150 Why are you still there!
It is particularly difficult to stop bleeding for pelvic fractures, and Zhao Xiangming even regrets it a little, so it is better to try interventional embolization surgery for liver cancer.
As a result, I was unlucky and encountered a more difficult technique.
The interventional hemostasis for pelvic fracture is not only difficult to operate, but also the patient is in a state of hemorrhagic shock, and the operation is in the countdown.
At the thought of the countdown, the slightest mistake in the operation would fail, resulting in the death of the patient, and the adrenaline in Zhao Xiangming's body soared.
But surgery has to be done!
There wasn't even time to hesitate.
As soon as the stage was opened, the femoral artery puncture gave Zhao Xiangming a dismissal.
The patient had a high pressure of 63 mm Hg, and the femoral artery was also deflated.
The micro-guidewire is fed in and the overselection begins.
Ling Tian stood behind the technician and watched Zhao Xiangming's operation intently.
"Senior brother, it looks like the level is very average, is it the reason for the emergency first aid?" Ding Yifan asked.
The corners of Ling Tian's mouth raised slightly, and he didn't speak, but his disdain was beyond words.
The imaging showed that there were four blood vessels that needed to be embolized to stop the bleeding, but Zhao Xiangming tried twice, and even the first blood vessel was not overselected.
All this proved his guess, Ling Tian watched Zhao Xiangming's rescue while recalling the techniques of embolization surgery for kidney cancer.
He became more and more sure that the surgeon of the video surgery was not Zhao Xiangming and Director Zhao.
Zhao Xiangming was doing the third superselection, but as soon as the microguide wire went in, the sharp alarm sound of ECG monitoring came.
Even if the microphone is not on, through the lead door and leaded glass, you can faintly hear the alarm sound that makes people's heart rate increase.
Zhao Xiangming put down the microguide wire in his hand and instructed the nurse to administer the medicine and rescue the arrhythmia first.
Ling Tian smiled and walked into the operating room.
It was estimated that Zhao Xiangming would not be able to take this operation, so Ling Tian decided to help.
"Director Zhao, let me give it a try, what do you think?"
"......" Zhao Xiangming sighed in his heart, he wanted to show his face, but in the end he showed his buttocks.
But when encountering this situation, there are still big domestic bulls around him, if Ling Tian is not allowed to do it, this matter will become a hurdle, and he will not be able to cross it in his life.
Let's save people first, as for my own shame, that is only known to the top circles in China, and I will not delay myself to brag in the provincial capital.
"Teacher Ling, thank you, thank you, I'll give you a hand."
Zhao Xiangming's attitude is extremely correct.
The medicine was given, and when the patient's vital signs were slightly better, Ling Tian went to brush his hands.
"Director!"
The technician shook Zhao Xiangming's phone with it, "The large operating room needs emergency rescue, and a patient with a ruptured kidney can't go up in blood pressure, posterior peritoneal hematoma, and is suspected of pelvic fracture for consultation." ”
"Professor Ma, you go." Zhao Xiangming was in a lawsuit, and he drove Professor Ma away.
The DSA machine in the hybrid operating room is slightly worse than that in the interventional catheterization laboratory, so Professor Ma asked him to take a look first and then go to that side after the operation on his side.
The lead door slowly closed, and Ling Tian stood in the position of the surgeon and began to over-select.
"Director Zhao, I'm doing surgery, you don't have anything else to say here." Ling Tian chatted while over-choosing.
"How so!"
"Hehe, a while ago, a doctor with a flying knife happened to encounter emergency first aid, and he also kindly participated in the rescue. As a result, the rescue failed, and in the end, he also took the blame. Ling Tian said as he operated.
"No, no, Teacher Ling, don't worry, I won't have a similar problem on my side." Zhao Xiangming said, "Let's be a doctor and see the rescue...... It will take me 4 hours to do this, and it will take you more than 1 hour to make a shot, even if the patient dies due to hemorrhagic shock, it can't be said that you are wrong. ”
"It takes you four hours to do it?" Ling Tian began to over-select, and Zhao Xiangming felt that his face was a little hot.
4 hours, this is still the data after progress, and it is also his guess.
Generally speaking, interventional embolization surgery for pelvic fracture Zhao Xiangming takes 4-6 hours.
The most important thing is that this surgery is a countdown surgery and needs to be fast.
But the fact is that the sooner and faster it is, it can't get up, just like the second over-selection, if it is an interventional embolization operation for liver cancer, it will be, but because of the nervousness of the countdown, the hand trembles, and the over-selection fails.
Emergency and chronic diagnosis are two concepts.
Seeing that Zhao Xiangming didn't speak, Ling Tian said to Zhao Xiangming while sending the micro guide wire in, "I see that you did a good job in the surgery for liver cancer." ”
"Harm, emergency surgery can't be done quickly." Zhao Xiangming sighed.
Ling Tian didn't speak and began to step on the line.
The micro guidewire travels slowly and firmly, over-selected, and a success!
The surgery is not done as quickly as possible, but as well as the better.
A practitioner like Ling Tian, who had a perfect combination of completion and speed, could be called the top in China, and belonged to the level that Zhao Xiangming looked up to.
"Teacher Ling, your technique is so good!" Zhao Xiangming said sincerely.
Ling Tian smiled, it seemed that the boss's business couldn't be done, and he would have to explain to the boss when he went back.
"Meng." Ling Tian said with a smile, "No one can guarantee that such a thin blood vessel will be successful at the first time. ”
"Where, where, this is your high level of technology!"
"I can't do similar surgery quickly, it takes 1-2 hours."
Ling Tian was already disappointed in Zhao Xiangming, and he concentrated on the operation.
The second vessel overselection failed once, and the second overselection succeeded.
Although there were a few twists and turns, the operation was done quite smoothly, and at this technical level, it was a grade higher than himself and a little richer, and the more Zhao Xiangming looked at it, the more he admired.
This is still the level after breaking the technical bottleneck by yourself.
The gap between the provincial level and the domestic top level is huge, and it is not an exaggeration to say that the judgment is like a cloud.
The operation was uneventful, and as the bleeding vessels were embolized one by one, the bleeding caused by the patient's pelvic fracture gradually stopped.
Blood pressure began to rise, and Zhao Xiangming's heart was calm. This man should be able to live.
As for subsequent complications such as DIC, Zhao Xiangming believes in the level of his own ICU.
"It's done." Ling Tian tied the last blood vessel with a yellow circle, hit another gel sponge, and turned to step down.
"Director Zhao, you're busy, we won't bother." Ling Tiandao.
"Don't mind, there's another one upstairs, I'll finish it, let's have dinner together."
"Huh." Ling Tian smiled.
Zhao Xiangming was embarrassed.
Do you eat together after 4-6 hours? People are clearly unwilling to wait.
"Who, Professor Ma, you press." Zhao Xiangming said casually, and then he stepped down and took off his gloves, "Teacher Ling, I'm sorry, I was just in time for emergency surgery, and I didn't entertain ...... well."
As he spoke, Zhao Xiangming was suddenly stunned.
He turned his head as if he had seen a ghost, and there was a rattling sound in his cervical spine.
"Professor Ma, why did you come down?!"
It was only at this time that Zhao Xiangming remembered that he had just asked Professor Ma to go up to do another rescue patient.
"Director, the above surgery is done......" Professor Ma said in a low voice, a little embarrassed.