Chapter 721 You Should Rest
I thought so in my heart, but Zheng Ren's movements didn't stop at all.
After the thrombectomy catheter came out, he passed the guide wire to the vicinity of the stenosis of the second segment of the right coronary artery. Then, a 2.5mm×20mm Crosssail balloon catheter was sent along the guide wire to the stenotic lesion of the anterior descending artery, and the balloon was inflated at 6 to 8 atmospheres for 5 to 8 seconds to dilate the stenotic lesion.
"Is there a drug-eluting stent?" Zheng Ren suddenly remembered such a question and asked.
At this time, it is the best choice to put a drug-eluting stent in Director Jiang's coronary vessels.
Zheng Ren's circulatory interventional surgery was practiced in the intensive care ward of Karolinska Institutet at the Medical University in Stockholm, Sweden, when he was about to perform surgery on Dr. Mayhal.
According to the external environment, the big pig's hoof of the system provided Zheng Ren with all the consumables.
But the problem is that he is now in Pengxi Township Hospital, which is only a township hospital in China.
In a hospital of this level, it is very good to have a circulatory intervention operating room. Zheng Ren felt that it was impossible to have a drug-eluting stent.
Sure enough, the equipment nurse immediately said, "Dr. Zheng, there is no drug-eluting stent."
"have what?"
"Only Poco's Express bracket."
"Open." Zheng Ren looked at the screen and began to conceive the surgical procedure in his mind.
Soon, Su Yun had everything ready.
Zheng Ren immediately sent a 2.75 mm × 12 mm Express stent to the lesion, and inflated the stent balloon at 6-12 atmospheres to expand the stent.
On repeat angiography, the anterior blood flow at the distal end of the lesion reached TIMI grade III.
Zheng Ren expressed satisfaction with the effect of the operation and smiled.
"Director Jiang, you should have some experience with postoperative medication. There is no drug-eluting stent, so remember to take medication regularly." Zheng Ren asked.
Director Jiang was dumbfounded.
You can't take the bolt by yourself, but the speed of this bracket is too fast. The location is standard, the narrow sections are all covered, there are no flaws, and no fault can be picked out.
Among the difficulties, Director Jiang has performed hundreds of operations like this, but he is not a particularly high-level doctor, and he knows it very well.
Because of his talent, Director Jiang's level has been difficult to advance.
Where is it stuck? Director Jiang knew that his understanding of three-dimensional images was not enough, and there was also the problem of technique.
As the old saying goes, it's heartbreaking.
It's not what the original words meant. It's just that there is a discrepancy between the imaging examination and the actual situation, which is still unsolved for the time being.
At least for Director Jiang, it was an unsolvable problem.
The position seen is slightly different from the actual position. And there is a saying about the power used.
Looking at Dr. Zheng's operation is very simple, but Director Jiang knows that if the stent is placed by himself and the balloon is inflated, there will be no way to cover the plaque completely.
Either the process of holding the stent up may cause severe arteriosclerosis to tear the intima of the blood vessel.
Not possible, but very likely.
The blood vessels of patients with coronary heart disease themselves are relatively hard and brittle. If a force is exerted on the intima of the blood vessel, if it is not mastered well, the intima of the blood vessel will definitely be torn.
But looking at the image, after Dr. Zheng placed the stent, there was no trace of contrast agent left.
This means that there is no such thing as tearing the lining of the blood vessel at all.
This feel, this level, is really amazing!
Director Jiang was lying on the operating table, watching the process of angiography, and gradually became fascinated.
It was also the first time that Zheng Ren saw a patient watching the video attentively here, with a strange delusion.
He smiled, pulled out the guide wire and catheter, and pressed locally.
"Director Jiang, don't go to the ward, just do it in the duty room." Zheng Ren said.
Director Jiang was still staring at the angiography film, but he didn't hear Zheng Ren speak.
"Hey, Lao Jiang! Wake up, step down!" Su Yun pushed Director Jiang.
"Ah? What's wrong?" Director Jiang woke up like a dream.
"You are really eager to learn." Su Yun smiled and said: "The two coronary vessels are all opened, go back and take some medicine, I won't say what to use. Take a good rest recently, don't worry about this."
"I..." Director Jiang hesitated.
Don't worry? How is that possible!
What should I do if the wounded are sent down one after another from the front line? This is just the peak period, why can't I stand it anymore.
Just as countless negative emotions were about to condense, Su Yun immediately said: "Old Jiang, stop! Let me tell you, your situation is just right now, don't kill yourself."
"..." Director Jiang was helpless.
"It makes it seem like the end of the world is the end of the world without you." Su Yun reprimanded: "My boss doesn't dare to say that, what kind of clove of garlic are you pretending to be."
"Then the situation on this side..."
"Isn't there still Uncle Ning?" Su Yun said: "Uncle Ning works, but he won't be like you, busy himself with a heart attack."
This kind of shocking truth came out of Su Yun's mouth without any burden.
"..." Director Jiang was speechless again.
"Uncle Ning is well-organized, don't worry, we are here." Su Yun said, his tone changed slightly, "I really envy you, you can go home and sleep well. Boss, when are you going to take a break? ?"
"When you're done, lift it down quickly and replace the next patient." Zheng Ren expressed his dissatisfaction with Su Yun in his own rude language.
Why is this stuff getting more and more gritty?
Zheng Ren is very tired, very tired. If it weren't for the transformation of energy into lead clothing, the transformation of X-ray radiation into "energy", and the energy medicine provided by the big pig's hoof of the system, Zheng Ren would not have been able to persist until now.
But even so, Zheng Ren has reached a limit.
He felt that the location of his left chest wall rib fracture was particularly painful, and even Zheng Ren began to wonder if he also had a myocardial infarction, but the pain of the rib fracture masked the symptoms.
The big pig's hoof is still not considerate enough, and he can't see his own system panel.
If you can see it, I am afraid that the system panel will be light red.
A fractured rib isn't a major injury, and as for those bruises, it's nothing. But is there a heart attack?
The more he thought about it, the more Zheng Ren felt chest tightness, shortness of breath, and radiating pain in his shoulders and back...
A typical paranoia, Zheng Ren quickly dismissed all his thoughts, took a few steps back, leaned against the wall, and took a break while carrying Director Jiang.
It was only a few minutes, but for Zheng Ren, it was precious.
Director Jiang was not seriously injured and could not get off the line of fire. Even if he wanted to insist, everyone would not agree.
Xie Ning then arrived and devoted some of his energy to the overall situation of the interventional operating room.
Everything continued and did not stop because of Director Jiang's departure.
The operating room was brightly lit, and one wounded after another was carried to the operating table for surgery, and then sent to various hospitals in Rongcheng in an orderly manner.
The difference is that Director Jiang is lying in the duty room, snoring loudly.
He could finally sleep at ease, even if he didn't sleep.