"Preoperative preparations are complete, and then we are going to prepare for emergency catheterization and thrombolysis surgery. I need to rush to the hospital where the patient is located to perform the next emergency surgery. If there is no time, the live broadcast will be continued by Dr. Su." Zheng Ren's voice in the live broadcast room echoed in.
The microphone is rarely turned on in the surgical live broadcast room, and everyone feels strange when hearing the voice of the live broadcast.
"I am now in Imperial Capital, 903.5 kilometers away from Xilin Town where the patient is located. It will take me about 6 hours to get there. The weather there is bad and it is still snowing." Zheng Ren said lightly: "The live broadcast will always record the patient's status. , and I will perform balloon dilation + stent surgery on the patient as soon as possible after arriving in Xilin Town."
Zheng Ren was very free and spoke once in Chinese and again in a standard London accent.
The changes in Lao Liu's electrocardiogram showed that he would not die. Once this was confirmed, there was no need to pretend to be calm.
"Now let's start the live broadcast of the surgery. The surgeon of this surgery, we have met before in the live broadcast of TIPS surgery. Well, he is one of the doctors who was beaten by me with the hemostatic forceps."
"I believe that after being beaten by me, his surgical skills have made great progress. So, Lao Liu, it is not a big deal to perform surgery on yourself. Take a deep breath, stabilize your mood, and then stabilize yourself."
"On your electrocardiogram, the elevated ST segment has dropped by 70%, and the symptoms of myocardial ischemia have been significantly relieved. You don't have to be afraid, I have everything under control."
I have everything.
I have everything!
I have everything! !
Zheng Ren's words gave Liu Xuzhi almost unlimited confidence.
"It is now 20:12 Imperial City time. We are undergoing selective coronary angiography + catheter thrombolysis under local anesthesia in the interventional operating room of Xilin Town People's Hospital." Zheng Ren said calmly.
"Old Liu, first, perform local anesthesia on the left radial artery."
Although the nurse was a little panicked, she still started to perform local anesthesia at Liu Xuzhi's prompt.
This operation is very simple and not difficult at all.
"Next, the radial artery is punctured. With the help of the nurse, the surgeon's hand must be steady. No, the angle of the needle should be raised a little higher, about 5°. Yes, that's it, the needle can be inserted."
The Seldinger method was used to puncture the left radial artery, and a 7F arterial sheath was built in, which was a near-miss success.
The nurse was wearing a lead suit. Although it was just an arterial puncture, sweat was already pouring from her forehead.
"Give 5000u of heparin sodium through the vascular sheath. Don't rush, take your time. Yes, that's it." Zheng Ren said slowly.
Under Zheng Ren's guidance, the guidewire was inserted and super-selected to the openings of the left and right coronary arteries.
Insert the angiography catheter and perform angiography in different positions. Inject 4-6ml of contrast medium in each bolus.
Three-vessel disease, the most severe anterior descending artery was blocked by 80%.
This is even if thrombolytic treatment is given at the first opportunity.
"Boss, Xiao Feng is here." Su Yun said impatiently from behind.
"Is Fuguier in the car?"
"He has already arrived at the airport." Su Yun said with a smile: "Fugui'er has expressed dissatisfaction many times that you did not take him to other places for surgery. Boss, you must properly meet the requirements of your doctors."
"Next, the surgery will be guided by Dr. Su Yunsu. And I will rush to Xilin Town, 903.5 kilometers away, for the surgery."
After Zheng Ren finished speaking, he handed the surgery live broadcast glasses to Su Yun.
"Be careful all the way." Xie Yi was on the first floor, and the cartoon dog on his pajamas came to life.
"Yes." Zheng Ren nodded, opened his arms, hugged Xie Yiren, then turned and left.
Going downstairs, Feng Xuhui's car was parked at the door.
After getting into the passenger seat, Zheng Ren saw Liu Xiaojie sitting in the back with a large trolley case beside her.
The other one should be in the trunk.
Recently, Xiao Feng's large trolley suitcase is getting bigger and bigger, and more and more things are packed in it.
"Mr. Zheng, we are in a hurry, please fasten your seat belt." Feng Xuhui said immediately when he saw Zheng Ren getting into the car.
"Yeah." Zheng Ren put on his seat belt, and the BMW X5 roared, instantly accelerating to the speed limit in the community and speeding away.
…
…
"It can be seen from the angiography that the surgeon's anterior descending artery is 80% blocked, and the area of blockage is about 10cm. To be precise, it is 10.215cm." Su Yun said leisurely.
If you can see the contrast, you will know it.
This situation is no longer fatal. It's better to be able to get the stent off, but if you can't get the stent off, you can still survive.
So Su Yun began to show off his discernment.
With such an accurate number, everyone will definitely think it is nonsense and will never take it seriously.
This is the most regrettable thing. There are few close friends, and it is helpless for anyone to listen to the broken string.
"Now that the imaging is over, Old Liu, you have lived more than half of your life." Su Yun said: "Withdraw the imaging catheter, remember to move slowly, and then put the thrombolytic catheter in."
"Be slow, everything is happening in a hurry now. The boss has traveled thousands of miles to perform surgery on you. Do you know how much it costs to fly for the boss to perform surgery? Anyway, your hospital's annual turnover is probably not enough. .”
While talking nonsense, Su Yun directed Liu Xuzhi to withdraw the imaging catheter and put the thrombolytic catheter in.
It is a pity that there is no most advanced thrombolytic catheter here. The catheter is inserted along the 20% gap, and then the thrombolytic agent is sprayed evenly like a shower.
Thrombolytic therapy can only be started in the upper part of the anterior descending artery with the simplest and most primitive thrombolytic catheter.
Such thrombolysis still has some side effects. But considering that Zheng Ren is rushing over, it should be fine.
Su Yun's mood became more and more stable, and all kinds of trash talk broke out.
Liu Xuzhi was in a trance, as if he had returned to the interventional catheterization laboratory in Pengxi Township. He was an assistant, listening to Su Yun's chatter while performing one after another seemingly endless interventional embolization treatment for pelvic fractures.
"Okay, fix the embolization catheter and pay attention to adjusting the pumping speed of the micropump. 6ml/hour is enough." Su Yun said: "Lao Liu, lie down on the operating table and don't move."
"This is a long operation. While we are waiting for the surgeon to come, we will recall the mechanism of the patient's disease. Wait a moment, Xiao Hu, I have a courseware, can you use one screen and two fields? I know you have done it, Don’t be lazy.”
Su Yun really enjoyed the feeling of teaching others. When he was young, he was willing to be a teacher. He was a genius and was not exempt from the mundane.
In his opinion, it is abnormal for someone like Zheng Ren to be taciturn and to have a headache when there are many people.
A few minutes later, when Liu Xuzhi was lying on the operating table to insert a catheter for thrombolysis, Su Yun had already begun to talk about the pathogenesis of myocardial infarction and the pathological and physiological changes based on his electrocardiogram.
The explanations were extremely professional, and many doctors who had gone offline were called back by their colleagues.
Not only are the surgeries excellent, but the basic knowledge and interesting explanations are also top-notch in the world.
It doesn't sound boring at all. Soon everyone online was immersed in it at the same time and couldn't extricate themselves.