Chapter 179: Membrane stent
"Microscopic stent or non-film-free stent."
Li Xiang asked.
Although the puncture was successful, the most important thing in tips surgery is to choose the stent.
The stent without membrane has good stability, but it is difficult to fall off after surgery because the liver's regeneration ability is too strong. Basically, after a period of time, the stent may be blocked by the regenerated liver, and the puncture channel established by the tips surgery will be closed again.
The membrane-carried stent. Although the friction between the stent and the liver is insufficient, it can avoid the possibility of re-occluding the channel after the liver regeneration. However, it is not easy to fix it. The test for the surgeon is very great, and the surgeon needs to use superb surgical techniques to fix the support.
The time Wang Yang successfully chose a membrane-free stent. Wang Yang considered the patient's condition and used a membrane-free stent, which was easy to have problems after the operation.
Wang Yang held the guide wire and paid attention to the patient's condition. If the patient vomited violently again, causing the guide wire to be pulled out, Wang Yang felt that his mentality would explode.
Li Xiang passed the 10mm filmed bracket along the guidewire and Wang Yang took it. The two of them cooperated perfectly and had an extremely tacit understanding.
Under Wang Yang's control, the stent entered smoothly, but considering the patient vomiting blood and agitation from time to time, the position of the stent may deviate at any time, and Wang Yang also observed the patient at any time.
"Ahem!"
The patient vomited violently again and his body kept trembling.
Wang Yang's movement was forced to stop. Wang Yang handed the guide wire to Li Xiang. Li Xiang carefully held the guide wire. Li Xiang also knew that the guide wire could not come out again and if it deviated again.
The surgery again is small, but in the current situation, if the patient cannot solve the problem of increased pressure on the portal vein and gastric fundus vein as soon as possible, he may suffer heavy bleeding and death.
Wang Yang's forehead was covered with sweat. This operation was more difficult than previous surgery. He was completely comparing speed with the god of death.
After a minute, the patient's vomiting rate was much less severe, and the patient was lying on his side, feeling weak all over.
Wang Yang glanced at the electrocardiogram monitor, his pupils contracted, and shouted at Li Xiang: "Come on the phone! Ask Meng Yue and the anesthesiologist to come in!"
Li Xiang pressed the operator table dialogue button with the sterile membrane attached to it.
"Nurse, the anesthesiologist came in wearing lead clothes, and the patient aspirated vomit by mistake, hurry!"
Wang Yang roared.
Generally, Wang Yang will never let Meng Yue come in for interventional surgery. After all, interventional surgery has radiation, which is not good for the health.
But now the situation has become complicated, and the patient actually vomited and aspirated into the respiratory tract.
Originally, the surgery would be almost done after the stent was lowered, and it was full of troubles.
A harsh alarm sound came from the monitor, and the alarm sounded echoed throughout the operating room.
Director Yu in the operation room also heard Wang Yang's roar and hurriedly ran to change his lead clothes. Professor Swen also changed into the operating room with a lead clothes.
"Sputum suction device!"
Wang Yang looked at Meng Yue holding the equipment and shouted.
Meng Yue was wearing sterile gloves while handing the sputum suction device to Wang Yang.
Everyone is impatient in this kind of emergency, and Meng Yue can understand Wang Yang. Now it is a critical moment of life and death.
Wang Yang stuffed his hand into the patient's mouth, took out the remaining blood clots in his mouth, and threw them into the contaminated basin.
Li Xiang opened the sputum suction device and handed the sputum suction tube to Wang Yang. Wang Yang inserted the tube along the corner of the patient's mouth.
"I'll do it. The patient may be restless, so it's better to insert it from the nasal cavity."
Director Yu showed professionalism at this time.
"Wait a minute, give me a minute."
Wang Yangdao.
The suction tube enters from the nasal cavity and will stimulate the patient and induce severe coughing and dry retching.
If the guide wire slips down, the patient's current situation will definitely not give Wang Yang a chance to puncture again. After all, the blood pressure of the patient is in danger.
The rescue may be successful if the tips rescue is successful, and the patient will still die.
Director Yu looked at Wang Yang in confusion, knowing that the patient has suffocated now, and the consequences of suffocating for one minute are very serious, unless Wang Yang can complete the operation in one minute.
But is it possible to complete the surgery in one minute?
In the live broadcast room, the screen suddenly stopped and everyone found that the bracket suddenly stopped moving.
"What's the situation? The live broadcast room is stuck?"
"I also want to see if there are any convenient steps for the big guy to learn to open the hepatic vein and portal vein. Can you show me this?"
"No, you look at the patient's blood pressure saturation."
There were still people who observed carefully in the live broadcast room and soon discovered something was wrong with the patient.
The patient's lung aspiration caused by changes in blood oxygen saturation has just begun. This may have been ignored by everyone in normal times, but this is a tips first aid surgery. Any movement will alarm the doctor's weak nerves.
Soon, the field of vision in the live broadcast room became wider and the angle was offset. Then everyone in the live broadcast room opened their mouths and watched the scene.
"This... can the surgery be done?"
"If you don't deal with the patient's blood oxygen, you still have to continue the surgery?
This is a game with the God of Death."
"That change in blood oxygen saturation and the possibility of vomit aspiration is extremely high. Will the surgery continue in this case?"
The doctor in the live broadcast room probably guessed the change of things. During the operation, the patient's vomiting aspiration occurred only once or twice, which was an abnormal surgical emergency.
Generally speaking, the surgery will continue only after the vomit is solved. There are very few people like Wang Yang who just paused for a moment, but the surgery will continue.
Wang Jing also saw Wang Yang's operation. At this time, Wang Yang was moving the membrane stent forward quickly, entering the door vein along the guidewire, looking for the trajectory left by the puncture needle.
"I'm really bold. This is a race against time. It's slow. The patient died of suffocation, the patient did not undergo surgery, and the patient died of blood loss. It's a really difficult multiple-choice question."
Wang Jing saw more thoroughly than the doctors in the live broadcast room. He knew that the operators in the live broadcast room wanted to complete the operation before the patient died of suffocation and suppress the heavy bleeding.
In this situation, Wang Jing felt that it was not friendly to patients and doctors, and it was too cruel.
Doctors need to do multiple-choice questions, and the patient's life and death lies in the doctor's thoughts.
"Oh, it's hard."
Wang Jing sighed.
As the operation was about to be completed, this situation occurred.
Operating room.
Director Yu took the suction tube in his hand and frowned and looked at Wang Yang's operation. One minute is very fatal to suffocation patients. Generally speaking, suffocation for more than six minutes will lead to death from hypoxia in the human body.
However, Director Yu was held back by Professor Siwen and did not allow Director Yu to interrupt Wang Yang's operation. Professor Siwen's expression became extremely serious.
If it were Professor Swen himself to do this operation, it would be difficult to do this multiple-choice question, and the mortality rate was as high as 99.
Wang Yang's hand speed was fully opened at this moment, and the membrane-carried stent quickly passed through the vein branches under Wang Yang's operation to reach the word penetration point.
Li Xiang tried hard to maintain the position of the guide wire, and made adjustments as the patient swayed, so as to buy time for Wang Yang.
Chapter completed!