This was a patient who underwent radiofrequency ablation for liver cancer today.
Advanced hepatocellular carcinoma with multiple metastases. Ten years ago, this kind of diagnosis could have announced that the patient had no treatment value and would die after three to six months of survival.
However, with the development of interventional surgery in the clinic, not only could this kind of disease be delayed for a period of time, but even the cure rate had increased from 0% to about 25%.
In addition, the 912 had carried out research on the three-dimensional reconstruction of 64-slice CT scans, which had once again increased the cure rate of liver cancer.
Embolization + radiofrequency ablation was indeed an effective method to treat liver cancer. No matter how much Zhao Yunlong criticized Zheng Ren, he had to admit that it was indeed beneficial for the surgeon to do his own 64-slice CT scan with 3D-image reconstruction.
The patient in front of him had a hepatectomy a year ago, and it had a recurrence after the surgery. Since the left lobe of the hepatectomy and the recurrence of the lesion was a surgical contraindication, only interventional treatment was available.
Zhao Yunlong admitted the patient to the hospital in the outpatient department. After the interventional embolization, he performed radiofrequency ablation this morning.
The lesion was close to the diaphragm. Zhao Yunlong chose to use radiofrequency ablation through the chest.
This was just an ordinary method of operation. Whether it was Zhao Yunlong or Chief Kong, they had done it no less than a thousand times.
The effect was also very good. As long as one paid attention to burning the needle path, there would not be any complications of implant transfer.
Clinical data showed that the occurrence of implant metastasis was very rare.
However, the patient in front of him had another complication — bleeding.
Zhao Yunlong was in a frenzy. This was really f * cking dogsh * t. When he withdrew the needle, he carefully burned the blood vessels and needle path, but there was actually a bleeding problem.
Damn it.
His only hope was that the bleeding would stop on its own.
Even after using three sets of hemostatic drugs, and even a small amount of pituitary hormone pumped into the pituitary gland, the bleeding still could not be stopped.
In the cardiothoracic surgery consultation, Fang Linlai took the chest flask.
In an instant, the chest vial was almost full. Fang Lin had no choice but to clamp the chest tube with a pair of hemostatic forceps. He guessed that this patient probably needed thoracotomy. However, after explaining to Zhao Yunlong that it was the judgment of the thoracic department, Zhao Yunlong rejected the suggestion of thoracotomy.
In fact, Zhao Yunlong's train of thought was very simple. How thick could a radiofrequency needle be? However, an ordinary needle was so thin and thick that it wouldn't cause much damage to the blood vessels. Moreover, there were no major blood vessels at the place where the needle was inserted. When the needle was pulled out, it was carefully cauterized.
He had done everything he could. Even if it was bleeding, it should have stopped by now. If he were to open the chest at this time, it would at least be a medical accident.
If he could stop the bleeding on his own, wouldn't that be even better?
Now that the doctor-patient dispute was so serious, normal complications were considered medical accidents. It was really very distressing. Zhao Yunlong was so worried that he pulled out strands of hair.
Fang Lin sighed helplessly and went back. He was just a consultation doctor who dealt with matters related to himself. As for whether the patient should be transferred to general surgery for treatment, it was up to Zhao Yunlong to decide.
This was a medical rule. Fang Lin could not just drag the patient onto the operating table and do it.
Zhao Yunlong looked at the radiographic films and felt distressed. He carefully recalled the process of the surgery, but there was nothing that could be improved. He was also trembling with fear, and he performed to the limit of his ability.
As long as it was a surgery, there would be complications. No matter how skilled the surgeon was, it was inevitable.
Zhao Yunlong tried his best to avoid it, waiting for Zheng Ren to make a mistake first. That guy was like walking on a tightrope. No matter how difficult the surgery was, he had to give it a try. It would be strange if he did not make a mistake.
However, something unexpected still happened. Zheng Ren did not make a mistake, but he made a mistake first.
It was not a mistake. It was just bad luck that led to complications. (Note 1)
If Zheng Ren did not exist, this patient, Zhao Yunlong, would have admitted defeat. He would have been sent to the thoracic surgery department to stop the bleeding under a thoracoscope. It was a very small surgery that could quickly solve the problem. However, after Fang Lin made the suggestion, Zhao Yunlong felt that it was a conspiracy.
Everyone in the hospital knew about the relationship between Fang Lin and Zheng Ren.
Zhao Yunlong knew about the accident and the rescue. This was a f * cking dog, Zheng Ren, looking at him fiercely, waiting for him to make a mistake. Zhao Yunlong thought to himself and rejected Fang Lin's suggestion without hesitation.
However, after Fang Lin left, Zhao Yunlong began to hesitate and worry again.
What if the bleeding could not be stopped? He looked at the patient's blood pressure almost every few minutes, afraid that his blood pressure would not stop dropping. If that really happened, he would have to go on stage no matter what.
He hoped that would not be the case.
Every time the arterial blood pressure monitor fluctuated by one or two values, Zhao Yunlong's heart would keep beating. When it rose, he saw hope. When it descended, he felt like he had fallen into hell.
It was already 3: 30 in the morning, and he was still anxiously observing and judging.
Zhao Yunlong did not open the hemostatic forceps again. He gradually had an idea. The bleeding was because the patient's chest was under negative pressure. The bleeding at the ruptured part of the blood vessels could not be stopped at all.
There was only one way to change the negative pressure — to let the blood fill the chest.
After that, the blood vessels were blocked and the bleeding stopped. It seemed to be a way to slowly solve the problem of pulmonary atelectasis.
After hesitating for a long time, Zhao Yunlong decided to use this method.
Even so, he still took care of the patient very carefully. In the end, he simply stopped walking around and personally took care of the patient by the bed. At this time, he did not trust anyone. Only by being in front of the patient's bed would his uneasy heart be at ease.
The situation did not get better, nor did it get worse. It just did not change. Under the premise of continuous blood transfusion, the blood pressure was maintained at 80/40 mmHg. It was considered hemorrhagic shock, but it was not serious.
In addition, the patient's basic blood pressure before the surgery was low, so this blood pressure was acceptable.
However, such a night was so difficult to endure.
Almost every doctor had a night like this, more or less.
If it were not for Zheng Ren, Chief Wei would probably still be performing an extremely complicated surgery on the operating table … No, if it were not for Zheng Ren, the patient would have died when he went on stage. There would have been no need for him to suffer.
Zhao Yunlong finished looking at the radiographic films again and returned to the patient's bedside. He sat on the bench and stared blankly at the monitor.
The patient's family was grateful. Before the surgery, they had said that there were complications, but they did not expect to encounter them.
This was bad luck. The patient's family was reasonable and acknowledged it.
Professor Zhao had been watching over the patient at the bedside since the situation appeared. The patient's family also expressed their gratitude. Only Zhao Yunlong knew in his heart what to do was the best choice.
It was just that he could not make that choice.
Although it was just an ordinary complication that no one could avoid, Zhao Yunlong still wanted to try his best not to enter the palace again. He could not give Zheng Ren an excuse to attack him.
Zheng Ren was fine. When he thought of Su Yun, who was like a male celebrity beside him, Zhao Yunlong could not help but feel annoyed from the bottom of his heart.
That person's heart was the worst!
..
..
Note 1: He desperately added Boss Zheng's luck value so that he would not make a mistake. As a doctor, luck was really too important.
In the surgery broadcast room.
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