181 All over the liver
Femoral artery puncture, indwelling arterial sheath.
Ji Xiang was lying flat and couldn't see the surgical area, but he could feel the operation and simulate it in his mind.
The level of the surgeon is one or two levels lower than his own, but it doesn't matter, the surgery is not difficult, and it should be fine.
But no matter what, Ji Xiang was a little apprehensive in his heart.
Because, not long ago, he had just witnessed a "scribble" operation.
After 8 minutes and 22 seconds, the screen lit up, and Ji Xiang knew that the sorcerer was stepping on the line.
He tilted his head and his gaze fell on the DSA's screen.
The guidewire is a little thick, not a micro guidewire, Ji Xiang frowned.
It is said that directly on the micro guidewire is the most correct choice, with such a thick guidewire, should the surgeon have to change after the overselection?
Or is it ......
Little by little, that sense of foreboding is becoming a reality.
No matter what reason Ji Xiang found, he could not explain the "sloppy" surgical process in this hospital.
The operation went well, although the operator's technique was slightly poor, and Ji Xiang didn't worry too much. What he's worried about is whether the surgeon won't overshoot.
The guidewire enters the hepatic artery and the contrast is initiated at the site of the hepatic hilum.
Found the location of the tumor, the next step is to overselect, Ji Xiang guessed. The specific choice of 2.4F or 1.7F microguidewire depends on the habits and skill level of the operator.
"Prepare to take the pills." The sorcerer said.
Spraying?
What kind of medicine!
Ji Xiang was cold, and he was ready to take medicine before he was overselected, and sure enough, it was so.
Stunned, he felt a warm current echoing in his body, it should be medicine.
Ji Xiang didn't understand what was going on, it was said that the temperature of the drug injected with the high-pressure syringe should be lower than the body temperature, how could he feel the warm current?
But this thought was fleeting, Ji Xiang's eyes looked at the screen of DSA, and he didn't even have the strength to speak.
As if in hemorrhagic shock, Ji Xiang was stunned and watched blankly as the drug was infused into his liver.
Soon, the surgeon began to withdraw the tube.
"Hand ...... Technique...... Done? After Ji Xiang witnessed and underwent the operation, he found that it was really the same as what he saw, and he was shocked in his heart and stammered.
He didn't understand why the top hospitals in China would do this surgery, he shouldn't be!
But whether it is from the perspective of system empathy or from the perspective of one's own choice, this is the only reasonable.
Why would they do it? Ji Xiang's mind was full of questions.
Even if the liver is filled with chemotherapy drugs, the therapeutic effect on liver cancer is very limited.
Or maybe it's a drug update iteration that you don't know?
Ji Xiang was vaguely aware of the truth, but he was unwilling to accept it.
Countless questions appeared in Ji Xiang's mind, he was carried into a flat car, and a little doctor pulled him into the corridor to press to stop the bleeding, and waited for fifteen minutes before applying pressure and bandaging.
At the same time, another patient was admitted to the operating room.
Ji Xiang asked blankly, "Doctor, how long did the operation take?" ”
"More than ten minutes, normal speed." The little doctor said.
"So fast?"
"We are the top hospital in the country, how can the surgery be done slowly." The little doctor replied proudly.
He......
If Ji Xiang didn't know how to do interventional surgery, and he was a lv9 level surgeon, he would probably believe it.
Who the hell gave him the confidence to make him say such things!
"Doctor, what medicine did you give me?"
"Oxaliplatin."
The little doctor pressed and gave Ji Xiang a brief explanation of relevant knowledge.
His knowledge reserve is not as good as Ji Xiang's, and what Ji Xiang knows is what Ji Xiang knows.
Ji Xiang knew a little, that is to say, the operation that the surgeon did on himself was not rigorous, he just did a perfusion chemotherapy, and did not do embolization at all!
The effect of this is ......
Ji Xiang carefully recalled the relevant knowledge explained to him by the system NPC and the countless surgeries in the system operating room.
Perfusion chemotherapy is to be done, and before embolizing the kidney tumor, he also administers medicine into the kidney, and then uses the elastic yellow ring to embolize the blood vessels.
And here it is full of medicine...... Do not embolize at all......
Ji Xiang fell silent.
I guessed correctly, the foreboding feeling became stronger and stronger, and turned into a dark cloud that shrouded Ji Xiang's heart.
The operation was still able to do this, Ji Xiang no longer chatted with the little doctor, he was not in any mood.
Maybe he doesn't know the doorway, Ji Xiang will be very happy, thinking that he has been treated by a first-class surgeon in China.
But!
He's a little disappointed now.
"You can go home tomorrow and the day after tomorrow, and when you go home, you can find a place to inpatient with liver protection drugs, and you can recover faster." Follow-up examination 1-3 months after surgery should make improvement. ”
The little doctor instructed.
But Ji Xiang continued to remain silent, and the surgery and empathy experience he saw today were just like what the system NPC said, subverting Ji Xiang's three views.
Fifteen minutes later, Ji Xiang was taken back to the ward. As he left the interventional catheterization lab, he saw the door of the operating room open and the surgery inside had been completed.
Back in the ward, Ji Xiang lay on his back, motionless.
After transfemoral artery puncture, compression bandaging and immobilization are required.
These technical details have been explained to Ji Xiang, and he also talked about the use of salt bags as pressurizers during interventional surgery at the beginning and the progress of consumables after that.
Looking at the walls of white flowers, Ji Xiang thought a lot.
Because he has very little clinical experience, only a short exposure during the internship period plus the experience of the operating room during the regular training.
To tell the truth, Ji Xiang now thinks about it, and he himself feels a little scared.
However, even from the perspective of his "shallow" clinical experience, it is not very responsible to do this surgery.
But as a doctor, how could he behave so irresponsibly.
Ji Xiang couldn't figure it out, his mind was a mess.
A day later, Ji Xiang was discharged from the hospital.
In the top tertiary hospitals in China, patients are weaving every day, and if there is no major problem, they will be discharged after surgery, and what is needed here is the bed turnover rate.
Because of the perfusion chemotherapy, Ji Xiang vomited very violently, and his "own" lover has always taken care of him, gentle and considerate.
Flying home, I suffered a lot of sins along the way.
But fortunately, I had already arranged it before the operation, and I went through the hospitalization procedures in a tertiary hospital in the old home, and I took some drugs to protect the liver.
The side effects of the drug were relieved after five days, and Ji Xiang did not feel anything abnormal.
He was a little skeptical, confused by his previous judgment.
Perhaps, this is the right way to treat it.
A month passed in the blink of an eye, and Ji Xiang came to the hospital for regular check-ups. The doctor instructed him for 1-3 months, but Ji Xiang couldn't bear it and came for a follow-up just 1 month after the operation.
Unsurprisingly, the results were disappointing.
The treatment was ineffective, and although only 1 month had passed, the tumor had spread and was all over the liver.
This is the description of the liver Ji Xiang heard the teacher say during the internship, every time he talks about the patients who are full of liver, the teacher's expression will show regret and helplessness.