medical road high rise

Chapter 185 Extra Income
Chapter 185 Extra Income
Lin Xue took out the F5-Fogarty balloon catheter and placed it in the instrument tray, thinking about the function of the F5 balloon catheter in her mind.

Although Lin Xue is just a medical equipment nurse, she is also familiar with it in a large hospital, and she is definitely no worse than a professional doctor in terms of theory.

This F5 balloon catheter can effectively preserve the length of the blood vessel of the AVF and avoid the loss of the length of the blood vessel during the reconstruction of the blood vessel, thereby prolonging the service life of the AVF.

AVF is a surgical method for long-term hemodialysis patients. It is a minor operation of vascular anastomosis. It can suture the artery of the wrist and the adjacent vein, so that arterial blood flows in the anastomotic vein, forming an arteriovenous fistula. .

The F5 balloon catheter can effectively shorten the length of the arteriovenous fistula. Qin Feng picked up the F5 balloon catheter and inserted it into the cephalic vein, and then injected normal saline into the blood vessel to make it full.

Then the second F5 balloon catheter directly reached above the thrombus under Qin Feng's interventional operation.

Generally speaking, this operation requires two doctors to perform it together, but Qin Feng happens to know two surgical techniques and directly takes the place of two doctors.

"Intravenous injection of 50 mg heparin." Qin Feng said.

Heparin is widely used in vascular surgery, and its usage rate is relatively high.

In anticoagulation, stimulating vascular endothelium to release anticoagulant substances and fibrinolytic substances, it can effectively help the operation of thrombus removal and thrombolysis.

Waiting for Zhao Qi to inject heparin, Qin Feng directly operated the catheter to pass through the thrombus, and then slowly pumped air into the trachea to expand the volume, thereby fixing the thrombus on the catheter.

When the insufflation was almost done, Qin Feng gently pulled the F5 tube. He could obviously feel the resistance, and then carefully pulled the catheter, returning the catheter head to the blood vessel incision, and took out the first thrombus.

After carefully checking the wall end and finding that there was no residue, Qin Feng injected heparinized saline to flush the lumen.

Of course, the role of heparin saline is not only to flush, but also to judge whether the thrombus has been removed.

If a large amount of heparin saline can be seen gushing out from the incision of the blood vessel, it generally indicates that the blood vessel is completely unblocked.

There was no accident in this patient, saline gushed out from the incision and the blood vessels were dredged.

"Ready to sew."

Qin Feng left the suturing work to Zhao Qi, and he went to remove the thrombus from another blood vessel. He also used a catheter to pull out the large thrombus, and used a mesh bag to remove the small thrombus one by one.

Looking at the blood vessels with reduced blood clots, Qin Feng let out a sigh of relief.

"Vascular clamp."

"No, Brother Qin, the thrombectomy is done, why do you need a vascular clamp?" Zhao Qi asked curiously.

"Just look at it." Qin Feng showed a mysterious smile.

Clamp the vein at the distal end directly with a vascular clamp, and push the 6F sheath into it.

A series of operations, not to mention Zhao Qi, even Director Dong was confused.

As Qin Feng injected heparin saline, Qin Feng explained: "Generally speaking, after the completion of blood vessel transplantation and thrombus removal, there is no need to consider the situation of re-thrombosis, but the patient in front of me is different. He is older and the intima of the blood vessel is relatively weak. , it is very likely that thrombosis will occur again."

"So, injecting heparin saline in this area can effectively prevent the further formation of blood clots."

Zhao Qi's confused eyes gradually brightened up, and he understood what Qin Feng meant.

This is the change that master-level surgery and explanation can bring to a doctor.

At the same time, master-level surgery is not just about the doctor's surgical skills. Master-level surgery is more comprehensive than ordinary surgery.

For example, the age, gender, weight, past medical history, etc. of the corner love, modify the details of the operation, and at the same time add or reduce the operation steps, so as to achieve the best healing effect for the patient.

But for ordinary doctors, operations are generally performed step by step, and all operations are performed according to textbooks.

Therefore, in terms of postoperative healing and complications, there is a world of difference.

Qin Feng belongs to the former. Qin Feng's series of operations can help patients heal after surgery and achieve the best results under nursing care. At the same time, postoperative complications and the chance of re-thrombosis will also be greatly reduced.

Seeing that both Director Dong and Zhao Qi fell into silence, Qin Feng didn't say much anymore, and directly held the needle holder, suturing the wound layer by layer, and then suturing the outermost layer of skin.

Looking at the flying hand in front of him, Zhao Qi couldn't help but marvel.

"It's so awesome!"

"According to Qin Feng's approach, saphenous vein transplantation has a high long-term opening rate, stenosis, and low incidence of thrombosis, which is a perfect transplant operation." Director Dong's eyes lit up.

The patient is already old and has many chronic diseases. Thrombosis in the blood vessels of the body is also a common occurrence. To put it bluntly, the patient himself will not live long, and now he is just continuing his life.

Qin Feng's operation made the patient have no recurrence before death.

The patient was handed over to Zhao Qi for treatment, while Qin Feng and Director Dong left the operating room directly.

As soon as I walked out of the operating room, I saw family members waiting outside the door.

In addition to the previous pair of children, several unfamiliar faces appeared one after another.

All of a sudden, eight or nine people gathered around, and there was a kind of pressure invisible.

"Doctor, how is my dad?" the patient's son asked.

Qin Feng took off his sterile mask, took a deep breath, cheered himself up and said, "The patient's surgery was successful, and there should be no thrombosis in the future."

As soon as these words came out, the patient's daughter cried on the spot.

"This blood clot has tortured my dad for a long time, and finally..."

The eyes of the patient's son also turned red. From their point of view, their father's most serious illness has been cured, and they can be with others for a few more years.

Listening to their discussion, Qin Feng also felt the warmth of home.

It is much better than those family members who give up treatment as soon as the old man goes to the operating table.

The patient was directly transferred to the ICU. Although the thrombus was removed, the patient's body was still very vain, and he needed to receive 24-hour monitoring in the ICU. After passing the critical period, he could be transferred back to the general ward.

Faced with the high ICU fees, the patient's children did not blink, and several of them swiped their cards on the spot.

After finishing the matter, Qin Feng twisted his neck, only to find that Director Dong was looking at him with a smile all the time.

"Director Dong, I'm a little scared when you look at me like this." Qin Feng shrank his neck.

"You guy, do you know what you did just now? You signed a patient from the vascular department to the emergency department, and your commission was directly reduced by half." Director Dong reminded.

"what?"

Director Dong explained to Qin Feng that he is working across departments. Qin Feng is still a doctor in the vascular department, but he is working in the emergency department.

This patient was booked in the emergency department, which meant that Qin Feng could not get a penny from the vascular department.

If the vascular department is billed, Qin Feng can get money from both the emergency department and the vascular department.

(End of this chapter)