Chapter 37 Simple ideas, ultimate skills
Inside the office.
Xu Qiu was about to leave for the operating room when he heard the sound and looked towards the door.
I saw three men with tattoos on their arms standing at the door.
He is fierce and looks very tough to deal with.
The three of them looked at Xu Qiu with unfriendly eyes.
"Are you Xu Qiu?"
"You are too young. How can I leave my brother to you?"
"You saw that my brother had a Pikachu tattoo, and you thought he was easy to bully, so you used him for training, right?"
"Substitute, replace!"
Three people blocked the door of the office.
Xu Qiu was helpless.
He glanced at the surgery schedule.
Wang Ping, He Hai and others all went for surgery.
The only ones who can turn to for help now are the bald directors.
Xu Qiu thought for a moment and dialed the number of Director Huang of the Interventional Cardiac Surgery Department, which had the least number of calls.
The director rushed over quickly.
When the three of them saw Director Huang's king-like hairstyle, they immediately felt relieved and let Xu Qiu go.
On the way to the operating room.
Director Huang said calmly:
"Xu Qiu, Wang Ping guarantees you that if something goes wrong with your surgery, Wang Ping will basically say goodbye to the medical industry."
Xu Qiu nodded.
Master-level superconducting intervention... It is still a bit difficult to fail.
Seeing Xu Qiu's calm expression, Director Huang became even more confused.
He originally thought that he would save the day and then go back.
But now I changed my mind.
He wanted to see it,
Where does this young doctor get his confidence from?
"Xu Qiu, I'm going to have surgery soon. Something's really going to go wrong... I'm here to help you figure it out."
Director Huang said confidently.
After all, he is also the director of extracardiac intervention. With nearly forty years of experience, he can’t even compare to a resident doctor, right?
…
…
Half an hour later.
The patient was paralyzed.
The monitoring of various vital signs such as SaO2 is normal!
"Heparin 10,000IU. Inject through the arterial sheath."
"Intracoronary injection of 200 μg of nitroglycerin..."
Xu Qiu carefully flushed the guide wire cavity of the instrument and at the same time asked for medication during the operation.
Soon, the patient's systemic heparinization was completed.
At this time, Director Huang was completely confused.
Scrub the guidewire lumen?
Isn’t this an operation to place a vascular stent?
He immediately guessed Xu Qiu's intention and asked tentatively: "You plan to block the pulmonary artery first and then perform surgery?!"
Xu Qiu nodded calmly.
Director Huang was completely dumbfounded.
This surgery is very time-sensitive.
The shorter the better!
Any time longer than three hours may exponentially increase the chance of infection.
Superconducting interventional surgery inherently takes a long time.
Now, Xu Qiu has added an additional surgery of stent placement and closure!
Can this...be done?
What answered him was the stent connector that was inserted into the patient's blood vessel in the blink of an eye.
Director Huang's heart immediately rose to his throat and he looked around hurriedly.
At this time, Xu Qiu had smoothly pushed the stent into the blood vessel.
He stared at the monitor screen.
The wrist is constantly shifting and twisting subtly.
Then, Director Huang was surprised to find——
On the screen, there were many tortuous and winding blood vessels, but they did not block the route of the guide wire at all.
Under Xu Qiu's control,
The guide wire quickly passed through the bifurcation with incredible deflection every time, and finally reached the pulmonary artery!
Confirm the location again.
Next, Xu Qiu implanted the stent into the pulmonary artery.
At the same time, clean up the surrounding eroded blood vessel gaps, infections, etc.
Director Huang stood there with a shocked expression, feeling that the scene in front of him was too magical.
How could the guide wire in his hand be so obedient?
And, how long did it take?
Two minutes!
Is this an operation that can be completed in two minutes?
"Get ready, Superconductor is stepping in to remove the foreign object."
At this time, Xu Qiu's voice sounded again.
Only then did Director Huang come to his senses and quickly acted as an assistant.
At this moment, he already regretted his previous thoughts.
Help Xu Qiu cover up?
Xu Qiu is enough to give him the scoop!
If Xu Qiu can't even finish it...
All he could do was stand by and say to the patient, "321, time of death is xxx."
…
Twenty minutes passed quickly.
In the operating room.
Xu Qiu steadily pushed the superconducting video bronchoscope into the patient's nasal cavity.
Slowly reach the preglottis.
Deep under the glottis.
Instill the anesthetic and suck up the secretions.
After passing through the glottis, the anesthetic is dripped in sections...
finally,
On the screen, a pointed object appeared.
There are colonies of different sizes on the object.
"I found the bamboo stick!"
Everyone in the operating room cheered.
But Director Huang's expression became even more solemn.
It’s not hard to find bamboo sticks.
The difficulty is how to remove the 8cm-long bamboo stick from the patient's body without causing too much harm.
"Get ready, alligator-tooth pliers."
Xu Qiu's voice sounded.
He controlled the alligator-tooth pliers and slowly reached the location of the bamboo stick.
Under Director Huang's shocked gaze, Xu Qiu cut off the bamboo stick section by section, and then took it out in pieces.
Every cut is accompanied by the risk of the bamboo stick shifting and nicking the blood vessel.
Massive bleeding is one thing.
Moreover, the bamboo sticks are also covered with infectious bacteria.
Once it enters the blood, the consequences will be disastrous!
But,
Every time, Xu Qiu always managed to cut off the bamboo sticks safely.
Director Huang's palms were sweating.
He knew that if he did it himself, the bamboo stick might shift the first time he cut it!
Fifteen minutes later.
When Director Huang saw the last bamboo stick fall into the tray, he finally breathed a sigh of relief.
"Finished...done?!"
Director Huang was sweating all over.
He wanted to move his feet, only to find that his legs were a little weak.
Moving to the side of the tray, he simply put together seven or eight bamboo sticks and measured with a ruler:
7.8cm!
"A foreign body of nearly eight centimeters, and it penetrated into the pulmonary artery... It was actually removed by intervention?!"
Director Huang was extremely shocked and couldn't believe his eyes.
According to common sense, such a large foreign body can only be removed by thoracotomy.
Minimally invasive interventional surgery can only deal with small foreign bodies, such as fish bones, keys, etc.
A few years ago, Director Huang encountered a patient with a fish bone piercing the alveoli.
In that operation, a total of eight departments were involved to remove the two-centimeter fish bone!
Result...
Xu Qiu single-handedly took out the 7.8-centimeter bamboo stick by segmented cutting!
The method is not difficult.
The difficulty is the control of strength and the precise balance!
If there is a slight deviation, the bamboo stick will lose its support and may become a fatal knife, piercing the surrounding organs or even piercing the heart!
...
The operation is not over yet.
Removing foreign objects only means that the most dangerous step is completed.
But it is far from time to celebrate.
Director Huang returned to the stage again and looked at the screen again.
But the next moment, his pupils suddenly dilated.
"This... can actually be like this?!"
Director Huang was shocked by the picture on the screen.
