Chapter 223 Successful thrombolysis
Wang Yang asked the patient's father again. After knowing that the patient was treated last time, Wang Yang called Director Ding in front of the patient's father.
"Director Ding, I am Xiao Wang. I have an emergency patient here. I want you to ask me for information..." Wang Yang told Director Ding all the name of the Grade A hospital mentioned by the patient's father and the name of the attending doctor.
After Director Ding knew the situation, he agreed and Wang Yang hung up the phone. The patient's father looked at Wang Yang with a different look.
Although I don’t know who Wang Yang called, Wang Yang could investigate the situation in the imperial capital by simply calling, and he immediately became confident.
The last time my daughter was in danger of death, but this happened again this time, and the patient's father was very desperate.
Wang Yang continued to give preoperative explanations to the patient's father. Before he could finish the work, Director Ding called and asked the situation clearly.
After taking the paper and pen, Wang Yang began to record the general process of the patient's treatment in the imperial capital. Director Ding asked, it was all old doctors, and he knew what was going on.
The treatment process in the imperial capital is very similar to Wang Yang's treatment. It uses intravenous injection of low-molecular heparin sodium to perform thrombolysis and insulated an intravenous filter to prevent the emboli from falling off.
However, another thing is that it requires assistance from obstetrics and gynecology to help patients with miscarriage.
The patient has a special constitution. If there is no miscarriage, the thrombocytopenia will not improve and thrombosis will continue to occur.
The general treatment process was almost the same as Wang Yang prepared, so Wang Yang hung up the phone with confidence.
Continue to explain the condition to the patient and sign it. Then Wang Yang handed over the preoperative communication to Yang Ming, and returned to the operating room himself.
Professor Swen has put on his surgical gown and sits on the white bench in the operating room, waiting for the end of thrombolysis in boredom.
After thrombolysis, the patient's vital signs have gradually stabilized, and blood oxygen saturation has increased to 85%.
Wang Yang was relieved when he saw this. Fortunately, the diagnosis and treatment were timely, so he was discovered by himself and sent to the hospital for treatment. If it was delayed for a while, the difficulty of treatment would be increased.
"Wang, the supplies you chose are really bad."
Professor Siwen saw Wang Yang coming and told Wang Yang the quality of the consumables just now that they found that the consumables were of rough quality.
Wang Yang smiled helplessly. After all, Huamao is a domestic manufacturer, and they all imitate consumables from large foreign imported manufacturers. The quality is definitely worse than the original sample. However, the advantage of domestic manufacturers is that they can be on call and will not be out of stock, and the price is relatively affordable.
There are consumables, but not, because Taoshi First Hospital did not have similar surgery before, and there was no interventional surgery for vascular surgery, so many consumables were not available.
Today's consumables were temporarily purchased by Director Xiao. Wang Yang did not have this right, Director Xiao had it.
As for whether the consumables are easy to use, Wang Yang didn’t feel that they could treat patients, so they were all good consumables.
Manager Zhang was in the corner of the side, and when he heard Professor Siwen's words, his face looked a little embarrassed. He looked at Wang Yang from time to time, afraid that Wang Yang would refuse his own consumables because of Professor Siwen's words. It would be a devastating blow.
After all, when other hospitals in Tao City heard that Huamao’s consumables were rejected by Tao City First Hospital, it would definitely not work! Everyone refused! Tao City First Hospital is the weather vane of the hospital in Tao City. Whatever it does, other hospitals will follow.
"Professor, it's okay, just make do with it first. It's most important to save the patient!"
Wang Yang changed his clothes.
Manager Zhang nodded in the audition, knowing that Wang Yang must have said that for his own sake. He turned around and told Boss Huamao about this matter, and the materials and craftsmanship should be raised and strengthened.
When Professor Siwen saw Wang Yang say this, he shook his head and did not continue to say anything.
Wang Yang was waiting for thrombolysis. Urokinase was thrombolysis for half an hour. Wang Yang began to come on stage, and Professor Swen was an assistant.
For today's surgery, Wang Yang also used a designated procedure to learn inferior vena cava filter implantation. This procedure is relatively simple in interventional surgery. The main premise is that emergency rescue embolism is smoothly passed. Therefore, Wang Yang only went to the training room for training twice. He did it very smoothly and there were no bad situations.
In the live broadcast room.
"Let me see what surgery did the boss do this time."
"A general surgeon fainted in the office crying. Why is it another interventional surgery? I want to learn about surgery!"
"It's great if you're going to show it to you on a live broadcast. You're picky! You see, I'm interested in watching it. Hey, this interventional surgery seems to be an inferior vena cava implantation. This is a treatment for acute pulmonary embolism, right?"
"The big guy really doesn't do a minor surgery, and you can do it with excitement!"
The interventional doctor in the live broadcast room soon understood Wang Yang's surgery. After all, the interventional doctor in the live broadcast room had more or less done such interventional surgery.
Wang Yang was preparing to send the filter into the lower cavity along the femoral vein. Wang Yang began to step on the line and slowly sent the filter to the lower vena cava through the delivery sheath until it reached the lowest level of the renal vein. Wang Yang opened the filter.
"The savant is a bit risky to operate. If the suppository is not focused on falling off during the delivery process, something big will happen!"
"Don't it be sent up? Why do I think the surgeon is sending it to the left and not to the inferior vena cava?
Have you changed your renal vein?"
Some interventional doctors in the live broadcast room said they couldn't understand Wang Yang's operation. Normally, they just sent the filter upwards into the inferior vena cava and performed pulmonary angiography.
However, Wang Yang turned to the lower vena cava from the renal vena cava, which would cause the filter to image the kidney function and induce complications! Wang Yang was still operating. When passing through the renal artery, Wang Yang first injected contrast agent to perform renal artery angiography.
“No plunger falls off!”
Wang Yang slowly transported the filter upwards and sent it to the inferior vena cava, then punctured the pulmonary artery and performed pulmonary artery angiography.
"I understand. This is to check whether there are emboli in the renal artery. Because the blood flow rate and stress below the renal vein level will cause the thrombolysis emboli and urokinase to enter the renal artery and have a secondary embolization, which requires major surgical procedures to be taken out."
"I learned that there is another meaning. I have never examined the renal artery before, so why not..." "If I haven't examined it before, it may lead to secondary thrombosis. This is related to the platelets in the patient's body. The next time I have a similar operation, it's better to have a renal angiography examination."
After watching the angiography, I found that the embolism of the pulmonary artery had almost been dissolved, so I started to place the filter and put some undissolved emboli into other organs.
Looking at the small blood clots intercepted by the filter, Wang Yang breathed a sigh of relief. The operation was considered successful, and the thrombolysis was particularly successful.
Chapter completed!