Phew, suddenly, everyone watching involuntarily took a breath.
Just now, the patient's arm seems to be slightly internally rotated, and it seems that one can hear the guide wire sliding down into the subclavian artery, which means that the patient's upper limb has successfully completed this weird and high-risk path.
The upper limb is internally rotated? Shouldn’t the upper limb be abducted?
The patient's normal intraoperative position is with the upper limbs abducted, making it easier for the doctor to send the instructor from the axillary artery to the subclavian artery.
The axillary artery is the continuation of the subclavian artery, and is renamed the brachial artery when it goes down to the arm. It has a complex anatomical structure and is hidden deep in the curved axilla. Its projection on the body surface requires the upper limb to be abducted to a horizontal position.
Moreover, each segment has blood vessel branches, and the number of branches varies greatly. For doctors, abducting the arm at this time is helpful to straighten the axillary artery so that the guide wire can pass through it.
Xie Wanying and the others did not completely retract the patient's arm to the side of the chest, but slightly rotated the angle internally. Such a strange approach showed miraculous results. It shows that the direction of the patient's blood vessels is quite strange.
It may be difficult to understand the patient's blood vessels if they are examined comprehensively from multiple angles.
Doctor Fang thought clearly at this moment. He did not have the brainpower of the two medical students. No matter how experienced the doctor was when encountering special cases, he could only rely on his brain. So he said to the two medical students: "Under perspective, if
No problem, return it to us to continue."
"Forget it." Jin Tianyu was annoyed and asked him not to be so shameless.
Doctor Fang said nonchalantly: "I don't want them to stay here for too long."
The two juniors are very talented and should be cherished. Young people, if they are not married, do not stay in the interventional room for too long. Now that the most difficult part is over, other doctors should be able to take over.
"If you don't turn on the phone, it's okay." Jin Tianyu said. Remembering the junior sister's promise, he was willing to let them continue to try. It would be very difficult for interns to encounter such a practice. The teacher can give as many opportunities as possible at this time.
The phone rang again.
Everyone looked at Fu Xinheng and picked up the phone again, wondering who was calling.
Dr. Xu asked impatiently on the other side of the phone: "Dr. Fu, how is it? Has the patient been transferred to the surgical operating room?"
"No, we're doing PCI." Fu Xinheng said.
"Still doing it?" Dr. Xu asked twice in disbelief.
Fu Xinheng didn't have time to explain. When he looked at the two medical students in the operating room, they stopped.
It should be the end point where the guide wire is delivered to the heart.
Xie Wanying held the guide wire firmly with her hands and did not dare to let go easily. A layer of sweat broke out on her back.
Nervous and inexperienced in wearing lead clothing for the first time, I couldn't control the pressure of bearing the weight well.
During the period of time when the guide wire was being delivered, she felt like she had run a track of more than 20,000 meters, which was a bit tiring.
Pan Shihua, who was standing not far from her, was not much better than her. There was a clear and crimson sweat on his clean forehead, and his nostrils behind the surgical mask seemed to be breathing slightly, as if he was tightening his grip mentally.
Like a thread that is about to be broken.
Unlike her, a famous academic, he, an unknown intern, has never had such an opportunity to take the stage before. His thinking is not as good as hers, so he can only follow her strategy. Time is short and timely response is required, which is impossible for him.
He would think about it and make a correct judgment before cooperating with her. Therefore, he was not very sure about his operation. He was afraid that if she made a mistake, he would make the same mistake. Secondly, he was afraid that if his eyes were wrong, he would misunderstand her thinking and do the wrong thing.
