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Chapter 215 Director Xiong Chumo

Director Xiong hurried to the Fourth Hospital. He changed his clothes as quickly as possible and rushed to the intervention room. "What's going on...Dean Wu?!" He was frightened by the old dean who suddenly appeared on his property.

A jump.

"I brought a team here for support." Dean Wu Youqian roughly explained the reason why he suddenly appeared in the Fourth Hospital and then pointed to the patient lying on the operating table, "This is a plague patient with precursors to D.I.C. Currently there is

Severe gastric vein bleeding. Because there are signs of DIC, gastroscopic hemostatic agents or ligation cannot be used. Interventional embolization of the gastric veins can only be used."

This was a very serious challenge, but Director Xiong Chumo himself quickly calmed down. He looked at the angiography data previously prepared for the patient, pondered for a moment, nodded, and gave his own

Opinion: "It's a bit risky, but worth a try."

In technical departments such as the Interventional Department or the Imaging Department, the department directors are generally not too old. Director Xiong is probably the youngest director in the entire fourth hospital, if guys like Sun Lien, who are nicknamed "directors", are not counted.

In other words, Director Xiong, who is two years younger than Zhou Jun, is indeed the youngest director in the fourth hospital.

"Then I'll give you a hard time and do it as soon as possible." After hearing the affirmative answer, Wu Youqian breathed a sigh of relief. If Xiong Chumo couldn't deal with the gastric vein thrombosis, then the only option left was to bite the bullet and put it on.

Banding, or simply performing a gastrectomy on the patient. However, bandaging still cannot prevent subsequent bleeding, and gastrectomy will bring greater risks. Either way is a way to quench thirst.

Under the current conditions, only embolization can save lives.

Due to the influence of venous valves, vein-related interventional surgeries cannot start from the limbs like arterial interventional surgeries, so the initial operation is more difficult than arterial interventional surgeries. The only good thing is that veins are generally more difficult to perform than arterial interventional surgeries.

Veins are thicker, and the internal pressure is not as great as arteries. As long as the needle can be inserted smoothly, at least the subsequent troubles will be slightly less.

"The left and right main branches of the portal vein are unobstructed, and there are no emboli or cavernous lesions." Director Xiong reconfirmed the B-ultrasound observation results. It's not that he doesn't trust other doctors in his department, but it doesn't cost too much.

It wouldn't hurt to take the time and effort to double check. "DSA on, ready for photography."

Under the perspective of the digital subtraction angiography instrument, a 22g Chiba needle was punctured into Hou Huiying's flank through the right midaxillary line. After continuing downward to a depth of about six centimeters, the Chiba needle was inserted into Hou Huiying.

The right branch of the intrahepatic portal vein. Using the channel established by the Chiba needle puncture, Director Xiong slowly sent the 0.035-inch guidewire in his hand into Hou Huiying's superior mesenteric vein.

He did this step very slowly. Passing through such a complex blood vessel structure required a pair of very stable hands and extraordinary patience. It was like trying to control a thin and soft metal wire to pass through a large tangled mass.

The water pipe cannot be pierced or scratched, and during the process of passing through, you can only see the projection of a certain angle. Yes, only the projection.

This not only requires sufficient experience and technology, but also requires the doctor to have excellent knowledge of blood vessel structure and three-dimensional thinking ability. Human blood vessels are absolutely unable to resist metal guidewire puncture. Therefore, when performing interventional surgery, Director Xiong must be special

Pay attention to the touch from the guide wire on his hand. This way he can stop the movement of his hand and adjust the direction of the guide wire before the guide wire accidentally penetrates the blood vessel.

The whole operation was highlighted by the word "slow". Forty-five minutes after the operation started, Director Xiong finally sent the guide wire to the bleeding gastric fundus vein.

As a Class A infectious disease, plague falls within the scope of free treatment by the state. But generally speaking, the scope of free treatment is mainly focused on the plague itself, and the spring coils used to embolize blood vessels are likely to be beyond the scope of payment. This fee,

It was paid in advance by the Fourth Hospital.

Regardless of whether the National Health Commission can allocate funds in the future, at least for now, coils must be used for embolization treatment. This is the biggest consensus reached after a quick discussion between the support expert group and the management of the fourth hospital.

After the vascular sheath was installed, the operation finally started. First, absolute ethanol and gelatin sponge fragments were injected as vascular sclerosing agents. However, since Hou Huiying did not have gastric varices caused by liver cirrhosis, this could be dispensed with.

One step. Then the spring coil is inserted and the action of releasing the spring coil is quite fast. It takes less than ten minutes to complete. The last step is to use the window of the spring coil to slow down the blood flow speed, and use 5% cod liver sodium oleate and gelatin sponge particles to

The bleeding port is blocked.

"Portal vein pressure measurement, 23.2cm h20." Director Xiong glanced at the instrument and said, "It is 1.6cm higher than before the embolization. The embolization is effective."

The increase in portal vein pressure means that the embolization of the gastric vein has been successful. This can also be demonstrated by the delay of the contrast agent in the gastric vein.

"Okay." The rest of the work can be left to other doctors. Director Xiong waved his hand and frowned, saying to the nurse on the side, "Help me put some pressure on my hand, it's cramped."

"This interventional room needs to be closed for thorough disinfection." Watching Xiong Chumo complete the operation, Dean Wu Youqian, who had been standing next to him, said, "Thank you for your hard work, Little Bear, you are the big hero today."

Director Xiong grinned while being pressed by the nurse, and said to Wu Youqian, "It's all my job, this is nothing. But... Director Wu, are you here just because of the plague patients?"

Wu Youqian smiled kindly and drooped his eyelids to cover the flash of light in his eyes.

The operation went smoothly, which was a good thing. But for Tang Wen, who woke up, he found that his mother was not there when he opened his eyes. This was simply too bad.

"Your mother has gastric ulcers, right?" Sun Lien noticed early in the morning that Tang Wen was in a state of "panic" again. You could guess with your heels that he was worried that his mother would suddenly be pushed out of the vagina.

room, it may mean that she is dead. If you explain to him now, Tang Wen will not believe it. It is better to take the initiative to resolve the entanglement in his heart. "Just now we found that she had gastric bleeding, so we pushed her directly to the room."

Went to the operating room."

Sun Lien talked to Tang Wen through the intercom through the glass wall of the clean room. The doctors from the Centers for Disease Control and Prevention and the doctors from the expert team in the room had not yet noticed that Tang Wen was awake. They were startled by Sun Lien's sudden speech. They heard half of it.

, they realized that this was probably Tang Wen waking up, and Dr. Sun was trying to calm him down.

"As for the people around you, don't be too nervous. They are all doctors." Sun Lien saw that the "Panic" status bar was showing signs of fading, and he quickly continued to strike while the iron was hot, "The conditions of you and your family are relatively stable. Don't worry,

We will do everything we can to treat you."

"Sun Lien, come here." Sun Lien had just finished the conversation when Dean Song's voice came from behind him, "I have something to talk to you about."


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