Wu Mian smiled, "I'm sorry for your trouble, Director Li." ”

Entering the director's office, Director Li turned on the film reader and asked, "Teacher Wu, sit and watch." ”

He doesn't care much about what movies Wu Mian watches, a top doctor like Wu Mian, no one looks for him to see a doctor is the strangest thing.

The man was a little surprised, but the little doubt in his heart suddenly disappeared. After seeing Wu Mian, although Daoist Lin said something like rejuvenation, suspicion was inevitable.

And he didn't have a badge, he wasn't in the office, he just sat in a chair outside, looking like the youngest and most inexperienced intern. But the man is very cautious, Lin Xianchang said it, just take it seriously.

He had good eyes, and when he saw Director Li coming over after surgery, he saw the sign of the director of the burn department early in the morning. Although a director of the provincial medical university will not let him be complimentary, after all, it shows a certain problem.

Wu Mian was not polite, sat on Director Li's chair, inserted the MRI film of the patient's skull, and took it down again.

"The MRI is fine, the CT of the lungs is for me. ”

Chu Zhixi immediately handed the bag that had already been divided to Wu Mian.

The CT film of the lung was inserted into the reader, and Director Li glanced at it and saw a little inflammation in the lower left lung.

It's all right, he thought to himself. Mr. Wu is really fast at watching the film, what will he watch next? Director Li guessed.

But to Director Li's surprise, Wu Mian did not take the film down, but looked at a lung CT scan with nothing to do for a long time as if he was face-to-face.

"Brother, is there a problem?" Chu Zhixi asked suspiciously.

"There are several densities in the shadow of inflammation in the lungs, and there are some problems. Wu Mian said softly, "Didn't you do a CT scan of the whole abdomen?"

"Well, no, only B-ultrasound, no adrenal problems. Chu Zhixi said.

Wu Mian put his arms on the table and looked at the film on the reader seriously.

After nearly 1 minute, Wu Mian said, "Director Li." ”

Director Li was stunned for a moment, he didn't expect that he still had something to do with him, and hurriedly said, "What's the matter, Mr. Wu." ”

"Thoracic department, familiarize yourself. ”

"Familiar, familiar. ”

"Help me contact a bed, do you still let the top three have an extra bed now?"

"It's okay, if they don't have a bed, I'll contact the special needs ward. Director Li happily agreed, as for why he was hospitalized anyway, he didn't dare to ask.

The diagnostic textbooks are all written by Mr. Wu, so I have something to ask.

"Okay, do some tests first, then anti-inflammatory symptomatic treatment, and recheck the lung CT in about 5 days. ”

Director Li listened to Wu Mian's medical advice while making a phone call.

The phone rang a lot, but there was no answer on the other side. Director Li glanced at his mobile phone and said, "Teacher Wu, you sit down first, and I'll go to the chest department to take a look." ”

"Hard. Wu Mian still looked at the film, and said politely in his mouth.

Before Director Li could walk out, the mobile phone rang.

"Director Fang, what about surgery?"

The voice on the other side of the phone was very low, Wu Mian's ears moved slightly, and asked, "The heart and mind have passed, is there a problem with the circulatory catheter?" ”

Director Li didn't hide it from Wu Mian, because there was a patient, so he walked to Wu Mian's side and said in his ear, "Circulatory surgery, the steel wire fell inside when the balloon was dilated." ”

"Director Gao is on the operating table? Wu Mian's eyes did not leave the film, and he kept staring.

......

......

Gao Baixiang hurried to the operating room, and called all the people with heart and chest on the way.

The professor who led the group to perform a coronary balloon dilation operation just called to ask him to go to the rescue table, saying that the steel wire had fallen off.

As soon as he heard the news, Gao Baixiang's brain "buzzed".

The wire in the heart is okay, but if it gets into the pulmonary artery, it's a fucking thing. I hurried to the operating room, and as soon as I entered the corridor after changing my clothes, I heard a voice coming from inside.

"Lika, Lika, slow and still push!"

As soon as he entered the operation room, Gao Baixiang heard the urgent voice of the professor in the group.

Lidocaine intravenous push, is this a ventricular velocity?

Ventricular tachycardia is a common manifestation of arrhythmia, which occurs during surgery and is basically relieved by intravenous lidocaine. If there is no effect, it will be relieved by diltiazem or verapamil.

"What's going on?" Gao Baixiang hurriedly walked over and asked.

"Director, the operation went well, the "two and a half turns" of wire entered the left atrium again, and during the withdrawal of the Inoue balloon, it was found that the end of the wire did not move during the wire withdrawal. ”

The professor of the group whispered about the operation just now, and at the same time, Gao Baixiang began to read the surgical images. The process is simple, but to reverse the process, it is difficult to climb to the sky.

As the professor said, the extended Inoue balloon was pulled into the right atrium, and immediately after being pulled into the right atrium, it was found that the spring wire at the end of the wire had been completely severed and fell on the right atrium.

"Why are you so careless!" Gao Baixiang scolded in a low voice, but he didn't have time to dwell on this, and then asked, "Room speed?"

"Well, looking down at the C arm, the spring wire beats violently in a large range with the heartbeat. The professor's voice grew quieter and quieter, and the sterile cap on his forehead was wet with sweat. This is the lead coat he wears, otherwise his whole body is dark green and wet with sweat.

"I'll take a look. Gao Baixiang hurriedly closed the airtight lead door and irradiated it with a C-arm.

On the opposite screen, the tiny spring filaments continue to move violently with the influence of heartbeat and blood flow, occasionally incarcerating in the tricuspid valve, immediately causing transient ventricular tachycardia.

After seeing the video, Gao Baixiang's heels were cold.

The wire has the potential to fall into the right ventricle or pulmonary artery at any time, if it does......

It is said that this kind of surgery belongs to the heart, but Gao Baixiang is timid and afraid, for fear that he will use a general chest, so he simply finds it.

Gao Baixiang was a little anxious, and quickly went to brush his hands, put on lead clothes, and wear sterile clothes.

The falling spring wire may fall into the pulmonary artery at any time and form a pulmonary embolism, which is a fatal thing.

The embolism formed by the spring wire is not the same as a blood clot, and there is no way to dissolve the thrombosis at all. If you really fall into it, you have to open your mind and take it out if you can't say it.

Once the surgery is made...... Patients with coronary heart disease are not in very good physical condition, and it is difficult to say whether they can get off the operating table. If cardiopulmonary bypass, cardiac arrest is also required during the operation...... I really can't think about the consequences.

Gao Baixiang walked with the wind, brushing his hands and putting on clothes as quickly as possible to stand in the position of the surgeon.

He skillfully broke the arc of the J-shaped guidewire wider, glanced at the position and shape of the spring wire at the screen, and broke it again, and then sent the J-shaped guidewire in.

You can't rush the operation, and the more "urgent" the operation, the more you can't "rush".

The ordinary "J" type guidewire went down and was rushed by the blood in the heart, and it was not able to grasp the falling spring wire at all.