I Can See Health

   Chapter 432 Failed Electrophysiological Surgery (Second)

   walked out of the outpatient building.

   Xiaofang holds a hospitalization certificate in his hand and is about to take his father to the inpatient department.

   But Father Fang took a few steps and suddenly stopped.

   "Dad, what's wrong?" Xiao Fang looked back at his father in confusion.

   "Didn't you say you wanted to explain it to me in the consultation room?" Fang's father said slowly, "I need to go to the hospital for my illness?"

  Xiao Fang was a little silent.

   He hasn't figured out how to explain to his father.

  According to Professor Lu Chen and Qin Sifeng, his father's early repolarization syndrome was malignant, with a high risk of sudden death.

   At this time, CID implantation in the heart is needed to prevent sudden death.

   "Dad, a minor operation may be required." Xiao Fang looked up at his father, "It's a very common interventional operation. You don't have to worry about minor problems."

  Father Fang frowned and looked at his son, "Fang Yuan, your father, I'm not stupid, I'm going to be hospitalized for surgery, is it a small problem?"

  Xiaofang's tone was stagnant, and he faltered and couldn't speak.

   "If you don't tell me, then I'll go back and find that Professor Qin." After Fang's words, he turned around and went back.

  Xiaofang quickly grabbed his father's sleeve with a bitter tone, "Dad, if you don't go, I say."

  Father Fang turned around and looked at his son.

  The white hair on his temples made Xiao Fang a little stunned.

   He graduated with a doctoral degree, and before he knew it, his father was getting old too.

  I thought that after I graduated and worked, my parents would be able to live a good life, but I didn’t expect that there would always be many unpleasant things in life.

   Many of his classmates, at his age, had already started a family and started a career.

   "Son, just say it directly, no matter how big the problem is, I can bear it." Father Fang smiled calmly.

  Xiaofang organized the language and said slowly: "Dad, there is actually a problem with the electrophysiological conduction system of your heart, which means that the circuit system of a room is faulty."

   "Very serious?" Fang Fu said.

Xiaofang nodded, shook his head again, and said, "There is a certain risk, but it's not exact. A small device needs to be installed at the location of the heart. The next time you get sick again, this device can automatically identify the ECG. abnormal."

   "Well." Fang's father was silent for a few seconds, then glanced at his son, "The surgery fee..."

   "Dad, you don't need to worry about these things." Xiaofang interrupted his father immediately, "Leave the rest to me."

   "But you've only been working for a while..."

"Dad." Xiaofang said again, "I don't have much savings at home for me to study, and I still owe a lot of money. Now that I'm working, it's time to take on my own responsibilities. You, you can listen to me. ."

  Father Fang was startled, then a smile appeared on his wrinkled face.

  Yes, the son has grown up, and he is no longer the boy who grew up under their wings.

   "Dad, let's go, I'll take you to the inpatient department."

"it is good!"

  In the corridor of the hospital, a father and son walked side by side towards the inpatient department.

  …

   Cardiac catheterization room.

  Lu Chen is performing a routine electrophysiological operation - replacing the pacemaker and implanting an ICD.

   Patient is a patient in his seventies.

   Nine years ago, a pacemaker was implanted because the heartbeat was too slow, leading to heart failure.

   Recently, because the battery was exhausted, the pacemaker often stopped working, so there were symptoms of heart failure, such as chest tightness and shortness of breath.

   This time, in addition to replacing the pacemaker for the patient, Lu Chen also needs to implant an ICD to defibrillate.

   "Master, the operation will be over soon, don't be too nervous." Lu Chen smiled and said to the patient, "If there is any discomfort in the middle, you must remind me in time."

"it is good."

  Lu Chen has a lot of experience in this operation.

   Pacemaker implantation is also one of the items that cardiac electrophysiology interventionists must master.

  Disinfection, drape, puncture...

  Everything went so smoothly.

   "Lu Chen, after this operation is over, let's go out to have a meal with me." Xiao Shikang laughed at the side, "I'll take you to meet a few people."

   "Okay, thank you Mr. Xiao." Lu Chen smiled.

  Xiao Shikang is the Deputy Chief Physician of a top-level tertiary hospital. The people he knows are definitely not low in status.

  In the medical circle, it is always good to know a few more people.

   After chatting with Xiao Shikang, Lu Chen and Xiao Shikang continued to gather to focus on this electrophysiological operation.

  The end of the puncture is the entry of the guide wire.

  Lu Chen holds the guide wire and enters from the patient's puncture point.

   On the display screen in front of the operating table, the guide wire has successfully passed through the subclavian vein.

   Next is the superior vena cava.

  Lu Chen's hand gently pulled the guide wire and put it into the blood vessel.

   As long as the guide wire enters the superior vena cava, it can go directly into the heart.

   Suddenly, Lu Chen felt a slight resistance coming from the guide wire in his hand.

  The guide wire passed under the subclavian vein, but could no longer get in!

   "What's wrong?" Lu Chen frowned.

  The subclavian vein, to the superior vena cava, the guide wire should pass very well!

  Lu Chen has never encountered such a situation.

   He turned the direction of the guide wire slightly, and with a little force, wanted to continue feeding the guide wire into it.

   At this time, don’t push too hard.

   Once the force is too strong, the guide wire is likely to injure the blood vessels and even the myocardial tissue.

   However, Lu Chen tried four or five more times.

  The guide wire is still in place and cannot enter the superior vena cava.

   "What's wrong?" Xiao Shikang also noticed the abnormality during the operation.

   "The guide wire seems to be stuck." Lu Chen frowned.

   "Huh?" Xiao Shikang looked at the screen of the operating table, and sure enough, the guide wire could not be advanced forward at the position of the subclavian vein.

   "You can increase the power in your hands a little bit." Xiao Shikang was afraid that Lu Chen was too cautious, so he reminded.

  Lu Chen shook his head slightly and said, "Mr. Xiao, I've already exerted my strength, but I haven't used it yet. The guide wire doesn't even move at all."

  Xiao Shikang was also quite puzzled.

   If a novice in electrophysiological intervention performs this operation and the guide wire cannot pass through, he will definitely think that the surgeon is not skilled enough.

   But the magician in front of him is Lu Chen!

   He can even perform dry pericardiocentesis. Could he be stumped by this small guide wire operation?

   "Let me do it." Xiao Shikang put on his gloves and took over from Lu Chen.

  He held the guide wire tightly, and also slowly pushed the guide wire in.

  A resistance came from his hand immediately, and no matter the direction or angle of the guide wire he adjusted, the guide wire remained motionless.

   At this time, Lu Chen frowned and said, "Mr. Xiao, could it be that the patient's superior vena cava is blocked?"

  Xiao Shikang was shocked when he heard the words, if the patient's superior vena cava is blocked, then the trouble will be big!

   He immediately adjusted the position of the X-ray vascular machine.

   At this time, the patient's superior vena cava was immediately displayed on the screen of the operating table.

   This superior vena cava has become abnormally narrowed compared to normal blood vessels!

   "I'm going, it's really blocked!"

   The two looked at each other, and both saw the helplessness in each other's eyes.

  The superior vena cava is blocked, which means that the surgical channel is blocked!

   "Want to try again?" Lu Chen said slowly.

   He doesn't have any certainty now that this chronic vascular blockage cannot be solved by manpower.

  Xiao Shikang's expression was very helpless, and now he can only do his best.

   Even if the guide wire can pass by luck, can the electrodes after that pass?

  Lu Chen saw that Xiao Shikang had no objection, so he continued to try to push the guide wire in.

  …

   Ten minutes later.

   Lu Chen's right hand was trembling slightly, and there was even sweat oozing from his forehead and the bridge of his nose.

   However, on the screen of the operating table, the guide wire was still in the position of the subclavian vein, and the wire did not move.

   "Exit the guide wire. Come on."

   Following Xiao Shikang's words, this operation was declared a failure!

   (end of this chapter)