Outside the door of the interventional operating room, several family members were besieging Dr. Yu.
"Why is the door closed during the operation? Is there anything we can't see?"
"I thought I heard screams just now. Did you not stuff the red envelope or give you anesthesia?"
"We can't see anything, and we don't even know you stole the organs."
The words of seven or eight family members completely drowned out Dr. Yu's explanation voice. Dr. Yu had no choice but to bite the bullet and continue to explain in a louder voice.
"There are sterility requirements in the operating room, and family members are not allowed to enter. This is the rule in operating rooms all over the world---"
"Family members can go in and see any operating room in the United States!"
The patient's son-in-law, a middle-aged man with glasses, said loudly, as if he had just returned from the United States, pointing.
Fortunately, Dr. Yu has been to the United States, otherwise I would have been intimidated by his confident look.
"Yes, why don't you let us see the operation?"
"Why are there screams inside?"
The patient's wife's index finger has already pointed to Dr. Yu's nose.
Maybe someone has noticed the noise here, and several security guards have been standing nearby. A security guard came up and separated Dr. Yu from his family members: "If you have anything to say, please speak up, and everyone should be civilized."
"The resuscitation was going on inside. The patient was under local anesthesia. He experienced cardiac arrest several times. After being rescued by electric defibrillation, the patient felt uncomfortable and screamed manically. Because the rescue was running against time, there was no time to use other anesthesia." Dr. Yu continued to explain patiently.
.
"What? Did you cause cardiac arrest?"
"If you don't have the ability, don't take this job."
As soon as they heard about the cardiac arrest, the family members became excited again.
"We didn't cause his heart to stop. The patient had an acute myocardial infarction and his heart would stop at any time---"
Dr. Yu really couldn't explain it anymore. Under the protection of security, he had to return to the operating room through the side door and close the side door.
---
The right main coronary artery is 90% blocked with severe calcification lesions; the left main coronary artery is completely blocked, and the two bifurcations of the anterior descending and circumflex branches are completely blocked with severe calcification lesions.
On the fluoroscopic screen, the first blockage, the blockage of the right main coronary artery, was successfully opened. The channel mouth is very wide, with a smooth transition from front to back. Blood immediately passes through this channel, circulates around its irrigation area, irrigates myocardial cells, and keeps them immune.
in death.
Saving the myocardium as soon as possible is the key to the success of this operation.
Director Guan took a deep breath. He specializes in interventional surgeries on the cardiovascular system and has never dared to perform such a big operation in the small coronary arteries like Yang Ping.
In just a few minutes, Yang Ping successfully rotated the hard calcified tissue. The young man's skills were really impressive. The end of the more than 100 centimeters long rotational grinding guide wire was the rotational grinding head. Even with the use of
Such a long guide wire controls the rotational atherectomy head, and the rotational atherectomy head can still be controlled freely in Yang Ping's hands to perform precise rotational atherectomy without damaging the blood vessel wall.
Yang Ping continued to perform rotational atherectomy on the blocked part of the left main coronary artery. Every movement of the surgical operation was extremely skillful. No one could tell that this was just an amateur interventional doctor.
The knocking, kicking and knocking from outside never stopped. No matter how hard the door was knocked, everyone ignored it.
"Is it going to end?" Director Guan frowned.
"Lao Ji, you stay with Professor Yang while I go out to take a look." Director Guan was going to go out in person.
At this time, Dr. Yu had returned to the operating room, looking gray and gray. Director Guan asked: "What's going on? We didn't communicate well? Why are you still knocking on the door outside?"
"This family can't communicate, let's do surgery first!" Dr. Yu looked helpless.
Director Guan saw this and had no intention of going out. He would finish the operation first.
The soulful rotational atherectomy head was as powerful as a broken foot, invincible. Director Guan was not mentally prepared. The blockage in the left main coronary artery was quickly broken, followed by two bifurcations. These two bifurcations were particularly difficult.
Process.
However, the rotary grinding head in Yang Ping's hand had no intention of slowing down at all. The rotary grinding head was obedient and obedient in his hand, hitting exactly where he pointed. It was so precise that Director Guan was dazzled and frightened.
Director Guan couldn't help but sigh in his heart, this guy is really the ancestor of the ancestors. He has never studied interventional surgery. He usually helps Director Ji perform several interventional surgeries, and his skills are so good.
This level of coronary rotational atherectomy is unrivaled in the interventional community across the country.
Even if I practice for another twenty years, I still won’t be able to reach this level.
While Director Guan was sighing, the two forks were taken down.
Then came the switching of various instruments. Six stents were implanted into the coronary artery obstruction. The two bifurcated ports used double-stent technology. The stents were implanted from far to near. The position of each stent was very precise and beautiful, especially
The double brackets at the bifurcation are placed, and the front and back are closely matched without any interference with each other.
Looking at the beautiful visualization of several stents and the unobstructed coronary blood flow on the fluoroscopic image, Yang Ping withdrew the guide wire and used gauze to compress the puncture port.
Director Guan and Director Ji looked at the see-through screen and then at the ECG monitor screen, and at the same time heaved a sigh of relief. This patient was too complicated to be rescued.
But today, Professor Yang stepped on the tightrope and rescued her.
Rescue is really a race against time, life and death are also between seconds.
"Open the door, I'll go out and explain it to the patient."
Director Guan breathed a sigh of relief. No doctor wants his patient to slip away from his hands. Sometimes he has no choice but to do nothing.
Dr. Yu went out to call the family members. Director Guan walked to the doctor's office and sat there waiting for the family members.
"What are you doing?"
"Why is the door closed?"
"How is my old man doing?"
"Daddy, daddy!"
"---"
"Shut up, are you here to treat me?" Director Guan yelled.
Because President Xia of Sanbo Hospital is tough, the doctors are confident in whatever they do. The so-called justice is probably like this.
Under the roar of the director, the family members who poured in stopped.
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"The patient has been rescued. Come here and I will explain the condition to you."
Director Guan pointed to the cardiogram on the electronic screen, with family members surrounding him.
"Who are you?" the director asked the family member standing at the front.
The patient's son said angrily: "I am his eldest son."
Director Guan said to his son: "Your father has chronic total occlusion of the coronary arteries. The left main coronary artery is completely blocked. The two bifurcations of the anterior descending artery and the circumflex artery are completely occluded with severe calcification. The right main coronary artery is blocked."
Ninety out of ten cases of severe calcification lesions. This blockage causes acute myocardial infarction. The condition is very dangerous. It is basically a near-death situation. When he arrived at the hospital, his life was already hanging by a thread. We just performed an emergency rescue operation to save his life. The patient
During the operation, there were several cardiac arrests, but we rescued him. The screams you heard were because the patient was under local anesthesia. After being rescued, the patient felt a little uncomfortable and screamed manically. In this case, help is needed.
It is a top priority, and it is a matter of seconds. There is no time for general anesthesia. We are rescuing, and you are knocking and kicking the door. Family members are not allowed in the operating room. This is the case in operating rooms all over the world. We are not doing this.
At that time, you wanted to rush in and quarrel with me for unknown reasons. How should we perform the operation? How should we rescue him? If you let you come in and make noise, your father would not be able to save him at all."
The patient's son lowered his head and listened to the director's explanation.
"The United States is much more humane. It won't be so barbaric and let family members watch the surgery ---" The patient's son-in-law also wanted to make a point about the United States.
Director Guan was really a little angry: "I have been studying in the United States for three years. You tell me about the United States. Which hospital in the United States allows family members to visit the operating room? Tell me?"
Later, Director Guan repeated this sentence in English.
The patient's son-in-law was blushing and had a red neck. He was blocked and couldn't say a word. He had never been to the United States, and he didn't know much about American hospitals. He just listened to other people's nonsense on the Internet.
"Anyway, we don't understand. Whatever you say is what it is." The patient's wife said unexpectedly.
Although these words were a bit harsh, Director Guan was used to this kind of scene and didn't take it seriously, as long as the patient was fine.
"Doctors and patients are comrades in the trenches. We are not enemies. Our common enemy is disease, do you understand? No doctor deliberately performs a bad operation. We are more anxious than you, understand? You have to believe us. If it weren't for the door,
It's still strong, but with your attitude just now, if you rush in and make a fuss, how can we save people?" Director Guan suppressed his anger and said patiently.
The patient's son felt that he was in the wrong and didn't say anything when he heard that his father had been rescued.
Other family members seem to have something to say, but they don’t know what to say.
"A total of six stents have been installed. Now the blood flow is smooth, but the critical period has not passed. After the operation, I will be transferred to the ICU of our cardiovascular department for continued monitoring and treatment. Now that the operation is completed, please pay the fee." Guan
The director said calmly.
Because it was a rescue operation at the time, there was no need to pay a penny and the operation was performed as usual.
"How much will it cost?" The patient's wife immediately raised her voice.
"You get money when you ask!" the patient's wife added.
PS: I have been too busy these days and have not updated. I am very sorry. I will resume updating today! Thank you everyone!
