During the operation, it was found that thrombosis had formed next to the PICC tube and was organized and adhered to the intima of the pulmonary artery.
The operation is very difficult, and it is very difficult to grasp the detached PICC tube with interventional surgical instruments. But after all, it can be operated outside the heart and has almost no side effects.
If it doesn't work once, just try it a few more times.
However, the PICC tube was already stuck to the pulmonary artery and thrombosis was forming, so the surgical procedure had to be changed.
If you grab the tail of the PICC tube at the periphery and pull it hard like before, it may cause complications such as blood vessel tearing.
Not to mention complications, once the pulmonary artery is torn, the consequences are self-evident.
After discovering this situation, Director Lin hurried to the operating room.
After all, he is the vice president in charge of clinical work, so he must be present in person for such a big event.
The small office in the interventional operating room was crowded with people.
Doctors at all levels in the second department of oncology, experts outside the hospital, hospital leaders, and medical office staff.
The air is a bit stuffy, quite stuffy.
"Professor Zhong, are you not sure about the surgery?" Dean Lin asked bluntly after hearing the condition report.
There is nothing to be shy about at this time, just say whatever you want. The patient was still lying on the operating table under general anesthesia, and his life was in danger at any time.
Professor Zhong from the famous circulatory specialist hospital shook his head, "Don't dare to move. The adhesions of the PICC tube may have reached the muscle layer. I used a basket catheter to capture it without any problem, but... "
As he spoke, he sighed.
The patient's PICC tube took too long to fall off. In Professor Zhong's opinion, the patient should not be saved.
"Is there any other way?" Dean Lin asked.
Professor Zhong hesitated for a moment, and finally shook his head, "Let's find someone with a big heart to do the surgery."
Heart, surgery…
Just these two words are enough to give Dean Lin a headache.
If cardiothoracic surgery is performed, it means huge risks, and the patient does not know whether he will live or die. And we have to change from the interventional operating room to the surgical operating room, and there is no extracorporeal circulation machine...
When he thought of this, Dean Lin's head turned into two big ones.
It seems that we can only contact the sister hospital. The patient regained consciousness from general anesthesia and transferred him there.
Dean Lin looked around and saw everyone's expressions were solemn, knowing that there was no other way.
He sighed deeply and was about to announce the final result when suddenly Professor Zhong said: "Dean Lin, are you familiar with Boss Zheng from 912?"
Dean Lin's heart trembled when he mentioned the three words "Boss Zheng".
"Some time ago, Boss Zheng was at the Affiliated Hospital of Medical University to get a cardiac bullet embolism. I heard from the people there that the quality of the procedure was quite high."
"..." Dean Lin was speechless.
"Why don't you give Boss Zheng a slap in the face?" Professor Zhong asked, but he seemed to remember something and immediately said: "Even if Boss Zheng thinks that interventional surgery is not possible, his level of cardiac surgery is first-class. One’s high.”
Dean Lin felt agitated.
"The live broadcast of the operation, the operation to remove a 12cm long pulmonary artery thrombus, really shocked me." The more Professor Zhong talked about it, the more excited he became. In his opinion, Boss Zheng is the best person who can perform both interventional operations and surgical operations. candidate for rescue.
"Although I don't do cardiac surgery, I watched the recording of that surgery at least 20 times. It was really exciting!"
He said excitedly, but he immediately felt that something was wrong in the atmosphere in the small office of the interventional operating room.
This is…
Professor Zhong looked around and saw that everyone around him was silent. Dean Lin's expression was as cold and hard as a stone.
Didn't it mean that Boss Zheng went to the Affiliated Hospital of Imperial Medical University a few days ago to intervene and retrieve bullets? It wasn't the cancer hospital that was swept away.
He recalled it again, but his mind was still blank.
"Dean Lin..."
"I..." Dean Lin subconsciously wanted to refuse, but this is a hospital, this is work, this is treating illnesses and saving lives!
Dean Lin's reason instantly defeated his emotions. He sighed and said: "I contacted Dean Yuan and asked Boss Zheng to take a look. If you can do the interventional surgery, do it. If not, explain the condition to the patient's family, wake up from general anesthesia, and transfer Go to 912 for thoracotomy."
The conclusion was reached, and everyone let out a sigh of relief.
This was a sudden disaster. The PICC tube had fallen off without even realizing it for so long. The patient and his family were careless enough.
Generally speaking, it is difficult for PICC pipes to fall off. Theoretically, the chance is less than one in 10,000. Judging from the number of patients diagnosed and treated at the Imperial Cancer Hospital, it will be encountered several times a year, but they are all "fresh" sheddings.
But this time he hit a big rock, and the patient's PICC tube fell off for who knows how long.
The patient was transferred to 912... Forget it, it's not a general hospital, there's nothing to be ashamed of, the people present at the cancer hospital thought to themselves.
Dean Lin saw that there were many people in the room, so he stood up and walked to the locker room.
Everyone knew that Dean Lin was going to call 912 to contact Boss Zheng to come to the rescue. Everyone followed Dean Lin blindly and listened to how he begged for help.
When he came to the locker room, Dean Lin took out his mobile phone, found Vice Dean Yuan's number and dialed.
"Lao Yuan, we are in trouble here. The PICC tube fell off and fell into the heart."
"Well, Professor Zhong is here, but it took a long time and I can't take it out."
"Okay, let's do it as soon as possible. The patient is under general anesthesia. If the intervention cannot be taken out, it will probably need extracorporeal circulation..."
"Okay, the patient is discharged, and I'll treat you to dinner."
After saying that, Dean Lin hung up the phone depressedly.
Vice President Yuan's tone on the other hand was flat, without any emotion. But the more this happened, the more Dean Lin seemed to be able to see the smile on the corner of Vice Dean Yuan's mouth.
There are not many exchanges between the large comprehensive tertiary hospitals in the imperial capital except for academic meetings. To save the hospital means to give in.
Our hospital is a specialized oncology hospital and doesn't even have a circulatory department, so we don't need to consider this.
But when he thinks of Boss Zheng and his daughter, Dean Lin becomes irritable. How can you tell the girl that the technical strength there is not enough and you should not go there
I am really afraid of what will happen.
Dean Lin hung up the phone and sat quietly in the dressing room, angry with himself. I just promised my wife yesterday that I would pay more attention to her and get the girl back no matter what.
Performing interventional surgery to eat threads, is that what a girl should do
He has gotten to know Boss Zheng's medical team a little bit in the past few days and knows that there are an average of six surgeries a day at a constant rate.
This is because... Boss Zheng only has six beds in the inpatient department.
But it’s not enough to perform six TIPS surgeries in one day. That’s a lot of threads!
They say that when a girl gets older, she can’t help herself, and every idea becomes more positive than the last.
Thinking about it, the phone rang.
When he saw that the girl had opened it, Dean Lin was startled and subconsciously picked up the phone.
"Dad, did you ask us to do the surgery?" Lin Yuan's proud voice came from the other side of the phone.
Dean Lin almost spat out a mouthful of old blood.