Chapter 1680

"The preoperative preparation is completed, and then the emergency catheterization and thrombolysis operation is prepared. I need to rush to the hospital where the patient is located for the next emergency operation. If the time is too late, the live broadcast will be continued by Dr. su." Zheng Ren's voice echoed in the live studio.

The live operation room rarely opens the wheat, and everyone feels very strange to hear the sound of the live broadcast.

"I'm in DIDU now, 903.5 kilometers away from Xilin town where the patient is located. I need about 6 hours to get there. The weather is bad and it's still snowing." Zheng Ren said lightly: "the live broadcast will always record the patient's state, and I will do balloon dilatation + stent surgery for the patient the first time after I arrive in Xilin town."

Zheng Ren was very idle and said it in Chinese, and he used the standard London accent again.

The change of Lao Liu's ECG shows that he can't die. After this is confirmed, he doesn't have to pretend to be calm.

"Now let's start the live broadcast of the operation. We've seen the operator of this operation in the live broadcast of tips operation before. Well, it's one of the doctors I beat with hemostatic pliers."

"I believe that after being beaten by me, his surgical level has made great progress. So Lao Liu, it's no big deal to operate on himself. Take a deep breath, stabilize his mood, and then stabilize it."

"Your ECG, the elevated ST segment has dropped by 70%, and the symptoms of myocardial ischemia have been significantly relieved. You don't have to be afraid, everything has me."

Everything has me.

Everything has me!

Everything has me!!

Zheng Ren's words gave Liu Xuzhi almost unlimited confidence.

"It's 20:12 DIDU time. In the interventional operating room of Xilin Town People's Hospital, selective coronary angiography + catheter thrombolysis under local anesthesia." Zheng Ren said lightly.

"Lao Liu, first, local anesthesia of the left radial artery."

Although the nurse was a little flustered, she began local anesthesia at the prompt of Liu Xuzhi.

This operation is very simple and not difficult at all.

"Next, with the help of the nurse, the operator's hand should be stable. No, the angle of the needle should be raised a little, about 5 °. Yes, that's it. The needle can be inserted."

Seldinger puncture of the left radial artery with 7F arterial sheath was a thrilling success.

The nurse was wearing lead clothes. Although it was only an arterial puncture, the sweat on her forehead had come out.

"Through the blood tube sheath, give 5000U heparin sodium. Don't worry, take your time. Yes, that's it." Zheng Ren said slowly.

Under the guidance of Zheng Ren, the guide wire enters and starts superselection to the openings of the left and right coronary arteries.

Send into the contrast catheter and perform contrast in different positions. 4-6ml of contrast medium was injected each time.

The most serious anterior descending artery occlusion was 80%.

This is also the case when thrombolytic therapy was performed at the first time.

"Boss, Xiao Feng is here." Su Yun couldn't wait to say.

"Is rich and noble in the car?"

"He has arrived at the airport." Su Yun said with a smile, "rich son has expressed his dissatisfaction many times that you don't take him to other places for surgery. Boss, you should properly meet the requirements of your doctors."

"Next, the operation will be guided by Dr. Su Yunsu. I will rush to Xilin town 903.5 kilometers away for the operation."

Zheng Ren finished and handed the live operation glasses to Su Yun.

"Be careful all the way." Shay is on the first floor, and the cartoon dog on his pajamas is vivid.

"Yes." Zheng Ren nodded, opened his arms, hugged Xie Yi, and then turned away.

Downstairs, Feng Xuhui's car stopped at the door.

When he got on the co driver's seat, Zheng Renjian saw Liu Xiaojie sitting in the back with a large trolley box beside him.

The other one should be in the trunk.

Recently, Xiao Feng's large trolley case is getting bigger and bigger, and there are more and more things in it.

"Mr. Zheng, we are in a hurry. Please fasten your seat belt." Feng Xuhui said immediately when he saw Zheng Ren getting on the bus.

"Yes." Zheng Renzha put on his seat belt, BMW X5 roared, instantly accelerated to the speed limit in the community, and sped away.

……

……

"Angiography showed that the anterior descending branch of the operator was blocked by 80%, and the blocking range was about 10cm. To be precise, it was 10.215cm." Su Yun said leisurely.

I know when I can see the contrast.

This situation is no longer fatal. It's better to get off the scaffold. If you can't get off the scaffold, you can barely live.

So Su Yun began to show his eyesight.

Just such a precise figure, everyone will certainly think it is nonsense and will never take it seriously.

This is the most regrettable thing. There are few confidants and the string is broken. Who listens to the helplessness.

"Now it's over, Lao Liu. You've lived more than half of your life." Su Yun said: "take out the angiography catheter, remember to move slowly, and then send the thrombolytic catheter in."

"Slow down, everything is urgent now. The boss has gone thousands of miles to operate on you. Do you know how much the boss will cost for flying to do the operation? Anyway, the annual turnover of your hospital is estimated to be insufficient."

While talking nonsense, Su Yun directed Liu Xuzhi to withdraw the angiography catheter and send the thrombolytic catheter in.

Unfortunately, there is no state-of-the-art thrombolytic catheter on this side. Send the catheter along the 20% gap, and then spray the thrombolytic agent like a shower.

Only the simplest and most primitive thrombolytic catheter can be used to start thrombolytic therapy in the upper part of the anterior descending branch.

Such thrombolysis still has some side effects. But considering that Zheng Ren is on his way, it should be no problem.

Su Yun's mood is becoming more and more stable, and all kinds of garbage words burst his watch.

Liu Xuzhi is in a trance. He seems to have returned to the interventional catheter room in Pengxi township. He is an assistant. While listening to Su Yun's nagging, he makes one after another, seemingly endless interventional embolization of pelvic fractures.

"OK, fix the embolization catheter and pay attention to adjusting the pumping speed of the micropump. 6ml / hour is enough." Su Yun said, "Lao Liu, lie on the operating table and don't move."

"This is a long operation. When we are waiting for the operator to come, we will recall the pathogenesis of the patient. Wait a minute, Xiao Hu, I have a courseware. Can I have two fields on one screen? I know you have done it. Don't be lazy."

Su Yun enjoys the feeling of giving classes. When he was young, he was willing to be a good teacher, and he was a genius.

In his opinion, it is abnormal to be silent like Zheng Ren and have a headache when there are many people.

A few minutes later, when Liu Xuzhi was lying on the operating table for catheter thrombolysis, Su Yun began to talk about the pathogenesis, pathology and physiological changes of myocardial infarction based on his ECG.

The explanation was very professional. Many doctors who had been offline were called back by their colleagues.

Not only the operation is awesome, but also the basic knowledge and the interest of explanation are among the top in the world.

It doesn't sound boring at all. Soon, people online are immersed in it and can't extricate themselves.