I can see the status bar

Chapter 393 Director Xiong Chumo

Director Xiong hurried to the fourth hospital.He changed his clothes as fast as he could, and rushed to the intervention room, "What's the situation... Dean Wu?!" He was taken aback by the old dean who suddenly appeared on his site.

"I brought a team to support." Dean Wu Youqian roughly explained why he suddenly appeared in the fourth hospital, and then pointed to the patient lying on the operating table, "This is a plague patient with signs of DIC. Currently there are Severe gastric fundus venous bleeding. Because there is a precursor to DIC, hemostatic agents or bandages cannot be used under the gastroscope, and only interventional embolization of the gastric fundus vein can be used."

This was a very serious challenge, but Director Xiong Chumo quickly calmed down.He looked at the angiography data from the patient's previous preparation, nodded after a moment of thought, and gave his own opinion, "Although it's a bit risky, it's worth a try."

For technical departments such as interventional department or imaging department, the age of the department director is generally not too old.Director Xiong is probably the youngest director in the entire Fourth Hospital—if Sun Lien, who is nicknamed "Director", does not count, Director Xiong, who is two years younger than Zhou Jun, is indeed the youngest director in the entire Fourth Hospital .

"Then work hard for you and do it as soon as possible." After hearing the affirmative answer, Wu Youqian heaved a sigh of relief.If Xiong Chumo couldn't handle the gastric fundus vein embolism, the only options left were to bite the bullet and bandage the patient, or simply perform gastrectomy on the patient.However, ligation still cannot prevent subsequent bleeding, and gastrectomy will bring greater risks.No matter which one is the way to quench thirst with poison.

Under the current conditions, only embolism can save lives.

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Due to the influence of venous valves, interventional surgery related to veins cannot start from the extremities like arterial interventional surgery, so the initial operation is more difficult than arterial interventional surgery.The only good thing is that veins are generally thicker than arteries, and the internal pressure is not as huge as arteries. As long as the needle can be inserted smoothly, at least the subsequent troubles will be slightly less.

"The left and right main branches of the portal vein are unobstructed, and there are no emboli or spongy lesions." Director Xiong reconfirmed the observation results of the B-ultrasound. It's not that he doesn't trust other doctors in his department, it's just that it doesn't take too much. It never hurts to double check with time and energy checks. "DSA on, ready for photography."

Under the fluoroscopy of the digital subtraction angiography instrument, the 22G Chiba needle pierced into Hou Huiying's flank through the right midaxillary line, and continued down to a depth of about six centimeters, and the Chiba needle pierced Hou Huiying. right branch of the intrahepatic portal vein.Using the channel established by Chiba needle puncture, Director Xiong slowly inserted the 0.035-inch guide wire into Hou Huiying's superior mesenteric vein.

He did this step very slowly. Passing through such a complicated vascular structure required a pair of very steady hands and extraordinary patience—it was like trying to control a thin and soft metal wire through a large mass of mutual Tangled water pipes.You can't pierce the water pipe, you can't scratch the water pipe, and in the process of passing through, you can only see the projection from a certain angle-yes, only the projection.

This not only requires sufficient experience and technology, but also requires doctors to have excellent knowledge of vascular structure and three-dimensional thinking ability.The blood vessels of the human body are absolutely unable to resist the puncture of the metal guide wire.Therefore, when performing interventional surgery, Director Xiong must pay special attention to the touch from the guide wire in his hand.In this way, he can stop the movement of his hand and adjust the insertion direction of the guide wire before the guide wire accidentally penetrates the blood vessel.

The word "slow" stands out throughout the operation.45 minutes after the operation began, Director Xiong finally sent the guide wire to the bleeding gastric fundus vein.

As a Class A infectious disease, plague belongs to the category of free treatment by the state.But generally speaking, the scope of free treatment is mainly focused on the plague itself, and the coils used to embolize blood vessels are likely to have exceeded the scope of payment.This fee was paid in advance by the Fourth Court.

Regardless of whether the National Health and Medical Commission can allocate funds in the future, at least for now, coils must be used for embolization.This is the greatest consensus reached after a quick discussion between the support expert group and the management of the Fourth Hospital.

After the vascular sheath was installed, the operation finally officially began.First, absolute ethanol and gelatin sponge fragments should be injected as vascular sclerosing agents, but since Hou Huiying does not have gastric varices caused by liver cirrhosis, this step can be omitted.Then the coil is fed in, and the action of releasing the coil is quite fast.It was done in less than 10 minutes.The last is to use the spring coil to slow down the window of blood flow, and use 5% sodium morrhuate and gelatin sponge particles to block the bleeding port.

"Portal vein pressure measurement, 23.2cm H20." Director Xiong glanced at the instrument, "It is 1.6cm higher than before the embolization, and the embolization is effective."

An increase in portal pressure means that embolization of the gastric fundus vein has been successful.This can also be seen in the hysteresis of the contrast agent in the gastric fundus vein.

"Okay." The rest of the work can be handed over to other doctors. Director Xiong frowned after shaking his hands, and said to the nurse beside him, "Help me squeeze my hand, it's cramp."

"This intervention room needs to be closed for thorough disinfection." Dean Wu Youqian, who had been standing by the side as Xiong Chumo completed the operation, said, "Thank you for your hard work, little bear. Today you are a great contributor."

Director Xiong grinned as he was pinned down by the nurse, and said to Wu Youqian, "It's all my job, so it's okay. But... Director Wu, are you here just because of the plague patients?"

Wu Youqian smiled kindly, and drooped his eyelids to cover the glint in his eyes.

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The surgery went well, which is a good thing.But for Tang Wen who woke up, it was too bad to find his mother was not around when he opened his eyes.

"Your mother has a stomach ulcer, right?" Sun Lien noticed early in the morning that Tang Wen's head was in a state of "panic".He could guess with his heels that he was worried that his mother would be pushed out of the clean room suddenly, which might mean she was dead.Explain to him now, but Tang Wen will not believe it.It's better to take the initiative to resolve the entanglement in his heart. "Just now we found out that she had stomach bleeding and pushed her directly to the operating room."

Sun Lien talked to Tang Wen through the intercom through the glass wall of the clean room.The doctors from the CDC and the expert team in the room hadn't noticed that Tang Wen had woken up yet—they were startled by Sun Lien's sudden speech.Only halfway through the hearing did they realize that Tang Wen probably woke up, and Dr. Sun was trying to calm him down.

"As for the people around you, don't be too nervous. They are all doctors." Sun Lien saw signs of fading in the status bar of "panic", and hurriedly continued to strike while the railway was hot, "The situation of you and your family is relatively stable. Don't worry, We will do everything we can to treat you."

"Sun Lien, come here." Just as Sun Lien finished the conversation, Dean Song's voice came from behind him, "I have something to talk to you about."

(End of this chapter)