Chi, all of a sudden, all the people watching couldn't help but take a deep breath.
Just now, the patient's arm seems to be slightly internally rotated, and people seem to be able to hear the guide wire slipping into the subclavian artery, which symbolizes that the patient's upper limbs have successfully completed this strange and high-risk path.
Internal rotation of the upper body? Shouldn't the upper limbs be abducted
The patient's routine intraoperative position is upper limb abduction, which is convenient for the doctor to send the tutor from the axillary artery to the subclavian artery. The axillary artery is a continuation of the subclavian artery and is renamed the brachial artery as it descends into the arm. Its anatomical structure is complex, hidden deep in the curved armpits, and its projection on the body surface originally requires the upper limbs to be abducted to a horizontal position. and
It has blood vessel branches in each segment, and the number of branches varies greatly. For the doctor, abduction of the arm at this time is beneficial to straighten the axillary artery so that the guide wire can pass. Xie Wanying and the others did not completely retract the patient's arm and stick it to the side wall of the chest, but just slightly rotated the angle inward. Looking at such a strange approach, it has shown a miraculous effect. It shows that the direction of blood vessels in this patient is quite strange.
Yes, without a comprehensive perspective on the patient's blood vessels from multiple directions, it may be difficult to understand. Doctor Fang thought clearly at this moment, he was not as smart as two medical students. No matter how experienced doctors encounter special cases, they can only rely on their brains. So he said to the two medical students: "Under the perspective, if there is no problem
, hand it back to us to continue. "
"Forget it." Jin Tianyu was annoyed, and asked him not to be so shameless.
Doctor Fang said indifferently, "I don't want them to stay here for too long."
The two juniors are very talented and should be cherished. Young people, not married, don't stay too long in the intervention room. Now the most difficult part is over, and the other doctor should be able to take over.
"It's fine if you don't turn it on." Jin Tianyu said. Remembering Junior Sister's promise, he was willing to let them continue to try. It is very difficult for interns to encounter such opportunities for practicing mobile phones. At this time, the teacher can give opportunities as much as possible.
The phone rang again.
Everyone looked at Fu Xinheng and picked up the phone again, wondering who was calling.
On the other side of the phone, Dr. Xu asked impatiently: "Doctor Fu, how is it? Has the patient been transferred to the operating room?"
"No, I'm doing PCI." Fu Xinheng said.
"Still doing it?" Doctor Xu asked twice in disbelief.
Fu Xinheng didn't have time to explain, his eyes watched the two medical students in the operating room stop.
It should be the end point of the heart sent by the guide wire.
Xie Wanying held the guide wire firmly with her hands, but she didn't dare to let go easily, a layer of sweat crawled up her back.
Nervous, and inexperienced in wearing lead clothing for the first time, unable to control the pressure of the load.
During the period of feeding the guide wire, she felt that she had run a track of more than 20,000 meters, which was a bit tiring. Pan Shihua, who was standing not far from her, was not much better than her. There was a scarlet and clear sweat on the clean forehead, and the nostrils behind the surgical mask seemed to be panting slightly, as if mentally pulling them tighter than hers, like a broken breath.
line like. Unlike her famous academic bully, his little-known intern had never had such a chance to be on stage before. He couldn't think as well as her, so he could only follow her strategy. The time is short and a timely response is required. It is impossible for him to think about it and make a correct judgment before cooperating with her. Therefore, he didn't have much confidence in his operation. He was afraid that she would make a mistake and he would follow her. Second, he was afraid that he would misunderstand her thinking and do the wrong thing.