I Spent Those Years In the Operating Room Fighting Monsters

"I'm in the operating room to fight monsters in those years novels ( to find the latest chapters!

Kang Xinghua intends to go out again to urge the family members’ opinions. It’s not a problem that this leg has been dragged like this. In case the vein thrombosis of the lower limbs falls off during this process, it may cause myocardial infarction, pulmonary infarction and cerebral infarction. He couldn't even save his life in the end. Let alone the legs.

Life is gone, even if the leg is still there, it is just a pile of bones in the end, what's the use?

Originally, Kang Xinghua could not recognize who Lu Cheng was. Although Lu Cheng had been in the second orthopedics training for the longest time, and he had also been in Kang Xinghua’s group, Kang Xinghua was the chief director at the time. Pearson is more concerned, let alone wearing a mask?

However, the little doctor Lu Cheng impressed him too deeply after the completion of the training, so Kang Xinghua still remembers even Lu Cheng wearing a mask, especially Lu Cheng's eyes.

As a trainee of Xiaogui, Lu Cheng must be very familiar with the director. After a moment of stunned, he shouted, "Hello, director Kang!"

Lu Cheng's proactive greeting didn't change Kang Xinghua's expression and eyes too much. On the contrary, he acted extremely enthusiastically: "Well, Xiao Lu! It's you. I thought it would be two days before you came to Chang City. Did Chen Bing call you to come to the operating room?"

Kang Xinghua, an old scheming boy, even if he hates Lu Cheng in his heart. How could it be possible that because of the past, Lu Cheng had spoken harshly on the face of something?

Lu Cheng was called by Chen Bing as an instructor from the Second Xiangya Hospital. Although Kang Xinghua did not believe that Lu Cheng was qualified to be an instructor, Chen Bing’s move seemed to be slapping him in the face, but Kang Xinghua believed that Chen Bing was acting as an instructor. Director, he can do whatever he likes, as long as he doesn't get his current three-square-meter land.

After unloading the burden of the director, Kang Xinghua's mentality has changed a lot. What is the development of orthopedics, and what does it have to do with him?

He has worked hard for the development of orthopedics. Although the method may not seem right to others, it is indeed a solution. The Changshi First People's Hospital is such a place. If you don’t go to the upper position, then your department Is the target of being bullied.

As one of the oldest departments in orthopedics and surgery, emergency surgery is never rare, but the average performance is occasionally lower than that of the emergency department!

What can you do? Orthopedics are also human, and they also have to eat!

But now this matter, he left it to Chen Bing to worry, anyway, he can no longer enter, he himself is now the title of director, and there is no shortage of money, but if the orthopedics has always been like this In terms of remuneration, then there is no way to retain talents, so don't talk about development at all.

Generating power for love, drawing big cakes, talking about medical ethics and kindness, are all nonsense. You don't feed people, give them the treatment they should be, and you don't want to come to this ghost place of you after changing your career!

"No, Director Kang, a friend called me to come and have a look. The injured person is my friend's brother." Kang Xinghua's sudden enthusiasm made Lu Cheng a little flustered, but it was just a little bit.

Now Lu Cheng and Kang Xinghua are not in the same system. Kang Xinghua has to weigh his own identity even if he wants to use any means. Lu Cheng is now a student of Shonan University, with student status, and is a piece of Lu Cheng's amulet.

In addition, no matter what, there are two monuments, Li Dongshan and Min Hong, which I dare not talk about in the whole country, but in the interior of Hunan Province, they can still eat a little bit.

Kang Xinghua heard this, and didn't say much, just said, "Then Xiao Lu, please wash your hands on the stage first. The stage is also bad. I'm going to talk to my family members now!"

Lu Cheng nodded and said, "Okay, Director Kang!"

...

When there is no interest dispute, everyone can chat with Yan Yue, anyway, it doesn't cost money!

Lu Cheng gave way to Kang Xinghua. After Kang Xinghua walked out, he walked to the operating table and looked at the young man who was undergoing surgery!

The youth's green life value is only about 500 left!

From the chest cavity to the legs, there are red spots, but there are more red spots on the legs.

But it seems to be a lot, but the level of each red dot is actually not very high for Lu Cheng now, just over twenty degrees. However, the monster level finally formed by dense red dots has reached lv81!

"Extensive arterial embolism of both lower extremities, branch vein embolism of both lower extremities, soft tissue crush injury! Vascular injury, nerve crush injury lv81! Features: embolization progress speed +10%, muscle necrosis speed +20%, fat and muscle necrosis dissolution speed + 50%! Comment: It is recommended to amputate as soon as possible to avoid death!"

Good guys!

This can no longer be simply described as tricky.

After Lu Cheng finished reading it, he immediately put on special orthopedic microscopic glasses, which immediately revealed the patient's blood flow to Lu Cheng's eyes.

Good guy, basically, under the knee joint, in all the branches of arteries and veins, there are thrombi, and the thrombus is still getting bigger!

However, the instruments used in vascular surgery from the femoral artery have not yet been removed. There are still a lot of black thrombus traces on the operating table. Lu Cheng estimated that it may be a vascular surgery person who removed the thrombus from the femoral artery. Or it is taken out from the popliteal artery. The branches of the popliteal artery and the proximal end of the anterior and posterior tibial arteries are also connected.

Obviously, after the vascular surgeon has completed the thrombus removal of the relatively large blood vessels, there is no way to go further.

One is from the femoral artery to the lower part of the knee joint, the distance is too far, and most of the space for the operation has been lost, and without the aid of any imaging, they can't blindly guess where to go next. go!

Seeing this, Lu Cheng immediately withdrew from the operating room, and then washed his hands as quickly as possible.

This patient is special, so the roving nurses directly assigned three. Even the director Zeng De was performing hemostasis on the surface of the liver on the operating table. Therefore, the roving nurse didn’t ask Lu Cheng in which department, so he dressed him. The clothes are ready.

What's more, Lu Cheng had chatted with Kang Xinghua before, and it proved to be a person in the hospital. In this way, no one would doubt it.

After Lu Cheng put on his clothes and put on his gloves, he immediately came to the opening that Tan Yuanwu had opened before.

In fact, the most suitable thrombectomy technique for this patient is the arterial thrombectomy from the popliteal fossa. However, the patient also has abdominal injuries, and the popliteal fossa is behind, so he can only take the supine position!

Thrombosis will only damage the legs, and if the injury in the abdomen is not dealt with, it will also be fatal!

Therefore, Tan Yuanwu can only retreat from the femoral artery to perform ultra-long-distance arterial balloon dilation and embolectomy.

Zeng Dewei glanced at Lu Cheng who was operating, but didn't say much, instead he chose to continue to treat his abdomen with the general gastrointestinal surgeon.

Lu Cheng immediately extended the balloon down, and then along the femoral artery to the popliteal artery. With the vision of the glasses, Lu Cheng saw the position of the distal end of the balloon tube. Lu Cheng turned a little bit. Go straight into the anterior tibial artery!

The anterior tibial artery is slightly simpler, unlike the posterior tibial artery that branches into the posterior tibial artery and the peroneal artery.

And the role of the anterior tibial artery is important, it can always supply blood to the dorsal foot artery!

However, even if the thrombus in the anterior tibial artery is removed, it is still useless. Because there is a thrombus in the dorsal foot artery, Lu Cheng must perform at least two accurate thrombectomy operations to be able to really get the lower limbs. Restore blood supply.

At this moment, Lu Cheng's spiritual power is highly concentrated throughout the process.

Endovascular catheterization is similar to arthroscopic surgery, but there are more differences. The catheter has been extended from the femoral artery to the anterior tibial artery. This is already an extra-long tube, no less than the catheter from the neck. The blood vessels extend into the cerebral blood vessels!

And this is still operated without the aid of angiography, and there is no way to make a difference.

Otherwise, in case the blood vessel is pierced or the inner wall of the blood vessel is scraped, a tear in the arterial intima will be formed, and the patient cannot withstand such a toss.

Finally, when Lu Cheng's catheter touched the front end of the thrombus, it became a little difficult for Lu Cheng to move on.

The catheter is soft, but the thrombus is not soft, and it cannot penetrate violently. At this moment, the branch artery is almost only a little bigger than the catheter!

If it is larger, the balloon catheter will not be effective and will only push the thrombus further forward.

After Lu Cheng probed the thrombus with his hand, with a little effort, the catheter passed through the thrombus. When it was inside, before halfway through it, when it was pushed forward, it was already pushing the anterior tibial artery more. The thrombus at the far end was pushed farther.

Lu Cheng tried again, but the catheter still couldn't be passed through again, so he could only inflate the balloon, and then began to pull back the thrombus that had passed.

But not fast. If it is pulled too fast, it will damage the blood vessels, and it will also easily cause the thrombus to detach from the bifurcation of the tibial anterior and posterior arteries to other vascular lumens. In addition, it may also push the blood vessels into the anterior recurrent arteries of the knee joint. go.

The recurrent knee artery and the anterior tibial artery are a bifurcation!

Therefore, you must be careful in this process. Lu Cheng carefully controlled the direction of the nearest end of the blood clot, and then slowly adjusted it, and then finally!

Lu Cheng took the thrombus out of the common artery before the branches of the anterior tibial artery and the anterior recurrent knee artery. Then use the same principle to bring the thrombus back to the popliteal artery!

At this time, Lu Chengcai sighed fiercely. In the eyes of others, Lu Cheng was like an apprentice in the process of entering and retrieving the intravascular balloon catheter, so his movements were very slow.

But don't you know that Lu Cheng's balloon is carrying a heavy thrombus at this moment!

Moreover, when it reaches the large blood vessel, you must pay attention to continue to expand the balloon a little bit, otherwise, the large blood vessel's official cavity may be larger than the sum of the diameter of the thrombus and the balloon expanded in the small blood vessel, and then the thrombus will fall on Unknown!

Lu Cheng dragged it back slowly, and then took out the first blood clot!

"Itinerant teacher, can you get me another balloon catheter with the smallest model?" Lu Cheng asked the itinerant nurse.

The itinerant nurse immediately said yes, without any hesitation, and quickly opened a thinner catheter and came on stage.

Seeing that Lu Cheng took out the blood clot, Zeng Dewei and several other people who performed abdominal surgery didn't think anything. Before Tan Yuanwu went out, they said that the patient had a lot of blood clots and they were widely distributed. Even if one or two were taken out, The significance is not great either.

Because of this, when Lu Cheng operates here, even if he looks young, the patient's lower limbs are already very likely to be amputated, so let Lu Cheng practice his hands, there is nothing wrong with it!

Lu Cheng changed the thin tube, felt it in his hand, and suddenly frowned.

The smaller the thing, the harder it will be in the longitudinal direction. The catheter has to go around the femoral artery to the anterior tibial artery and even the farther dorsal artery and metatarsal artery at least several times!

As a result, it is more difficult to receive longitudinal force and break through the thrombus, which requires more precise force control!

...

Kang Xinghua, Chen Bing and Tan Yuanwu walked into the operating room together from the door of the operating room, their faces gloomy.

Although at this moment Yue Jiguo and others have already relaxed, saying that if their lives are threatened, they would choose to amputate their limbs, but I still hope that Tan Yuanwu and the others can work harder. Even if it is a delay, it is a good thing to leave the last glimmer of hope.

In fact, how can they not want to save this patient, without mentioning his identity, everyone's identity on the operating table has only one identity, just a patient!

Being able to break through this disease is a particularly big breakthrough in terms of their technology!

Chen Bing is the least aware of the situation, so he asked: "Director Tan, how long can the patient be able to support his current situation? In such a situation, it might not be possible to keep one leg?"

If you can’t keep two, then keep one first, and keep one is one.

Tan Yuanwu shook his head: "The anterior tibial and posterior tibial arteries, and even the lower arteries of the anterior tibial and posterior tibial arteries are all blocked, and now there is no angiography, unless all the blood vessels are cut down to find the thrombus! "

"But in this way, even if the thrombus is found, it doesn't make much sense!"

"Moreover, the patient has to perform abdominal surgery, so we are not allowed to operate on the popliteal fossa behind the tibia and the back of the calf."

"The current situation is very troublesome, basically there is no way."

"If you simply use a balloon to take it~www.wuxiaspot.com~ the catheter is inserted from the femoral artery, not to mention the distance. When it reaches the distal end of the blood vessel, the catheter should be replaced with a smaller one. Poor, so even if the thrombus can be found, it would be unrealistic to take it out. If it can take out such a remote thrombus."

"Theoretically speaking, there are basically no patients who have to be amputated due to arterial embolism. This kind of operation is in the whole country, and few people dare to guarantee it by themselves!"

While he was talking, Tan Yuanwu opened the sensor door with a cry, and after pushing the door open, he saw that a stranger was operating in the operating position that was supposed to belong to him!

At that time, Tan Yuanwu was stupid.

who am I? Am I called Tan Yuanwu, am I still the director of vascular surgery?

If I were, then who would dare to stand in my operating position and perform vascular surgery on a patient who had stopped to continue the operation at this moment?

In order to facilitate the next reading, you can click on the "Favorites" below to record this time (Chapter 221 Who is Tan Yuanwu?!) Read the record, and you can see it next time you open the bookshelf!

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