The intercostal artery was ruptured, no wonder there was so much bleeding.
As the only person at the top of the interventional department, Zheng Ren certainly knew what Zhao Wenhua was waiting for.
If it were not an intercostal artery, but a small artery punctured when the radiofrequency needle penetrated the diaphragm, the bleeding would have stopped by now.
However, the intercostal artery was ruptured!
Among arteries, this artery is relatively large, and there is no way to embolize it with floating embolic agents.
Because the intercostal arteries originate from the arteries that supply the spinal cord, the embolic agent may drift into them, causing the spinal cord supply blood vessels to be embolized, and the patient may develop symptoms of high paraplegia after surgery.
This is a very fucked up thing.
Otherwise, interventional embolization for liver cancer is very common, but for lung cancer, it is rarely performed. This is the reason. Different blood vessel shapes naturally lead to different complications and postoperative effects.
Once a patient suffers high paraplegia after surgery, it is a big deal.
Interventional surgery is not omnipotent, and this is one example.
If there are tiny spring coils, this problem can be solved. Zheng Ren didn't care much about the cost. It was from Professor Rudolf Wagner, and it wasn't his face that was painted.
Besides, if it's 100,000 euros each, it's probably a bill. The real cost is definitely not that high.
Use it if you want, Zheng Ren doesn't care.
"Boss, what are you thinking about?" Su Yun asked, feeling a little strange when he saw that Zheng Ren was just looking at the patient and did not check the patient or say anything.
"Well, just take a look, so that Director Kong won't feel unsteady." Zheng Ren smiled and turned around to go out.
Su Yun thought Zheng Ren was just making a gesture, so he didn't care. He walked out and whispered, "With so much blood, do you really think it's a small capillary artery? It must be an intercostal artery."
Zheng Ren recognized Su Yun's achievements in cardiothoracic surgery. He was very confident in what he said. Although the diagnosis was somewhat subjective, it was based on his rich clinical experience.
Just take a look or even listen to the process and you'll know what's going on.
"Well, it's probably the intercostal artery. Go back and persuade Teacher Zhao." Zheng Ren said.
"Persuade? Go back and point your nose at him and scold him." Su Yun said angrily: "When Director Kong didn't come back, he gave us little shoes to wear and told the rich not to eat too much and take too much. I remember this."
"It's not good to hold a grudge like this." Zheng Ren walked very fast. Although he was talking nonsense, the patient's condition was not good. If he delayed for a while, he would be in more danger.
Back at Director Kong's office, Director Kong was still talking to Zhao Wenhua about transferring the patient to general chest surgery.
For some reason, Zhao Wenhua frowned and disagreed.
Su Yun glanced at it, closed the door, took two steps forward, crossed Zheng Ren, pointed at Zhao Wenhua's nose and cursed: "You are a doctor too!"
Director Kong and Zhao Wenhua were both stunned.
In the hospital, it is very rare for someone to point their noses and curse at someone. Under normal circumstances, only when fundamental interests are involved, people will do it so openly.
Zhao Wenhua blushed and stood up suddenly.
"What? Practice your hands? I'll beat you until your mother can't even recognize you." Su Yun scorned, "The patient is in hemorrhagic shock. The intercostal artery must have been ruptured. How long do you want to delay it?"
"How do you know!" Zhao Wenhua was very angry with blue veins on his forehead exposed. This is the worst case scenario. I have never dared to think about it, but Su Yun said it without hesitation.
"You can tell just by looking at it. Why have you given so many years of clinical experience to dogs?" Su Yun scolded coldly.
"you… "
"Director Kong, the patient's condition is really not good." Su Yun turned to Director Kong and said, "This guy is obsessed. What do you think we should do?"
"Wenhua, go over there and seize the time to get the surgery done. It won't save you any worries. Even if the intercostal artery is not ruptured, it still needs to be explored." Director Kong said it fairly politely, but his tone was a bit too much. Sharp.
Director Kong didn't have so many worries. This kind of patient should have been transferred to the thoracic surgery department for exploration. If the patient's family members have objections, that will be a matter for later. Now we need to ensure the safety of the patient's life.
In particular, Director Kong knew that Zheng Ren and Su Yun were of very high level, and the diagnoses they gave were also very accurate.
He knew Zheng Ren's level well, and Su Yunna's name as the rising star of the Cardiothoracic Surgery Department of the Imperial Capital was not called for nothing.
If the two of them agree with their own judgment, there is nothing to be polite about.
Zhao Wenhua clenched his hands into fists and glared at Su Yun.
"Director Kong, there is no need to turn the chest outside." Zheng Ren said lightly from behind: "I will do the angiography. If it is confirmed, embolization will be fine."
"Emboli?" Director Kong looked at Zheng Ren in surprise, wondering what he was thinking. But I immediately remembered the surgery last night, the tiny spring coil.
"Are you crazy? You want to block the intercostal artery?!" Zhao Wenhua couldn't bear it anymore and roared angrily.
If Zheng Ren were his own patient, he would smile as he watched him go on stage like this.
But this is his own patient, what if something happens? !
No one looks forward to the safe discharge of the patient more than his own bedside doctor and attending doctor.
Although Zhao Wenhua was conflicted, under the persuasion of Director Kong, his mind was shaken and he was ready to transfer the patient to another department.
But Zheng Ren wants to embolize the intercostal artery! This is murder!
In the end, the bucket of shit will be placed on your head!
"Wenhua, what are you talking about?" Director Kong was completely unhappy this time. Boss Zheng wanted to punish you, but he still used this method? But if it hadn’t been for yesterday’s surgery, I wouldn’t have believed it.
The new consumables are really good. But this kind of thing is not something ordinary people can play.
Not to mention how much it costs, the tiny spring coil has to be inserted into it. It is the most common situation for an interventionalist of average skill to spend two to three hours just doing the super-selection, and in the end the super-selection is unsuccessful.
"Director, he said he wanted to embolize the intercostal arteries!" Zhao Wenhua said angrily.
"It's not an embolic agent. I saw it yesterday. It was imported from Germany..." Just as Director Kong said this, Zhao Wenhua interrupted him angrily.
"No, you can't move!"
"Okay, Professor Zhao, this is what you said." Zheng Ren looked at him calmly and said, "I have no right to take care of your patients. But I will keep an eye on them. As long as there is something wrong with the patient, Open your eyes and watch how you die!"
Zheng Ren rarely said harsh words, and this time he was a little impatient.
Is this really a doctor? There is nothing to be afraid of when complications occur, as long as you face them correctly. Although the current social atmosphere has led to a strange situation where doctors have to peel off the skin even if complications occur, unlike in the United States, where even appendicitis can't be treated but everything is fine.
However, we can’t just watch the patient die like this!
That's a human life!
Zheng Ren turned around silently and left Director Kong's office.