361 Only in charge of healing
"Director Kong, have you asked?"
"Oh, OK, wait a moment, I'll remember."
Zheng Ren said as he picked up the pen and found an A4 piece of paper, which wrote the general process of the patient's treatment in the imperial capital last time.
They are all old doctors and there is nothing nonsense. Although they don’t say much, they are all just a waste of money.
The treatment process in the imperial capital is very similar to Zheng Ren's treatment. It is also injected with low molecular weight sodium heparin and then thrombolysis. They were afraid that the emboli would fall off, so they left an intravenous filter to filter the blood clots.
Of course, the patient will have an abortion.
Because of special constitution, if there is no miscarriage, the thrombocytopenia will not improve and blood clots will continue to occur.
The general treatment process was similar to what he thought, so Zheng Ren hung up the phone with confidence.
He continued to explain the condition to the patient's family and signed it. Then Zheng Ren handed over the pre-operative communication to Yang Lei on duty, and then returned to the operating room again.
Professor Rudolph Wagner was wearing surgical gowns and sat on a white bench, waiting bored to end the thrombolysis time.
The patient's vital signs have gradually stabilized, and the blood oxygen saturation has increased to 90%.
This means that diagnosis and treatment are timely, and you will be sent to the hospital for treatment as soon as the disease occurs. If you delay for a while, it is probably not that easy to recover.
"Fuguier, how long has it been for thrombolysis?" Zheng Ren asked.
"The urokinase has been given 15 minutes, and depending on the situation, it should be almost the same." Professor Rudolf Wagner said: "Boss, the consumables you chose are really rough."
When Zheng Ren heard the professor spraying Changfeng with minimally invasive effects, he was also helpless.
Imported manufacturers have no contact with them and cannot be on call. Changfeng's minimally invasive consumables should be imitated, with slightly poor quality, but the advantage is that they can be delivered in time and the price is relatively affordable.
Yes, it's better than nothing.
Because the First Hospital of the City did not conduct similar operations and did not perform interventional surgery in an independent vascular surgery department, no corresponding materials were purchased.
You can only go through temporary procurement, which is a responsible choice for both the hospital and the patients.
As for whether it is easy to use or not... Zheng Ren also knows that compared with the consumables of major foreign manufacturers, it must be worse.
What the professor swears makes sense.
Feng Xuhui stood in the corner of the operation room and suddenly turned dark when he heard the professor's words.
Mr. Zheng must not refuse to use his own consumables. He must hold this thick leg.
"It's okay, just make do with it first." Zheng Ren smiled and began to change clothes and brush his hands.
Feng Xuhui felt a little relieved when he heard Zheng Ren's words.
This is definitely not a long-term solution. At the next meeting, you must report to Chairman Ma. Whether it is materials or craftsmanship, it is true that you can change it quickly and strengthen it.
Feng Xuhui thought to himself.
After half an hour of urokinase thrombolysis, Zheng Ren had finished brushing his hands and went on stage to prepare for the operation.
The lead door slowly closed, and Zheng Ren stood in the position of the surgeon, and the professor still acted as an assistant.
Infracardium filter implantation, generally speaking, is very simple, and the most difficult step - emergency rescue of pulmonary embolism has been smoothly overcome. Zheng Ren did not go to the system operating room to train alone, so he started the operation directly.
The professor has completed the puncture of the thrombolysis of the catheter. Zheng Ren first placed the 9F filter conveying sheath, and then slowly placed the filter through the conveying sheath.
The minimally invasive lower cavity filter of Changfeng is a counterfeit Simon Nitinol filter.
The whole is mushroom-shaped, consisting of two parts: the "roof"-shaped head and the pyramid-shaped tail.
This special appearance has unparalleled advantages. The Simon Nitinol filter is the fourth generation filter, which combines the advantages of all previous products and is improved.
The mushroom-shaped appearance can block blood clots to the greatest extent and prevent blood clots from passing through the filter and causing pulmonary embolism.
Although Changfeng's minimally invasive technology is relatively rough and simple, the filter is made of titanium nickel memory alloy and does not cut corners.
Zheng Ren is quite satisfied with this.
The filter enters the inferior cavity from the femoral vein, and Zheng Ren begins to step on the line.
He slowly sent the filter upward along the inferior vena cava until the lowest level of the renal vena, and Zheng Ren opened the filter.
Because of the blood flow velocity and stress below the renal vein level, the possibility of further dissolution of the thrombus "stuck" can be increased.
More importantly, such operations will not affect the function of the kidneys due to the insertion of the filter, and try to avoid the subsequent complications.
After placing the filter, Zheng Ren began to perform pulmonary artery angiography.
Seeing that most of the pulmonary artery embolism had been dissolved, Zheng Ren felt relieved.
When he evacuated to the delivery system, Zheng Ren left. The professor had already remembered that the work of pressing after the operation was his own. He did not leave at the same time as he did last time, causing a very embarrassing scene.
When the compression stopped bleeding, Zheng Ren began to change his clothes.
The entire operation took less than an hour, and most of the time was used for pulmonary thrombolysis treatment.
This is because it was discovered early and the diagnosis and treatment were timely.
Zheng Ren was also very moved. This girl was very lucky. The disease of pulmonary artery embolism occurred twice in a row, but she was rescued.
I don't know if she will learn from her experience and lessons in the future...
Who knows what happened in the future? Zheng Ren is only responsible for treating illnesses and has no right to take care of other people's private life.
Even the patient's parents can't take care of it, can they take care of it themselves?
After stepping down, Zheng Ren took off his lead clothes, put them into the system space, and came to Director Pan's side.
"What did you bring back?" asked Director Pan.
"Yeah." Zheng Ren nodded, "I went to have dinner with Yiren. I happened to encounter an acute attack of pulmonary artery embolism, so I took her back to the emergency room for rescue."
"I'm so lucky." Director Pan also sighed, "How could I get this disease at such a young age?"
"It should be during pregnancy, the increase in platelets in the body, causing a large number of tiny emboli in the lower limb veins. The emboli falls off and truncates onto the pulmonary artery." Zheng Ren said.
Director Pan had encountered similar situations before, but at that time there were no such complete surgical treatment measures as it is now, and only thrombolysis treatment was allowed.
Most patients die if they cannot even diagnose pulmonary embolism.
The advancement of technical level has made many diseases that were once terminally ill and can be treated. Director Pan has a deep feeling about this.
The compression ends the bleeding and the patient is sent to the ICU.
Zheng Ren was a little embarrassed. After he arrived at the emergency room, the frequency of sending patients to the ICU was getting higher and higher.
Are you afraid that the ICU will become a dedicated intensive care unit in the emergency ward in the future?
He explained the patient's condition to the doctor in the ICU, Zheng Ren left, communicated with the patient's family and explained.
The patient's father got much older in a few hours, with wrinkles at the corners of his eyes as haggards, haggard and sad.
Successful rescue is a happy thing. But what about the future?
Chapter completed!