Chapter 1185: Postoperative complications

This is a patient who has done a radiofrequency ablation of liver cancer today.
Late liver cancer, multiple metastases in the liver. This diagnosis, ten years ago, can declare that the patient has no therapeutic value and died after three to six months of survival.
However, with the interventional surgery in the clinical development, such diseases can not only delay for a period of time, even the cure rate starts from 0, and has increased to about 25%.
In addition, 912 carried out a study of three-dimensional reconstruction of 64-slice CT surgeons, which improved the cure rate of liver cancer again.
Embolization + radiofrequency ablation is indeed an effective means of treating liver cancer. Even Zhao Wenhua has to blame Zheng Ren, and he has to admit that the surgeon has to do 64-row CT three-dimensional reconstruction, which has great benefits.
The patient in front of the patient was a liver cancer resection that was done a year ago and recurred after surgery. Because of left hepatectomy, and postoperative recurrence is a surgical contraindication, only a means of interventional therapy.
Zhao Wenhua took the patient to the hospital in the outpatient department and did an interventional embolization. Radiofrequency ablation was performed this morning.
The lesion was close to the diaphragm, and Zhao Wenhua chose a transthoracic radiofrequency ablation approach.
This is just an ordinary means of operation. No matter whether it is Zhao Wenhua or Director Kong, there have been no fewer than a thousand cases.
The effect is also very good, as long as you pay attention to the burning needle, there will be no complications of planting metastasis.
Clinical data suggests that there is very little planting metastasis.
But in front of the patient, there is another complication - bleeding.
Zhao Wenhua’s heart is arrogant, and it’s really a dog. When he was withdrawing the needle, he carefully burned the blood vessels and needles, and he even had bleeding problems.
What a special thing.
The only hope now is that bleeding stops.
Three groups of hemostatic drugs were used, and even the micro pump was pumped into the pituitary gland. The bleeding was still unable to stop.
Thoracic surgery consultation, Fang Lin came to the chest.
For a moment, the breast bottle was almost full of cans, and Fang Lin had to use a hemostatic forceps to clamp the chest tube. He judged that the patient had a high probability of undergoing thoracotomy. However, after Zhao Wenhua explained that it was the judgment of the chest, Zhao Wenhua refused the suggestion of thoracotomy.
In fact, Zhao Wenhua's thinking is also very simple, how thick is the RF needle? However, the normal needle is so thick that the damage to the blood vessels will not be much larger. Moreover, there is no large blood vessel at the position of the needle, and it is carefully burned when the needle is taken out.
Everything you can do is done, even if it is bleeding, it is estimated that it should stop. At this time, if you open your chest, it is at least a medical accident.
If you can stop bleeding on your own, is it better to be happy at the end?
Now the doctor-patient dispute is so serious that the normal complications are counted as medical accidents. It is really distressing. Zhao Wenhua squats and licks his hair.
Fang Lin was helpless and sighed back. He is only a doctor who consults and does the treatment related to himself. As for whether the patient should go to the thoracic surgery, it is necessary for Zhao Wenhua to take the idea.
This is the medical regulations, Fang Lin can not directly drag the patient to the operating table to do it.
Zhao Wenhua looked at the film and felt bitter in his heart. He carefully recalled the surgery process, there is no place to improve, he is also a war, the level is reached to the limit.
As long as it is surgery, there will be complications and the level will be high, which cannot be avoided.
Zhao Wenhua tried to avoid it and waited for Zheng Renxian to make a mistake. That guy is like a tightrope, no matter how difficult the surgery, you have to go up and try, do not make mistakes.
However, what happened to him unexpectedly happened. Zheng Ren did not make a mistake, and he made a mistake first.
It is not a mistake, but bad luck and complications. (Note 1)
If there is no Zheng Ren's existence, this patient Zhao Wenhua will also recognize it. Sent to the thoracic surgery to stop the thoracoscopic hemostasis, a small operation, will soon solve the problem. However, after Fang Lin made a suggestion, Zhao Wenhua felt that this was a conspiracy.
No relationship between Fang Lin and Zheng Ren, no one in the hospital.
That accident, that rescue, Zhao Wenhua knows. This special is Zheng Ren, a dog, looking at himself evilly, waiting for his own mistakes, Zhao Wenhua thought, did not hesitate to refuse Fang Lin's suggestion.
Just waiting for Fang Lin to leave, Zhao Wenhua began to hesitate and anxious again.
What if the bleeding does not stop? He went to see the patient's blood pressure in a matter of minutes, for fear that blood pressure could not stop falling. At that time, I have to go to power to say anything.
I hope not to be like this.
Every one or two values ​​of arterial blood pressure monitoring will make Zhao Wenhua's heart beat. When he rose up, he saw hope. When he comes down, he will fall to hell.
It is already half past three in the middle of the night, and he is still observing and judging.
The hemostasis pliers, Zhao Wenhua has never reopened, he gradually got a idea. Bleeding is caused by negative pressure in the chest of the patient, and bleeding at the location of the rupture of the blood vessel cannot be stopped.
There is only one way to change the negative pressure state - let the blood fill the chest.
After that, the vascular occlusion, bleeding stopped, and slowly solve the problem of atelectasis, it seems to be a way.
Zhao Wenhua decided to adopt this method after hesitating for a long time.
Even so, he is very careful to care for the patient. After that, I simply did not walk around, and I personally looked after the bed. At this time, he does not trust anyone. Only when he is in front of the patient's bed, the heart will be stable.
The situation has not improved, nor has it deteriorated, but it has not changed. Under the premise of constant blood transfusion, blood pressure is maintained at 80/40 mm Hg, which is considered to be hemorrhagic shock, but it is not serious.
Plus the patient's preoperative basal blood pressure is low ~ EbookFREE.me ~ this blood pressure is acceptable.
However, such a night is so difficult.
Almost every doctor has had such a night, more or less.
If there is no Zheng Ren, Director Wei is afraid that he is still doing extremely complicated surgery on the operating table... No, if there is no Zheng Ren, the patient will die when he came to power, and he will not have to suffer.
Zhao Wenhua once again watched the film, returned to the patient's bed, sat on the bench, staring at the monitor.
The patient's family was grateful to Dade, and there were complications before the operation. I did not expect to meet.
This is bad luck, and the patient's family is reasonable and recognized.
Professor Zhao has been on the bedside since the appearance of the situation, and the family members of the patient expressed gratitude. Only Zhao Wenhua knows in his own heart that what is to be done is the best choice.
It’s just that he can’t make that choice.
Although it is only an ordinary complication, no one can avoid it. Zhao Wenhua still wants to try not to enter the palace as much as possible, and can not give Zheng Ren an attack on his own handle.
Zheng Ren is okay. When he thinks of Su Yun, who is like a male group star, Zhao Wenhua can't stop being bored.
That person's heart is the worst!
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