Vol 3 Chapter 2280: I have a relationship with Boss Zheng

Listening to the introduction by Director Bian, Zheng Ren had already outlined the surgical approach in his mind.
After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery, and right femoral artery were blocked. The right common iliac artery and the right external iliac artery were cut open, and the IABP catheter was removed. After removal, the catheter balloon was distorted and internal thrombus formed.
Explore the intimal tear of the right common iliac artery, tearing from the opening of the right common iliac artery to the opening of the right internal iliac artery.
Probably this kind of surgery, Zheng Ren knew. But now the problem is not here, but in the surgery just now.
"When you took the pipeline, it didn't take much effort." Zheng Ren asked worriedly.
At this time, the most feared thing is that the director took a tube after DSA angiography and pulled it hard, which caused the intimal tear of the artery.
If that's the case, it's troublesome.
"No, no," said Director Li again and again, "I watch your surgery live every day and know that I can't solve the problem with brute force."
Zheng Ren nodded, and opened his own live broadcast room, which was still a bit useful.
"I tried it twice and found that the card was very bad, so I didn't dare to move." Director Qiong seemed to make a mistake, and his voice was getting quieter.
"..." Zheng Ren looked at Director Xi's back and had a bad hunch.
Hope it's wrong.
Even if the IAPB catheter is incarcerated in the iliac artery and the intima of the blood vessel is torn when removed, it has to be surgically sutured. I just pulled out a knife to help, there is no reason to talk trivially here.
IABP is one of the widely used cardiac assist devices in clinical practice, and its common complications mainly include lower limb ischemia, arterial injury, local infection and bleeding, and balloon puncture.
When the IABP is offline, the large-vessel iatrogenic foreign body caused by the failure of the balloon counterpulsation catheter to smoothly withdraw is relatively rare. It is like when you first encountered a neurosurgery to conduct a guidewire when you went to the Affiliated Hospital of the Provincial Medical University The same goes for the advance.
These are rare things.
In interventional treatment, most of the vascular iatrogenic foreign bodies, such as stents, guidewires, spring bolts, etc., can be removed from the body with a microcoil picker inside the blood vessel, and few need to be removed by surgery.
Of course, the premise is that the puppet director should not disturb.
I'm afraid he has no experience in the process of trying, the more he makes the wrong, the more he helps.
Unconsciously, Zheng Ren had already stuck his big hat with no clinical experience on the heads of the city-level hospital directors, without any psychological obstacles.
Iatrogenic foreign bodies are incarcerated in large blood vessels and if not handled in time, they can cause secondary thrombosis, infections, and even ischemia and necrosis of organs and limbs. When the whole body condition of the patient allows, it should be removed as soon as possible.
"How long has it been incarcerated?" Zheng Ren then asked a key question.
"In less than 2 hours."
Fortunately, fortunately, it was really a coincidence, Zheng Ren thought to himself. Less than 3 hours, the possibility and risk of thrombosis will be greatly reduced.
However, Director Zhuo did not repeatedly pull and tried to take out the IABP duct violently, so the possibility of local vascular intimal tear was not high.
Try it out, it should be fine, I hope it's fine.
Along the way, Zheng Ren briefly asked about the interventional machines and related supplies of the People's Hospital.
The operation should be able to be done, Zheng Ren followed to the interventional operating room, changed clothes and went in. While changing clothes, he first went to the system operating room for an operation, and then came out.
Can be removed, the broken IABP canal is stuck in a branch of the external iliac artery. Just take out the force to twist it, use cleverness, not brute force.
What is most comforting to Zheng Renxin is that Director Xun really did not pull hard, and the vascular endometrium was completely fine!
This is a good person. Zheng Ren felt a little favor of Director Xun, and the mosaic on his face was lighter.
The operation that can not be done is not pulled hard, knowing the size.
"Boss Zheng, I'm really embarrassed, but when you come out to play this weekend, I'll pull you to the rescue station." Director Xun said apologetically.
"It's okay." Zheng Ren smiled and watched the operation at 4x speed, then brushed his hands in lead clothes.
Lin Yuan followed him silently, also put on lead clothes, ready to go on stage together.
"Do you think it's highly likely that it will be successfully taken out?" Director Yun asked vaguely.
"Try it." Zheng Ren was still in a tone of dialogue with patients and their families. Ambiguous, absolutely do not say whether it is okay or not, and anxious to say a lot of complications.
As a doctor for a long time, there will always be some of this habit, no one can escape.
Standing in front of the operating table, Zheng Ren first adjusted to the machine, and then made a gesture to the chief director outside the lead glass, and the air-tight lead door closed slowly.
"Director, you are amazing. How did you convince boss Zheng to come up?" Zhai asked on the side.
"Boss Zheng and I have friendships." Director Qiong said coldly.
You can't say too much about bragging. It's true that there are so many mistakes. Coupled with the terrible thoughts of Director Xun, he was afraid that Boss Zheng would not be able to do it. He glanced at the screen and looked at Boss Zheng who had undergone surgery through lead glass.
"Director, the vascular department is here." The two doctors came in wearing isolation suits, and Mr. Zhai whispered.
Director Qiong stared at the screen intently, and his heart had been hanging out of Jiuxiaoyun for a long time.
The director of the vascular department hurried to his home, but saw the doctors of the circulatory and interventional departments standing outside.
Is this giving up surgery, waiting for you to come? There was nothing proud or proud in his heart. It is natural that there is less such a thing to save the field, which is not a good thing for him.
It's hard to say whether the surgery can be done. I gave up so early and don't try it too much.
"Director, can't you do that? Would you like to try again?" Said the director of the vascular department while walking inside.
He saw Director Xuan looking at the screen and said nothing, thinking to himself that this was Director Xuan. When encountering a medical accident, many people will be embarrassed, and the director who has always been overbearing will also be so.
Not inevitable.
But he glanced and froze. The airtight lead door of the operating room is closed, and there is a doctor in the operation.
It looks like a man and a woman.
When has a female intervention doctor in your hospital? Could someone from the Circulation Section come on stage to try?
Then he looked back at the screen.
The blood vessels were empty and underwent angiography. Isn't that all right? The director of the vascular department was a little confused.
Today is April Fool's Day, they are looking for their own pleasure? It ’s not too bad. You can make any jokes in the hospital, but no one ever jokes with emergency rescue.
Immediately the image on the screen stopped and the air-tight lead door slowly opened.
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Listening to the introduction by Director Bian, Zheng Ren had already outlined the surgical approach in his mind.
After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery, and right femoral artery were blocked. The right common iliac artery and the right external iliac artery were cut open, and the IABP catheter was removed. After removal, the catheter balloon was distorted and internal thrombus formed.
Explore the intimal tear of the right common iliac artery, tearing from the opening of the right common iliac artery to the opening of the right internal iliac artery.
Probably this kind of surgery, Zheng Ren knew. But now the problem is not here, but in the surgery just now.
"When you took the pipeline, it didn't take much effort." Zheng Ren asked worriedly.
At this time, the most feared thing is that the director took a tube after DSA angiography and pulled it hard, which caused the intimal tear of the artery.
If that's the case, it's troublesome.
"No, no," said Director Li again and again, "I watch your surgery live every day and know that I can't solve the problem with brute force."
Zheng Ren nodded, and opened his own live broadcast room, which was still a bit useful.
"I tried it twice and found that the card was very bad, so I didn't dare to move." Director Qiong seemed to make a mistake, and his voice was getting quieter.
"..." Zheng Ren looked at Director Xi's back and had a bad hunch.
Hope it's wrong.
Even if the IAPB catheter is incarcerated in the iliac artery and the intima of the blood vessel is torn when removed, it has to be surgically sutured. I just pulled out a knife to help, there is no reason to talk trivially here.
IABP is one of the widely used cardiac assist devices in clinical practice, and its common complications mainly include lower limb ischemia, arterial injury, local infection and bleeding, and balloon puncture.
When the IABP is offline, the large-vessel iatrogenic foreign body caused by the failure of the balloon counterpulsation catheter to smoothly withdraw is relatively rare. It is like when you first encountered a neurosurgery to conduct a guidewire when you went to the Affiliated Hospital of the Provincial Medical University The same goes for the advance.
These are rare things.
In interventional treatment, most of the vascular iatrogenic foreign bodies, such as stents, guidewires, spring bolts, etc., can be removed from the body with a microcoil picker inside the blood vessel, and few need to be removed by surgery.
Of course, the premise is that the puppet director should not disturb.
I'm afraid he has no experience in the process of trying, the more he makes the wrong, the more he helps.
Unconsciously, Zheng Ren had already stuck his big hat with no clinical experience on the heads of the city-level hospital directors, without any psychological obstacles.
Iatrogenic foreign bodies are incarcerated in large blood vessels and if not handled in time, they can cause secondary thrombosis, infections, and even ischemia and necrosis of organs and limbs. When the whole body condition of the patient allows, it should be removed as soon as possible.
"How long has it been incarcerated?" Zheng Ren then asked a key question.
"In less than 2 hours."
Fortunately, fortunately, it was really a coincidence, Zheng Ren thought to himself. Less than 3 hours, the possibility and risk of thrombosis will be greatly reduced.
However, Director Zhuo did not repeatedly pull and tried to take out the IABP duct violently, so the possibility of local vascular intimal tear was not high.
Try it out, it should be fine, I hope it's fine.
Along the way, Zheng Ren briefly asked about the interventional machines and related supplies of the People's Hospital.
The operation should be able to be done, Zheng Ren followed to the interventional operating room, changed clothes and went in. While changing clothes, he first went to the system operating room for an operation, and then came out.
Can be removed, the broken IABP canal is stuck in a branch of the external iliac artery. Just take out the force to twist it, use cleverness, not brute force.
What is most comforting to Zheng Renxin is that Director Xun really did not pull hard, and the vascular endometrium was completely fine!
This is a good person. Zheng Ren felt a little favor of Director Xun, and the mosaic on his face was lighter.
The operation that can not be done is not pulled hard, knowing the size.
"Boss Zheng, I'm really embarrassed, but when you come out to play this weekend, I'll pull you to the rescue station." Director Xun said apologetically.
"It's okay." Zheng Ren smiled and watched the operation at 4x speed, then brushed his hands in lead clothes.
Lin Yuan followed him silently, also put on lead clothes, ready to go on stage together.
"Do you think it's highly likely that it will be successfully taken out?" Director Yun asked vaguely.
"Try it." Zheng Ren was still in a tone of dialogue with patients and their families. Ambiguous, absolutely do not say whether it is okay or not, and anxious to say a lot of complications.
As a doctor for a long time, there will always be some of this habit, no one can escape.
Standing in front of the operating table, Zheng Ren first adjusted to the machine, and then made a gesture to the chief director outside the lead glass, and the air-tight lead door closed slowly.
"Director, you are amazing. How did you convince boss Zheng to come up?" Zhai asked on the side.
"Boss Zheng and I have friendships." Director Qiong said coldly.
You can't say too much about bragging. It's true that there are so many mistakes. Coupled with the terrible thoughts of Director Xun, he was afraid that Boss Zheng would not be able to do it. He glanced at the screen and looked at Boss Zheng who had undergone surgery through lead glass.
"Director, the Vascular Department has come up ~ EbookFREE.me ~ Two doctors came in wearing isolation suits, Zhai said in a low voice.
Director Qiong stared at the screen intently, and his heart had been hanging out of Jiuxiaoyun for a long time.
The director of the vascular department hurried to his home, but saw the doctors of the circulatory and interventional departments standing outside.
Is this giving up surgery, waiting for you to come? There was nothing proud or proud in his heart. It is natural that there is less such a thing to save the field, which is not a good thing for him.
It's hard to say whether the surgery can be done. I gave up so early and don't try it too much.
"Director, can't you do that? Would you like to try again?" Said the director of the vascular department while walking inside.
He saw Director Xuan looking at the screen and said nothing, thinking to himself that this was Director Xuan. When encountering a medical accident, many people will be embarrassed, and the director who has always been overbearing will also be so.
Not inevitable.
But he glanced and froze. The airtight lead door of the operating room is closed, and there is a doctor in the operation.
It looks like a man and a woman.
When has a female intervention doctor in your hospital? Could someone from the Circulation Section come on stage to try?
Then he looked back at the screen.
The blood vessels were empty and underwent angiography. Isn't that all right? The director of the vascular department was a little confused.
Today is April Fool's Day, they are looking for their own pleasure? It ’s not too bad. You can make any jokes in the hospital, but no one ever jokes with emergency rescue.
Immediately the image on the screen stopped and the air-tight lead door slowly opened.
Sogou reading URL:
Tips: press [Enter] to return to the directory, press (left key on the keyboard ←) to return to the previous chapter and press (right key on the keyboard →) to enter the next chapter