Chapter 399 Death is coming, and there is hope for life in the dead end!
Special...
Xu Qiu frowned. What could be so special about an aortic aneurysm?
"The patient's identity?" he guessed.
"Yes, the patient is a little special... Do you remember the car accident involving Professor Joseph?"
"Yeah."
This incident caused a great sensation at the time.
The perpetrator deliberately retaliated against society because Linhai International Friendship Hospital misdiagnosed his wife's lung cancer as tuberculosis, delaying the best treatment time.
Joseph was saved by Xu Qiu, so he naturally remembered this.
Liu Susu's tone sank, and she said, "This aortic aneurysm patient is the mother of the perpetrator."
"So that's it."
Xu Qiu understood what Liu Susu meant.
She came here specifically, in addition to asking Xu Qiu to perform the operation, she should also want Joseph to participate in the operation.
The doctor was seriously injured by the perpetrator, but after recovering, he saved the perpetrator's mother regardless of the past...
This kind of news is not outdated in any country.
"It seems that a modified operation can be performed?"
Xu Qiu was suddenly stunned.
A few months ago, he had received an aortic arch replacement for aortic aneurysm.
However, since this replacement is relatively old, it is an old procedure from almost 50 years ago and has many shortcomings.
According to research by the international community, the 30-day mortality rate after surgery is 8.7%, the incidence of postoperative neurological complications is 13.0%, and the patients with postoperative ventilator support time is more than 2 days account for 65.2%, and the patients with more than 5 days account for 34.8%...
In addition, the probability of acute renal failure and stroke is also very high.
Therefore, Xu Qiu has performed simulated operations many times and continuously improved this old operation.
Finally, it was polished to the perfect level and upgraded to the "perfect improved version of aortic arch replacement".
The improved procedure uses antegrade selective cerebral perfusion and reconstructs the three major branches on the aortic arch, which has significantly improved the surgical efficacy.
Of course, the difficulty has also skyrocketed.
This is not like Linhai's small blood vessel replacement, which can be mastered by experienced attending physicians.
After several months of improvement by Xu Qiu, the modified aortic arch replacement has been continuously improved in the direction of improving the efficacy of surgery. The difficulty and risk of the operation have naturally increased, so that few people can handle it except Xu Qiu.
Perhaps only a few famous cardiac surgeons in the international community can try to master it.
Before, Xu Qiu was still wondering how to keep Joseph.
The current modified aortic arch replacement may be a good opportunity!
"You go and call Professor Joseph to the stage, and several other foreign famous doctors can also observe."
After Xu Qiu finished speaking, he rushed to the emergency room of the emergency department.
...
In the emergency room.
Seventy-three-year-old Lv Guilan was rushed to the clinical doctor for emergency treatment due to sudden chest pain.
Before Xu Qiu came, the emergency department had quickly conducted relevant examinations.
Cardiac color Doppler ultrasound showed that the aorta was significantly widened, and strong strip-shaped echoes were seen inside it.
This is already aortic dissection on the face.
Moreover, during the rescue, the aortic aneurysm ruptured. CTA showed that the aorta had multiple ulcers, accompanied by mural thrombus and pericardial effusion.
The situation was extremely dangerous and the patient could die at any time!
The emergency room was already busy, and the doctors and nurses were sweating on their faces and looked extremely serious.
Just as they were about to issue a critical illness notice, Xu Qiu rushed in.
"Doctor Xu is here!"
After the surprised voice, everyone in the emergency room was happy, and they were finally saved.
"Doctor Xu!"
"The patient may die suddenly from massive bleeding at any time!"
Xu Qiu nodded, then calmly put on gloves and began to rescue.
"Puncture the radial artery for pressure measurement."
"Puncture the internal carotid artery."
"Bedside ECG monitoring..."
Xu Qiu's orders were orderly, and the emergency room immediately restored order.
Micro pump, high-flow nebulized oxygen inhalation, gastrointestinal decompression, sedation, pressure increase...
A series of rescue measures were issued in sequence.
At this time, Joseph, Yang Yuen, and many foreign famous doctors came.
Seeing the extremely unstable vital signs of the patient, everyone's face showed horror.
Too dangerous!
This level of rescue, even if Joseph himself went into battle, could not guarantee the patient's survival.
Joseph's expression was solemn, and he lowered his voice and said: "It is probably type A dissection."
Stanford type A dissection has a very high risk factor. The mortality rate within 48 hours of onset is more than 50%, and after the dissection ruptures, the mortality rate rises rapidly by the number of minutes.
The only way is to perform surgery quickly.
However, type A dissection surgery itself is very risky. It not only has strict requirements on the surgeon and surgical techniques, but also puts a great test on the multidisciplinary cooperation of the entire hospital.
Nowadays, most hospitals cannot perform such operations.
What's more, the aneurysm dissection has ruptured now!
It is an overestimation to say that it is a life-or-death situation. Now it is not too much to issue a death notice.
"It's a pity. If I hadn't been injured, I could have tried to be the main surgeon. If you were to join me... maybe there would still be a glimmer of hope!" Joseph looked at the famous doctors and sighed slightly.
If these masters of cardiac surgery worked together, they would be like a well-coordinated team.
They could find a glimmer of hope in a dead end.
Just a glimmer, no more.
Conventional aortic arch replacement surgery is also difficult and has many side effects. It will cause considerable damage to the patient and will also bring a lot of sequelae... With Lu Guilan's current physical condition, it is unclear whether she can get off the stage.
But at this moment, the rapid alarm sound of the monitor suddenly stopped.
Everyone looked and saw Xu Qiu holding a syringe filled with accumulated blood drawn from the abdominal cavity.
The next moment, the patient's sharply dropped heart rate, blood pressure, etc. gradually rebounded, leaving the brink of death and reaching a dangerous but not fatal range.
It was at this moment that Xu Qiu ordered: "Immediately contact the cardiac catheterization laboratory, anesthesiology department, blood transfusion department, and infectious disease department of the interventional center to prepare for emergency surgery."
Emergency surgery?
Joseph and others showed incredulous looks.
The patient's condition has just stabilized. Can she withstand the surgery at this time?
Xu Qiu didn't have time to answer these questions. He glanced outside the door: "Where are the family members?"
Liu Susu's heart skipped a beat: "I don't have any family members..."
Lu Guilan's daughter-in-law died due to misdiagnosis in the hospital, her son was imprisoned for retaliating against society, and his wife also died of a stroke three or four years ago, leaving no close relatives who could make the decision.
"No one will sign for the operation. You have to ask the director or the dean...ah, that's not right."
Liu Susu suddenly remembered that Xu Qiu was already qualified to sign.
His signature is much more authoritative than tool men like Wang Ping and Wang Shengde.
"Well, let's do the surgery."
Xu Qiu looked at Joseph: "Professor, and everyone, are you going to come on stage and have a look?"
"I can't help." Joseph frowned.
Aortic arch replacement surgery itself is very difficult. Coupled with Lu Guilan's physical condition, it would be an understatement to say that no one can do it.
Xu Qiu is... trying to pull them onto the pirate ship?
