Chapter 277: How to say it?
Twelve o'clock in the afternoon.
Operating room.
At this time, the little boy was already lying on the operating table, and the anesthesiologist was under anesthesia, waiting for the next operation, which was cerebral infarction thrombectomy.
Thrombectomy for cerebral infarction is mainly to insert a catheter into the thrombus site through intervention, and then place the catheter into the thrombus through a small opening on the catheter to remove the thrombus.
Cerebral infarction thrombectomy is mainly used for endovascular treatment in the acute stage, through intervention, the catheter is inserted into the thrombus site, and then through the small opening on the catheter, the catheter is placed at the thrombus site, so as to remove the thrombus.
Originally, under normal circumstances, patients with cerebral infarction are patients in their forties and fifties, and under normal circumstances, in the acute stage of embolization, thrombolysis is carried out by drugs.
But in the case of the little boy in front of him, the embolism has been at least 24 hours old, and the coma of severe pneumonia overlaps with the symptoms of hemiplegia.
If it weren't for the severe pneumonia under control, the little boy's condition would have improved, and it would have been found that he had hemiplegia.
Interventional surgery for cerebral infarction for such a young child, even Song Sixian rarely does.
However, with Zhao Sheng's [Gold Medal Support], he is still very confident.
I don't know when, he found that Zhao Sheng's spatial position judgment is sometimes more accurate than X-ray fluoroscopy, which is also after several surgeries with Zhao Sheng, he slowly discovered this.
Soon, the anesthesiologist said to Song Sixian and Zhao Sheng: "Doctor Song, Director Zhao, you can operate." ”
"Okay."
Song Sixian and Zhao Sheng looked at each other and nodded.
Because it is an intervention for 8-year-old children, Song Sixian uses the smallest type of guidewire, although it has been done whole brain angiography, but the blood vessels of the brain are extremely complex, and in the process of operation, you must also be careful and careful, you must know that the guidewire itself is made of metal, in the process of pathfinding, a improper operation, will also damage other brain blood vessels.
Soon, after the femoral artery was accessed, Song Sixian operated the guidewire to carefully probe into the blood vessels, as the guidewire advanced in the blood vessels a little bit, everyone's hearts in the operating room were lifted, the child had pneumonia, and the cardiopulmonary function itself was not good, so it was not able to tolerate long-term anesthesia and imaging, so this operation must be fast.
But at the same time, it is necessary to take out the embolus located near the brainstem that blocks the blood vessels, which is a great test of the surgeon's eyesight, judgment and stability of both hands.
To Song Sixian's surprise, this intervention was much more difficult than he imagined, perhaps because of the sequelae of a certain virus, he found that the little boy's blood vessels were like old people, and the blood vessel walls were thickened and deposited, which was fatal.
Originally, vascular intervention was like racing on a winding sheep intestine trail, but now this crooked road has become potholes, what do you say?
Therefore, Song Sixian could only be careful and careful, but he was sweating profusely after a while, and Qi Ling, the instrument nurse, wiped him several times.
Finally, the guidewire entered the blood vessels of the brain, but Song Sixian was a little afraid to make the next move, because he was not sure.
Racing on windy and bumpy trails and ensuring 100% safety is not something that anyone can do.
Song Sixian's situation, Zhao Sheng naturally saw it.
"Old Song, you take a break, I'll come next."
Zhao Sheng said softly to Song Sixian, who was already sweating profusely.
Although he had thought before the operation that it would be difficult to perform interventional surgery on an 8-year-old boy, when the operation began, Song Sixian found that it was far more difficult than he imagined.
But this is not to blame Song Sixian, after all, who would have thought that the blood vessels of an 8-year-old boy would be the same as that of middle-aged and elderly people in their forties and fifties.
"Okay."
Song Sixian glanced at Zhao Sheng, nodded, and carefully handed the guidewire to Zhao Sheng with relief, and then stood aside.
Song Sixian, who had just unloaded the burden, almost fell to the ground with weak legs, but Qi Ling, the instrument nurse next to him, quickly helped him and moved a stool for him.
This happens from time to time in the operating room, and although the current examination methods are very perfect, it is impossible to reflect the situation in the human body in every detail.
It's like doing vascular intervention for this 8-year-old boy, although he has done a whole brain angiography, it can't fully reflect the real situation of the blood vessels.
After Zhao Sheng took over, through the induction of his right hand, the blood vessels of the little boy's entire brain were presented in his mind.
Soon, Zhao Sheng calculated the optimal route to reach the position of the plug.
After settling down, Zhao Sheng began to operate, but at the beginning, the magnitude of his movements made the others in the operating room look at it and pinch a cold sweat.
The little boy's blood vessels are already very small, and there are other problems such as thickening of the blood vessel wall, and the intervention under such vascular conditions is still so big, it is equivalent to driving on the potholed sheep intestine path and stepping on the accelerator, how can this not make the hearts of other people in the operating room look at it.
Even Song Sixian looked at Zhao Sheng very nervously.
Although others seem to think it is thrilling, in fact, for Zhao Sheng, with the stability and sensitivity of his hands, as well as the three-dimensional imaging of brain blood vessels in his mind, this kind of operation is familiar to him.
Half an hour passed, and under Zhao Sheng's operation, the bolt was taken out without danger.
After the operation, Song Sixian said to Zhao Sheng with some sighs: "Lao Zhao, fortunately, you chose the emergency department at the beginning, if you come to the gods, what else will happen to me." ”
"Anyway, I didn't think you were so powerful before."
After a pause, Song Sixian looked at Zhao Sheng very puzzled and said.
As for Zhao Sheng's exquisite vascular intervention operation just now, Song Sixian dared to say that even if it was placed in the world, it was a super-first-class operation.
If Zhao Sheng had specialized in any surgical department, such as cardiac surgery, neurosurgery, etc., and completed several ultra-difficult major surgeries, he would have become famous a long time ago.
But now Zhao Sheng, as the deputy director of the emergency center, is also very good.
It can only be said that the people who are bullish are very good everywhere.
"Yes, Director Zhao, your hands are so steady, I was terrified just now."
Qi Ling, the instrument nurse, also looked very admiring Zhao Sheng and said.
In the operating room, it is normal for nurses to admire doctors who worship cow pikes.
"Ahem~"
"Thirty years of pure yang skill, of course my hand is stable."
Zhao Sheng said with a little joke.
"Huh? Does that extra hand really shake? ”
When Zhao Sheng said this, Qi Ling heard it seriously, and immediately said with great confusion.
"You ask Dr. Song about this, and he knows best."
Zhao Sheng patted Song Sixian, who hadn't reacted yet, on the shoulder, turned around and left.
"Doctor Song?"
Curious baby Qi Ling asked Song Sixian again, the nurse in the operating room, I haven't seen any big scene, and it can be said that she is the most open nurse in the hospital.
The kind of openness here refers to the kind that has a strong ability to take over and can talk about anything.
"Ahem~"
"I suddenly remembered that there was another doctor's order that hadn't been opened."
Song Sixian also slipped away.
(End of chapter)