Chapter 493: Stroke Patients (2)
"The patient's blood pressure is reduced, and prepare to inject mflavin in a quiet spot."
Doctor Puwai heard the anesthesiologist's voice and quickly ordered.
"The current blood pressure is 50/30, which is rising rapidly."
"When you wait 90, you will inject the second mflavin."
Director Yao ordered.
The nurse nodded and continued to prepare the medicine.
Wang Yang saw that his blood pressure reached 80/35, it suddenly dropped rapidly. Wang Yang's pupils contracted, and things were a little bit overwhelmed.
According to the normal direction, the increase in blood pressure is normal. Basically, the patient's blood pressure can be stabilized within a value with two injections of m flavin.
Seeing that his blood pressure dropped, Director Yao did not dare to continue the operation and stopped his movements. This should be because during the operation, he touched the blood vessel in the skull and did not find the ruptured blood vessel in time, and the patient would definitely die.
"Prepare 1 mg of methylene hydroxylamine and inject."
The nurse injected interhydroxylamine into the patient's body, and the patient's blood pressure slowly rose again, but it could not rise.
"Old Hong, did you find the ruptured blood vessels?"
Director Yao asked anxiously.
"No, the patient's skull has not experienced a large amount of hemorrhage except for the hematoma."
Dr. Hong was also a little anxious.
Now that the cause of the disease is not found for a while, they dare not do it without authorization for the subsequent surgery.
"Why not close the skull?"
Dr. Hong suggested.
Director Yao frowned at this moment, saying that the operation failed and could not be performed at all. He had issued a critical illness notice with the patient's family.
But Director Yao didn't know why. In the past, he was definitely the first to propose Guan Shu to give up the operation. But... Director Yao looked up at Wang Yang, yes, it was this guy who made the desire for victory and defeat in Director Yao's youth re-alter.
Isn’t Guan Shu just slapping himself in the face now? In an instant, a situation appeared in Director Yao’s mind that had nothing to do with cerebral hemorrhage, but because of acidosis caused by drug injection.
"Director Ding, the patient's condition is that the patient's colloidal fluid and crystal fluid are injected too much, and the patient's urine volume cannot be excreted, resulting in acidosis. With baking soda and anaesthetic-reducing agent, the surgery will be done again."
Wang Yang approached Director Ding's side.
Director Ding nodded and expressed Wang Yang's guess. Director Yao glanced at Wang Yang, but unexpectedly, Wang Yang had the same idea as him.
However, Wang Yang's identity is an interventional doctor who has performed tips surgery very well. Although he has done some good surgery, it seems that the last pulmonary embolism surgery shocked Director Zhao of the Vascular Department.
However, Wang Yang seems to have a good understanding of cerebral hemorrhage in neurosurgery, and is much better than ordinary department doctors. Even if the department doctors in Union Medical College encounter this situation, they will have a brief panic.
Director Yao is a professor-level director. He has experienced many such surgeries and can distinguish them from various cases and make an inference, which makes a feeling of being a dead horse as a living horse.
After Wang Yang finished speaking, he continued to stand aside without any movement.
At this time, Wang Yang's mentality also changed slightly. Sometimes the "privilege" brought by his status is really good.
Take this kind of time. If Wang Yang is a professor or chief physician, then Director Yao will definitely give face and give Wang Yang a try. Unlike now, his opinions can only be conveyed through Director Ding.
Director Ding glanced at Wang Yang and patted Wang Yang on the shoulder. Director Ding could understand Wang Yang's feelings.
Director Ding has considered these things since Wang Yang came to Union Medical College, but he did not expect that he would not have any conflicts in the intervention department, but instead had other departments.
After all, the interventional department is an outsider. If the interventional department dominates, then Director Ding can stand up for Wang Yang.
The bigger the hospital, the dominant position in this kind of surgery is a hidden rule, so don't break it.
There is a species, you are a dragon, and I have to keep my territory when you come, and you are a tiger, and I have to be a lie down when you come.
Wang Yang's initial behavior was to break this unspoken rule. Doctors in other departments may not feel anything, but Director Yao, the director of neurosurgery, who occupies the leading position, must be unhappy.
Fortunately, Wang Yang also tried hard for a while. If he were in Taoyuan, Wang Yang might have squeezed Director Yao away with a scalpel.
The operation continued. As the direction was found, Director Yao quickly resolved the blood pressure, treated the acute brain swelling caused by acidosis, and continued to deal with the hematoma in the skull.
"Okay, the hematoma has been cleared, I'm closed. Lao Ding, you are ready to intervene in the dredging operation."
Director Yao cleared out the blood clot and threw it into the contaminated basin.
Director Ding nodded and took Wang Yang to the locker room to change into a lead dressing clothes and return to the operating room.
"Director Yao, can you help me open an endoscopic mouth on the patient's forehead?"
Wang Yang asked.
Director Yao glanced at Wang Yang and asked, "What do you want to do?"
"During the patient's intervention and dredging process, secondary bleeding will definitely occur in the patient's cranial bleeding, so endoscopic assistance is needed."
Wang Yang said truthfully.
Director Yao frowned and felt that Wang Yang was chasing his treacherous things, and endoscopy assisted in the treatment of cerebral hemorrhage?
Even if he didn't dare to do this, at most he would let Director Ding's surgery be done faster, and then he would undergo a second rescue after the embolization was solved.
"It's impossible. The minimally invasive operation of endoscopy, let alone normal cerebral hemorrhage, the patient's current situation cannot use endoscopy at all."
Director Yao rejected Wang Yang.
"Director Yao, if you don't use endoscopy, once the embolized artery is unblocked, the patient's cerebral blood vessels will instantly collapse and cannot be rescued."
Wang Yang retorted.
Director Yao was also a stubborn temper. After directly suturing the patient's temporal bone, he got off the stage and did not give Wang Yang any chance.
Director Ding glanced at him, then looked at Director Yao again, and didn't know what to say for a moment.
"Director Ding, can you ask the nurse to prepare a double endoscopy for me?
0° and 45°.”
Wang Yang looked at Director Ding.
"Old Ding, just accompany him to make trouble. The patient's intracranial hematoma and bleeding points have been handled by me, and the chance of secondary bleeding is very small."
Director Yao also heard Wang Yang's words, "If there is any problem with the patient, you can wait for the medical department to come and cause trouble for you."
Director Yao left the operating room and returned to the operating room because the intervention operation needed to be carried out in a radiation environment, and it was impossible to be in the operating room without lead clothes.
"Are you sure?"
Director Ding asked.
"According to what Director Yao said, patients cannot leave this operating room."
Wang Yang had already trained in the training room. Before training, he was the same as Director Yao's idea. He felt that the patient would not experience secondary bleeding, but after actual operation, he found that secondary bleeding was inevitable and that a person could not operate it at all.
Therefore, Wang Yang's surgery in the training room did not succeed once.
Chapter completed!