The thoracic aorta bulged, and the dark red hematoma looked so dazzling.
Director Ma murmured: "The thoracic aorta... that one, was it inserted under the stent?"
"It's down, don't worry." Director Kong also saw Shu Ye from behind, felt strange in his heart, and comforted him in a low voice.
Even though Director Kong saw it with his own eyes, he was still frightened. If this thing didn't have a bracket, it would definitely break, and the person would be dead. What a waste of time trying to save him!
Fang Lin carefully touched the area around the hematoma with hemostatic forceps and could feel the hardness of the stent. In fact, as long as the stent is inserted and the breach in the intima of the blood vessel is sealed, there will be no problem.
He tried it, with some doubts in his mind.
Boss Zheng is very strong. When he rescued himself, he heard some explanations about the process afterwards. The level of emergency care is first-class. But how did he know he had thoracic aortic dissection
Director Miao was injured and was sent here. He learned the news immediately and ran all the way over. Boss Zheng's surgery was completed.
Not only the abdominal surgery, but also the thoracic aortic stent was inserted.
Judging from the extent of the hematoma, I'm afraid it may break at any time. Once it breaks, the rescue is over.
But doubts were doubts, but Fang Lin couldn't question Zheng Ren.
"Director, the stent is perfect. If you don't feel confident, cover it with a layer of hemostatic gauze..." Fang Lin whispered, no matter how much treatment he needed, he couldn't do it.
Boss Zheng had already completed the most serious rescue operation before anyone arrived.
What a monster. Fang Lin stood at Yishu's position and looked up at Zheng Ren, who was sitting next to the airtight lead door with his back against the wall.
Is Boss Zheng so powerful? It’s really unimaginable.
Director Ma nodded. We can't do too much here. Once the stent is inserted, there is no need to think about the aortic replacement surgery. In Director Miao's current condition, he simply cannot bear the trauma of replacing the aorta.
Su Yun stood beside Lao He silently, looking at the surgical field from the perspective of an anesthesiologist. When the mediastinum was opened, he was the most surprised person.
Zheng Ren used such a weird surgical method at the beginning, which seemed to prove something.
Femoral artery puncture, built-in dual guidewires, operated by both hands, one to remove the lower aortic stent, and the other to embolize left hemihepatic bleeding.
In retrospect, both actions make sense. I'm afraid if it were any later, Director Miao would either die of excessive bleeding or rupture of thoracic aortic dissection.
Su Yun could see at a glance that only a very thin layer of the adventitia of the thoracic aorta was left. It would not rupture at any time, but would rupture immediately.
It was only because of hemorrhagic shock that the blood pressure was almost undetectable that a balance was maintained. If the spleen and liver were cut out first and the bleeding was stopped, which was a routine operation, Director Miao would probably die on the operating table if the blood pressure rose again.
It's so dangerous... But how do you diagnose this guy
Countless questions immediately emerged in Su Yun's mind, including those at present and those from the past.
With such bullshit rich clinical experience, how could Su Yun believe such words! According to his idea, I don’t have such rich clinical experience, how can others have it
But diagnosis is one thing, operation is another.
Although Su Yun watched Director Ma and Fang Lin perform operations, what appeared in front of his eyes was an interventional operation with double guide wires and double manipulation.
His own level is high enough, and it’s not like Su Yun has never seen international intervention experts. Being so familiar with Professor Rudolf Wagner, he already knew what the level of international involvement was.
Su Yun judged that his intervention level could rank at least among the top fifty in the world. This still includes various branches such as visceral intervention, neurological intervention, vascular intervention, and cardiac intervention.
But can you do it yourself
Not to mention operating two guidewires with both hands to perform two different surgeries at the same time, but to focus on doing the simplest thoracic aortic stent... The answer is obviously that I can't do it!
Although there were countless questions in his heart, Su Yun did not say anything, but sealed them all away.
Say what you need to say, but don't say what you shouldn't. This is the reason why Su Yun is willing to criticize others, but can live peacefully until now, and has friends all over the world.
"The head injury was very minor, and the inside looks fine now." The director of the neurosurgery department put away the small flashlight and let out a sigh of relief.
Unlike thoracic surgery and general surgery, neurosurgery does not have the technique of craniotomy.
Without the cooperation of CT and MRI, no one would dare to go on stage for surgery.
If the skull was really opened and the bleeding point was on the other side, it would cost one's life. There is no space on the head, and it is particularly difficult to even identify the bleeding point, as it is covered in blood.
What they can do is to conduct a physical examination first, mainly by observing the pupils to determine the possibility of intracranial hemorrhage. If the patient can be rescued by chest and general surgery, the hemorrhagic shock can be controlled, and he can go on stage again after a CT scan.
"The pupils on both sides are equal in size and have weak light reflection, but they are there. It is estimated that even if there is bleeding inside, the amount will be relatively small and the problem will not be a big problem." The director of neurosurgery saw that almost everyone was looking at him and finally said There is good news.
As long as the pupil's light reflex does not disappear, that is the best.
Glancing at the monitor, the numbers on it told everyone present that the blood pressure seemed to be stable!
60/40 mm Hg, although still very low, has blood pressure. The time of ischemia and hypoxia in various organs of the body is not long, and it is estimated that it will not cause any irreversible damage.
The operation continued, and someone from the general surgery department came and took a look at the operation. Seeing that the abdomen was covered with warm saline gauze, Professor Yang brushed his hands on the stage and checked it over. The entire abdominal operation area was clean, the spleen was removed, the left lobe of the liver was removed, and there was no bleeding.
Boss Zheng's surgery was really good, Professor Yang admired in his heart. Not to mention searching and repairing the intestines, just a left lobe resection of the liver would take at least about 40 minutes if done by yourself.
This does not include the time to open the abdomen and stop the bleeding.
Looking at the left half of the liver cut out in the pathology basin, Professor Yang also had lingering fears. It was in tatters, and you can imagine how violent the bleeding was.
He carefully explored for nearly half an hour, and Boss Zheng's surgery was flawless!
The surgery was done perfectly, whether it was resection, hemostasis or repair of the right hemi-liver.
"Boss Zheng, if nothing happens, why should I close this place?" Professor Yang did not make the decision without authorization, but turned around and asked Zheng Ren.
"Trouble." Zheng Ren said softly, his eyes slightly closed, his eyelashes trembling constantly. Although there was no expression on his face, he could not hide the turmoil in his heart.
"Brother Yang, can I come on stage to help?" Su Yun asked.
"No, we have people." Professor Yang smiled, but also a little sad.
He didn't think Zheng Ren was arrogant. He performed the operation immediately and at least Director Miao lost 500-1000 ml of blood. This is a life-saving operation. I am afraid that Boss Zheng's whole body was tense when he was rescuing her, and he is already exhausted now.
It would be a big joke if no one came on stage after rescuing his own family.