Sleepless Doctor
Chapter 91
Wu Mian smiled, "please, director Li."
After entering the director''s office, director Li opened the film reader and asked, "Miss Wu, sit and watch."
He doesn''t care much about what films Wu Mian sees. It''s the strangest thing that no one looks for him as a top doctor like Wu Mian.
The man was a little surprised, but a little doubt in his heart suddenly disappeared. After seeing Wu Mian, although Taoist Lin said things like rejuvenation, doubt is inevitable.
And he didn''t have a badge, nor was he in the office. He just sat in the chair outside and looked like the youngest and most inexperienced intern. But the man was very cautious. Lin Xianchang said it and took it seriously.
He had good eyes. Seeing director Li coming after the operation, he saw the sign of the director of the burn department early in the morning. Although a director of the provincial Capital Medical University would not let him be courteous before and after, it explained a certain problem after all.
Wu Mian was also polite. He sat in director Li''s chair, inserted the patient''s head MRI film and took it down again.
"The MRI is fine. Give me the lung CT."
Chu Zhixi immediately handed Wu Mian the divided bag.
The CT film of the lung was inserted into the film reader. Director Li glanced and saw a little inflammation in the left lower lung.
It''s okay, he thought. Mr. Wu watches the film so fast. What''s next? Director Li guessed.
But to Director Li''s surprise, Wu Mian did not take down the film, but looked at a lung CT without anything for a long time.
"Brother, what''s the problem?" Chu Zhixi asked suspiciously.
"There are some density problems in the shadow of lung inflammation." Wu Mian said gently, "didn''t you do full abdominal CT?"
"Well, no, only B-ultrasound, no problem with the adrenal gland," chuzhixi said.
Wu Mian put her arms on the table and looked at the film on the reader carefully.
After nearly a minute, Wu Mian said, "director Li."
Director Li was stunned. He didn''t expect to have something to do with himself. He hurriedly said, "what''s the matter, Mr. Wu."
"Chest, familiar."
"Familiar, familiar."
"Help me contact a bed. Now the top three still let me add a bed?"
"It''s all right. If they don''t have a bed, I''ll contact the special needs ward." director Li happily promised. As for a little inflammation in the left lower lung, why should they be hospitalized anyway, he didn''t dare to ask.
Diagnostic teaching books are written by Mr. Wu. What do you have to ask.
"OK, first do some examinations, then anti-inflammatory symptomatic treatment, and recheck lung CT in about 5 days."
Director Li called while listening to Wu Mian''s medical advice.
The phone rang a lot and the other side didn''t answer. Director Li glanced at his mobile phone and said, "Miss Wu, please sit down first. I''ll take a look at the chest department."
"Hard work." Wu Mian still looked at the film and said politely.
Before director Li went out, the mobile phone rang.
"Director Fang, what about the operation?"
The voice on the other side of the phone was very low. Wu Mian''s ears moved slightly and asked, "my heart has passed. Is there something wrong with the circulating catheter?"
Director Li didn''t hide it from Wu Mian. Because there were patients, he went to Wu Mian and said to his ears, "the steel wire fell out when the balloon was expanded."
"Director Gao is on the operating table? Ask if you want me to take a look." Wu Mian''s eyes kept staring at the film.
……
……
Gao Baixiang hurried to the operating room. On the way, he called all the people who had heart and chest.
I took a group of professors to do a coronary balloon dilatation operation. I just called the rescue desk and said that the steel wire fell off.
Upon hearing the news, Gao Baixiang''s brain "buzzed".
The steel wire is in the heart. If it goes into the pulmonary artery, it''s a fucking thing. Hurried to the operating room, changed his clothes and just entered the corridor, he heard a voice coming from inside.
"Lika, Lika, push slowly!"
As soon as he entered the operation room, Gao Baixiang heard the hurried voice of the professor with the group.
Lidocaine static push, is this ventricular tachycardia?
Ventricular tachycardia is a common manifestation of arrhythmia. It occurs during operation and is basically relieved by intravenous lidocaine. If it doesn''t work, it will be relieved with diltiazem or verapamil.
"What''s the matter?" Gao Baixiang hurried over and asked.
"Director, the operation was going well." two and a half turns of "steel wire entered the left atrium again. During the withdrawal of Inoue balloon, it was found that the end of the steel wire did not move during the withdrawal."
The professor with the group whispered the operation process just now. At the same time, Gao Baixiang began to read the operation images. The process is very simple, but it is more difficult to reverse this process than going to heaven.
As the professor with the group said earlier, the extended Inoue balloon was pulled to the right atrium. After pulling into the right atrium, it was immediately found that the spring wire at the end of the steel wire had been completely disconnected and landed in the right atrium.
"Why are you so careless!" Gao Baixiang shouted angrily, but he didn''t have time to worry about this. Then he asked, "ventricular speed?"
"Well, looking under C-arm, the spring wire beat violently with the heartbeat in a large range." the professor with the group spoke less and less, and the sterile cap on his forehead was wet with sweat. This is that he was wearing lead clothes, otherwise his whole body was dark green and wet with sweat.
"Let me have a look." Gao Baixiang quickly closed the airtight lead door and irradiated it with a C-arm.
On the opposite screen, the small spring wire moves violently with the influence of heartbeat and blood flow, and is occasionally embedded in the tricuspid valve, which immediately leads to transient ventricular tachycardia.
After seeing the image, Gao Baixiang''s heels were cold.
The steel wire may fall into the right ventricle or pulmonary artery at any time. If it falls into
It is said that this kind of operation belongs to cardiothoracic surgery, but Gao Baixiang is timid. He is afraid of using common chest, so he simply looks for it.
Gao Baixiang was a little anxious. He quickly went to brush his hands, put on lead clothes and wear sterile clothes.
The falling spring wire may fall into the pulmonary artery at any time to form pulmonary embolism, which is a fatal thing.
The embolism formed by spring wire is different from thrombosis. There is no way to dissolve the thrombus at all. If you really fall in, you have to open your heart and take it out.
Once the operation... Patients with coronary heart disease are not in good health. It''s hard to say whether they can get off the operating table. If cardiopulmonary bypass and cardiac arrest are needed during the operation... I really dare not think of the consequences.
Gao Baixiang walked with wind, brushed his hands, dressed and stood at the position of the operator as fast as possible.
He skillfully broke the radian of the J-shaped guide wire larger, looked at the position and shape of the spring wire against the screen, and broke it again, so he sent the J-shaped guide wire in.
Surgery can not be urgent. The more "urgent" the operation, the more "urgent".
The ordinary "J" guide wire went down and was offset by the blood in the heart, so it couldn''t catch the falling spring wire at all.