After going out, Lin Yi arranged for the man to be pushed into the examination room.

After the angiogram, the presented image is displayed directly on the screen!

Wu Jiang and the emergency doctor stared at the screen tightly, carefully looking at each picture.

Suddenly, everyone couldn't help but take a deep breath and look directly at the screen.

"This ...... This ......"

Wu Jiang pointed to a picture on the screen, and his voice couldn't help but tremble a little,

"Brother Yi, you're just too good!"

"You're right! He did have a ruptured brain aneurysm. ”

"Although this brain aneurysm is very small, it can still be seen clearly in the image!"

Immediately afterwards, the emergency doctor couldn't help but say:

"His current condition is subarachnoid hemorrhage, and the bleeding tends to increase, and he has multiple grand mal seizures, which is caused by hemorrhage!"

After saying that, everyone finally breathed a sigh of relief.

Finally found the cause of the patient!

Then the next thing to do is to treat!

Immediately afterwards, the emergency doctor couldn't help frowning and looked at Lin Yi and said:

"Now that it has been determined that the patient has a ruptured brain aneurysm, then the interventional surgery will be performed?" Eight Chinese Net

"I'm going to contact the neurointerventional department now and ask them to come and do the surgery?"

Lin Yi was silent for a moment, then waved his hand and said directly:

"No, it took us so much effort to diagnose the cause of his disease, and there is no need to transfer him to the neurointerventional department."

"I'll take care of his cerebral aneurysm embolization, you go and talk to the family, let them sign the consent for the operation, and prepare to operate on him immediately!"

"This ......... Okay, then I'll go to the patient's family now! ”

The emergency doctor was stunned for a moment, then nodded.

Although he had heard of Lin Yi before, he didn't know anything about Lin Yi's surgical ability.

I didn't know that he was stunned by a group of experts in the neurointerventional department before!

But then, he couldn't help but get a little excited.

Because he can finally go to the patient's family and raise his eyebrows!

I was almost shut up by them just now!

Then, the emergency doctor walked out and walked straight to the ward.

Lin Yi asked Wu Jiang to call Song Borui and asked him to come with him for surgery later.

This patient will have aneurysm embolization, an interventional treatment.

Lin Yi didn't dare to delay, and directly arranged all the matters of the operation.

For subarachnoid hemorrhage caused by a ruptured cerebral aneurysm, the sooner the better.

Because the cerebral aneurysm is ruptured, there is a possibility of secondary bleeding!

If it does bleed again, then the condition will become very bad and seriously life-threatening!

In fact, this kind of cerebral aneurysm interventional surgery is difficult to say, easy to say.

This kind of interventional surgery only requires two people.

When everything was ready, the patient was wheeled into the operating room.

Lin Yi stood in front of the operating table, next to the patient's right thigh.

Cerebrovascular interventional surgery is generally performed by femoral artery puncture.

On the one hand, it is relatively safe here, and on the other hand, the blood vessels are relatively thick, which is easy to operate.

"Old horse, let's anesthetize!"

Lin Yi stared at the patient on the operating table and said, heralding the start of the operation!

"Good!"

The old horse nodded in agreement, and then began to inject anesthetic.

After anesthesia, Lin Yi was not ambiguous and moved directly.

He used the femoral artery 1.5 cm below the midpoint of the right inguinal ligament as the puncture point, and used the Seldinger technique to puncture the right femoral artery.

One shot and you're done!

This kind of piercing action can be said to be very simple for Lin Yi!

Song Borui was beside him, staring closely at the movements of Lin Yi's hands.

Song Borui is not very skilled in interventional surgery.

Generally, when encountering such patients, they are directly transferred to the neurointerventional department.

So now he is doing surgery with Lin Yi, which is also a good learning opportunity.

Lin Yi's hand kept moving, using the replacement guidewire, inserting the 6F catheter sheath, and then intravenously instilling 30mg of heparin for anticoagulation.

"Heparin must be shot, and it must not be forgotten, otherwise it is easy to coagulate."

When it comes to some key steps, Lin Yi will explain some things to Song Borui next to him.

Song Borui also listened and nodded again and again.

Subsequently, under the guidance of a 0.035-inch guidewire, Lin Yi placed a 6F digital guide catheter along the catheter sheath to the right internal carotid artery.

Immediately afterwards, Lin Yi couldn't help but point to the image on the monitor and instructed Song Borui:

"To do this, you must be extra careful, and you must not puncture the internal carotid artery, otherwise the patient will die immediately!"

This step is the key point of the key points.

If the operation is too strong and the carotid artery is punctured, it will immediately cause carotid artery hemorrhage, endangering the patient's life.

Therefore, this embolization operation seems to be quite simple, but there are many key points in it, which need to be treated with extra care.

"yes, I see."

Song Borui nodded again and again, indicating understanding.

Subsequently, Lin Yi withdrew the guidewire, and then pointed to the guide catheter along 6F, and used the RebarTM-18 endovascular stent delivery system to place the SOLITAIRETM-AB (4mm×20mmev3) endovascular stent in the aneurysm neck, adjacent to the internal carotid artery, and fixed the stent position.

Lin Yi's operation speed is extremely silky, without any pause.

But in Song Borui's eyes, it was fast and dangerous.

He watched Lin Yi operate, and his heart kept lifting, for fear that he would accidentally puncture the patient's blood vessels.

But where Song Borui looked dangerous, Lin Yi was indeed able to operate with ease.

This made Song Borui even more amazed by Lin Yi's surgical skills!

This cerebral aneurysm embolization is really nothing to Lin Yi, who has expert-level surgical skills.

Soon, the operation was halfway through.

All that's left is to place four coils into the ruptured aneurysm.

Lin Yi then followed the 6F finger guide catheter, and under the guidance of the SilverSpeed-14 (ev3) microguidewire, the E-10 (ev3) microcatheter head was passed through the right internal carotid artery and selectively intubated into the aneurysm.

Transvascular coil embolization, insertion of Helix (8mm×30cm; ev3，Axium)、Helix(7mm×20cm; ev3，Axium)、Helix(6mm×20cm; ev3，Axium)、Helix(5mm×15cm; ev3, Axium).

Because the diameter of these four coils is gradually increasing, the one with the largest diameter should be placed first.

The coils have all been placed in the aneurysm, and the operation is basically complete, and all that remains is to do a picture to see how it goes.

While injecting the contrast agent, Lin Yi said to Song Borui next to him:

"Now the coil is basically densely filled in the aneurysm, showing that the aneurysm has disappeared, and the right internal carotid artery and the middle and anterior cerebral arteries are well developed."

"At this point, we can release the stent!"

Lin Yi said, then directly released the stent, and then injected a contrast agent.

"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.