Unable to outrun a group of top students and teachers, Xie Wanying followed everyone's advice and walked back behind Senior Brother Cao.
Finally saw her back.
Shen Youhuan stared at her head and preached: "Yingying, you are smart, so don't imitate the bravery and fearlessness of Junior Brother Cao."
When have I ever been brave enough to do this kind of thing? Cao Yong absolutely disagreed with this and gave the other party a slightly dissatisfied look.
Senior Brother Shen's character is like an ever-changing cloud, with occasional showers and sometimes sunshine. In the blink of an eye, after educating her, Shen Youhuan then comforted her: "You Senior Brother Huang doesn't like it, let's tell him. Besides, you Senior Brother Cao is here
, is it your turn as a non-neurosurgeon? You can rest assured. Go next door and watch us perform surgery."
"Yeah." Xie Wanying nodded.
In terms of neurosurgery expertise, she is definitely not as good as her seniors and Dr. Song. Leave the professional matters to the seniors who are specialists.
The operation was about to begin. Except for the surgeon, everyone else walked into the control room to watch the operation progress.
In the hybrid operating room, the surgical team can be divided into two situations, one is the cooperation between internal medicine and surgery, and the other is the surgery alone and directly performs the work of medical interventional surgery. The latter requires the surgeon to make analogies and accumulate considerable experience.
More experience in interventional surgeries. This is not easy to achieve. Because surgeons may be able to get started quickly with ordinary angiography. When it comes to more complex interventional surgeries such as thrombectomy and thrombolysis, doctors also need to accumulate enough surgical volume to accumulate technical strength. Surgery
Doctors may not be able to adapt quickly if they don't do enough. Therefore, in Mr. Zhang's idea, it would be better to have surgery and internal medicine collaborate to make up this type of surgery in the future.
Today's surgery can be said to have been promoted intentionally by Zhang Huayao because he wanted to see what would happen after the combination of internal medicine and surgery.
After the meeting that night, the medical and surgical teachers met several times to study. Now the medical and surgical teachers are taking their places.
The internist went first. Shen Youhuan came fully armed and entered the operating room in person. Today's surgery is a complicated patient. A surgeon has to take over the second half of the operation. The progress of the operation requires the doctor to move quickly and not to wait for the doctors below to try.
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Local anesthesia, puncture of the right femoral vein, insertion of a pig tail tube, insertion of a filter into the inferior vena cava. A series of conventional surgical steps, which are inevitable for a deputy surgeon who has already mastered basic skills.
The catheter inserted after puncture carries the contrast agent to the designated location just like other interventional surgeries.
Just like coronary angiography, due to the short pulmonary artery circulation time, only 2 to 4 seconds, CT imaging is technically difficult and not as good as the angiography machine, which can capture the instantaneous dynamics of blood vessels directly and clearly. The advantages of the angiography machine are once again reflected. Clinically, high-risk PE
Pulmonary angiography and thrombolysis and thrombectomy are the first choices for patients. Therefore, the previous CT blood vessel scan results of the lungs and heart are rough scans, which do not have the significance of diagnosis and can only provide doctors with preliminary judgments.
Whether the patient can undergo subsequent surgical operations depends entirely on the results of the first half of the interventional surgery.
Similarly, just like coronary angiography, even if it is only an interventional procedure, for patients who are not high-risk for PE, the interventional surgeon must be cautious and cautious in the medical treatment they perform on the patient, and there is no need to over-treat the patient.
