Chapter 1679 Riding Alone for Thousands of Miles (3)

"The preoperative preparations are completed, and the emergency catheter thrombolysis will be prepared next. I need to rush to the hospital where the patient is located for the next emergency surgery. If time is too late, the live broadcast will be continued by Dr. Su." Zheng Ren's voice was in the live broadcast room reverberates.

The mic is rarely turned on in the live broadcast room of the surgery, and everyone felt unfamiliar when they heard the sound of the live broadcast.

"I'm in the imperial capital now, 903.5 kilometers away from Xilin Town, where the patient is located. It takes me about 6 hours to get there. The weather is bad and it's still snowing." Zheng Ren said lightly: "The live broadcast will always record the patient's condition. , and I will perform balloon dilation + stent surgery for the patient as soon as I arrive at Xilin Town."

Zheng Ren was very busy, speaking in Chinese and speaking again in standard London accent.

The changes in Lao Liu's electrocardiogram indicated that he could not die. Once this was confirmed, there was no need to pretend to be calm.

"Now the live broadcast of the operation will begin. The operator of this operation, we have seen in the live broadcast of the TIPS operation before. Well, he is one of the doctors who was beaten with hemostatic forceps by me."

"I believe that after being beaten by me, his surgical level has improved a lot. So Lao Liu, it's not a big deal to perform surgery on himself. Take a deep breath, stabilize your emotions, and stabilize yourself."

"Your electrocardiogram, the elevated ST segment has dropped by 70%, and the symptoms of myocardial ischemia have been significantly relieved. You don't have to be afraid, I have everything."

Everything has me.

I have everything!

I have everything! !

Zheng Ren's words gave Liu Xuzhi almost unlimited confidence.

"It is now 20:12 in the imperial capital. In the interventional operating room of Xilin Town People's Hospital, selective coronary angiography + catheter thrombolysis under local anesthesia is performed." Zheng Ren said lightly.

"Lao Liu, first, perform local anesthesia on the left radial artery."

Although the nurse was a little flustered, she still started to perform local anesthesia at the prompt of Liu Xuzhi.

This operation is very simple and has no difficulty at all.

"Next, the radial artery is punctured. With the help of the nurse, the surgeon's hand should be stable. No, the angle of the needle should be raised a little more, about 5°. Yes, that's it, the needle can be inserted."

The Seldinger method was used to puncture the left radial artery, and a 7F arterial sheath was built with near-miss success.

The nurse was wearing a lead coat, and although it was only an arterial puncture, the sweat was already coming out of her forehead.

"Through the vascular sheath, give 5000u of heparin sodium. Don't worry, take your time. Yes, that's it." Zheng Ren said slowly.

Under the guidance of Zheng Ren, the guide wire entered and began to superselection to the left and right coronary ostia.

Into the angiography catheter, different positions, do angiography. Each bolus of 4-6ml of contrast agent.

Three-vessel disease, the most serious anterior descending artery blockage of 80%.

This is also in the case of thrombolytic therapy in the first place.

"Boss, Xiao Feng is here." Su Yun said impatiently behind.

"Is Fu Gui'er in the car?"

"He has arrived at the airport." Su Yun smiled and said, "Fu Gui'er has expressed his dissatisfaction many times that you didn't take him to another place for surgery. Boss, you have to properly meet the requirements of the doctors."

"Next, the operation will be guided by Dr. Su Yunsu. And I will rush to Xilin Town, 903.5 kilometers away, for the operation."

After Zheng Ren finished speaking, he gave Su Yun the surgical live broadcast glasses.

"Be careful all the way." Xie Yi was on the first floor, and the cartoon dog on his pajamas came alive.

"Well." Zheng Ren nodded, opened his arms, hugged Xie Yiren, and then turned to leave.

Going downstairs, Feng Xuhui's car was parked at the door.

On the passenger side, Zheng Ren saw Liu Xiaojie sitting in the back with a large trolley beside him.

The other one should be in the trunk.

Recently, Xiaofeng's big trolley case is getting bigger and bigger, and it contains more and more things.

"Mr. Zheng, we are in a hurry, you fasten your seat belts." Feng Xuhui said immediately when Zheng Ren got into the car.

"Well." Zheng Ren fastened his seat belt, and the BMW X5 roared, instantly accelerated to the speed limit in the community, and galloped away quickly.

...

...

"The angiography shows that the surgeon's anterior descending branch is blocked by 80%, and the blockage is about 10cm. To be precise, it is 10.215cm." Su Yun said leisurely.

If you can see the angiography, you will know it.

This situation is no longer fatal. It's better to be able to get off the stent, and if you can't get off the stent, you can barely survive.

So Su Yun began to show his eyesight.

Just such an accurate number, everyone will definitely think it is nonsense, and will never take it seriously.

This is the most regrettable thing. There are few bosom friends and the helplessness of whoever listens to Xian Duan.

"Now the angiography is over, Lao Liu, you have already lived more than half of your life." Su Yun said: "Remove the angiography catheter, remember to move slowly, and then put the thrombolysis catheter in."

"Slow down, everything is urgent now. The boss has already traveled thousands of miles to perform surgery on you. Do you know how much the boss will cost for the operation? Anyway, your hospital's annual turnover is not estimated to be enough. ."

While talking nonsense, Su Yun instructed Liu Xuzhi to withdraw the angiography catheter and put the thrombolysis catheter in again.

It is a pity that there is no state-of-the-art thrombolytic catheter on this side. The catheter is sent in along the 20% gap, and then the thrombolytic agent is evenly sprayed like a shower.

Thrombolytic therapy can only be initiated in the upper part of the anterior descending artery with the simplest and most primitive thrombolytic catheter.

So thrombolysis, there are still some side effects. But considering that Zheng Ren is rushing over, it should be no problem.

Su Yun's mood became more and more stable, and all kinds of trash talk exploded.

Liu Xuzhi was a little dazed, as if he had returned to the interventional catheterization room in Pengxi Township.

"Okay, fix the embolization catheter, and pay attention to adjusting the pumping speed of the micro pump. 6ml/hour is enough." Su Yun said: "Lao Liu, you lie on the operating table and don't move."

"This is a long operation. While we are waiting for the surgeon to come, we will recall the mechanism of the patient's disease. Wait a minute, Xiao Hu, I have a courseware, can I have two fields in one screen? I know you have done it. Don't be lazy."

Su Yun really enjoys the feeling of giving people a class. When he was young, he was willing to be a good teacher, and he was not exempt from being a genius.

In his opinion, it is not normal to be as taciturn as Zheng Ren, and to have headaches when there are too many people.

A few minutes later, when Liu Xuzhi was lying on the operating table with thrombolysis in place, Su Yun had already started to talk about the pathogenesis of myocardial infarction and the pathological and physiological changes on his electrocardiogram.

The explanation can be said to be extremely professional, and many doctors who have been offline were called back by colleagues.

Not only the operation is awesome, but the basic knowledge and the level of interest in the explanation are also top-notch in the world.

It doesn't sound boring at all, and soon people online are immersed in it at the same time, unable to extricate themselves.