coronary artery trunk is quickly broken, followed by two bifurcations, these two bifurcations are particularly difficult to deal with.
But the rotary grinding head in Yang Ping's hand had no idea of slowing down at all, the rotary grinding head was well-behaved and obedient in his hand, pointing where to hit, very accurate, and the director was dazzled and frightened.
Director Guan couldn't help but sigh in his heart, this kid is really a grandfather who appreciates food, and he has never studied interventional surgery, and he usually helps Director Ji do several interventional surgeries, and his kung fu is so good.
This level of coronary rotational atherectomy is also invincible in the national intervention community.
If you practice for another twenty years, you won't be able to reach this level.
Director Guan sighed, and the two forks were taken down.
Then there is a variety of instrument switching, six stents are implanted coronary artery blockage, two bifurcations using double stent technology, stents from far and near implantation, the position of each stent is very accurate and beautiful, especially the bifurcation of the double stents, the front and back end are closely anastomosed, and there is no slightest interference with each other.
Looking at the beautiful development of several stents and the unobstructed coronary blood flow on the fluoroscopic image, Yang Ping withdrew the guidewire and pressed the puncture port with gauze.
Director Guan and Director Ji looked at the perspective screen, and then at the screen of the ECG monitor, and at the same time let out a long breath, this patient is too complicated and difficult to rescue.
But today he was rescued by Professor Yang stepping on a tightrope.
Rescue is really a race against time, and life and death are also between seconds.
"Open the door, and I'll go out and explain to the patient."
Director Guan breathed a sigh of relief, no doctor wants his patients to slip out of his hands, sometimes he is forced to do nothing.
Dr. Yu went out to call the family, and Director Guan walked to the doctor's office and sat there waiting for the family.
"What are you doing?"
"Why are you closing the door?"
"How's my old man?"
"Daddy, Daddy!"
“---”
"Shut up for me, are you here to heal?" Director Guan yelled.
Sanbo Hospital is because of President Xia's toughness, so what to do, the doctors are also full of confidence, the so-called justice is awe-inspiring, probably like this.
Under the roar of the director in charge, the family members who flocked in stopped.
"The patient has been rescued, you come here, I will tell you about the condition."
Director Guan pointed to the cardiogram on the electronic screen, and the family members gathered around.
"Who are you a patient?" Director Guan asked the family members who were standing at the front.
The patient's son said angrily, "I am his eldest son." ”
Director Guan said to his son: "Your father is a chronic total occlusion lesion of the coronary artery, the left coronary artery trunk is completely blocked, the two bifurcations of the anterior descending artery and the circumflex branch are completely occluded + severe calcified lesions, the right coronary artery main trunk is blocked by 90% + severe calcified lesions, this blockage causes acute myocardial infarction, the condition is very dangerous, basically a situation of nine deaths, sent to the hospital has been hanging by a thread, just now we are an emergency rescue operation, is saving his life, the patient has several cardiac arrests during the operation, But we rescued it, the screams you heard were because the patient was under local anesthesia, and after the rescue, the patient felt some discomfort, so he screamed manically, in this case, saving lives is the top priority, it is a matter of racing for more than a second, it is too late to have general anesthesia, we are rescuing, you are knocking on the door and kicking the door, family members are not allowed to come in the operating room, the operating rooms all over the world are like this, not we do this, you want to rush in at that time, you are entangled in the confusion, how do we do surgery? How to rescue? If you let you in and make a noise, your dad won't be able to save you. ”
The patient's son lowered his head and muffled his voice as the director explained.
"The United States is much more humane, it will not be so barbaric, and it will make the family watch the operation--- "The patient's son-in-law also wants to talk about the United States.
Director Guan was really a little angry: "I have studied in the United States for three years, and you told me about the United States, which hospital in the United States did you say that family members can visit the operating room, and you tell me?" ”
Subsequently, Director Guan repeated this sentence in English.
The patient's son-in-law was so red and neck that he couldn't say a word, he had never been to the United States at all, and he didn't know much about American hospitals, but he just listened to people's nonsense on the Internet.
"Anyway, we don't understand, what you say is what you say." The patient's wife threw a sentence coldly.
Although this is a bit stinging, Director Guan is used to this kind of scene and does not take it seriously, as long as the patient is okay.
"The doctor and the patient are comrades in the trenches, we are not enemies, our common enemy is disease, you know? No doctor deliberately spoils the surgery, and we're more anxious than you, you know? You have to believe us, if the door is not strong, just like your posture just now, rushed in and made a fuss, how do you say we can save people? Director Guan suppressed his anger and said patiently.
The patient's son felt that he was at a loss, and when he heard that his father had been rescued, he didn't say anything.
The other family members seemed to have something to say, but they didn't know what to say.
"A total of six stents, now the blood flow is smooth, but it has not passed the dangerous period, after the operation, I will be transferred to the ICU of our cardiovascular department to continue monitoring and treatment, now the operation is done, please pay the fee." Director Guan said in a calm tone.
Because it was a rescue operation at that time, I didn't have to pay a penny, and the operation was still done.
"How much does it cost?" The patient's wife immediately raised her voice.
"The opening is the money!" The patient's wife added.
PS: It's been too busy these days and there is no update, I'm very sorry, I'm going to start resuming the update today! Thank you!