After receiving the call, Zheng Ren, who was about to get off work, got in the car as quickly as possible and rushed directly to the cancer hospital.
Because it was a foreign body in the heart, Zheng Ren was very cautious and brought everyone with him, including the anesthesiologist Lao He.
A full set of people and horses, riding in two cars. When he got in the car, Zheng Ren was in a daze, wondering if his medical team had grown to this extent unintentionally.
Originally, Lin Yuan was supposed to stay and write medical records with Chang Yue, but she insisted on going along regardless and promised that all the work would be completed overtime after the operation.
Zheng Ren was too lazy to manage. He knew that he was not a qualified medical team leader. Because I don’t have a strong desire to control, the doctors under me are basically free-range.
"Boss, what do you say there?" After getting in the car, Su Yun had time to ask.
"It is said that the PICC tube fell off, the time is unknown, and interventional surgery cannot take it out."
"You won't have pulmonary artery thrombosis, right? That would be troublesome." Su Yun frowned.
For example, during the rescue operation at the International Hospital, the big frame had just fallen into the heart, so the difficulty of the operation was still controllable.
However, the foreign body falling off at an unknown time means that the risk of surgery is huge.
Zheng Ren did not discuss the condition with Su Yun, but closed his eyes and prepared to go to the system operating room for surgery to see what should be done.
"Ding dong~"
The long-lost system task prompt sounded in my ears.
Urgent mission: interventional surgery that cannot fail.
Task content: Use interventional surgery to remove the fallen PICC tube. Because the patient has an advanced tumor, the huge trauma of thoracotomy will lead to continued deterioration of immunity. If the detached catheter cannot be removed through interventional surgery, the patient will die quickly.
Mission time: 12 hours.
Mission reward: 100,000 experience points, 10,000 skill points, and master-level skill book × 1.
The name of this task...
Zheng Ren was stunned for a moment. He looked at the system panel and thought about it for a few seconds before he understood the reason.
The logic is simple. The patient is not a healthy person in the past, but someone who has been diagnosed with a terminal tumor and the flame of life has dimmed.
In interventional surgery, there is only one needle hole, and the patient's body can still tolerate it. After all, interventional surgery is less invasive to the patient and has almost no impact.
However, if it were to be replaced by thoracotomy, splitting the sternum and opening the mediastinum, even if the operation was extremely fast, the trauma to the patient would be considerable.
In the words of ordinary people, this is called disemboweling and hurting one's vitality.
It’s really not certain how long you can live after surgery.
It is possible that even if the operation goes smoothly and successfully, the patient may not be able to withstand the impact of the operation due to poor physical skills, and will soon develop multiple organ failure and die directly.
Surgery does not benefit the patient, but may shorten survival.
It would be better not to do this kind of surgery.
But…
All in all, this is a dilemma.
The title of the task given by Big Pig Hoof was cold and ruthless - an interventional surgery that cannot fail. What the hell are these words
Zheng Ren was also helpless. After reading the mission description, he entered the system operating room and clicked to purchase system operation time.
The system operating room rose from the ground. Zheng Ren was worried that Su Yun's chatty words would waste his precious surgical training time, so he got in directly.
Entering the system operating room, Zheng Ren first took a look at the patient's information.
He was stunned for a moment.
The PICC pipe has been falling off for at least 1 month!
Normally, PICC pipeline maintenance is performed once a week. Anticoagulant drugs such as heparin sodium must be injected to prevent thrombus from forming in the pipeline.
But after it fell off for a month...doesn't it usually need maintenance
As for what happened to the patient, Zheng Ren didn't think about it. It's useless to think about this. The top priority now is to remove the fallen PICC catheter.
Zheng Ren first inserted a 6F sheath through the left median vein, guided the basket catheter for ventricular septal defect closure, entered the left subclavian vein through the left median cubital vein, and grasped the end of the PICC. The first attempt failed, and the second attempt failed. success.
For Zheng Ren, who was at the peak of interventional surgery, two attempts during the arrest process were the most.
No more, it’s simply impossible!
Many people will fail at this step, but this does not exist in Zheng Ren's world.
However, after grabbing the PICC catheter, Zheng Ren exerted slight force, but the catheter remained motionless as if it was sewn with sutures.
This should be because the catheter has formed adhesions at the heart end, Zheng Ren immediately made a judgment. But he didn't give up. This was a system operating room after all, and he could make mistakes without restraint.
Push harder, push harder...
The operation failed and the experimental subject died.
If one way doesn't work, then try another way.
In the second operation, Zheng Ren inserted a 6F sheath into the right femoral vein of the trial body.
Using the right coronary angiography catheter as a guide, the basket catheter was sent to the right ventricle, but the proximal end of the PICC tube had entered the right pulmonary artery. After multiple attempts, the basket catheter failed to capture the PICC tube.
However, this did not trouble Zheng Ren. He inserted the right coronary artery catheter into the right pulmonary artery, manipulated the catheter, and tried to pull the proximal end of the PICC tube back into the right ventricle.
But this time the operation failed again.
The proximal end of the PICC tube is deeply buried in the thrombus, and it is impossible to use the annular head of the basket catheter to trap the proximal end of the PICC tube in a "rope-trap" method.
Zheng Ren had no choice but to perform thrombolysis first, use urokinase to flush out the thrombus, and then use interventional surgery to remove the thrombus bit by bit.
Then he grabbed the PICC tube a little further away, closed it, and used the front end of the basket catheter to pass through the tricuspid valve, and rubbed the catheter adhesions little by little.
Atrial fibrillation... Experimental subject died.
Experimental subject died...
Experimental subject died...
Experimental subject died...
Zheng Ren didn't know how many failed surgeries he had experienced that resulted in the death of experimental subjects.
For him, who is at the peak of interventional surgery, it is unimaginable that pure interventional surgeries would fail so many times.
In other words, patients in cancer hospitals should not be treated with interventional surgery at all, but should have thoracotomy, open the heart, blunt dissection, and take out the PICC tube.
However, that was a patient with advanced cancer.
Zheng Ren knew that he could give in.
In this way, a lot of surgical training time can be saved. All you have to do is go to the cancer hospital and tell everyone after the angiogram what the difficulty of the surgery is.
This is the most "economical", the most "affordable" and the most in line with one's own "interests".
However, life is not a game. What I am facing is not an experimental subject, but a living person, not a cold number.
No matter why the PICC tube fell off for a month, the patient and the patient's family still don't know. If you encounter it yourself, you must go all out to try to save the patient's life.
The surgical training time passed bit by bit. After the eighth failure, Zheng Ren began to dissect the experimental subject, clarify the anatomical structure, and look directly at the condition of the experimental subject.