"You go? Do you know how to get bronchial artery embolization?" Wei Haiyang was stunned and looked at Ruan Bin in surprise.

This is a third-level surgery, or an interventional surgery. Generally, only people from the respiratory department and the interventional department will do it. Of course, the three directors of their emergency department will definitely do it. After all, if you can become the director level of the emergency department, there will be many surgeries in many other departments.

But Ruan Bin, you probably don’t know how to do it!

"Of course I can! This third-level surgery is nothing, I have done all the fourth-level surgery." Ruan Bin said naturally.

At this time, Wei Haiyang remembered that yesterday it seemed that Ruan Bin had a zero-angle coronary stent implantation surgery in the interventional department. This was a level 4 surgery! Yesterday, it was a hot topic in the emergency department.

It seems that it is not impossible for someone to have a third-level surgery now?

In fact, he doesn't have bronchial embolization at all, but there is no one in the emergency department who can do this surgery at all. He feels it's time to stand up and be the backbone!

"Are you sure? The patient is allergic to contrast agents now, so he will definitely not be able to perform an angiography surgery later." Wei Haiyang worried. That is to say, it is also a zero-angle interventional surgery later! There is no angiography for reference.

The bleeding point can only be scanned according to the body layer or t to clarify the location of the lesion and the location of the range. However, it can only determine the approximate range, and it is impossible to accurately compare detailed and accurate. Only the exact location of the bleeding point is the most accurate!

But now there is no imaging, so later the surgery can only be done by body layer or t-scanning to roughly know where the bleeding point is, but it cannot confirm where the precise bleeding point is in the bronchial artery!

This is undoubtedly a huge challenge for embolizing the bleeding spot with gelatin sponge. Sometimes you will fail to stop the bleeding if you deviate a few millimeters.

Still blind fucking!

Ruan Bin knew that the difficulty was even a little more difficult than the coronary stent implantation surgery yesterday.

Because the coronary artery becomes narrower, you need to put a stent, and you can also feel a little bit of it through the catheter. But how do you feel the bleeding point?

The blood leak cannot be felt when the catheter is controlled!

"Sir? Ninety percent!" Ruan Bin said lightly.

"It's another 90%?" Wei Haiyang's face twitched a little. Why did he feel that Ruan Bin was sure of every time he said the operation!

"Yeah~"

Next is the patient's family to communicate preoperatively. In this crisis, surgery must be done immediately.

Of course, Zhao Quan's son signed it happily!

"system!"

【System Points】: 1300

【Bronchial Embolization】Not Introduction+

"Charge 17,000 in!" Ruan Bin said proudly. After rushing 17,000, he still has 30,000.

"upgrade!"

"Ding Dong... After deducting 3,000 points, [Bronchial Artery Embolization] Introduction +!"

"Ding Dong...Deduct 6000 points, [Bronchial Artery Embolization] Proficiency +!"

"Ding Dong... After deducting 9,000 points, [Bronchial Artery Embolization] Director-level +!"

【System Points】: 300

When this surgical skill was improved to the director level, Ruan Bin had already determined in his heart that it was enough to complete this operation.

"If you simply treat hemoopy and stop bleeding, you only need to completely block the target blood vessels!" Ruan Bin said.

"So you only need to find the target blood vessel and then completely block it?" Wei Haiyang said with his eyes lit up. In this way, there is no need to accurately locate and stop bleeding. Just block the target blood vessel directly.

"That's right, start the surgery. You can be my assistant, is it okay?" Ruan Bin looked at Wei Haiyang.

"Do I have any choice?" Wei Haiyang spread his hands with a smile.

To be honest, he should be a superior doctor. Now that he has made a resident doctor the backbone of the emergency department tonight, he feels a little sad.

There is no way, who says that they are of high level?

The operation is immediately launched and the anesthesia is effective.

Ruan Bin inserted into the catheter through femoral artery puncture, and sent the catheter to the level of thoracic 6 to find the opening of the bronchial artery.

At this time, the resuscitation arterial sac blockade surgery once again played a huge role. The spatial operation ability of blood vessels is as simple as drinking water.

Soon Ruan Bin felt a sense of inlay in the catheter head, and he knew that the catheter might have been inserted into the bronchial artery!

If it is a routine operation, the next step should be to add 3 ml of contrast agent to confirm whether it has entered the bronchial artery.

But at present, it is impossible to diagnose whether the catheter has entered the bronchial artery by relying on one's own!

"Have you entered the bronchial artery?" Wei Haiyang, who was watching next to him, saw Ruan Bin pausing for a moment and asked hurriedly.

"Well, I've gone in." Although there was no imaging, Ruan Bin felt that the catheter must have entered the bronchial artery!

"Now it's just looking for target blood vessels!" Ruan Bin's eyes were concentrated, and a blood vessel map of the entire bronchial artery suddenly appeared in his mind.

He is judging the approximate location of the target blood vessel!

"It should be from this direction, turn right!"

"Turn left again!"

“Go down a little further.”

Still relying on blind fucking!

"It should be here!" Ruan Bin's clinical experience in his mind and thousands of experiences in bronchial artery embolization told him that he was the place!

Embolization begins!

He put the catheter deep into the target blood vessel, then placed the gelatin sponge of the particle-like embolized substance in a 5ml syringe, and slowly injected through the catheter under TV monitoring until the target blood vessel is completely blocked!

"It depends on this time whether it succeeds or not." Ruan Bin said in his heart.

Next, closely observe the blood flow blockade.

Generally, repeat angiography after embolization to understand the embolization situation, and after satisfaction, the tube is extended, the puncture site is compressed and hemostasis is suppressed, and the pressure bandage is applied.

But now it is impossible to diagnose the bleeding, and it is impossible to observe whether the bleeding is successful!

The most intuitive view is to look at blood pressure!

"Is your blood pressure still falling?" Ruan Bin asked the nurse next to him.

“It’s still falling slightly!”

"Let's take a look in five minutes!" Ruan Bin's face was also serious. Although he had a cheat, he could not succeed 100% in this operation!

After all, he is not a god!

Five minutes later.

"The blood pressure has not dropped again, but it has risen!"

"Huh... it should have been successfully stopped the bleeding." Ruan Bin breathed a sigh of relief. He began to extract the tube, press and stop the bleeding on the punctured area, and bandage it with pressure...

"Interventional surgery is easy to use!" Wei Haiyang sighed.

Avoid surgery in interventional surgery, and it has huge advantages for bleeding first aid, fast! Little trauma!

"I have to learn first aid interventional surgery when I have time!" Wei Haiyang said.

Although there are many interventional surgery, first aid interventional surgery is of great help to their emergency department.

He will train here for three years in the future. He will be sorry for himself if he doesn’t learn a little. The main reason is that he is envious of Ruan Bin’s operation!

Heart moved!
Chapter completed!