"Director Kong, have you asked?"
"Oh, okay, wait a minute, I'll write it down."
As Zheng Ren spoke, he picked up the pen and found a piece of A4 paper, on which he wrote the general process of the patient's last treatment in the Imperial Capital.
They are all old doctors, and they don't talk nonsense. Although they don't say much, they are all meaningful.
The treatment process in Imperial City was very similar to Zheng Ren's treatment. Low molecular weight heparin sodium was injected intravenously, followed by thrombolysis. They were afraid that the thrombus might break off, so they placed an intravenous filter to filter the thrombus.
Of course, the patient is going to have an abortion.
Because of the special constitution, if the abortion is not performed and the thrombocytosis is not improved, blood clots will continue to occur.
The general process of treatment was pretty much what he thought, so Zheng Ren hung up the phone with confidence.
He continued to explain the condition to the patient's family and signed, and then handed over the pre-operative communication to Yang Lei on duty before returning to the operating room again.
Professor Rudolf Wagner was wearing a surgical gown, sitting on a white bench, waiting boredly for the thrombolysis time to end.
The patient's vital signs have gradually stabilized, and the blood oxygen saturation has increased to 90%.
This means timely diagnosis and treatment, and the patient is sent to the hospital for treatment as soon as the disease occurs. If you delay it for a while, I'm afraid recovery won't be that simple.
"Fugui son, how long has it been taking thrombolysis?" Zheng Ren asked.
"Urokinase has been given for 15 minutes. Depending on the situation, it should be almost done." Professor Rudolf Wagner said: "Boss, the consumables you chose are really rough."
Zheng Ren felt helpless when he heard that the professor was talking about Changfeng Minimally Invasive Surgery.
The big import manufacturers have little contact and cannot be readily available. The consumables of Changfeng Minimally Invasive are probably imitations, and the quality is slightly worse, but the advantage is that they can be delivered in time and the price is relatively affordable.
Yes, it's better than nothing.
Because the No. 1 Hospital in the city did not perform similar surgeries, and there was no independent vascular surgery department to perform interventional surgeries, the corresponding materials were not purchased.
We can only make temporary purchases, which is a responsible choice for both the hospital and the patients.
As for whether it is easy to use or not... Zheng Ren also knows that compared with the consumables from major foreign manufacturers, they are definitely inferior.
What the professor said makes sense.
Feng Xuhui stood in the corner of the operating room, and his face turned dark when he heard the professor's words.
Mr. Zheng, please don’t refuse to use your own consumables. You must hug this thick leg.
"It's okay, let's make do with it first." Zheng Ren smiled and started to change clothes and wash his hands.
Feng Xuhui was slightly relieved after hearing Zheng Ren's words.
This is definitely not a long-term solution. At the next meeting, we must report to Chairman Ma. Whether it is materials or processes, it is true that we seize the time to change and strengthen.
Feng Xuhui thought to himself.
After half an hour of urokinase thrombolysis, Zheng Ren had already finished brushing his hands and went on stage to prepare for the operation.
The lead door slowly closed, Zheng Ren stood in the position of the surgeon, and the professor still acted as an assistant.
Inferior vena cava filter implantation is generally very simple. The most difficult step, the emergency rescue of pulmonary embolism, has been smoothly passed. Zheng Ren did not go to the system operating room for individual training and started the operation directly.
The professor has completed the puncture for thrombolysis. Zheng Ren first inserted the 9f filter delivery sheath, and then slowly inserted the filter through the delivery sheath.
The lower chamber filter of Changfeng Minimally Invasive is a replica of the simonnitinol filter.
The whole body is mushroom-shaped, consisting of a "roof"-shaped head and a pyramid-shaped tail.
This special appearance has unparalleled advantages. The simonnitinol filter is the fourth generation filter, which is made by combining the advantages of all previous products and improving them.
The mushroom-shaped shape can block blood clots to the maximum extent and prevent blood clots from passing through the filter and causing pulmonary embolism.
Although Changfeng Minimally Invasive's technology is relatively crude and rudimentary, the filter material is titanium-nickel memory alloy and no corners are cut.
Zheng Ren is quite satisfied with this.
The filter entered the inferior cavity from the femoral vein, and Zheng Ren began to step on the line.
Zheng Ren slowly moved the filter up along the inferior vena cava until it was below the lowest level of the renal vein, then Zheng Ren opened the filter.
Because of the blood flow velocity and stress below the level of the renal vein, the possibility of further dissolution of the "stuck" thrombus can be increased.
What's more important is that such an operation will not affect the function of the kidneys due to the placement of the filter, and try to avoid subsequent complications.
After placing the filter, Zheng Ren began to perform pulmonary angiography.
Seeing that most of the pulmonary embolism had been dissolved, Zheng Ren was relieved.
Withdrawing from the delivery system, Zheng Ren left. The professor had already remembered that the post-operative compression work was his own. He didn't leave at the same time as Zheng Ren like last time, causing an embarrassing scene.
When the pressure was applied to stop the bleeding, Zheng Ren began to change clothes.
The entire operation took less than an hour, and more than half of the time was spent on pulmonary artery thrombolysis.
This is because it is discovered earlier and diagnosed and treated promptly.
Zheng Ren was also very emotional, this girl was so lucky. Pulmonary embolism occurred twice in succession, but he was saved both times.
I don’t know if she will learn from experience and lessons in the future...
Who knows what will happen next. Zheng Ren is only responsible for treating diseases and has no right to interfere with other people's private lives.
Even the patient’s parents can’t take care of it, so can I take care of it myself
After stepping down, Zheng Ren took off his lead clothes, went into the system space, and came to Director Pan's side.
"Did you bring it back?" Old Director Pan asked.
"Yes." Zheng Ren nodded, "I went to dinner with Yiren, and happened to encounter an acute attack of pulmonary embolism, so I pulled her back for emergency treatment."
"You are so lucky." Old Director Pan also lamented, "How could you get such a disease at such a young age?"
"It should be due to the increase in platelets in the body during pregnancy, which caused the formation of a large number of tiny emboli in the veins of the lower limbs. The emboli fell off and stuck to the pulmonary artery." Zheng Rendao.
Director Lao Pan had encountered a similar situation before, but at that time there were not as complete surgical treatment measures as there are now, so thrombolytic treatment was the only option.
The vast majority of patients die without even being diagnosed with pulmonary embolism.
Advances in technology have turned many previously incurable diseases into treatable diseases. This is something Lao Director Pan feels deeply about.
After the compression to stop the bleeding, the patient was sent to the ICU.
Zheng Ren was a little embarrassed. After he came to the emergency ward, the frequency of sending patients to the ICU became more and more frequent.
Are you afraid that the ICU will become a dedicated intensive care unit for emergency wards in the future
After explaining the patient's condition to the ICU doctor, Zheng Ren left to communicate and explain to the patient's family.
The patient's father had aged much in a few hours, with wrinkles at the corners of his eyes like ravines, looking haggard and sad.
A successful rescue is a matter of joy. But what about the future
God knows.