Chapter 706 Your Level Is Not Enough (Leader ynaB Plus 4)

"Mr. Sun, similar surgery, the role of intervention is to open blood vessels, is there any other use?" Xie Ning asked.

"Uncle Ning, it's amazing to be able to open blood vessels. Especially for this kind of acute and critical traumatic thrombus, where the opening is, the limbs...the limbs that go up 5-10cm can be saved." Mr. Sun explained: " However, interventional thrombectomy is difficult to perform, and thrombectomy is particularly difficult for thrombi that lasts more than 6 hours.

Xie Ning nodded, but did not speak, watching Zheng Ren start the operation inside, thinking in his heart.

Soon, the screen in the operating room lights up.

The guide wire was extended down the femoral artery, but not very far, and the catheter was in place. At the moment when the screen lights up, imaging has already begun.

The contrast agent didn't get far before it was blocked. Below 1/3 of the injured person's thigh, the blood vessels were severely occluded and blank. This means that the blood clot has continued to form and has spread from the knee joint to the thigh 1/3.

Ischemia, exudation, and edema caused the condition of the injured limb to continue to deteriorate.

In the past two days, there have been too many similar injuries, and President Sun has become numb.

If you invest in emotions, even if there is only a trace, the doctor is afraid that his emotions will collapse long ago, so that more people cannot be treated.

Now, all doctors focus only on the condition and don't think about other conditions of the injured person.

To be able to come down from the front alive is already a blessing in misfortune.

On the screen, after the angiography, the surgeon did not stop stepping on the thread, but pulled out the ordinary catheter, and the thrombectomy catheter went down immediately.

The key to the operation, Mr. Sun knew.

The emboli have been formed for at least 6 hours, and even 36-72 hours, which is not considered a fresh thrombus, and it is extremely difficult to remove.

But the practitioner insisted on doing it, and he should be able to take out a piece of emboli. Mr. Sun has this confidence.

Under the current circumstances, people who are not at the level will definitely not dare to waste time trying again and again. The pile of wounded outside is a huge pressure in itself.

In this case, it is not the time to be brave. Do what you can, that's the key.

"Huh? Uncle Ning? You're not busy, how come you have time?" Su Yun's voice came from the door of the operation room.

"Su Yun, I'll take a look at the situation on this side and make sure I know. Is your side okay?" Xie Ning smiled and said, "Did you perform the operation quickly?"

"It's the boss who did the surgery fast, it has nothing to do with me." Su Yun said: "Mu Tao can do one in 40 minutes, and it's as slow as an ox pulling a cart."

When Su Yun talked about Mu Tao, there was no pressure, as if it had nothing to do with him.

Eh... President Sun was stunned.

Forty minutes for a severe pelvic fracture interventional surgery? It's flying fast, isn't it?

How did it become a slow follower?

He glanced sideways at the person who walked in, it was a handsome young man.

The tone is really big, do young people now talk like this? When you are in an emergency, you don't have any serious words at all?

Perhaps, this is the style of their operating room? possible. In the operating room of each hospital, the atmosphere of chat is different, in short, the simpler and easier, the better. But what kind of doctor is this, why is it so rude?

"Very good." Xie Ning smiled.

"Director Jiang, what is the boss doing?" Su Yun asked.

"Thrombectomy." Director Jiang replied.

"Oh, has he slept for a while?" Su Yun asked.

"I just fell asleep for about ten minutes."

"Do it, sooner or later you will be exhausted." Su Yun cursed.

The few people standing in front of the operating table were all gloomy. They had been busy with surgery for at least 36 hours, and they had been transporting seriously injured people over mountains and mountains before. Su Yun was telling the truth.

But what about that?

There were more than a dozen seriously wounded people waiting for amputation. If the thrombectomy is successful, it means that a section of the limb will be preserved as much as possible.

Mr. Sun was stunned for a moment, feeling a little sighed in his heart. When I looked back at the screen again, I was surprised to find that the thrombectomy catheter was no longer in the femoral artery.

Is it an operating error? Definitely is.

When tiredness is like this, mistakes are inevitable, and it is not a big deal.

But... from the video, it seems a little different.

He looked carefully and found that the femoral artery in the thigh seemed to be partially opened, and the residual contrast agent was spreading at a speed visible to the naked eye in the branches of the capillaries next to him.

This means that the capillaries are not completely blocked before the blood supply is lost. Once the femoral artery opens and blood flows down, the arterial pressure reopens the capillary network.

Just when you were talking, you took a piece of emboli?

This speed... is too fast.

However, Mr. Sun was not surprised. The operation had just begun, and the femoral artery was full of thrombus. Only one section was removed, which did not help the overall condition and subsequent operations.

How exactly, we will see.

"Orthopedics?" Su Yun came over, glanced at President Sun, and asked.

Uh... The tone of this speech is very unfriendly. President Sun was surprised, he didn't seem to have offended this person, why did he speak to him in such a tone?

It's a little dazed, but it's not a problem. Because of this trivial matter, everyone is very angry, and President Sun knows it. He nodded and said, "Well, I'm the inpatient chief of the orthopaedic department of the provincial hospital."

"Head in the hospital, is your director here?" Su Yun asked in a lazy voice.

"The director stayed at home. I was pulled over to the emergency room immediately after the accident." Mr. Sun became more and more bored with this bitch and casually said it.

"Then you may not be able to do the surgery..." Su Yun lengthened his tone, and then seemed to ponder something.

"I've done it, and I'll definitely be able to do it." No matter how good-tempered Mr. Sun was, he couldn't hold back, he said coldly.

"Haha." Su Yun chuckled, "Looking at the angiography, the crush should be 5-6cm below the knee joint. The distance is very short, are you sure you can protect the knee joint?"

"Uh..." Mr. Sun hesitated for a while, in his opinion, the knee joint would definitely not be able to be saved. The effort made by the surgeon who is operating is to open the blood vessels as much as possible, so that the postoperative compartment syndrome will be lighter, the healing will be faster, and only a section of the thigh will be cut off.

"And I see the boss's meaning, you can't use a tourniquet when you should amputate." Su Yun squinted at the screen and murmured.

He didn't even believe what he said. However, Zheng Ren laboriously took out the thrombus and opened the artery. Generally, it takes at least 12 hours to open all the capillaries before surgery.

This is a special event in a special period.

Usually, it is rare to encounter patients who are squeezed by heavy objects for more than 1 hour. Now, 1 hour is considered a fresh crush injury. Most people are crushed by heavy objects for about 1-2 days, and the trauma is severely necrotic.

At this time, the capillaries are opened, and the necrotic tissue will be absorbed into the blood, causing serious complications such as bacteremia and acute renal failure.

Therefore, it is absolutely impossible to wait 12 hours before performing the amputation operation, but to hurry up. It is best to start the amputation immediately after the blood vessels are opened to remove the necrotic body tissue and minimize the possibility of complications.

President Sun was stunned, amputation without a tourniquet? What about bleeding? That's the femoral artery. After cutting it, the blood flowed like a river.

"So, if you look at it for nothing, look for someone with a higher level to come over." Su Yun hugged his arms, looked at the operation on the screen, and said with admiration: "The operation of the boss is becoming more and more skilled. Yes, it's amazing."

The tone of praising Zheng Ren was completely different from the tone of speaking with President Sun, as if it was a different person.

Sun Zhenxing was stunned, this man really turned his face faster than a book. Did the surgery go well? Not so. Although he didn't understand interventional surgery, he couldn't help but slandered a few words.

He was a little angry, even the director of his own house, he had never been so choked with talking to himself, who was this person? Why so annoying.

But hate is hate, you can't quarrel with people in the operating room. Sun Zhenxing let out a sigh of relief, trying his best to maintain his demeanor.

In a few breaths, Sun Zhenxing's mood stabilized.

He watched the operation intently, and suddenly saw... the thrombectomy catheter was taking out a large piece of thrombus from the anterior tibial artery and was pulling it out.

Is it past the knee?

How did he get the thrombus that had been embolized for more than 48 hours...