"Chief Sun, in similar surgeries, the role of interventional surgery is to open up the blood vessels. Is there any other use?" Xie Ning asked.
"Uncle Ning, it's already very impressive to be able to open up the blood vessels. Especially for this kind of critical trauma thrombosis, wherever it is opened up, that limb … can be saved by five to ten centimeters, "Chief Sun explained. "However, the surgery to remove the thrombus through interventional surgery is very difficult. It's especially difficult to remove the thrombus for more than six hours. I don't do interventional surgery, so I don't really understand the specifics."
Xie Ning nodded and did not say anything. He looked at Zheng Ren who was starting the surgery and was deep in thought.
Soon, the screen in the operating room lit up.
The guide wire extended down the femoral artery but did not go far. The catheter was also placed in position. The moment the screen lit up, the contrast agent had already begun.
The contrast agent did not go far before it was blocked. Below one-third of the injured's thigh, the blood vessels were severely occluded and blank. This meant that the thrombus was constantly forming and had spread from the knee to one-third of the thigh.
Ischemia, seepage, and edema caused the condition of the injured limb to continue to deteriorate.
In the past two days, there had been too many similar injuries. Chief Sun was already numb to them.
If they were to invest even a trace of emotion, the doctors would have had an emotional breakdown long ago, so that more people would not be able to be treated.
Now, all the doctors were only focused on the condition and did not think about the other conditions of the injured.
It was already a blessing in disguise to be able to come down from the front alive.
On the screen, after the contrast was completed, the surgeon did not stop stepping on the line. Instead, he took out the ordinary catheter, removed the embolic catheter, and went in.
Chief Sun knew that it was time for the surgery.
The embolus had been formed for at least six hours or even 36-72 hours. It was not considered a fresh thrombus and it was extremely difficult to remove.
However, the surgeon insisted on doing it. He should be able to remove a section of the embolus. Chief Sun was confident.
Under the current situation, people who were not up to par would definitely not dare to waste time trying again and again. The pile of injured people outside was a huge pressure in itself.
Under such circumstances, it was not the time to be brave. Doing what one could do was the key.
"Eh? Uncle Ning? You're not busy over there. Why do you have time to come over? "Su Yun's voice came from the door of the operating room.
"Su Yun, I'm here to take a look at the situation over here so that I know what I'm doing. Are you alright on your side? "Xie Ning smiled and said," You guys did the surgery very quickly. "
"It's the boss who did the surgery quickly. It has nothing to do with me," Su Yun said. "Mu Tao can only do one in forty minutes. He's as slow as an ox pulling a cart."
When Su Yun talked about Mu Tao, he did not feel any pressure at all, as if he had nothing to do with him.
Uh … President Sun was taken aback.
An interventional surgery for a severe pelvic fracture in forty minutes? I'm about to fly, okay?
How did he become so slow that he was like an ox pulling a cart?
He turned his head to look at the person who walked in. It was a handsome young man.
What an arrogant tone. Did all the youngsters nowadays speak like this? During the emergency treatment, he didn't say anything serious?
Perhaps, this was the style of their operating theater? That was possible. The atmosphere of chatting in every hospital's operating theater was different. In short, the simpler and more relaxed it was, the better. But where is this doctor from? Why is he so frivolous?
"Pretty good," Xie Ning said with a smile.
"Chief Jiang, what is the boss doing?" Su Yun asked.
"Embolectomy," Chief Jiang replied.
"Oh, did he sleep for a while?" Su Yun asked.
"He just slept for about ten minutes."
"Screw it. Sooner or later, this f * cker will die of exhaustion," Su Yun cursed.
The hearts of the few people standing in front of the operating table darkened. They had been busy with the surgery for at least 36 hours. They had even crossed the mountains to carry the seriously injured. Su Yun was telling the truth.
However, so what?
There were still more than ten seriously injured people lying outside waiting to be amputated. If the embolectomy was successful, it meant that a section of the limb would be preserved as much as possible.
Chief Sun was stunned for a moment and sighed in his heart. When he looked back at the screen, he was surprised to find that the embolectomy catheter was no longer in the femoral artery.
Did he make a mistake? It had to be.
It was inevitable for him to make mistakes when he was so sleepy. It was not a big deal.
But … from the image, it seemed to be a little different.
He took a closer look and found that a portion of the femoral artery in the thigh seemed to have been opened. The remaining contrast agent was spreading at a speed visible to the naked eye in the capillary branches next to it.
This meant that the blood supply had not been lost for long and the capillaries had not been completely blocked. Once the femoral artery was opened and blood flowed down, the arterial pressure would reopen the capillary network.
He had already removed a section of the embolus while he was talking?
This speed … was too fast.
However, Chief Sun was not surprised. The surgery had just begun. The femoral artery could be said to be full of blood clots. Only a section was removed. It would not be of much help to the overall condition and the subsequent surgery.
He still had to see how it would turn out.
"From the orthopedics department?" Su Yun walked over, glanced at Chief Sun, and asked.
Uh … the tone of his voice was very unfriendly. Chief Sun was surprised. He did not seem to have offended this person. Why did he speak to him in such a tone?
He was a little absent-minded, but there was no need to fuss over such a small matter. Chief Sun knew that everyone was quite angry. He nodded and said, "Yes, I'm the chief resident of the orthopedics department of Chengdu Provincial Hospital."
"Chief resident, is your chief here?" Su Yun asked in a lazy voice.
"The chief is staying at home. I was pulled over to the emergency department as soon as something happened." Chief Sun was getting more and more annoyed with this sissy, so he casually brushed him off.
"Then you might not be able to perform the surgery …" Su Yun dragged out his tone and then seemed to be deep in thought.
"I've done it before. I can definitely do it." No matter how good Chief Sun's temper was, he could not hold it in anymore. He said coldly.
"Hehe." Su Yun chuckled. "Looking at the angiogram, the crush injury should be five to six centimeters below the knee joint. The distance is especially short. Are you confident that you can save the knee joint? "
"Uh …" Chief Sun hesitated for a moment. In his opinion, the knee joint would definitely not be saved. The efforts of the surgeon who was undergoing the surgery were to open up the blood vessels as much as possible so that the osteofascial compartment syndrome would be lighter after the surgery and the healing would be faster.
"Moreover, I think the boss means that we can't use a tourniquet during the amputation," Su Yun muttered as he narrowed his eyes and looked at the screen.
Even he himself didn't really believe what he said. However, Zheng Ren spent a lot of effort to remove the thrombus and open up the artery. Under normal circumstances, it would take at least 12 hours for all the capillaries to open up before the surgery.
This was a special matter during a special period.
Usually, it was rare to encounter patients who were crushed by heavy objects for more than an hour. But now, an hour was considered a fresh crush injury. Most people were crushed by heavy objects for about one to two days, and the trauma and necrosis were serious.
At this time, the capillaries were opened, and the necrotic tissue would be absorbed into the blood, causing serious complications such as bacteremia and acute kidney failure.
Therefore, they definitely could not wait for 12 hours before performing the amputation surgery. Instead, they had to hurry up. It was best to start the amputation immediately after the blood vessels were opened to remove the necrotic tissue and minimize the possibility of complications.
Chief Sun was stunned. Amputation without a tourniquet? What about bleeding? That was the femoral artery. After it was cut open, blood would flow like a river.
"So, it's useless for you to watch. Go find someone with a higher level." Su Yun crossed his arms and looked at the operation on the screen. He praised, "I have to say that the boss's surgery is getting more and more skillful. It's really amazing."
The tone of his praise was completely different from the tone he used to speak to Chief Sun. It was as if he was a completely different person.
Sun Zhenxing was stunned. This person really changed his attitude faster than flipping a book. Was the surgery done well? Not necessarily. Although he did not know about interventional surgery, he could not help but criticize a few words in his heart.
He was a little angry. Even his own chief had never spoken to him like this. Who was this person? Why was he so annoying?
However, as annoying as he was, he could not quarrel with someone in the operating room. Sun Zhenxing let out a long breath and tried his best to maintain his composure.
After a few breaths, Sun Zhenxing calmed down.
He focused on the surgery and suddenly saw … the embolic catheter was removing a large section of thrombus from the anterior tibial artery and pulling it out.
Had it already passed the knee joint?
That kind of thrombus that had been embolized for more than 48 hours. How did he remove it …
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