"Preoperative preparations are complete. Next, we'll prepare for emergency thrombolysis. I need to rush to the hospital where the patient is located to perform the next emergency surgery. If there's not enough time, Dr. Su will continue the live broadcast. "Zheng Ren's voice echoed in the live broadcast room.
The microphones were rarely turned on in the surgery live broadcast room. When they heard the voice of the live broadcast, everyone felt that it was very unfamiliar.
"I'm currently in the Imperial Capital, 903.5 kilometers away from Xilin Town where the patient is located. I'll need about six hours to get there. The weather over there isn't good, it's snowing. " "The live broadcast will always record the patient's condition. When I arrive at Xilin Town, the first thing I will do is to perform balloon dilation and stent surgery for the patient."
Zheng Ren was very free, so he repeated it in Chinese and a standard London accent.
The changes in Old Liu's electrocardiogram showed that he would not die. After confirming this, there was no need to pretend to be calm.
"Let's start the live broadcast of the surgery. We've met the surgeon for this surgery in the past during the live broadcast of the TIPS surgery. Yes, one of the doctors I hit with the hemostatic forceps. "
"I believe that after being taught a lesson by me, his surgical skills have improved greatly. Therefore, it was not a big deal for Old Liu to perform surgery on himself. Take a deep breath and stabilize your emotions. Calm down a little more. "
"The ST segment of your electrocardiogram has fallen back to 70%, and the symptoms of myocardial ischemia have been significantly alleviated. You don't have to be afraid. I'm here. "
Everything has me.
You have me!
Leave everything to me!
Zheng Ren's words gave Liu Xuzhi almost unlimited confidence.
"It's now 20: 12 Imperial Capital time. In the interventional surgery operating theater of Xilin Town People's Hospital, we're performing selective coronary angiography and catheter thrombolysis under local anesthesia," Zheng Ren said lightly.
"Old Liu, first, perform local anesthesia of the left radial artery."
Although the nurse was a little flustered, she still started to perform local anesthesia under Liu Xuzhi's prompt.
This operation was very simple and had no difficulty at all.
"Next, the radial artery cannulation. With the help of the nurse, the surgeon's hand must be steady. No, the angle of the needle should be raised a little higher, about 5 degrees. Yes, just like that. You can insert the needle. "
The left radial artery was punctured using the Seldinger technique, and the artery sheath with 7F was inserted.
The nurse was wearing a lead apron. Although it was only an arterial catheterization, her forehead was already sweating.
"Give 5000u of heparin sodium through the vascular sheath. Don't rush, take your time. Yes, that's it, "Zheng Ren said slowly.
Under Zheng Ren's guidance, the guide wire entered and began the superselection to the left and right coronary artery openings.
Under Zheng Ren's guidance, the guide was inserted into the catheter and the catheter was inserted. Four to six milliliters of contrast medium were injected each time.
Each injection was 4 to 6 ml of contrast agent.
And this was in the case of thrombolysis treatment at the first instance.
"Boss, Xiao Feng is here." Su Yun said impatiently from behind.
"Is Er. is, and is in.
"He has already arrived at the airport." Su Yun smiled and said, "Lil Fugui has expressed his dissatisfaction many times over the fact that you didn't bring him to other places for surgery. Boss, you have to satisfy the requirements of the doctors under you. "
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Feng Xuhui's car was parked at the door.
When he got into the front passenger seat, Zheng Ren saw Liu Xiaojie sitting in the back with a large suitcase beside her.
The other one should be in the trunk.
Recently, Feng's suitcase was getting bigger and bigger, and there were more and more things inside.
"Chief Zheng, we're in a hurry. Please fasten your seat belt," Feng Xuhui said immediately when he saw Zheng Ren get into the car.
"Okay." Zheng Ren fastened his seat belt. The BMW X5 roared and instantly accelerated to the speed limit in the neighborhood.
…
…
"The angiogram shows that 80% of the surgeon's anterior descending branch is blocked. The blockage is about 10 cm. To be precise, it's 10.215 cm, "Su Yun said leisurely.
If he could see the angiogram, he would have an idea.
This situation was no longer fatal. It would be better if he could get off the stent. If he could not get off the stent, he could still survive.
Therefore, Su Yun began to show off his eyesight.
However, with such an accurate number, everyone would definitely think that it was nonsense and would never take it seriously.
This was the most regrettable thing. There were few people who understood him. Who would listen to him?
"Now that the angiogram is over, Old Liu, you're already more than half alive," Su Yun said. "Remove the angiogram catheter. Remember to move slowly before sending the thrombolytic catheter in."
"Slow down. Everything is in a hurry now. The boss has already traveled thousands of miles to perform the surgery on you. Do you know how much the surgery fee is for the boss to fly for the surgery? Anyway, your hospital's annual turnover is probably not enough. "
As Su Yun spoke nonsense, he instructed Liu Xuzhi to remove the angiogram catheter and send the thrombolytic catheter in.
It was a pity that this side did not have the most advanced thrombolytic catheter. The catheter was sent in along the 20% gap and then the thrombolytic agent was sprayed evenly like a shower.
He could only use the simplest and most primitive thrombolytic catheter to start the thrombolytic treatment at the upper part of the anterior descending branch.
There were still some side effects of such thrombolytic. However, considering that Zheng Ren was rushing over, there should be no problem.
Su Yun's emotions became more and more stable, and all kinds of trash talk exploded.
Liu Xuzhi was a little absent-minded. It was as if he had returned to the interventional radiology suite in Pengxi Village. He was the assistant. As he listened to Su Yun's nagging, he did one after another, seemingly endless interventional embolization treatment for pelvic fractures.
"Okay, fix the embolization catheter and pay attention to adjusting the pumping speed of the micropump. Six milliliters per hour is enough, "Su Yun said." Old Liu, lie on the operating table and don't move. "
"This is a long surgery. While we're waiting for the surgeon to come, we'll recall the mechanism of the patient's illness. Wait a minute, Little Hu. I have a courseware. Can we have two fields on one screen? I know you guys have done it before. Don't slack off. "
Su Yun enjoyed the feeling of giving lessons to others. When he was young, he was willing to be a teacher. As a genius, he was no exception.
In his opinion, it was abnormal for someone as taciturn as Zheng Ren to have a headache when there were too many people around.
A few minutes later, when Liu Xuzhi was lying on the operating table for thrombolysis, Su Yun had already begun to talk about the pathogenesis, pathology, and physiological changes of myocardial infarction based on his electrocardiogram.
The explanation could be said to be extremely professional. Many doctors who had already gone offline were called back by their colleagues.
Not only was the surgery awesome, but the basic knowledge and the interest of the explanation were also world-class.
It did not sound boring at all. Soon, the people online were immersed in it and could not extricate themselves.
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