Chapter 340 vascular stent
When Dr. Robin walked into the operating room, he saw Chen Qun with needle forceps in one hand and forceps in the other hand, sewing up the intestine like flying. There was still a disgusting smell in the air, although the brow wrinkled, and the young cheek was restored, and it seemed that it had become old for decades, and the original appearance was restored.
But he just pressed the surgical mask on his face with his hand, and did not express dissatisfaction. Although he was dissatisfied with the smell from the intestines, which was also the fundamental reason why he looked down on the Department of Gastroenterology, he was attracted by Chen Qun's flowing action as soon as he raised his eyes.
In front of him, Chen Qun's suture technology is almost perfect, which was expected, but to his surprise, Chen Qun's attention is not on his small intestine at all. Instead, he has been watching the CT fluoroscopy in front of him, as if looking at something rare.
Dr. Robin understood that Chen Qun's operation at this time was completely blind, relying on his personal touch and long-term training. He could sew the patient almost without using his eyes. However, Chen Qun can attract distraction, should be a very important thing, but also along his eyes to see the past.
It doesn't matter. I'm stunned.
In the CT scan of the patient's head, the Venetian ring was deformed. In other words, the patient's brain has not enough blood supply, which makes the blood flow from the middle cerebral vein out of the brain insufficient.
This is a big insult to the neurology department and his chief. Because this girl patient, a few days ago, transplanted sagittal blood vessels here, the blood flow is smooth, the transplanted blood vessels are normal, but the recovery is not good enough, and the attending doctor did not find any reason.
Now it seems that his doctors are too stupid to report the situation, which leads to the deterioration of the patient's condition.
Had it not been for the shooting, the girl would have died in the building in a few days!
It's not the lack of technology that leads to this situation. It's the fact that the regulations of the nerve center stipulate that people fart and deliberately neglect their duties, which leads to the problem that doctors with a little experience can judge the situation.
Although there is no specific reason for this situation in 70% of the hospitals in the world, this is the first Mayo Clinic in the world, especially other nerve centers, which are the elites among the elites. This simple sagittal vascular graft is only a common brain surgery. There will only be mistakes among interns. Even residents can't make such problems.
In particular, what makes Dr. Robin infuriated is that he has specially compiled a set of medical rules for various situations in this kind of blood vessel transplantation, which stipulates the rules for reporting to the higher authorities step by step.
But some people are just neglecting their duties! If something happens, the hospital routine examination, will find this problem, at that time, is his leadership responsibility. This makes the senior management of the clinic take this matter as an excuse to force him to give up the position of director of Neurology.
Because, those damned bastards, they'd rather have Victor take over neurology and make a change. Ensure that Mayo Clinic is in the first place in the field of Neurology.
As long as he is alive, as long as he is a tenured professor of Mayo Clinic and executive member of the Council, those damned young people will have no way to dismiss him or retire him. They will only engage in some dirty means.
Now it seems that someone in the nerve center should start to cooperate with the performance there. This should let those shameless unruly young guys know.
It's just that we need to solve the problem in front of us first.
"Get ready for the cerebrovascular imaging room immediately, Chen. What's your solution? I want to hear your opinion. Nurse, clean the air immediately. I don't want to stay in a cesspit and continue the operation. "
With a straight face, Dr. Robin gave orders to several nurses in the room that were beyond doubt and justification.
When Chen Qun heard Dr. Robin's words, he turned his head and replied with great certainty, "directly place a vascular stent in the horizontal segment of the middle cerebral artery to open the distorted blood vessels. It's the only treatment and the best treatment
This time, however, he kept an eye on it and decided not to continue to make trouble for himself. In fact, he has a treatment plan, but because the patient has only had such a big operation, he can't support a cell level cutting and repairing operation for more than ten hours.
Originally, he deliberately placed the CT examination this time, so as to cover up how he found the patient's brain condition. As for the treatment plan, he has already verified it once and holds absolute confidence.
"Usually only the heart and carotid artery do vascular stents, do you think this operation can also be treated with vascular stents?"It's not a feeling, it's a living fact!
Chen Qun murmured in his stomach, and then gave a very convincing answer.
"I used a vascular stent to anastomose the capillaries in the brain of Ms. Feng Qiuyun, the girl with atresia syndrome. Although the stent has been removed after the operation, the situation at that time fully shows that the stent can be used for cerebral vascular occlusion
Dr. Robin considered the gain and loss of benefits a little bit, and immediately abandoned the idea of leaving the patient untreated as evidence to find those dereliction of duty idiots and those who are looking for trouble with strange intentions. Because the patient has a problem, the final black pot is still his own back, who let him be the big boss of Neurology.
This is the biggest weakness of his strong director.
Anyway, there are all the medical records. I don't worry about killing those bastards and making them pay a high price for this.
Robin immediately looks at Chen Qun.
"Can you do this operation?"
Chen Qun took a look at the system diagnosis report of the corner of the eye, and found that the completion rate of the operation had reached 76%. At this time, it was slowly falling, and he quickly replied positively.
"No problem. I'm going to perform the operation. Prepare the guide wire immediately. Zhou Lin, you and tie Jun are in charge of suturing the abdominal cavity. Ouyang Yang comes to have brain intervention surgery with me. "
Chen Qun side command, side to get out of their position, standing on the patient's head, quickly busy.
Dr. Robin stood by and looked at Patek Philippe on his wrist, less than 25 minutes before Li called. That is to say, the young Chen, the whole operation time is about 20 minutes, he completed the thoracotomy, emergency suture and cleaning of the abdominal cavity, especially on the basis of the lack of appropriate equipment.
This kind of operation speed, even compared with the two gunshot experts in the emergency room of Massachusetts General Hospital, is absolutely superior.
Dr. Robin took the first two steps and glanced at the abdominal cavity. He saw that the intestinal tract and liver wounds inside had been cleaned. A little nurse was sucking normal saline to clean the abdominal cavity, sending out a bad smell of blood. Nearby, the itinerant nurse was busy recycling the gauze and checking the blood transfusion pipeline.
"How much blood has been transfused?"
"This is the plasma and blood cells of the second unit. The rescue was very fast this time. Before the patient's bleeding was more than one liter, Dr. Chen finished all the bleeding outlets. It can be said that there is almost no bleeding during the operation. These blood stains are all from the journey of sending the patient over. "
This little guy is really from surgery. He does better emergency surgery than anyone else!