Jiang Qiang's expression was solemn and he explained seriously, "The specific reason for the deterioration of the condition is temporarily unknown, but we will do our best to rescue the patient."
The patient's son-in-law sneered, "Just now a doctor said that the operation should be performed on the old man as soon as possible, but you insisted on delaying it until tomorrow. Now that it is better, the situation is getting more and more serious. You will only perfunctory us without taking any actual action."
Jiang Qiang sighed and stepped forward to check on the patient, hiding his inner guilt.
Gao Qian explained to the patient at the side: "Thoracic aortic aneurysm is a very dangerous disease, and the operation failure rate is very high. Many people fall on the operating table. The patient had an operation many years ago, and the second operation must be more difficult."
Be careful, if we act rashly, there will be many variables."
When the daughter saw that her husband was still arguing with the patient, she quickly pulled her husband away and said, "Director Jiang is a well-known expert, you have to believe him."
The husband waved his hand and said with disdain, "What kind of bullshit expert? I think it's all just fake."
Jiang Qiang has met various patients' families, so naturally he will not be affected by their words, and quickly obtains the test results:
The thoracic aortic aneurysm has ruptured, causing bleeding. Even in the hospital, it may be too late for surgery, and the patient will die from excessive blood loss.
Interventional treatment is urgent, otherwise the consequences will be disastrous.
Jiang Qiang suddenly thought of Zhao Yuan. If he had listened to Zhao Yuan's opinion, he wouldn't have been so passive!
…
After Zhao Yuan left the cardiothoracic surgery department, he came to the emergency surgery department and met Liu Juanjuan who had just completed the operation.
Liu Juanjuan pulled Zhao Yuan and asked with a serious face, "Did you lend money to Wang Ming?"
Zhao Yuan was startled for a moment, then nodded, "His mother's hospital card had no money that day. He said he had no money, so I lent it to him."
Liu Juanjuan lightly tapped his foot and sighed: "Oh, you were cheated."
Zhao Yuan was shocked, "What's going on?"
Liu Juanjuan smiled bitterly, "Wang Ming usually works in his family's factory. Although his monthly salary is good, it cannot afford his lavish spending, so he has a bad habit of borrowing money from relatives and friends around him. Over time,
Everyone around him was afraid of borrowing money from him. In the past few days, Wang Ming had been coming home drunk. His father guessed where he must have found the money. After asking, he found out that it was 'Doctor Sun' who lent him the money.
."
Zhao Yuan said angrily, "Are you going to get the money back?"
Liu Juanjuan shook his head, "That's not the case! His father will return it to you."
Zhao Yuan scratched his head and smiled bitterly, "I didn't expect Wang Ming to be a giant baby. He is so big that he can't support himself and has to have his parents wipe his butt."
Liu Juanjuan sighed, "My aunt is so pitiful, she married a bastard."
Zhao Yuan was also depressed for a while, thinking that he had done bad things with good intentions.
At this time, the cell phone rang. After Zhao Yuan answered the call, Jiang Qiang's voice came.
Zhao Yuan was startled and wondered secretly, could it be that the patient's condition had indeed worsened!
"Xiao Zhao, have you gone back?"
"Still in the hospital! Director Jiang, is something wrong?"
"The patient in bed twenty-six has suddenly become worse and is about to undergo surgery immediately. Can you come and provide support?"
"I'll be there soon!"
Zhao Yuan sighed inwardly. He did not expect that his speculation would come true so quickly.
The reason is that it can be seen that the situation will worsen at any time.
On the one hand, it comes from practical experience, and on the other hand, it comes from rigorous analytical skills.
The instrument has limitations. It can accurately detect the current vital signs of the human body, but it cannot predict the next change.
Experienced doctors are more flexible than cold instruments and can predict the trend of the patient's body functions through the patient's physical details.
Zhao Yuan arrived at the cardiothoracic surgery department and immediately changed into surgical clothes.
After a thoracic aortic aneurysm ruptures, the first thing to do is fight shock and undergo blood transfusion! Jiang Qiang has a strong adaptability. When Zhao Yuan entered the operating room, the patient's vital signs were stable and he was basically under control.
However, the root cause of the disease is still not solved because "thoracic aortic aneurysm" still exists!
According to the plan discussed by the previous training team, the patient needed to undergo "thoracic aortic aneurysm endovascular isolation and interventional surgery."
This is a minimally invasive surgery, through the iliofemoral artery approach, intraluminal isolation, and reconstruction of the thoracic aorta.
Jiang Qiang waited for Zhao Yuan to appear and waved to him, "The problem is a bit complicated. Take a look at the CT."
Zhao Yuan took the CT to study for a while, and his face became solemn, "The patient's bilateral iliac arteries are small and have long-segment severe stenosis, with an inner diameter of less than 3 mm. However, the implantation of a covered stent through the iliofemoral artery approach requires iliac arteries.
The diameter is greater than 8mm. The patient’s iliac artery is so small that the stent graft system cannot pass through it.”
Seeing that Zhao Yuan could see the problem at a glance, Gao Qian nodded slightly, "The patient will die at any time. The operation must be carried out! There is really no other way but open surgery."
Compared with open surgery, endothoracic aortic aneurysm isolation is minimally invasive, has less trauma, less intraoperative bleeding, and faster postoperative recovery, making it more suitable for the elderly.
Zhao Yuan frowned and thought for a long time, then looked at Jiang Qiang, "Director Jiang, can you try the 'vena cava to abdominal aorta' approach to establish a surgical approach?"
Gao Qian's eyes lit up and she said thoughtfully, "There are similar case reports in foreign literature."
Jiang Qiang shook his head, "I have also read relevant reports. The double pigtail catheter rotation positioning method is used to select an appropriate path to complete the puncture under DSA fluoroscopy. However, this technology has problems such as unstable fixation of the catheter and large puncture angle deviation. Moreover,
They use special puncture equipment."
"The so-called special puncture equipment may not be as mysterious as imagined."
Zhao Yuan thought for a while and asked the nurse for a pen.
He seized the moment, shook his wrist rapidly, and raced against time to draw.
In about ten minutes, a surgical flow chart was completed and handed to Jiang Qiang.
Jiang Qiang was thoughtful and handed it to Gao Qian without saying whether it was right or wrong.
Gao Qian didn't pay much attention at first.
Although Zhao Yuan is very capable, he and Jiang Qiang are at a loss as to what to do. There may be various flaws in his ideas!
However, her expression soon became richer.
"Is this a new technique?"
Zhao Yuan nodded, "Although no one has tried it, I think you can give it a try!"
Gao Qian's eyes lit up as she deduced various possibilities in her mind.
Soon, she and Jiang Qiang expressed their opinions, "I have no objection!"
Jiang Qiang breathed a sigh of relief and ordered the equipment nurse, "Prepare the balloon-assisted puncture device!"
Jiang Qiang knew that Zhao Yuan was very strong, but he didn't expect him to be so strong.
Zhao Yuan's idea is very bold and creative!
Use a balloon-assisted puncture device to replace special puncture equipment.
Under the guidance of real-time 3D image navigation technology, precise puncture is performed and the "vena cava to abdominal aorta" approach is quickly established.
If the operation is successful, it means they will create a brand new surgical procedure.
