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Chapter 108: Puncture from the Radial Artery

"Is it possible?" The young man was a little hesitant. After all, the radial artery is not a thicker and straighter blood vessel than the femoral artery. If the patient's own vascular condition is not good, the catheterization may fail.

Besides, from what he learned about PCI surgeries, they seemed to start from the femoral artery, and almost no one used the radial artery as the puncture point. In the final analysis, it was because the operation was too difficult.

"Of course it can be done." Faced with the young man's doubts, Wu Xiangdong nodded firmly. Of course, he also knew that it would be relatively easy if the catheter was inserted from the femoral artery.

But don’t forget that the femoral artery is located in the patient’s groin, which is where the most germs accumulate. Before surgery, not only does the skin need to be prepared and cleaned, but it also needs to be disinfected for a long time before it can be used.

At this time, the patient does not have so much time to make preoperative preparations, and it is easy for infection to occur during the catheterization process. Once bacterial growth occurs, a single case of fulminant myocarditis will quickly kill the patient.



At this time, the patient had been smoothly lifted to the examination bed, and the conversation between the two was naturally heard by others.

"What are they talking about? I can't understand a word." After Li Yanan got the infusion pole and hung up the patient's fluid, he looked at Wan Zhihua next to him with a puzzled look.

I originally thought that as a nurse in the cardiology department, she could be of some help, but when Wu Xiangdong and the others talked about PCI, catheter selection, and other related matters, Li Yanan seemed to be listening to a book from heaven, and couldn't say anything at all.

Don't talk about her at this time. Even Wan Zhihua, who was asked by her, was a little confused. After connecting the patient's oxygen, he silently shook his head, which was regarded as a response to Li Yanan's question.

Sure enough, there are specialties in the field of surgery. If it is anesthesia, breathing, etc., he can talk about it for three days and three nights without repeating the topic.

But now when faced with the topic that Wu Xiangdong was discussing with the young man, he also couldn't get in the conversation. Only now did he realize that the gap between him and Wu Xiangdong was not just a tiny bit. The gap between them might make it impossible for him to succeed even if he worked hard for another thirty years.

Shorten the distance between the two parties.

"Alas." After Wan Zhihua sighed, he looked at Li Yanan, with a little disappointment in his eyes: "It seems that we are not needed here for the time being, and forcing us to stay will only cause trouble for them."

"Yeah." Li Yanan opened his mouth, as if he wanted to say something more, but in the end nothing came out.

As the two people silently exited the filming studio, only Wu Xiangdong and the young man were left inside.

"Get ready to start."

In the end, Wu Xiangdong chose to have the catheter inserted in the radial artery.

At this time, Dr. Kong from the radiology department came out of the back room with the items needed for contrast imaging. "This is the contrast agent. I'll do a skin test on him first."

The contrast medium in Dr. Kong’s hand is iohexol, which is contained in a fist-sized glass bottle and looks like a light yellow transparent liquid.

It is mainly used in clinical angiography, such as angiography of cerebral blood vessels, coronary arteries, and some visceral arteries.

Sometimes it is also needed for some enhanced CT scans of the head and chest. It can more intuitively reflect the degree of disease in various parts of the human body, and can improve diagnosis and treatment effects.

As Dr. Kong injects the drawn medicine into the patient's blood vessels, the next step is to observe whether the blood vessels around the patient are red or swollen.

During this period, Wu Xiangdong had already brought the items needed for patient disinfection.

Iodophor, sterile gauze, treatment bowl, sterile holding forceps and a series of other things.

"Leave disinfection to me." The young man on the side took the initiative to take over the preliminary preparation work, which surprised Wu Xiangdong slightly.

"What, do you think I'm just like the ancient Zhao Kuo, who can only talk on paper?" The young man laughed at himself, and then began to skillfully cover and disinfect the patient's right wrist.

He held the gauze soaked in iodine and began to spirally disinfect from the inside out with Wu Xiangdong's puncture point as the center.

Regardless of the area he disinfects or the force used during disinfection, Wu Xiangdong thinks it is impeccable.

This also partially changed his impression of the young man in front of him.

"What's your name?" Wu Xiangdong asked the young man who was disinfecting the patient while wearing a lead suit.

As soon as he said this, the young man's body froze, and even the movements of his hands slowed down significantly.

"You, you actually don't know my name?" The young man raised his head and looked at Wu Xiangdong with an incredible look.

"Do I need to know your name?" Wu Xiangdong looked surprised, thinking that the young man in front of him is quite narcissistic. You are not a celebrity in the hospital, so why should everyone know your name.

This young man was completely discouraged. He originally thought that as the first doctor with a postgraduate degree at Hamada Hospital, he should enjoy the attention of thousands of people.

But now it seems that he is not as famous as he thought. Therefore, when faced with Wu Xiangdong's inquiry, he answered honestly: "My name is Shang Lin. I graduated from the Graduate Department of East China Medical College in 1999. Because I was in school

With outstanding performance, I was recommended to work in the Cardiology Department of Hamada Hospital and enjoyed the special recruitment policy provided by the hospital."

As soon as he finished speaking, Dr. Kong, who was adjusting the instruments at the side, already showed an envious look.

"If you enjoy the hospital's special recruitment policy, your salary will be twice that of others. Not only that, you will have priority in enjoying any policy the hospital has. I didn't expect that you would already surpass 90% of the people in the hospital when you first arrived.

He is really young and promising.”

Dr. Kong couldn't help feeling a little emotional. He had been working in the hospital for three or four years, and now he was still not as good as a young man who had just been admitted to the hospital.

It really feels like the wave behind pushes the wave in front, and the wave in front hits you to death on the beach.

When faced with Dr. Kong's compliments, Shang Lin just smiled slightly. It seemed that he was used to others' envious looks.

"Well, indeed, the name Shang Lin has been well received." At this time, Wu Xiangdong had already put on his lead clothes and hat.

Regarding Shang Lin's introduction just now, he seemed to only remember the name. Maybe the rest was not important to Wu Xiangdong.

Shang Lin looked at him indifferently, without even a trace of expression on his face, as if he was talking about something insignificant.

This made Shang Lin swallow back the words that came to his lips. It felt like he had eaten a fly, stuck in his chest and felt uncomfortable.

"Has your skin been disinfected?" Wu Xiangdong walked to the examination bed and glanced at Shang Lin, who was a little dazed.

"It's ready, and I'm waiting for the iodophor to dry." Facing the inquiry, Shang Lin felt as if he had just woken up from a dream, and he quickly replied.

"Okay, come here and give me the materials." Wu Xiangdong nodded, and then looked at Dr. Kong aside: "Dr. Kong, the instruments are ready."

"Okay, if you need anything then, please tell me at any time. I will be waiting in the back room."
Chapter completed!
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