Since 1981 Health School

  Chapter 599 Have you ever heard of interventional surgery?

  There is another one, for interventional therapy, the radiation received by the doctor is very powerful.

   Performing an interventional operation, the radiation received by the surgeon is equivalent to that of a radiologist for a year.

   Sometimes one interventional operation does not go well, or the operation lasts for three or four hours, which is equivalent to taking more than 1,000 X-rays continuously.

   This amount of radiation is very scary.

  Think about it, if one day you go to the hospital to see a doctor, and the doctor asks you to take 1000-line X-rays in one breath, who will not run away? I'm afraid I'm going to kill the doctor.

  So doctors in the Department of Cardiology who are doing interventional surgery, although the income is really high and the money is really a lot, but the danger is really dangerous.

  Anyway, few people have hair, systemic blood diseases are commonplace, and the proportion of serious ones directly caused by blood diseases and cancer is quite high.

  Unmarried men also face a chromosomal mutation due to long-term radiation, which has an impact on fertility.

   Among Chen Qi's classmates in his previous life, those from the Department of Cardiology, Orthopedics, and Oncology made the most money. The reason, um, I understand, anyway, he is a poor hepatobiliary surgeon.

   But Chen Qi didn't envy them at all. After all, the cardiology department was involved in it, and it was really exchanging life for money.

   Few of the first generation of doctors who practice interventional surgery in China can get retirement wages.

   Now, Cui Tongzhi's myocardial infarction should be saved or not? This made Chen Qi hesitate a little, after all, the risk he had to take was too great.

  Professor Tong is also very anxious: "Xiao Chen, what are you going to do with this patient? Hurry up."

  Everyone is anxious.

  Director Liang Ping An next to him realized that it was time to get back the game, and thought to himself, isn’t Yue Zhong a good digestive medicine doctor? But our Xijing Hospital is strong in all departments, and any department is a trump card.

  So intentionally or unintentionally, he said ostentatiously:

   "Ah, it's a pity, it's a pity, it would be great if this patient was in our Xijing Hospital. Not only can we use thrombolytic therapy, but also the heart bypass technology of our cardiac surgery is famous all over the country.

   I’m not bragging. If this patient were in our hospital, the possibility of saving his life would be very high. But now he is in Yuezhong Hospital, which doesn’t even have a cardiology department or a cardiac surgery department. What should we do? I can only watch helplessly. "

  As soon as these words came out, the people at Xijing Hospital all smiled knowingly, saying everything without saying anything.

  The expressions of the doctors at Liyue Chinese Medicine Hospital in the emergency department all changed.

   I have to admit that the gap between a local hospital and a top hospital is all-round, including the division of departments.

  Vietnam People’s Hospital does not have a Department of Cardiology or Cardiac Surgery. It is true that there is no way to rescue heart disease. For example, there is no way to do “heart bypass surgery” in Yuezhong People’s Hospital. This is a fact.

  In addition, Yuezhong Hospital is not yet able to perform brain surgery, and even liver surgery is rarely involved.

   These are difficult operations that can only be performed by top hospitals, and Xijing Hospital is one of the few top hospitals in China.

  Difficult operations cannot be performed in our own hospital, but others can. This is the gap between hospitals.

  Facts are facts, but the doctors on the Yuezhong side were obviously a little bit unconvinced when they heard Director Liang of Xijing Hospital, but no one refuted them, they just looked at their director pitifully.

  I was shouting in my heart: Dean, don't be despised by others, show them some color.

Chen Qi also saw everyone's longing eyes and such unconvinced spirit, which shows that everyone has a strong sense of identity with the unit and a strong sense of collective honor, and the "arrogance" of all the staff in the hospital has been aroused .

   This is a good thing, they should not be looked down upon by others, and they should cheer up their employees at critical moments!

  Thinking of this, Chen Qi made up his mind, and Cui Tong knew that he would be saved.

   "I don't agree with Director Liang's words. Although our Yuezhong People's Hospital has not yet opened a cardiology department, we have already considered this problem, so we have introduced relevant equipment and medicines for cardiac surgery, and are ready to try to attack heart problems."

Huh?

  Everyone at Xijing Hospital was surprised, including Professor Tong. The old man had no intention of ridiculing, but he was equally curious:

"Xiao Chen, it's not easy to develop a cardiology department. The cardiology department is okay, but the heart surgery department needs to operate on the heart. This is quite difficult, so you have to be careful. Even in the heart surgery department of Xijing Hospital, most of the doctors are abroad. You can only reach this level after studying abroad. Moreover, all relevant medical equipment is imported, which is extremely expensive.”

  Chen Qi thought to himself that I don't want to do bypass surgery, but only interventional surgery. What foreign training history do I need?

  In the words of a certain Bingbing: "I am a rich man!"

   "I don't know if Professor Tong and you have heard of it. Cardiac interventional surgery is already being carried out abroad. It doesn't require surgery. For diseases such as coronary artery blockage, only a catheter and a stent can solve it."

   After all, they are doctors from top hospitals. Even if they are not cardiologists, Professor Tong and Director Liang know interventional surgery.

   "I have heard of it, and we have seen related papers, but it has not been introduced in China, and there are not many developments abroad. It is said that it is quite controversial."

  In 1989, foreign countries were indeed controversial about stents and interventional surgery.

  Because the first-generation stents are made of stainless steel, the walls of the stents are relatively thick, and the coating materials are all non-degradable polymers.

   While this stainless steel stent significantly reduces restenosis, there is an increased risk of late stent thrombosis, which is often fatal.

  Foreign studies have shown that although many myocardial infarction patients survived the first time because of the installation of stents, they often eventually died of thrombotic diseases, such as cerebral infarction, pulmonary infarction, and so on.

  Chen Qi thought to himself, the operating room in my space uses drug-eluting stents.

The stainless steel material is replaced by a higher strength cobalt-chromium alloy or platinum-chromium alloy, which makes the thickness of the stent wall thinner, coupled with high-tech polymer coating, the rate of restenosis and the incidence of thrombosis in the stent after stent surgery have been reduced. to very low.

  So Chen Qi has enough confidence to cure Cui Tongzhi's myocardial infarction, of course he can't say, so he retorted:

   "Professor Tong, several teachers, the primary goal of medicine is to save life. We only need to save the patient's life before we can talk about side effects in the future. If the person dies, any argument is meaningless.

Although heart bypass surgery is good, it also has many side effects. One is that it requires a thoracotomy and the damage is great. The second is that the cost of the operation is too expensive. Tens of thousands of dollars can't be taken down at all.

In addition, it is not just that the operation is done, but also imported anti-platelet aggregation drugs, which is a huge sum of money, and ordinary people simply cannot afford it, so this is why heart bypass surgery is not promoted in secondary hospitals One of the important reasons.

  Interventional surgery has various problems, but interventional surgery is simple. It only needs an X-ray machine, a catheter, a stent, or even two doctors to operate, so I think it will definitely become the mainstream in the future. "

  Professor Tong nodded:

   "You are right. We doctors should keep accepting new things so that medicine can keep advancing. So now there is a question, you, a gastroenterologist, can you really perform heart disease operations?"

  The doctors of Xijing Hospital were taken aback when they heard this, and then they were happy.

  Yes, doctors are all specialized. It cannot be said that there are no doctors who cross borders and disciplines, but they are very rare. The more top hospitals, the less likely they are.

   You, Chen Qi, have been bragging for a long time. If you don’t know how to perform interventional surgery in the end, isn’t it useless?

  On the contrary, the doctors of Xijing Hospital were suspicious, and the doctors of Yuezhong Hospital were much more relaxed. Anyway, the dean of the hospital is a generalist who can perform any operation. What is a small heart?

  Look, I'm already crazy, little heart...

  Chen Qi laughed out loud when he heard this:

   "Everyone, I'm afraid you don't know that I am a surgeon. Endoscopic surgery in gastroenterology is purely for fun. Don't forget that my first and second directors of the International Medical Association are plastic surgery and hand surgery."

  The doctors of Xijing Hospital were dumbfounded when they heard this, and for a long time they forgot that this Dean Chen is a well-known "not doing business properly" all over the country.

  While many doctors were still discussing the treatment plan, the patient over there was in a hurry.

  Cui Tongzhi has been afraid to move since he knew he had a heart attack. He knows the danger of a heart attack and knows that it is almost a fatal disease.

  So he looked at Chen Qi eagerly, especially when he heard that Chen Qi had a way to save him. In his eyes, this Dean Chen is the living Avalokitesvara, a living Bodhisattva reincarnated, and he can't wait to kneel down and kowtow a few times.

   "Dean Chen, save me, save me..."

  Many myocardial infarctions are not all sudden death. In fact, many of them have attack periods. Of course, cardiac arrest is something that may happen at any time.

  Chen Qi held Cui Tongzhi's hand and comforted him:

"Old Cui, listen to me, now I'm going to use a brand new operation to help you treat myocardial infarction. This operation has certain risks, so you need the consent of your family. I will prepare it now. When your family arrives, I will operate on you right away."

   Before he finished speaking, there was a burst of heart-piercing cries outside the emergency department:

"Tongzhi, ah, my poor fellow~~~ You were fine when you went to work in the morning, why did you have a heart attack now~~~ What do you want me and the children to do~~ ~"

  The crying sound made Cui Tongzhi's heart beat a little faster, and the emergency doctor ran out again and again to stop him:

   "Don't cry, don't cry, your husband is not dead yet, if you continue to cry, you will cry to death."

   When Cai Fengdi heard that her husband was not dead, she immediately touched her tears, "Then his colleague also said that Lao Cui had a heart attack?"

  Yi Zewen said angrily: "Who says death is inevitable after a heart attack?"

  Cai Fengdi and several colleagues in the post office were a little puzzled: "Isn't it?"

  In the eyes of ordinary people, myocardial infarction is a dead end. Anyway, among the patients with myocardial infarction they have heard, none of them can be saved.

  Chen Qi waved at the family members at the door:

"Come on, Lao Cui isn't dead yet, but he's about to die. You're the wife, hurry up and sign. We're about to have surgery. Let me say it first. You know what a heart attack is. No treatment plan is perfect. , so you still have to be mentally prepared.”

  The death rate of myocardial infarction is still quite high, and Chen Qi is not sure that he will be able to save his life. This is why doctors never dare to speak full words.

  Cai Fengdi knew that her husband was not dead yet, so she suddenly had a strong desire to survive. She ran over and held her husband's hand tightly:

"President Chen, we are not unreasonable people, you can save it, save it as you like, spend as much money as you want, take as many risks as you want, anyway, as long as my family members can survive, Even if there is little hope, you should do your best to help me save my life."

   "Okay, with your words!"

  Chen Qi nodded heavily. He had no reason to shirk his family members' trust and cooperation:

"Well, Yi Zewen, you will operate with me later; Chen Li, help prepare the instruments and disinfection kits; Zhang Xing, call the security department. Except for the three of us, no one else is allowed to approach .”

  Chen Qi's old method, except for his confidants, the less people see it, the better.

   As for whether Yi Zewen, Chen Li, Zhang Xing, and Yang Xiuxiu's confidantes will betray him, Chen Qi is not very worried.

  One is a doctor performing an operation, what is there to investigate? Who will investigate? Or which external force will come to buy them a few little doctors and nurses?

  The second Chen Qi has his own set of rhetoric. Don’t forget that he used the excuse that it was developed in Huaguo abroad, but in China he used the excuse that it was caused by foreign countries.

  Interventional surgery has indeed been done abroad, and this is public, so it is nothing unusual for Chen Qi to do an interventional surgery.

   It’s okay to talk about catheters and stents. After all, these things are small, and they can be taken out as soon as you take them out.

  The only troublesome thing is the medical angiography X-ray machine.

  This is a huge machine consisting of a high-voltage generator, X-ray tube assembly, beam limiter, C-arm, catheter bed, image intensifier, and digital image processing device, requiring a dedicated studio.

  If Yi Zewen and Chen Li suddenly appeared in the Yuezhong People's Hospital, Yi Zewen and Chen Li are not stupid, so they should be suspicious.

  When Chen Qi was thinking of an excuse, he suddenly remembered that there was a set of "field hospital equipment" in the operating room of his own space.

  This field hospital equipment means that in an emergency, such as a natural disaster or a war, it is necessary to temporarily set up a hospital in the field to rescue the wounded.

   Although the province where Chen Qi lived in his previous life did not fight wars, there were many natural disasters, such as terrible typhoons, which often caused heavy casualties, and local hospitals were often paralyzed due to disasters.

  As a provincial hospital, Tongde Hospital has a complete set of field hospitals, which can be used at any time and are in a state of combat readiness for a long time.

   At this time, those large medical machines cannot be taken out. For example, how can such a large CT machine be sent to the field? There is no electricity.

  So the equipment for the field hospital is required to be portable and have a battery that can guarantee independent operation.

  For example, the bedside CT and notebook B-ultrasound machines that Chen Qi used before were all taken out of the equipment library of the field hospital.

  Chen Qi thought about whether there was a small angiographic X-ray machine in the warehouse, or it had its own battery, which could be used in the tent.

  So he quickly ran to the General Affairs Department and asked them to quickly set up a tent in the backyard.

  For patients with myocardial infarction, the rescue time is a race against time, which is not an exaggeration at all.

  (end of this chapter)