"After the patient was admitted to the hospital, the patient had a bp8?0/60mmhg, the pulse oxygen saturation was 70%, the consciousness was clear, the spirit was poor, the lips were slightly cyanotic, the lungs could be heard in a small amount of wet rales, the heart rate was 99 times per minute, the p2 was hyperactivity, no murmurs or extra heart sounds were heard in each valve auscultation area, the liver was under the ribs, the prone to provoke, the lower limbs had no swelling, and the gastrocnemius tenderness of both lower limbs was negative."

Director Yu said in one breath.

“Is there any injection of anticoagulant drugs?”

Wang Yang asked.

"It's already injected!"

"The patient needs thrombolysis surgery immediately. Do you know if the patient's family is here?"

Wang Yangdao.

Director Yu asked the lower-level doctor beside him to go out and urge him. At the same time, he called the emergency operating room and prepared an operating room. The family came over to agree to the operation and immediately pushed it to the operating room for surgery.

Taking advantage of the gap, Director Yu asked worriedly: "This requires pulmonary thrombolysis. Can you really do it?"

"Can!"

Wang Yang was afraid that Director Yu would be worried and continued, "If something goes wrong, I will be fully responsible."

Director Yu took a look and frowned. He looked at the patient who was breathing with an auxiliary ventilator and felt a little tricky.

Suddenly, a phone call came. Director Yu took out his cell phone and hurriedly left the rescue room, asking the lower-level doctor to wait with Wang Yang and the others here.

"Will you do the surgery for pulmonary artery thrombolysis?"

Wang Yang looked at Luo Feng, because the patient's condition was very critical on the system light board, and it was faintly red and white, which was a sign of being too fast.

Luo Feng was stunned for a moment and didn't understand what Wang Yang meant.

"When the patient's family comes, you can give the patient's family an operation and explain it to the patient's family. I will take the patient to the operating room first."

"Can."

Luo Feng didn't think too much, he just gave it before surgery and did it often when he was involved in the interventional department.

Wang Yang asked the subordinate doctors and nurses in the emergency department to help push the patient to the operating room. After arriving at the operating room, Wang Yang took a look at the equipment that had been prepared.

"Start the surgery."

The doctor in the emergency department glanced at Wang Yang, then nodded and started to act as an assistant to Wang Yang. Director Yu was not here, so Wang Yang was his superior doctor.

Wang Yang is actually very familiar with the patient's condition. When he was watching the film just now, Wang Yang also found that the patient had foreign bodies. This time the patient's pulmonary embolism symptoms should not be the first time.

The foreign object should be a lower vein filter, which is used to take anticoagulant drugs for a long time to prevent thrombosis and cause a second embolism. To a large extent, the patient stopped the medication without authorization, resulting in recurrence of pulmonary venous thrombosis.

When the anesthesiologist was asked to perform local anesthesia, Wang Yang started the operation directly, started interventional angiography first, and sent the guidewire and catheter into it smoothly.

Images of the patient's lungs appear, and the patient's left lung is normal, but there are a large amount of filling loss on the main trunk in the right pulmonary artery, and poor development of the middle and lower lobes.

What Wang Yang thought was right, mainly because there was a problem with the main trunk of the right pulmonary artery. Just clear it and inject anticoagulant drugs into it.

Thrombolysis surgery is easy for Wang Yang. Even a thrombus as serious as Dr. Hatcher can be broken and removed by rotary abrasive surgery. The teenager's thrombus is even more problematic for Wang Yang.

The intervention method was adopted. Wang Yang did not use rotary grinding surgery, but directly adopted the method of local thrombosis in the catheter. The catheter tip was accurately placed on the thrombus, and the urokinase was directly injected into the thrombus, waiting for the thrombus to dissolve.

This is the most common type of thrombolysis surgery, which has a good therapeutic effect on pulmonary embolism. The difficulty lies in judging the location of the pulmonary embolism on the image and accurately sending the catheter into the thrombus.

"The operation is over, you're here to watch and you'll be able to send the patient to the ward after a while."

Wang Yangdao.

The emergency department doctor looked at Wang Yang in surprise. How long did it take to enter the operating room?

Is it done in one operation?

"Has the surgery been really done?"

The emergency department doctor asked in a worried manner.

"You will know when you come and look at the image. You can see if the developing part of this place is slowly appearing."

Wang Yang pointed to the image above and said.

The emergency department doctor found that this was indeed the case. The data on the patient's monitor was gradually improving, and the heart rate and blood pressure were increasing.

But... a surgery that was obviously in a hurry to die was done, and it was done in less than five minutes, which was a bit outrageous.

Looking at the interventional doctor next to him who was withdrawing the catheter, he was a little too young. The emergency department doctor felt that he was already considered a pride of the emperor. He was less than 35 years old and he arrived at the hospitalization position.

But the doctor in front of me seems to be less than thirty years old, and looks too young, and has such a strong intervention level.

...Rescue room.

Luo Feng took the crying patient's family to get the surgery form and pre-operative explanation. He was about to take the family to the door of the operating room when he met Director Yu who had finished his work.

Director Yu jogged over angrily and saw the patient's family pursing his mouth and pulling Luo Feng to the other side.

"What's wrong with you?

You dare to have surgery before the surgery sheet is released?”

Director Yu asked in a repressed anger.

Luo Feng said in confusion: "Director Yu, Dr. Wang just took the patient to the operating room in advance for placement. The patient's family has signed the document now. I will send the operation form to start the operation."

“Just place patients?

You go to the operating room by yourself, and the doctors in the operating room call me."

Director Yu shouted.

Luo Feng's heart skipped a beat, and he felt something bad. He wanted to say something, but was ruthlessly interrupted by Director Yu.

"Now we go to the operating room. If something happens, you can't think of it even if you intervene in the department."

Director Yu led the way, and Luo Feng was in a complicated mood and led the patient's family to follow him.

As soon as I arrived at the door of the operating room, I saw the door of the operating room being pushed open. Wang Yang walked out with the emergency department hospitalization officer.

Luo Feng widened his eyes at this moment, and the thing he didn't want to see happened.

"You can see it yourself. This is the consequence of your unauthorized decision. Think about how to explain to your family."

Director Yu was so angry that he wanted to throw the medical record in his hand on Luo Feng's face.

When the patient's family listened to it, the more they listened, the more they became, the more they became, the more they were wrong.

"Doctor, my son..." Director Yu saw that Wang Yang had already come out. It took less than fifteen minutes from entering to coming out. The operation must have failed. This is a pulmonary embolism thrombolysis surgery. Even the simplest interventional embolism hemostasis surgery, it takes ten minutes, right?

Director Yu decided to tell the truth to the patient's family and glared at Luo Feng. When Director Yu finished speaking, he was facing two pairs of glaring eyes.

"Monster doctors, you quack doctors will give my son his life!"

The patient's father roared and rushed towards Director Yu.

Seeing this, Luo Feng pulled Director Yu in time and blocked the patient's father's punch with his arm.

The patient's mother sat on the ground and cried bitterly, and kept cursing.

"You guys who are killed in heaven are only seventeen years old!"

The surrounding crowd gradually increased, all of whom were the patients' families. After a simple imagination, they stood on the side of the patient's father and condemned them.
Chapter completed!