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303 Bracket stack bracket (3/4)

In the live surgery room, the screen was frozen. The doctors waited for a few seconds, checked their network, and found that there was no problem, and they all became confused.

【Why don’t you move?】

【The operation has not been completed, and the puncture will not be completed, even if the operation is completed.】

[I also want to see if the surgeon has officially opened the hepatic vein and portal vein. Is there any special surgical steps?]

Several barrages flew out, and everyone was sure that there was no problem with the Internet and became even more confused.

Is there any surgical procedure that I don’t know about, like the last emergency surgery, with one screen and two fields?

【No, the patient's blood oxygen saturation is decreasing!】

Soon, someone discovered that something was wrong.

Because the time is relatively short, the patient's lung aspiration has just begun to change in blood oxygen saturation, but the people who watch the live broadcast are all doctors, who are infinitely sensitive to changes in vital signs, so they noticed it directly.

The surprise had not spread yet, and the vision of the live broadcast of the operation began to move again.

However, the surgical field is different from before, with great bumps. It is like some documentary with particularly high authenticity, where the photographer is tracking the camera with a camera in his hand.

I look dizzy, very dizzy.

Some doctors with underdeveloped vestibular nerves instantly feel nauseous and vomiting.

What's wrong with this?

In the field of surgery, the 10mm membrane stent moved forward firmly and quickly, entering the portal vein along the guidewire, looking for the trajectory left by the puncture needle.

【I'm going...I can't see it anymore, what's wrong?】

【Did the patient vomit blood again?】

[The possibility is extremely high! There is even a possibility of aspiration. In this case, will the surgeon continue the operation?]

The doctors watching the live broadcast quickly guessed the truth of the matter.

But the truth is so cruel that many people are reluctant to believe it.

As the operation was completed, the patient actually vomited blood... Can the surgery be done?

Although the surgeons insisted, most doctors gave up in their hearts.

It is difficult to wear it quietly, and it is not easy to introduce a stent, let alone the patient's current state.

In the operating room, the patient's blood oxygen saturation was decreasing wildly.

Director Xia was holding the suction tube in his hand and was stunned. For ten seconds? Is it OK? If the patient suffocated and hypoxia can be controlled within three to five minutes, there is no problem.

But this situation must be handled earlier, the better.

Zheng Ren asked for ten seconds...

Director Xia looked at him, Zheng Ren and Su Yun's eyes were staring at the screen. Zheng Ren's hand speed was fully opened, and the membrane stent quickly followed the guidewire to reach the puncture point of the portal vein and hepatic vein.

Su Yun tried hard to maintain the guide wire position and make adjustments along the patient's twitch, so as to buy Zheng Ren time.

When the patient's tics cannot be judged, Su Yun puts the guide wire inward. Even if it causes small-scale intravascular damage, it is better than pulling out the guide wire and performing a new operation.

The 10mm membrane stent is sent and expanded, and the stent is smoothly pressed against the blood vessel walls of the hepatic vein and portal vein.

The operation is completed!

"Director Xia, take off foreign objects." Zheng Ren did not breathe a sigh of relief. The patient's respiratory aspiration was also a fatal emergency.

When Director Xia heard Zheng Ren's words, he immediately picked up the suction tube and started to send it into the patient's nasal cavity.

While sending it, it kept pressing it down, loosening the air outlet, allowing the sputum suction device to rhythmically suck out the blood accumulated in the patient's nasal cavity, mouth and respiratory tract.

The aspiration time is still short, and the patient is not in good condition, and the inhaled foreign objects are not very deep.

In less than 3 minutes, the black and red blood clot was sucked out.

What followed was that the patient's blood oxygen saturation began to rise.

"Zheng Ren, did it succeed?" Director Xia asked, still not sure.

"The first step was successful." Zheng Ren replied, with no idea of ​​stepping down and ending the operation.

The guide wire was still in Su Yun's hand, but he had no intention of pulling it out.

The first step? Director Xia was a little puzzled.

What the hell is going on?

After another 2 minutes of observation, the patient's condition was significantly relieved, he no longer had agitation, and his blood oxygen saturation also returned to 98%.

"You guys go out." Zheng Ren said then.

Chu Yanran and Xie Yiren did not hesitate at all and left the operating room in lead clothes.

Zheng Ren's tone was very much like the order of the director. Director Xia was in a daze and went out with the two of them.

"8mm filmed stent." Zheng Ren said.

Su Yun then picked up a thinner bracket, and Zheng Ren immediately began to feed the bracket along the guidewire again.

【I'll go... the magician is so magical!】

【Can you go in this? I am so impressed, really 6.】

【Silently, the emergency TIPS surgery was done like this. It’s a pity that I can’t download the surgery process. It can be said that this is a perfect operation.】

In Xinglin Garden, the doctors watching the live broadcast began to shout 666.

But……

The operation is not over yet!

Another membrane-carried bracket was sent in along the guide wire.

【What is this operation? Does anyone explain it?】

【Yes, hasn’t the bracket been successfully installed? What does this bracket mean?】

[Has the craftsman been stunned and forgot that the bracket has been removed?]

All the speculations are not reasonable, and the doctors in general surgery and interventional departments are not speaking.

Because the doctors in both departments turned off the barrage, so they could not see the barrage image on their own.

Double stents, also clinically known as stent-stack stents, are a way to improve postoperative hepatic encephalopathy by interventional physicians in recent years.

If the next thin stent is initially controlled, although hepatic encephalopathy is controlled, the venous blood flow channel is narrow, and the symptoms of portal hypertension in the patient cannot be completely improved.

The two stents were inserted under the stent and the outflow tract was narrowed. After the operation was completed, the patient's bleeding decreased. Then, based on the severity of hepatic encephalopathy, it was decided when to remove the thinner second stent to completely improve the patient's symptoms of portal hypertension.

This is the most appropriate measure.

Of course, there are problems, and they are very big.

For brackets, the two brackets must overlap particularly well and there must be no uneven situations.

If it is uneven and the gap is too large, it will cause the stent inside to be unstable and may fall off with blood flow.

If that were the case... the consequences would be serious.

Zheng Ren chose this method without hesitation.

Because in the system panel in the upper right corner of his field of vision, the patient has already developed symptoms of hepatic encephalopathy, although it is relatively mild. However, this means that the patient's hepatic encephalopathy will be very serious after the operation and may even endanger the patient's life.

The silent professional doctors refused to blink and stared at the mobile phone screen.

The stent is stacked on the stent, and the scepter's heart is really big!

Don’t he know what it means to stop when he is good? In the emergency situation, his TIPS surgery has been successfully completed, and his target has been put on the complications of postoperative hepatic encephalopathy.
Chapter completed!
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