Chapter 65 Pulmonary Embolism
Wang Yang ignored Li Xiang, who felt that Li Xiang was sick and injected bags of fresh frozen red blood cells into the patient's body. The patient's blood pressure began to rise slowly and gradually became balanced.
Fifteen minutes later, the compression and bleeding ended. Wang Yang put pressure on the local puncture point and then carried the patient onto the flat car and left.
Due to excessive blood loss in the patient, Wang Yang did not ask the anesthesiologist to wake up the patient with general anesthesia. The nurse held the oxygen pillow in her hand and followed the patient back to the ICU ward.
Li Xiang did not continue to follow Wang Yang, but explained some things to Wang Yang.
"When you are undergoing interventional treatment for liver cancer, remember to call me and I will continue to be an assistant for you."
Li Xiangdao.
"But I have an assistant!"
"Your assistant is as good as me?
Is there any professionalism in me?"
Li Xiang frowned.
Listening to Li Xiang's words, Wang Yang felt speechless. Lu Ming was as an assistant, and he could only say it was just like that.
"But I didn't do that surgery!"
"Don't worry, it must be yours!"
Li Xiang's last words made Wang Yang unable to touch his head. Hua Mao invited Li Mo, a liver and gallbladder expert from Jiangcheng. How could the interventional treatment of liver cancer still require himself to play?
Shaking his head, Wang Yang simply stopped thinking about these things, and he felt a little tired.
Although the operation only took half an hour, the dozens of kilograms of lead clothes on their body were not decorations, and the system did not add a little bit of strength to my strength. It was purely my previous physical fitness.
With the airtightness of the lead clothes, Wang Yang was already sweating profusely at this time. He dragged his tired body to the bathroom to take a painful shower and put on clean and clean clothes. Wang Yang felt a lighter all over.
At this time, the system prompt sounds.
"Congratulations to the host for completing an interventional embolization surgery for pelvic fracture, and rewarding 500 skill points."
Wang Yang watched the five hundred skill points be recorded, and 300 of them were added to neurosurgery. The neurosurgery technology could reach 1970 points, and the remaining two hundred points were stocked up.
After returning to the emergency department for a while, I suddenly received a call from Manager Zhang of Huamao Technology on my mobile phone.
"Doctor Wang, I am Zhang Hui from Huamao Technology. I have just confirmed the time with Professor Li, and I have set it tomorrow afternoon and arrived at the hospital at about 1:00 p.m.."
Zhang Hui said things in a very organized manner.
"Okay, trouble!"
Wang Yang determined Professor Li's time and turned around and told Li Ge.
Li Ge finally felt relieved. What she feared the most was that Professor Li couldn't take time, and in fact, everything was very easy to test.
After all, liver cancer is one of the most malignant cancers among malignant tumors, and it changes every day.
Wang Yang remembered himself, Meng Yue, Li Ge and Lu Ming, who brought a WeChat group, and Wang Yang also sent the news to the group and notified everyone.
Observing professors to perform surgery is also a kind of learning.
After doing all this, Wang Yang asked Meng Yue to buy a box lunch for him. After eating, he went to the duty room to sleep.
It's afternoon now, and the emergency room is usually busier at night. Wang Yang can rest for two or three hours to prepare physical fitness for the emergency room at night.
In the duty room, Wang Yang also saw Lin Miao resting. Lin Miao changed a lot during this period. Wang Yang never saw him showing his authority to him again, but instead kept asking him for advice.
Seeing Lin Miao resting, Wang Yang did not disturb him, so he found a corner and lay down.
This rest is the place used by doctors to take a temporary rest. Unless there is an emergency surgery, no one will come to disturb them.
After all, doctors are human beings, not gods.
Wang Yang was finally woken up, and a patient suddenly came to the emergency department.
When he hurried back to the department, Wang Yang saw a middle-aged man anxiously spinning around the corridor.
"Brother Wang, here!"
The doctor on duty waved to Wang Yang and handed the patient's case to Wang Yang to see.
Wang Yang took a look. The patient was 16 years old and was studying at Taoshi No. 1 Middle School. He suffered from chest pain during physical education class in the afternoon, difficulty breathing and fainting. He was sent to the infirmary for three hours of treatment, but no improvement. He was transferred to Taoshi No. 1 Hospital.
The examination report given by the school infirmary is fast heart rate, low blood pressure, and chest CT examination shows overflow of both lungs, which is considered inflammation.
Wang Yang glanced at the fainting patient. The light plate of the system showed pulmonary artery embolism. The situation was quite dangerous and his blood pressure was constantly decreasing.
However, as the hospitalization chief, Director Xiao gave him great power, but this kind of surgery requires consultation.
Wang Yang called Director Xiao and told Director Xiao about the patient's condition. Director Xiao quickly initiated a consultation with other departments, and Wang Yang was the reporter.
Soon, directors of various departments gathered in the conference room, and Wang Yang showed the patient's emergency CTPA (also known as emergency spiral CT pulmonary angiography) to each director.
After seeing the CTPA, the directors of each department started to talk. The patient was in a bad condition and the patient had acute pulmonary embolism. Generally, early death from acute pulmonary embolism was divided into three levels of risk: high-risk, medium-risk, and low-risk.
This young patient happened to have symptoms of shock coma and persistent hypotension. It is a high-risk acute pulmonary embolism and is in danger of life at any time and requires immediate surgery. This is why Director Xiao immediately convened a consultation.
After a brief conversation, everyone agreed that interventional thrombolysis is the most suitable.
"Who will do this surgery in your emergency department?"
Director Iciu raised this question, "No one in your emergency department can do this surgery, right? Why don't you leave it to our Iciu Dr. Li Xiang?"
"Who said no one of us can do it?"
Director Xiao sat in the first place, looked at Director ICU, and said, "We can do it when we are hospitalized!"
"You are hospitalized..." Director Iciu was about to say that no one in the emergency department could do thrombolysis, and when he saw Wang Yang sitting next to him, Director Iciu's expression suddenly became strange.
The other directors were very wise and did not speak. In the emergency department, it may have been that my grandmother didn’t love my uncle. Now, with Wang Yang, what major surgery does it take to stop thrombosis? The first person I think of is Wang Yang.
He still licked his face and asked Wang Yang for an operation. After seeing Wang Yang, Director ICU did not dare to say that Wang Yang did not know how to thrombolysis surgery was.
After all, Wang Yang is so well done in interventional embolization, so interventional thrombolysis should not be bad.
"I agree!"
Director Iciu agreed with Wang Yang for the operation.
"I agree too!"
With the consent of Director ICU, the other directors naturally had no objection. Among them, the director of obstetrics and gynecology and the director of urology felt that there was no need to hold this consultation, so just let Wang Yang go.
"Okay, then our emergency department is ready for the operation. After the operation, ICU will be sent to the ICU for observation."
Director Xiao clapped his hands and signaled the end of the meeting. He symbolically pulled Wang Yang to his side and asked, "Do you have confidence in this operation?"
Wang Yang actually wanted to say that he had no confidence, after all, he did not know how to thrombolysis surgery at all! Before Wang Yang could answer, Director Xiao patted Wang Yang on the shoulder and said, "Come on, this kind of surgery is not challenging at all for you."
Chapter completed!