Chapter 111: The Heart Is 90% Blocked
The most excited person at this time was Dr. Kong from the radiology department. His hands were trembling. He looked at the images in front of him and was so excited that he could not speak for a moment.
You must know that the department has been intensively preparing angiography technology for so long, but the reason why there has been no progress is because it is unable to complete the highest level of angiography for cardiovascular and cerebrovascular diseases.
This kind of technical barrier stuck in the throat makes all colleagues in the radiology department like ants on a hot pot. Even now, Dr. Kong can't help but tremble when he thinks of the furious look of the director during the department meeting.
However, just now, the coronary angiography technology, which could not be completed by all the efforts of all doctors, was actually completed easily under the leadership of Wu Xiangdong.
This wonderful feeling was like a dream, and Dr. Kong couldn't help but rub his eyes.
But after the excitement, when Dr. Kong looked carefully at the X-rays on the screen, his expression suddenly changed.
"His coronary arteries are almost blocked."
On the x-ray, a blood vessel running diagonally was clearly displayed in front of everyone's eyes under the influence of the contrast agent.
When Shang Lin in the photography room saw this blood vessel, he was horrified and said: "Here, the middle section of this patient's left circumflex artery has been blocked by 90%. If this continues, the entire left heart will probably be divided into two parts."
One of them is due to ischemia, hypoxia and necrosis.”
As a top student in the cardiology department, Shang Lin could tell at a glance that there was a problem with the patient's left coronary artery.
The entire coronary artery, under the development of the contrast agent, turned into a dark line that looked like it had been painted with a marker, but in the middle of this black line, it looked like someone had deliberately erased it with an eraser.
It looked like a piece, leaving only a small black mark, dividing the line into two sections.
The erased part is what Shang Lin said was the blockage. It is now 90% blocked, leaving only the last 10% of the tiny black mark as a sign of unobstructed coronary blood vessels.
"Doctor Wu, what should we do now?" Shang Lin saw this in his eyes and was anxious in his heart. He became a little at a loss when facing this blood vessel that was about to be blocked.
After all, the circulatory system is one of the largest systems in the human body. Blood is circulating in the body all the time. When the small impurities attached to the lumen pass through the blocked coronary arteries, they will continue to accumulate on the wall due to the slowdown of the flow rate, and eventually become completely blocked.
Dead blood vessels.
The time required for this process may be ten days and a half, or it may only take a few hours or even minutes.
Once the blood vessels are blocked, the heart will stop beating completely. Even if corresponding measures are taken at this time, the emboli formed in the lumen will cause a series of life-threatening consequences such as pulmonary embolism and cerebral embolism.
Thinking of this, Shang Lin felt a little desperate, but when he looked at Wu Xiangdong, the latter seemed extremely calm.
"It's only 90% blocked. Don't be nervous. I'll just use the inner balloon to open it up later."
Wu Xiangdong said it lightly, but it caused an uproar in Shang Lin's heart. This was a 90% blockage. How could it be opened so easily?
For example, this is equivalent to being at the scene of a car accident. The road is so crowded with vehicles that no one can pass through the remaining gaps.
This is the situation they are facing at this time. If they want to open the blocked blood vessel, the first thing they have to do is to extend the guide wire to the diseased area.
As for the balloon guidewire used by Wu Xiangdong, I'm afraid it won't even get in. In this case, even if those experienced and well-known professors came with their teams, they would probably just shake their heads helplessly when they saw this situation, and even more so.
Needless to say, they are a temporarily formed team.
"Dr. Wu, I suggest that we perform more conservative thrombolytic treatment." At this time, even Shang Lin, who had always been proud, began to back down and treat the patient with a more reliable treatment plan.
After all, there is still a chance of survival after receiving thrombolytic treatment, but if the balloon expansion fails, death is the only thing waiting for the patient.
After hearing this, Wu Xiangdong stood on his head and looked at Shang Lin, with a hint of coldness in his words.
"Do you think that based on the patient's current condition, there is still time left for him to undergo thrombolysis?"
Shang Lin was immediately stunned and speechless.
"Apply the guide wire and prepare for balloon dilation." Wu Xiangdong's unquestionable voice immediately reached Shang Lin's ears, and the latter could only hand the guide wire to him.
Wu Xiangdong controlled the horizontal handle and slowly inserted the guidewire into the patient's coronary artery ostium again.
The patient's diseased left circumflex artery was right in front of him. Wu Xiangdong took a deep breath, and after confirming the position again, he held the guide wire with his fingers and gradually turned to the position of the left circumflex artery.
"Take a picture!" Wu Xiangdong continued a few centimeters further based on the X-ray taken before, and then asked Dr. Kong in the back room to press the filming button.
With a soft sound, the X-ray image was transmitted to the screen again, and it was seen that the balloon guidewire controlled by Wu Xiangdong had reached the blockage site.
But as Shang Lin said before, even if the guide wire in front of him is thinner than a hair, it is still impassable in front of the blood vessel that is about to be blocked.
Wu Xiangdong tried the operation several times, but found that the guide wire bounced to other directions the moment it came into contact with the blocked blood vessel, which made him squint his eyes. "The material of the guide wire is too soft. I must think of another solution."
.”
Wu Xiangdong was a little helpless. After all, the manufacturing industry in the 1990s was far inferior to what it is now, so the only guide wire he could choose was this one.
At this time, everyone was also watching Wu Xiangdong's operations with rapt attention. Seeing that he had failed the previous few times, their hearts immediately became anxious.
At this time, the entire filming room was silent. Apart from the buzzing sound of the equipment, the only sound left was the heavy breathing of everyone.
At this moment, the originally quiet patient suddenly began to twitch, and his stiff appearance immediately reminded him of his previous ventricular fibrillation.
"The patient is suffering from ventricular fibrillation, come and rescue him quickly." Shang Lin saw the patient's problem at a glance and immediately shouted to the people in the back room to come and help rescue him.
With a bang, the heavy lead door in the back room was pushed open.
Everyone ignored the equipment that was still running and immediately began to participate in the rescue.
Li Yanan pushed epinephrine, Wan Zhihua adjusted the flow of oxygen inhalation, and Dr. Kong directly picked up the defibrillator beside the bed.
"One 200j asynchronous electric defibrillation, get ready." Since Wu Xiangdong was still controlling the guide wire and could not be distracted, the command of the rescue was handed over to Shang Lin.
Following his doctor's instructions, Dr. Kong has turned on the defibrillator and selected the energy.
The current instantly filled the entire electrode plate and made a beeping sound. Dr. Kong saw this and directly pressed the electrode plate against the patient's chest.
"When others leave, leave yourself." Dr. Kong reminded everyone loudly, but when he was about to discharge, he found that Wu Xiangdong still maintained the operating position and did not move.
"Doctor Wu, why don't you leave? When the electricity is discharged, you will be electrocuted."
Chapter completed!