Chapter 102: Precise Thrombolysis, Let Me Do It! (Ask for a subscription!) )
Sun Liantao frowned, stared ahead, and then said in a deep voice:
"So, you don't have anything to do?!"
As soon as Sun Liantao's words fell, the noise outside the door sounded again.
Sun Liantao couldn't help frowning and looked over and asked:
"What's going on out there?"
Zhang Tai looked in the direction of the door, and then quickly explained:
"It should be those students he sponsored, I just appeased them, why are they making trouble again now! It's really .........."
"I'll take a look!"
After speaking, Zhang Tai got up and was about to walk out.
"Wait a minute, you guys continue to think about the plan, and I'll go out and have a look."
Sun Liantao stopped him, then pushed the glasses on his nose, stood up, and walked slowly towards the door.
"Bang!"
He directly opened the door of the conference room, and suddenly a group of reporters with microphones and cameras rushed over.
"Hello! Excuse me, is the old man being treated in your hospital now? ”
"What caused him to pass out?"
"How is he doing now? Is it convenient to disclose to us? ”
"Has the old man come to water now?"
"I'm sorry, it's inconvenient to reveal it for the time being!"
After Sun Liantao finished speaking, he slammed the door shut!
"Who put these journalists in? Isn't that adding to the chaos! ”
Sun Liantao's face was gloomy and he roared.
Immediately after that, he took out his mobile phone from his pocket and called the head of the security department:
"Hurry up and clean up the reporters at the door of the conference room! Fast! ”
There was a burst of yes on the other end of the phone.
Sun Liantao hung up the phone angrily.
"Go on, give me the quickest time to come up with a solution!"
Then, Sun Liantao looked at everyone present and said loudly.
Seeing that Sun Liantao was in a bad mood at this time, the atmosphere at the scene was even more depressing.
And Lin Yi sat in the back and stared at the light on the big screen tightly, from the beginning of the meeting, his mind was constantly thinking.
Just as everyone was silent, Lin Yi suddenly raised his hand.
"The ......... Kobayashi: Right? ”
Sun Liantao looked at Lin Yi, who was sitting in the back seat, and struggled to see the nameplate in front of his desk through the lenses, and said
"What do you think, just say it!"
Sun Liantao didn't know about Lin Yi's existence, and he was still wondering in his heart, how could there be a young man sitting in the conference room after the department expert consultation?
The eyes of the others also looked at Lin Yi, waiting for his next words.
At this time, someone comes forward, don't care about what to say, it is also a relief for them.
"I think interventional means should still be used to dissolve thrombolysis in the intracranial arteries!"
After getting permission, Lin Yi said directly.
As soon as he finished speaking, Yu Guang, deputy director of the interventional department, couldn't help but curse in his heart, "Mom sells batches!" ”。
Isn't that a problem for yourself!
As I just said, it will be difficult to use intervention in this situation.
As a result, you are saying this in front of Dean Sun now!
Clearly pushing yourself into the fire pit!
Immediately afterwards, Lin Yi continued:
"Because if you want to remove the thrombus, it's too difficult!"
"What's more, the old man is already so old."
"Even with ultra-microcatheters, it is very difficult to achieve thrombectomy."
"And if you use ordinary thrombolysis methods, it will very likely cause bleeding."
"After all, the old man's blood pressure is so high, and his platelets are also low."
"So, my idea is to use interventional means to carry out a small range of precise thrombolytic therapy in the blood vessels!"
After hearing this, everyone couldn't help but focus their eyes on Yu Guang's body.
Sun Liantao also looked at him and asked him:
"Less, is the plan he said feasible?"
Being stared at by so many people and questioned by Sun Liantao, Yu Guang's face suddenly turned a little red, and he said with some embarrassment:
"This method is very difficult, and if Director Xie is here, it can still be tried. But if I had to do it, I really wouldn't be able to do this kind of precise interventional thrombolysis. ”
After finishing speaking, he couldn't wait to cut Lin Yi with a thousand knives in his heart!
You kid put forward a plan in front of so many people, pretending to be a force.
But I'm the one who is so embarrassed!
"Only Director Xie of your department can do it?"
Sun Liantao frowned after hearing this, and then said:
"Isn't he out of town right now?"
"If you call him back, will the old man be able to hold on?"
Immediately afterwards, an expert from another department in the audience raised a question.
Yu Guang shook his head solemnly and said:
"It's too late to ........."
"Thrombolysis has the golden six-hour principle."
"Because the key to the success or failure of intra-arterial thrombolytic therapy for acute cerebral thrombosis lies in the selection of indications and timing of thrombolytic therapy."
"If the patient is a candidate for thrombolysis, aim to start thrombolytic therapy within 6 hours of acute cerebral thrombosis."
"Because the lesion is confined to the embolized blood vessel during this period, there is no obvious brain lesion, and brain swelling and cerebral edema have not yet formed, and the lesion is reversible."
"At this time, there will be no brain damage after recanalization of thrombolytic vessels, and the effect is good and there are few complications."
"If the infarct is completely ischemic for more than 6 hours, the lesion is not limited to the embolized blood vessels, but also causes obvious swelling and edema of the nerve cells in the vascular supply area, resulting in irreversible necrosis."
"At the same time, the blood vessel wall itself also loses its normal structure, and even if the blood vessel is recanalized, the necrotic nerve cells cannot be resuscitated, and brain swelling, cerebral edema, and secondary cerebral hemorrhage can occur due to reperfusion."
After Yu Guang's words were finished, everyone gasped.
In this way, if it drags on any longer, the old man will not even have a chance to dissolve thrombolysis!
Sun Liantao was also extremely irritable in his heart, and he had a headache when he thought of the old man lying on the hospital bed and the reporters who were waiting outside to report on this time.
"I think...... I can try. ”
Just as the scene was at an impasse, a small voice suddenly came from behind.
Everyone immediately looked at it, only to see that it was none other than Lin Yi, who had just proposed a plan!
"You?"
Sun Liantao stared at Lin Yi and asked in disbelief.
When he proposed the plan just now, he didn't know what Lin Yi was about.
But now the deputy director of the interventional department is difficult to complete, and he said he can do it?!
"That's right, I think I can try, it's better than just waiting like this!"
Lin Yi nodded in affirmation.
Since the beginning of the meeting, he has been weighing this matter and whether he can go on it.
I have expert-level knowledge of neurological diseases, and the theoretical aspect is absolutely fine!
He also has advanced surgical skills, including interventional techniques.
Advanced skills, able to top the level of the chief physician of a tertiary hospital.
And just now Yu Guang said that Director Xie of their intervention department is capable of completing it, so he should be fine!
So this is the time to step up!
Yu Guang couldn't sit still, turned his head to look at Lin Yi and said:
"This Dr. Lin, being able to propose this kind of plan is not the same thing as intervening!"
"Have you had a similar experience with surgery before?"
Lin Yi shook his head truthfully and said:
"Nope. But I assure you that I do have enough technology to support this surgery, and I ask Dean Sun to agree! ”
After speaking, Lin Yi looked at Sun Liantao with pleading eyes in his eyes.
"This ............"
Now Sun Liantao was embarrassed.
Who the hell is this young doctor?
The deputy director of the interventional department said that the operation could not be done, but he said with certainty that there was no problem.
But wouldn't it be crazy if he dared to say that without two brushes?
After all, this is not a joke, he shouldn't joke about his future!
Seeing that Sun Liantao was embarrassed, a doctor next to him whispered to him:
"Dean Sun, he is an attending physician in the emergency department."
"From the emergency department?"
Suddenly, Sun Liantao's eyes widened in shock.
An attending officer in the emergency department dares to put down such words?
This............
"But when he was in the emergency department, his performance was really surprising."
"Several cases of incurable diseases were diagnosed, and a wound on a little girl's face was sutured with extremely high suture methods, and it was almost poached by the oral and maxillofacial department."
The doctor then went on to say to him,
"By the way, in a pre-hospital emergency some time ago, he stopped the bleeding from the patient's liver with his bare hands and ensured that the patient was successfully treated."
"Stop the bleeding with your bare hands?!"
Sun Liantao looked at the young doctor with a firm gaze, and kept thinking in his heart.
Although he showed great ability before, he had no experience in interventional surgery after all, and it was too child's fun to rashly let him take Old Man He as his hand!
Even if time is of the essence right now, it can't be so hasty!
After all, we are responsible for our patients!
After thinking for a moment, Sun Liantao sighed and said:
"In this way, I will now open a video to Xie Yaqiang, the director of the interventional department, and ask him if he has any opinions."
After Sun Liantao finished speaking, everyone nodded slightly in agreement.
Subsequently, Sun Liantao no longer wasted time and directly opened a video call with Xie Yaqiang.
A few seconds later, the video was connected.
"Dean Sun, are you looking for me?"
After the video was connected, Xie Yaqiang couldn't help but be slightly surprised, looking at Sun Liantao on the screen.
Sun Liantao took a camera look around the office and said to him:
"Xiao Xie, we're consulting now! You're not busy right now, are you? ”
"No, Dean Sun, I'm resting in the hotel now!"
Xie Yaqiang said again and again, and then asked hesitantly:
"Why did you come to the old man for a consultation?"
"yes, that's right, how do you know?"
Sun Liantao nodded, a little surprised.
"I've already told me about the situation just now, and it's really a bit complicated."
"If I were here, I would still be able to perform interventional surgery, but ........."
Speaking of this, Xie Yaqiang frowned tightly and sighed.
"Xiao Xie, this is the situation now!"
"We have a young doctor in the emergency department who says he has what it takes to do the surgery."
Immediately afterwards, Sun Liantao said to him.
"What?"
Xie Yaqiang was shocked when he heard this, and almost thought that he had heard it wrong!
"The doctor in the emergency department said he could do this surgery?"
Then, he asked suspiciously.
The surgery in our interventional department can only be completed by me personally, and you are not ashamed to say it as an emergency doctor, isn't this a slap in the face of our interventional department?
Xie Yaqiang couldn't help but feel a little angry.
In his consciousness, this emergency doctor is just looking for trouble and grandstanding!
"Yes, that's right, it's Dr. Lin!"
Sun Liantao said, walked in front of Lin Yi and handed him the mobile phone.
Lin Yi greeted Xie Yaqiang at the phone camera and said:
"Director Xie, hello."
Xie Yaqiang looked at Lin Yi on the mobile phone screen and questioned:
"You said that you have the ability to perform interventional surgery on Old Man He?"
Lin Yi was not affected by his doubts, nodded directly and seriously, and said:
"That's right, Director Xie."
"Just now I proposed an intervention plan, and Director Yu said that he was not capable of completing it."
"But now the old man's situation is really critical, and I can't wait any longer, so I can only ask for help temporarily."
After Lin Yi finished speaking, Yu Guang's teeth were itching next to him!
Although it is true, it is too bad!
Xie Yaqiang couldn't help but laugh after hearing this:
"Hehe, Yu Guang can't finish it, you can only ask for a temporary ........."
"Well, for the sake of your self-confidence, so be it............"
"I'll test you a few questions, and if you can answer them, then I'll pass it."
"That's okay, right?"
"Okay, Director Xie, no problem!"
After hearing this, Lin Yi immediately nodded in agreement.
Question yourself?
Just come on! Is there anything you can't answer?
"Dean Sun, what do you think of my method?"
"Because of the involvement in this area, many things cannot be faked, whether he has the ability to do this, I will know as soon as I ask!"
"I'm done testing, you decide!"
Subsequently, Xie Yaqiang asked Sun Liantao again.
"Okay, no problem!"
Hearing this method, Sun Liantao was also very satisfied.
He knew that the question Xie Yaqiang asked would definitely not be simple!
And this is also the quickest way to tell whether this kid has real talent or not.
Seeing that they all agreed, Lin Yi said directly:
"Director Xie, you can ask."
Xie Yaqiang nodded, and then thought about it in his heart, thinking about what questions to ask him.
After a moment, he spoke directly:
"Hmm......... Let me ask you the first question, how to determine the location of the formation of the thrombus and the degree of embolism during the operation? ”
As soon as this question came out, Yu Guang on the side also thought about it.
Immediately afterwards, he couldn't help but nod secretly in admiration of Xie Yaqiang's question.
Because this problem is not just looking at the film and talking about the part of the embolization.
Rather, he is asking what means need to be used to judge during surgery.
This is the first step in surgery, if you can't judge it, then the surgery will naturally not be done!
After hearing this question, Lin Yi almost didn't think about it, so he blurted out directly:
"Selective cerebral angiography is performed by inserting the 6F catheter with a 6F catheter sheath and the left or right internal carotid artery or vertebral artery is selected under television surveillance. Gain a complete understanding of the location of thrombosis and the extent of embolism. ”
"At the same time, after clarification, the catheter can be inserted into the internal carotid artery or vertebral artery on the side of the lesion!"
"Brother Shen!"
"Hmm!"
Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.
But it doesn't matter who it is.
There was no superfluous expression on everyone's face, as if they were very indifferent to everything.
on this.
Shen Changqing is used to it.
Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.
Arguably.
In the Demon Suppression Division, everyone has a lot of blood on their hands.
When a person is accustomed to seeing life and death, then he will become indifferent to many things.
When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.
The Demon Suppression Division is huge.
The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.
Shen Changqing belongs to the latter.
Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.
Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.
Then step by step, he is expected to become a town guard.
Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.
Have memories of the predecessor.
He is also very familiar with the environment of the Demon Suppression Division.
It didn't take long for Shen Changqing to stop in front of an attic.
Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.
At this time, the attic door is open, and there are occasional people entering and exiting.
Shen Changqing only hesitated for a moment, and then stepped in.
Access to the attic.
The environment has changed in vain.
A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.
The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.