Chapter 2280

Listening to director Tai's introduction, Zheng rennaohai has outlined the practice of surgery.

After heparinization, the abdominal aorta, left common iliac artery, right internal iliac artery and right femoral artery were blocked. Cut the right common iliac artery and right external iliac artery, and take out the IABP catheter. After removal, the catheter balloon can be seen twisted and internal thrombosis can be seen.

The intimal tear of the right common iliac artery was explored. The tear was from the opening of the right common iliac artery to the opening of the right internal iliac artery. The intimal sleeve tear of the right internal iliac artery was repaired with 7 / 0 sliding line.

It's probably such an operation process. Zheng Ren knows it well. But now the problem is not here, but in the operation just now.

"You didn't use much strength when you took the pipe." Zheng Ren asked anxiously.

At this time, the most afraid thing is that director Tai took the tube after DSA and pulled it hard, resulting in tearing of the intima of the artery.

In that case, you'll be in trouble.

"No, No." Director Tai repeatedly said, "I watch your live operation every day. I know I can't solve the problem with brute force."

Zheng Ren nodded and opened his own live operation room. It's still a little useful.

"I tried twice and found that the card was very strong, so I didn't dare to move." Director Tai seems to have made a mistake, and his voice is getting smaller and smaller.

"..." Zheng Ren looked at director Tai's back and had a bad feeling.

I hope it's wrong. What's the matter.

Even if the IAPB catheter was embedded in the iliac artery and tore the intima when it was taken out, it had to be sutured surgically. I just draw a knife to help. I have no reason to gossip here.

IABP is one of the widely used cardiac assist devices in clinic. Its common complications mainly include lower limb ischemia, arterial injury, local infection and bleeding, balloon perforation and so on.

When IABP was offline, the balloon counterpulsation catheter could not be successfully withdrawn, resulting in iatrogenic foreign bodies in large blood vessels, which was rare, just like when I met neurosurgery to push the guide wire in when I went to the Affiliated Hospital of Provincial Medical University for the first time.

These are rare things.

In interventional therapy, most of the common vascular iatrogenic foreign bodies, such as stents, guide wires, spring bolts, etc., can be removed from the body by intravascular micro coil extractor, and few need to be removed by surgery.

Of course, the premise is that director Tai don't move.

I'm afraid he has no experience in the process of trying. The more he does, the more wrong he makes, and the more he helps, the more busy he is.

Unconsciously, Zheng Ren has put the big hat of no clinical experience on the heads of directors of prefectural and municipal hospitals without psychological obstacles.

Iatrogenic foreign bodies embedded in large blood vessels and not treated in time can cause secondary thrombosis, infection, and even ischemia and necrosis of organs and limbs. When the patient's general condition permits, it should be removed as soon as possible.

"How long has it been?" Zheng Ren then asked a key question.

"Less than 2 hours."

Fortunately, fortunately, it's really a coincidence, Zheng Ren thought. Within 3 hours, the possibility and risk of thrombosis will be greatly reduced.

Director Tai said he didn't pull repeatedly and tried to take out the IABP pipe violently, so there is little possibility of local intimal tear.

Try it. It should be all right. I hope it's all right.

Along the way, Zheng Ren briefly asked about the intervention machines and related consumables of the people's hospital.

The operation should be able to be done. Zheng Ren followed him to the intervention operating room, changed his clothes and went in. He went to the system operating room for an operation while changing clothes, and then came out.

The broken IABP pipe was stuck in a branch of the external iliac artery. It's just that the power you take out should be twisted, with skillful strength, not brute force.

Zheng Ren is most gratified that director Tai really didn't pull hard. There's no problem with the intima of blood vessels!

This person is nice. Zheng Ren has a little favor with director Tai in his heart, and the mosaic on his face is lighter.

If you can't do the operation, you don't drag it by force. You know how to be measured.

"Boss Zheng, I'm really sorry. I pulled you out this weekend." Director Tai whispered an apology.

"Nothing." Zheng Ren smiled. He watched the operation at 4x speed first, and then wore lead clothes to brush his hands.

Lin Yuan followed him silently. He also put on lead clothes and prepared to go on stage together.

"Do you think it is possible to take it out successfully?" Director Tai asked vaguely.

"Try it." Zheng Ren is still a tone of dialogue with patients and their families. Ambiguous, never say whether it can be done. If you are anxious, you will say a lot of complications.

As a doctor for a long time, there are always some such habits, and no one can escape.

Standing in front of the operating table, Zheng Renxian adapted to the machine, then made a gesture to director Tai outside the lead glass, and the airtight lead door closed slowly.

"Director, you are really good. How did you persuade boss Zheng to come up?" Zhai asked.

"I have a friendship with boss Zheng." Director Tai said coldly.

You can't boast too much. That's the so-called saying more is wrong. In addition, director Tai was so worried that he was afraid that boss Zheng could not do it. He took a look at the screen and looked through the leaded glass at boss Zheng who had surgery inside.

"Director, the vascular department is coming up." Two doctors came in wearing isolation clothes, Zhai whispered.

Director Tai looked at the screen intently. His heart had already hung out of the sky. Where did he hear general Zhai's wordiness.

The director of vascular Department hurried from home, but saw the doctors of circulatory department and interventional Department standing outside.

Is this giving up the operation and waiting for yourself? There is no pride in his heart. This kind of back pot rescue is naturally the less, the better. It's not a good thing for him.

It's hard to say whether the operation can be done or not. I gave up so early and didn't try much.

"Director Tai, can't you do that? Do you want to try again?" The director of vascular Department said and walked in.

When he saw director Tai looking at the screen and not talking, he thought that director Tai was confused. When encountering a medical accident, many people will be confused. Unexpectedly, director Tai, who has always been overbearing, will do the same.

It's not inevitable.

But he looked at it and was stunned. The airtight lead door of the operating room is closed, and there are doctors in operation.

It looks like a man and a woman.

When was there a female interventional doctor in our hospital? Is it the people from the circulation department who come on stage to try?

Then he looked at the screen again.

The blood vessels are empty and undergoing angiography. Isn't it all right? The director of vascular Department has some doubts.

Today is April Fool's day. Are they having fun? Not really. You can joke about anything in the hospital, but no one has ever joked with emergency rescue.

Then the image on the screen stopped, and the airtight lead door opened slowly.