Chapter 556: It’s that simple

Inner Mongolia, Horqin right wing in the middle flag.
The Department of Gastroenterology of a dimethyl hospital is undergoing consultation at the hospital.
The director and deputy director of the relevant department, sitting in the office, always bored looking at the patient's medical record and film, no one spoke.
The deputy section chief of the medical department who presided over the consultation of the whole hospital looked at everyone and took a look at the time. "Tell here."
"Chief, do you want to..."
"The patient's diagnosis is clear. In the advanced stage of cirrhosis, the patient can only be advised to go to a higher level hospital. In our hospital..." He said, he glanced at the silent doctors and shook his head.
Later, standing up, the deputy section chief of the medical department announced the meeting.
Interventional doctor sitting in the corner, downcast.
He does not think that the patient can't be treated, but he can't cure it.
Severe ascites, thin limbs, the whole person looks like a four-legged spider, lying in bed, even breathing is not smooth.
Listening to the patient's breathing sound, the interventionalian felt that his airway began to squat.
I really want to learn from the surgeon in the live broadcast, but he knows that this is just an unrealistic idea.
He bowed his head and left the Department of Gastroenterology. He was a little lamented. This dimethyl hospital in Horqin seems to be an incurable disease, perhaps in the live broadcast room, just a common disease.
While thinking about all sorts of miscellaneous thoughts, I walked back to my department.
I was wondering, the phone sounded 120 ambulances.
He immediately got up, as if in the vein, an adrenaline was injected intravenously.
Quickly ran to the duty room, took the pad from the locker, and went to a small room with the fastest speed, opened the phone and pad, and began to watch the live broadcast room.
In the midst of it, interventionalists feel that today's live broadcast is important to them.
The pad plays the live video of the patient's surgery, and he uses the mobile phone to view the patient's data.
When a few words fell into the eye, he was shocked.
Your own hunch is right!
Spider-Man! Boots sign! These symptoms are in full compliance!
It turned out to be Budd-Chiari syndrome, not the late stage of cirrhosis, stubborn ascites!
His hand trembled slightly, but then he calmed down.
The surgeon in the live surgery room has started surgery.
The camera machine has already returned, and a feeling of remorse rises from the bottom of my heart. But he didn't have time to repent and think about the possibility if it was.
Conscientiously watching the live video of the pad, he tried to remember every detail with the memory of his age, which had already begun to decline.
Although he also knows that this is impossible, he always has to do something.
The guide wire enters the inferior vena cava, wrong! The interventionalist stunned and the guidewire looked wrong!
Familiarity is familiar, but watching is not right.
Is it... There is a speculation in the interventionist's mind, but the surgeon in the live broadcast room did not explain it from the very beginning, and this time it will not be an exception because he does not understand.
Countless thoughts converge in the minds of interventionalists, spin, and become huge vortexes.
The surgeon is not using a micro-guide wire, but the most common guide wire, but the shape is a little weird... It seems that it is down...
When the guidewire enters the inferior vena cava, it does not take care of the numerous vein branches to the point where the contrast agent is blocked.
The right hand wrist of the interventionalian seems to be a marionette, with a slight movement.
He didn't even realize that his wrist was moving. This is the action in the subconscious. In the subconscious, the guide wire comes to this position, and then the problem should be solved.
The problem is where the interventionalian does not know, but just think that the inferior vena cava is blocked by something unknown, which is the source of the problem.
Sure enough, the oddly shaped guide wire moved slightly and penetrated the blockage directly.
Open the inferior vena cava?
Immediately, the stent enters along the guidewire.
The stent is opened, the angiography, and the inferior vena cava are completely patency.
At the end of the operation, the live room is closed.
It’s so simple... the interventionalist’s heart was filled with emotion, but then a current flowed through him.
This operation, such a simple operation, you can do it yourself!
In retrospect, the "spider man" who was admitted to the internal medicine department, the interventional doctor seems to have some understanding.
He began to look for various information about Budd-Chiari syndrome.
As for the surgery in the live broadcast? So simple surgery, even if you want to forget, there is nothing to forget.
It is open, lower bracket, angiography, and surgery.
Simply special is more simple than appendicitis, a simple geometric order!
I can do it myself, I can do it!
The interventionalist is excited to realize. But he immediately seized the excitement, precipitated, and began to search for a variety of literature on Budd-Chiari syndrome.
He knows that it is hard to take care of people and take the burden on their shoulders.
The tips surgery, the surgeon is very simple to do, a needle is completed. However, after many days of research, the interventional doctor finally gave up.
Only surgery videos are definitely not enough.
He couldn't grasp the key to how the surgeon judged where to puncture.
I hope that the interventional surgery for Budd-Chiari syndrome, do not have such a point that is easy to be ignored, but is crucial!
Looking for, pondering, a few hours later, the interventionalist was excited to walk around in the small storage room.
There is no information on the library of the Inner Mongolia Kerqin Right Wing Zhongqi Dimethyl Hospital. He is looking for it in the provincial library network.
There are not too many information on the provincial map, but how many articles about Budd-Chiari syndrome have been found.
In contrast, the surgeon's surgery and the patients in the Department of Gastroenterology overlap, and the interventional doctor thinks he can do it!
Just an extremely simple operation!
Sometimes, it is a layer of window paper, smashed, there is no secret at all.
This is the case with tuberculosis more than a hundred years ago. Twenty-two years ago, when there was no intervention, Budd-Chiari syndrome was an incurable disease. Even if surgery is done ~EbookFREE.me~ there is a problem with the position of the second hepatic hilum, and the mortality rate is extremely high.
And the condition... is quite simple. A membrane is formed in the inferior vena cava, which is initially opened and gradually closed with age.
This closure is physiological, not pathological.
When the inferior vena cava is completely closed in the youth, the venous blood flow is blocked, and the venous return can only be accomplished through the collateral circulation.
So everything can be explained.
This is not ascites caused by portal hypertension in the late stage of cirrhosis, but ascites caused by occlusion of the inferior vena cava!
And after intervention, you can heal!
The interventional surgeon is excited, and there are countless times of surgery in my mind, no difficulty!
Go to the Department of Internal Medicine, find a director, and find a family member.
The interventionalist printed out the information he found and was ready to go to the Department of Gastroenterology with confidence.