Chapter 218 High-risk surgery
"Rejected?" Ruan Bin was slightly surprised after hearing this. Although the First Affiliated Hospital of the Magic City is not one of the top hospitals in China, it is definitely a first-class hospital, ranking in the top 30 in the country.
If anyone who can participate in the interventional department feels that it is not very sure, the operation will be very difficult!
"What disease?" Ruan Bin asked curiously.
"The left subclavian artery is obstructed, the left upper limb is numb, sore and swollen, weak, dizzy, blood pressure in both arms is contracted, especially the left arm is almost unable to move!" Zhou Tianlei sighed.
"The obstruction is very serious?" Ruan Bin asked.
"Well, the test result is that the left subclavicular artery occlusion section is about 3 cm! My father took him to my municipal hospital for surgery before, but the operation failed. The operation was suspended shortly after the operation started, and the operation was not successful! Later, my father took him to another municipal hospital, and the hospital said that the difficulty was too high and the risk was too high, so he dared not try the operation. So I took my uncle, Damo City to see it. In the morning, the interventional department and the neurology department consulted. They still thought the operation risk was too high. They suggested that we go to the Beijing Affiliated University in Beijing to take a look! I guess the operation was relatively high!" Zhou Tianlei said.
"The obstruction reaches 3 cm? That is indeed very rare. So are you planning to go to the capital now?" Ruan Bin asked. The condition that even the interventional department and neurology department dare not take over rashly seems to be very difficult.
Of course, if you fail to sign the operation on the operation book and don’t hold you accountable, I believe they will definitely dare to accept the operation.
However, it is not the worst step at the moment. Zhou Tianlei will definitely not sign the same rashly as the choice. If he signs, it would be equivalent to handing over his uncle's life to the doctor.
Everyone will be happy if they succeed.
If you fail, you cannot let the hospital take responsibility even if you sign it!
"I'm still thinking about it. I plan to come over and ask Director Qian, isn't he a general practitioner? What if he has any solutions or dares to do it?" Zhou Tianlei said.
After all, he has an internship here, so Director Qian will make his foundation more thorough because he is an acquaintance.
If you are not an acquaintance, which doctor would reveal it to you, a patient, too thoroughly? Anyway, it’s just a sentence, the surgery is very good, or you can be transferred to the hospital. As a doctor, Zhou Tianlei certainly understands this principle.
"Director Qian seems to be in the operation, but he probably will come out soon."
Sure enough, before I finished speaking, I saw Director Qian come out of the No. 1 operating room.
"Go and ask."
When Director Qian saw Zhou Tianlei, he was also surprised: "Zhou Tianlei, why are you here?"
"Hehe~ Director Qian, long time no see! I took my uncle to see you. The situation is quite complicated. Can you help me see it?" Zhou Tianlei explained his purpose.
Director Qian looked at the time and it happened to be dinner time, and there were not many patients in the emergency department at this time.
"Okay, go to my office." Director Qian nodded.
"Thank you, Director~"
"I'll go too~ I'll get some takeaway by the way, so I'm too lazy to go to the cafeteria~" Ruan Bin also followed.
Inside the office.
Ruan Bin was taking out, and by the way, he gave it to Director Qian Zhou Tianlei and his uncle.
Director Qian took a sip of water, picked up Uncle Zhou Tianlei's medical records, examination results, and information about the previous surgery and started reading.
Zhou Dacheng, male, 58 years old, with a 1-year history, with a left subclavian artery occluded, numbness of the left upper limb, a systolic blood pressure difference between the arms is 59-83mmhg, and the fluctuations on the left radial artery are almost "unreachable".
After watching for about ten minutes, Director Qian said with a serious expression: "The branches of the subclavian artery are used to supply blood flow to the brain. If not handled in time, cerebral infarction may occur at any time. Moreover, if a chain reaction is caused by carelessness during the operation, it will also cause cerebral infarction! No wonder people from the interventional department and the neurology department suggested that you be transferred to the hospital. The situation is very rare! It is estimated that there are two hospitals in Beijing who are good at doing this type of surgery."
"Ah? Director, do you think you are not sure?" Zhou Tianlei's face changed.
"Well, it is mainly due to the uncertainty of the operation and various complications that may occur during the operation. The most important thing is that your uncle's occlusion is too long and too big, reaching 3 cm! Usually, occlusion of 1 cm is rare."
"So it is easy to accidentally enter the dissection when the catheter is opened during interventional surgery. Since it is opened by subendal membrane, if you continue to try, it can be opened, but it may lose the left vertebral artery. This is not the most ideal result." Director Qian answered professionally.
"Your uncle's best surgery as soon as possible, otherwise a cerebral infarction will occur at any time." Director Qian did not forget to remind.
"ah?"
"Director, are you sure you have this surgery?" Zhou Tianlei asked with anticipation.
If Director Qian can do this surgery, he doesn't plan to let his uncle go to the capital.
After all, the journey there is long, and no one knows when cerebral infarction will occur. The most important thing is whether to queue up for the operation after going to the hospital there!
The bigger the hospital, the shortage of beds is!
"I'll tell you this. I'm sure, but at most 50%! The risk of surgery is still too high. If you go to one of the two hospitals in Beijing, I guess they will be more confident, 60% or 70%! After all, I have a lot of knowledge in general and I have studied a lot of things, so they are specializing in this area." Director Qian said tactfully.
"Fifty percent? Very high!" Zhou Tianlei was slightly disappointed and admired.
"Well, I think this surgery cannot be handled with traditional interventional means, and the interventional approach must be changed!" Ruan Bin said.
Just as Director Qian said that the blockage reaches 3 cm, it is probably difficult to use traditional approaches to clear it. In addition, it is easy to enter the mezzanine when the guide wire is opened!
Since Ruan Bin is a master of resuscitation of resuscitation of aortic cystball blockade (reboa) with blind exercises, he certainly knows that this arterial intervention is difficult to do.
Can't take the usual route!
"Haha, Ruan Bin is the same as I thought. The key point is how to develop a new approach to surgical plan. Ruan Bin, do you have any solutions?" Director Qian looked at Ruan Bin with interest.
Maybe this genius will have any good suggestions?
After hearing this, Ruan Bin curled his lips. I don’t know how to do this interventional surgery. I’m asking me to think of any new approaches, so I won’t know!
"Dingdong...System Temporary Mission: Save the uncle who was a former colleague and get a chance to draw the system once!"
Wait a moment?
Does the system also have the function of lottery?
Ruan Bin met for the first time!
The reward methods of this system are becoming more and more diverse!
Chapter completed!