Xie Wanying obeyed everyone's orders and walked back behind Senior Brother Cao as she couldn't outrun a large group of Xueba Senior Brothers and teachers.
Finally saw her back.
Shen Youhuan stared at her head and preached: "Yingying, you are smart, so don't be brave and fearless like this Junior Brother Cao."
When have I ever been brave enough to do something like this? Cao Yong absolutely disagreed with these words, and looked back at the other party with a slightly dissatisfied look.
Brother Shen's character is like the ever-changing clouds, with occasional showers and occasional sunshine. In a blink of an eye, after educating her, Shen Youhuan went on to comfort her: "Your senior brother Huang doesn't like it, let's say him. Besides, with your senior brother Cao, is it your turn to be a non-neurosurgery? You can rest assured. Go Watch us perform surgery next door."
"Yes." Xie Wanying nodded.
In terms of neurosurgery expertise, she is definitely not as good as her brothers and Dr. Song. Leave the professional matters to the professional brothers.
Surgery is about to begin. In addition to the surgeon, everyone else walked into the control room to watch the operation at the same time.
In the hybrid operating room, the surgical team can be divided into two situations, one is the cooperation between internal medicine and surgery, and the other is that the surgery works alone and directly does the interventional surgery of the internal medicine together. The latter requires the surgeon to comprehend by analogy and accumulate considerable experience in interventional surgery. This is not easy to achieve. Surgeons may be able to get started quickly with ordinary radiography. When it comes to more complicated interventional operations, such as thrombectomy and thrombolysis, doctors also need sufficient surgical volume to accumulate technical strength, and surgeons may not be able to adapt quickly if they do not do enough. Therefore, in Mr. Zhang's vision, it would be better for the composition of this type of operation to be done in collaboration with surgery and medicine.
It can be said that Zhang Huayao's intentional promotion of today's operation is to see how the combination of internal medicine and surgery will work.
After the meeting that night, the teachers of internal medicine and surgery met again many times to study. Now the surgeons and surgeons take their places first.
Physician first. Shin Woo-hwan went into the operating room in full armor and went into battle in person. The operation process of this patient today is complicated. There is a surgeon who will take over the second half of the operation. The progress of the operation requires the doctor to move quickly, so I don’t want to wait for the doctor below to try.
Under local anesthesia, the right femoral vein was punctured, a pigtail tube was inserted, and a filter was inserted into the inferior vena cava. A series of conventional surgical steps, for the deputy high school who has already mastered the basic skills, it is inevitable to complete them in one go.
The catheter inserted after the puncture carries the contrast agent to the designated location like other interventional procedures.
Like coronary angiography, due to the short pulmonary artery circulation time, only 2 to 4 seconds, CT imaging is technically difficult and not as good as an angiography machine, which can grasp the instantaneous dynamics of blood vessels directly and clearly at a glance. The advantages of the contrast machine are reflected again. Clinically, high-risk PE patients are the first choice for pulmonary angiography and thrombolysis and thrombectomy is a recognized practice. Therefore, the results of the previous CT scan of the blood vessels of the lungs and heart are rough scans, which are not meaningful for diagnosis and can only be provided to doctors for preliminary judgment.
Whether the patient can undergo the next surgical operation depends on the results of the first half of the interventional operation.
Similarly, like coronary angiography, even if it is only for intervention, for patients who are not high-risk patients with PE, interventional surgery doctors must be cautious and cautious in the medical methods for patients, and there is no need for excessive medical treatment.
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Thank you for your support! ! ! good night dears~