Of course, it is even more unlikely that you have taken antihypertensive drugs.

Especially during this time, women always feel that their chest is tight and uncomfortable, and even have difficulty falling asleep at night.

When I fell into the water some time ago, it was also because of a sudden transient blackness.

After the patient recounted these things, Lin Yi and Wu Jiang confirmed that the patient was most likely suffering from acute coronary syndrome.

Subsequently, the test results showed that it was indeed abnormal!

The patient's blood potassium is only 2.4o/L, while troponin, myoglobin, etc. are all elevated!

After seeing the results of this examination, this female patient can be definitively diagnosed with acute non-ST-elevation myocardial infarction!

Although it is not clear whether the patient began with an acute coronary syndrome or had myocardial infarction due to infection or electrolyte imbalance after falling into water, the patient eventually developed a myocardial infarction.

Of course, the symptoms in her legs are also caused by myocardial infarction.

When she heard the diagnosis, the female patient and her man were immediately confused.

She kept crying, and her man kept praying for Lin Yi and Wu Jiang.

"Doctor, please save my daughter-in-law! Can't let her live the rest of her life with a disability like this! “

In fact, after this diagnosis came out, the medical staff present became nervous.

In addition to informing the family of the condition and issuing a doctor's order to strengthen ECG monitoring, add aspirin, ticagrelor antithrombotic, antiplatelet, lipid-lowering, tube expansion, myocardial nutrition and circulatory treatment, Wu Jiang also asked the nurse to pay close attention to the changes in the patient's condition.

"Now patients are prescribed aspirin and ticagrelor, which is also a temporary response. It is just antithrombotic, antiplatelet, lipid-lowering, tube expansion, myocardial nutrition and circulatory improvement treatment. ”

"But the patient's myocardial infarction symptoms are not necessarily completely resolved."

"If you want to really solve the patient's condition, then you have to do surgery."

In the office, Lin Yi said to several other people.

The others nodded slightly, and then Lin Yi continued:

"She is now in dilatation with a balloon angioplasty."

The balloon dilation that Lin Yi refers to is an interventional treatment.

A small balloon is placed in the narrowed part of a narrowed blood vessel, and the balloon is inflated or a contrast agent is punched to inflate the balloon.

The plaque in the stenosis is squeezed, the narrowed lumen is enlarged, and the blood supply is restored.

In general, balloon dilation is a kind of pretreatment before stent implantation, and balloon pre-dilation can make the stent more stable in the stenosis site. For some specific types of lesions, balloon dilation alone may be used.

At present, there are also drug balloon dilation methods, that is, there are some drugs in the outer membrane of the balloon, and after dilation, the drug is attached to the narrowed part of the blood vessel to reduce plaque.

Based on the current situation, they only need to inflate the balloon on the patient to achieve a very desirable treatment effect.

For diseases such as myocardial infarction, thrombolytic therapy can be selected, and treatment options such as balloon plasty and stent implantation can be selected after intervention.

Although the overall treatment cost of balloon plasty and stent implantation is high, compared with thrombolytic therapy, interventional therapy has a higher vascular opening rate, wider indications, and fewer bleeding complications, especially for patients with acute myocardial infarction, and it is generally recommended to give priority to interventional therapy.

When interventional surgery options such as balloon plasty and stent implantation can be chosen, Lin Yi still chooses interventional treatment options.

After it was determined, Lin Yi asked Wang Qiaoya to prepare a disposable coronary artery balloon dilatation catheter, as well as surgical instruments and anesthetics.

Let Wu Jiang communicate with the patient and his family, and get the informed consent form signed by the family.

Then, everything was ready and the surgery began!

"The patient is under local anesthesia."

As soon as the anesthesiologist Lao Ma's voice fell, Song Borui began to perform right femoral vein puncture according to the method of percutaneous puncture technique under the guidance of color ultrasound.

The purpose of this procedure is to place the guidewire and catheter before venous manometry.

Percutaneous puncture technique is mainly used for percutaneous catheter insertion for various cardiovascular imaging and transvascular interventional treatments.

In the case of the patient, the surgical plan they developed was also to send the end hole catheter through the femoral vein to the right ventricle, and then cross the pulmonary valve into the left lower pulmonary artery.

The J-shaped exchange guidewire is then inserted along the right atrial catheter to the end of the left lower pulmonary artery.

The end-hole catheter is then withdrawn, the guidewire is retained, and the balloon is in place, and a bolus of contrast agent or other preparations is injected to inflate the balloon.

In general, 3 to 5 dilations are sufficient to achieve the desired expansion effect.

After the final withdrawal of the balloon catheter, hemodynamic parameters were measured repeatedly.

This is the entire surgical plan process, and Wu Jiang can implement it step by step according to such a plan.

But it backfired.

Less than half an hour before the operation, Song Borui stopped with a sad face.

Wu Jiang on the side also frowned when he saw the situation in the color ultrasound display.

Lin Yi, who had been paying attention to the patient's signs, saw that the two of them had stopped, so he asked worriedly.

"What's wrong? What's the situation? ”

The patient who was lying there also seemed to feel something was wrong, and she muttered with some emotion.

"Doctor, doctor, I feel tightness in my chest and I can't breathe! What's going on? I'm not going to die! “

Lin Yi hurriedly comforted the patient and immediately increased the oxygen delivery for the patient.

After the patient's mood calmed down a little, Lin Yi and the others hurriedly negotiated the surgical plan again.

"I think you've also seen that in the actual operation, the situation of the patient is really very special."

"Not only did the patient need to undergo coronary endoplasty, but the patient's inferior vena cava was completely occluded."

"Especially when the inferior vena cava is completely occluded, I can't guarantee 100 percent success."

As soon as Lin Yi's words came out, Wu Jiang and Song Borui immediately understood the meaning of the words.

In other words, this surgery can only be done once in its current condition!

Once the surgery fails, then the patient will never be able to stand up.

Moreover, after complete occlusion of the inferior vena cava, conventional thrombolytic therapy has little effect.

"I'll do it anyway."

Then, Lin Yi said.

One of the biggest risks of interventional therapy is that the surgeon accidentally punctures the blood vessels, and hand stabilization is an important skill necessary for interventional therapy.

Surgeons can thread needles and threads on blood vessels that are several times thinner than a human hair, and operations like interventional therapy are not pediatric for Lin Yi?

"However, the patient's inferior vena cava has been completely blocked, how to deal with this problem?"

Provide you with a popsicle for reasoning diagnosis: Big brother, your wife is drugged! Fastest update, in order for you to see the fastest update of this book next time, be sure to save your bookmarks!

Chapter 254: Something Unexpected Happened During the Operation! Free to read.