Chapter 1715: The big shelf is in the heart.


"Director Mao, you must help." A middle-aged man stood at the door of Mao's house and kept bending over and praying.
His posture is very low, even seemingly humble, even worse than when he worked at 912 many years ago.
The exquisite and straight suit is even like him. It looks a little wrinkled and humbles into the dust.
"Xiao Zhang, you are this..." Mao Guan, the director of the Department of Vascular Surgery, was a little embarrassed, but the professor who was once in his own hands, now seeking his head, wants to say it is not difficult.
Professor Zhang worked in 912 for many years. After the army was transferred to the people, he was dug away by a private hospital and became the director of vascular surgery.
In a few years, Professor Zhang’s work is quite satisfactory. He is more cautious, and new projects that are risky are never carried out. They only do what they do.
In the private enterprise, the most taboo is the high risk.
Capitalists can pursue whatever scientific and technological progress and stable risk-free returns.
It is enough to be able to do the most sure surgery. More, still left to the top three hospitals to do.
Yesterday, Professor Zhang did an operation for stenosis of the external iliac vein.
Under the intervention, the angiography confirmed the condition of the external iliac vein, and then the next stent in the stenosis section, the operation is not difficult.
It is only the local anesthesia of the inferior vena cava and the right lower extremity deep vein angiography and balloon dilatation plus stent placement. The process is smooth.
However, I did not expect that when the time was 22 hours, the patient had sudden supraventricular tachycardia and frequent premature ventricular contractions.
After using the corresponding symptomatic drugs, the treatment effect was poor and the patient's symptoms did not change.
No way, Professor Zhang can only have an echocardiogram on the bed.
Echocardiography showed a strong echo of a diameter of about 23 mm in the right atrium, and a stent shadow of about 48 mm in the inferior vena cava.
When he saw the echocardiographic image, the whole person was petrified.
The stent is detached... stuck in the heart, which is almost the most serious complication of the vascular department!
Professor Zhang’s hand is directly numb. What should I do next?
For a moment, he thought of Mao Maozhang.
At that time, at 912, no matter what happened, he was not so flustered. A phone call to Director Mao, although it will be awkward, but Director Mao can still solve the problem.
After all, people are at that level.
Being able to be a director at 912 is an elite among the elites of the national medical profession. Whether it is business or interpersonal skills, it is a temporary leader.
The most important thing is Mao’s guardian.
Fighting back, blaming, and finally people can do things.
At the time of teaching at 912, Professor Zhang did not realize the preciousness of this. However, after leaving 912, whenever he encounters something, he always thinks of Mao Mao.
Therefore, Professor Zhang has been very careful to care for the relationship between himself and Mao. On the holidays, I will always take a gift and come to the director Mao’s house to sit down and say gossip.
First, in order not to be criticized, I said that I forgot what. Second, in order to have any problems in the future, I would like to find Mao Director to save the field.
If you don't want to be a man, you can't be arrogant. The difference between the director of Professor Zhang and the director of Mao Zhi is still very big.
After Professor Zhang judged the incident, he gave a call to Director Mao, but he felt that it was not enough. He rushed to Director Mao directly.
This kind of thing, calling it is too frivolous.
Face to face, the chances of success will be higher.
Mao is somewhat embarrassed, saying: "The stent falls into the heart, and the probability of death of the patient is greater than 50%. Xiao Zhang, this matter..."
"Director, you must help me." Professor Zhang bent down and said nothing would be lifted.
It’s almost fifty people, and it’s quite difficult to maintain this position.
But today Professor Zhang has encountered the embarrassment that he has not been able to do, and he has to give the director Mao anyway.
Mao looked at Professor Zhang in a complicated way, and finally he was soft.
How are all the soldiers under their own hands, and finally leave, because he has two deputy directors, when the director is hopeless, this is to find a way out.
The old exchanges over the years have also made it difficult for Mao to refuse tough and watched Professor Zhang fall into the abyss.
But go to the rescue station... the stent falls off, or the big shelf of the inferior vena cava falls into the heart. This situation is not 100% that can be taken out by interventional surgery.
Mao holds meditation.
In a matter of ten seconds, it is so embarrassing and suffocating.
It is difficult for Professor Zhang to maintain this posture all the time, and the body has begun to tremble slightly.
But he is still insisting, he also knows what Mao thinks, which is why he does not try to take the stent.
Once the stent is hooked to the heart's valve or foramen ovale, the heart is directly ruptured, and a pericardial tamponade, the patient dies.
Even if there is no tamponade, there is a high probability of complications such as atrial fibrillation and ventricular fibrillation.
In short, it is difficult for patients to step down in any case.
The evening wind was sloppy, but neither of them felt the gentleness of the best weather.
"Xiao Zhang, get up." Mao held his head and smiled and said: "Where is your face, the strength of your heart is not strong?"
Professor Zhang’s face showed a sigh of relief.
Director Mao asked this question, even if he had already agreed. He seems to be back in the same year, and the sky is falling down and Director Mao is here!
"Director, you also know that private hospitals are basically people who don't care for their hearts." Professor Zhang said with distress.
"Extracorporeal circulation, is there a machine?"
"I will ask." Professor Zhang replied cautiously. He was afraid that he said that there was no such thing. There was no such thing. Director Mao changed his mind.
Xiao Zhang, you see that you have nothing, what should I do? Once Director Mao says so, he has to be dumbfounded.
Of course, Professor Zhang has the last road patient to go to 912 to do surgery.
But once you do this ~EbookFREE.me~ means that you have to admit the surgery to the patient's family and that there is no way to solve it in your own hospital.
Doing so must definitely bring unpredictable changes to things.
He vaguely remembered that the hospital seems to have a set of extracorporeal circulation equipment, which hospital was eliminated, and I have not known whether it can be used for so many years.
Calling to ask, to confirm this, Professor Zhang's mood is much more soothing.
People, they can ask Grandpa and tell Grandma to borrow. But without a machine, you can't borrow one from 912.
That is a fixed asset. Even if it can be borrowed, Vice President Yuan’s instructions are not easy to use.
"Director, machine."
"Well, first get involved. Take the internal medicine, do you have a familiar, high-level friend? Come and stare. Once the heart rate has a problem, you can immediately rescue."
"I have arranged this, Director." Professor Zhang said quickly.
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