Many people misunderstand cerebral aneurysms as tumors.
In fact, cerebral aneurysms are different from tumors and are congenital defects.
The blood vessels in the brain are like bicycle tires. Over time or if the quality is poor, a bag will bulge on the tire and it will easily burst.
Once a brain aneurysm explodes, the consequences are very serious, and many patients die before being sent to the hospital.
The bomb disposal process is also thrilling, no less thrilling and tense than the bomb disposal experts cutting the red and blue wires on the bomb on TV.
Treating a brain aneurysm is like patching a tire.
One is to clamp the broken part from the outside, and the other is to fill it from the inside.
The former is a craniotomy and clipping surgery, and the latter is an interventional embolization surgery.
The latter method was used this time, which is technically difficult and less invasive to the patient.
"Inject contrast agent and perform whole-brain angiography!"
The key to embolization is to deliver the microcatheter into the aneurysm cavity. To prevent the aneurysm from rupturing, the operator must be gentle, precise and skilled.
Under the DSA image display, Shan Zhenyu entered the cerebral aneurysm with a microcatheter through the femoral artery and guided by a microguidewire.
The aneurysm wall is “as thin as a cicada wing”.
Time passed by, and as the largest lesion was successfully embolized, everyone heaved a sigh of relief.
The surgery was performed in a relaxed atmosphere.
Shan Zhenyu took the time to tell two jokes.
However, Zhao Yuan's expression became serious.
Although he was a spectator, he knew that he had to express his concerns at this time.
"Director Shan, be careful of the atheromatous plaque falling off!"
Shan Zhenyu raised his head and glanced at Zhao Yuan, his expression changing from relaxed to serious.
The biggest variable in surgery is vascular embolization.
With rich experience and superb technology, Shan Zhenyu's operation can be described as impeccable.
However, outside of technology, there are also uncontrollable factors.
When the guidewire is placed in the blood vessel, it will cause the cerebral atherosclerotic plaque to fall off, causing blood vessel embolism. If it leads to cerebral infarction, severe cases can be life-threatening.
"Why this judgment?" Shan Zhenyu glanced at Zhao Yuan.
Zhao Yuandao: "During angiography, there are two locations where blood vessels are narrowed. Then, you should be aware of it when you control the micro guidewire to enter the blood vessels."
Everyone looked at Zhao Yuan in surprise.
I didn't expect Zhao Yuan to find fault.
An intern from another department would be taking himself too seriously to find fault at this time.
Is he crazy?
Shan Zhenyu stopped what he was doing, remained silent for a few seconds, and then gave instructions, "Intravenous injection of 200,000 international units of urokinase for thrombolysis!"
The conversation between the two seems to be an understatement!
However, everyone knows that Shan Zhenyu adopted Zhao Yuan's suggestion.
Although Shan Zhenyu is relatively easy-going, he is absolutely authoritative in the operating room, and no one will question his operations.
It's not that he is a master of martial arts, but that his skills are so good that people around him have a kind of almost worshipful trust in him.
No one thought that the surgery would be beyond Shan Zhenyu's control.
With this episode, the atmosphere in the operating room changed.
Zhao Yuan, the onlooker, was obviously a little "restless".
Overstepped!
Shan Zhenyu was not angry. He admired Zhao Yuan and had very accurate eyesight.
Stay silent when you shouldn't speak, and hit the point when you open your mouth.
Zhao Yuan realized that his behavior was somewhat inappropriate.
Shan Zhenyu may have just not noticed it for the time being. He will check for the omissions later and find the anomaly with his rich experience.
However, as a doctor, he cannot ignore the safety of his patients.
If you miss that point, timely remediation will be too late, and embolism will most likely occur at the scene. Not only will the operation fail, but it will also cause many sequelae in the later period.
The operation is finally over.
Zhao Yuan found Shan Zhenyu in the bathroom, "I'm sorry, Director Shan, I was a little abrupt just now."
Shan Zhenyu smiled and shook his head, "I have to thank you. If you hadn't reminded me in time, there would have been a high probability of making a mistake. During the final angiography, I paid attention and your judgment was correct. He had signs of arteriosclerosis. After the operation,
The dosage of related drugs also needs to be adjusted.”
Zhao Yuan did not expect Shan Zhenyu to be so modest and secretly breathed a sigh of relief.
Although there are some narrow-minded people among the medical staff, most doctors are very simple. They have been in the operating room for a long time and don't have so many twists and turns in their minds.
Outside the operating room, Zhou Fang and her husband were very nervous.
The front door opened and Shan Zhenyu walked out, nodding to the two of them, "The operation was successful!"
The two of them were relieved. The old man successfully removed the time bomb in his head and no longer had to live in fear.
Sitting in the office.
Shan Zhenyu picked up the tea cup and took a sip of tea. After a long time, he shook his head slightly and said, "It seems that I am really old!"
It’s impossible not to accept old age!
Zhang Fuxiang's surgery was not only as simple as that huge tumor, but also five or six large and small brain aneurysms.
Usually an operation only takes two hours, but today this operation took almost four hours.
The four-hour surgery was performed entirely by myself.
Although assistants will also share some of the work, the most difficult parts must be done by yourself.
Shan Zhenyu's physical strength can't keep up.
As for the plaque shedding mentioned by Zhao Yuan, it was indeed his carelessness.
In the past, this was something that would never have happened.
Shan Zhenyu sighed softly. Today, the neurosurgery department of Tianhua Hospital is well-known, but he knows the actual situation. None of the middle-level doctors can take the lead.
Shao Kun was originally the target of Shan Zhenyu's training, but his character was corrupt and after he was fired, he directly joined the equipment dealer team and became a completely philistine businessman.
"Teacher Shan, are you okay? I brought you a meal." Liu Sha knocked on the door, her face full of concern.
Shan Zhenyu came back to his senses, smiled and shook his head, "I'm fine, just a little tired. I'm not hungry yet, so you can put it on the coffee table."
Liu Sha placed the lunch box on the coffee table and prepared to leave.
Shan Zhenyu suddenly stopped Liu Sha and asked: "Was Zhao Yuan very good when he was in school? Who has better grades when you compare with him?"
Liu Sha shook her head and smiled: "Zhao Yuan was a boring gourd when he was in school. He rarely participated in various activities. His basic skills were very solid and he ranked at the top of the class in every subject. In terms of grades, I scored a little higher than him.
.However, scores cannot represent a person’s true strength.”
Shan Zhenyu nodded slightly, "It means that the gap between you two is not big, but you can't be pushed too far away by him."
Liu Sha quickly said: "I am also working hard to make progress."
Shan Zhenyu thought for a while, with a solemn expression, "Theoretical knowledge is one thing. The key is practice! From tomorrow on, you must be mentally prepared to participate in more surgeries. Not only will the amount increase, but the degree of participation will also be further improved.
"
Liu Sha instantly understood what Shan Zhenyu meant, her eyes lit up, "Thank you, Teacher Shan."
Liusha left with a smile.
Shan Zhenyu's eyes suddenly became bright.
He thought it through.
Since several senior doctors in the team lack spirituality and potential, it is better to find a talented person from fresh blood to train.
After this period of observation, Liu Sha is a good seedling.
Although he is not as evil as Zhao Yuan, he is definitely a malleable talent.
Starting to invest resources and energy from now on, after a few years of polishing, she will definitely become the heir to her legacy.
