I can see health

Chapter 432 Failed electrophysiological surgery (second update)

Walked out of the outpatient building.

Holding the hospital certificate in his hand, Xiao Fang was about to take his father to the inpatient department.

But Fang's father walked a few steps, and suddenly stopped.

"Dad, what's the matter?" Xiao Fang looked back at his father in doubt.

"Didn't you say you wanted to explain to me in the consulting room?" Father Fang said slowly, "I need to be hospitalized for my illness?"

Xiao Fang fell silent.

He hasn't figured out how to explain to his father yet.

According to Lu Chen and Professor Qin Sifeng, his father's early repolarization syndrome is malignant and has a high risk of sudden death.

At this time, it is necessary to implant a CID in the heart to prevent sudden death.

"Dad, a minor operation may be needed." Xiao Fang looked up at his father, "It's a very common interventional operation. Don't worry about minor problems."

Fang's father frowned, looking at his son, "Fang Yuan, your father and I are not stupid, we are going to be hospitalized for surgery, or is it a small problem?"

Xiao Fang's tone faltered, he hesitated and couldn't speak.

"If you don't tell me, then I'll go back and find that Professor Qin." After Fang's father finished speaking, he turned around and went back.

Xiao Fang quickly grabbed his father's sleeve, and said in a bitter tone, "Dad, if you don't go, I'll tell you."

Father Fang turned his head and looked at his son.

The white hair on his temples made Xiao Fang a little dazed.

He graduated with a doctoral degree, and before he knew it, his father was already old.

I thought that if I graduated and worked, my parents would be able to live a good life, but I didn't expect that there are always many things that don't go well in life.

Many of my classmates, at his age, had already married and established businesses, and had done a lot of business.

"Son, just tell me directly, no matter how big the problem is, I can bear it." Fang's father smiled frankly.

After organizing his words, Xiao Fang said slowly, "Dad, there is actually a problem with the electrophysiological conduction system of your heart. It means that the electrical system in one room is faulty."

"Very serious?" Father Fang said.

Xiao Fang nodded, shook his head again, and said: "There is a certain risk, but it is not exact. A small device needs to be installed on the heart. The next time you get sick again, this device can automatically identify the heart rate. abnormal."

"Yeah." Father Fang was silent for a few seconds, then glanced at his son, "Surgery fee..."

"Dad, you don't need to worry about these things." Xiao Fang immediately interrupted his father, "Leave the rest to me."

"But you've only been working for a while..."

"Dad." Xiao Fang said again, "The family didn't have much savings for my education, and I owed a lot of money. Now that I'm working, I should take on my responsibilities. You, just listen to me." .”

Fang's father was startled, and then a smile appeared on his wrinkled face.

Yes, the son has grown up, and he is no longer the teenager who grew up under their wings.

"Dad, let's go, I'll take you to the inpatient department."

"it is good!"

In the corridor of the hospital, a father and son walked side by side slowly towards the inpatient department.

……

Cardiology catheterization room.

Lu Chen is undergoing a routine electrophysiological operation-replacing a pacemaker and implanting an ICD.

The patient is a patient in his 70s.

Nine years ago, he had a pacemaker implanted because his heart was beating too slowly, leading to heart failure.

Recently, because the battery was exhausted, the pacemaker often stopped working, so symptoms of heart failure appeared again, such as chest tightness and shortness of breath.

This time, in addition to replacing the pacemaker, Lu Chen also needed to implant an ICD to defibrillate the patient.

"Master, the operation will end soon, so don't be too nervous." Lu Chen said to the patient with a smile, "If you feel uncomfortable during the process, you should remind me in time."

"it is good."

Lu Chen is already very experienced in this operation.

The implantation of a pacemaker is also one of the items that cardiac electrophysiological interventional doctors must master.

Disinfect, drape, puncture...

Everything went so smoothly.

"Lu Chen, after this operation is over, go out for a meal with me." Xiao Shikang smiled and said, "I'll take you to meet a few people."

"Okay, thank you Teacher Xiao." Lu Chen smiled.

Xiao Shikang is the deputy chief physician of a top tertiary hospital, and the people he knows must have a high status.

In the medical circle, it is always good to know more people.

After chatting with Xiao Shikang for a few words, Lu Chen continued to focus on the electrophysiological surgery.

After the puncture is completed, the guide wire is inserted.

Lu Chen held the guide wire in his hand and entered it from the patient's puncture point.

On the display screen in front of the operating table, the guide wire has successfully passed through the subclavian vein.

Next, is the superior vena cava.

Lu Chen's hand gently pulled the guide wire and sent it into the blood vessel.

As long as the guide wire enters the superior vena cava, it can directly enter the heart.

Suddenly, Lu Chen felt a faint resistance from the guide wire in his hand.

The guide wire passed under the subclavian vein, but it couldn't get in again!

"What's wrong?" Lu Chen frowned.

From the subclavian vein to the superior vena cava, the guide wire should pass easily!
Lu Chen has never encountered such a situation.

He turned the direction of the guide wire slightly, and with a little force, wanted to continue to feed the guide wire into it.

At this time, don't use too much force.

Once the force is too strong, the guide wire is likely to injure blood vessels and even myocardial tissue.

However, Lu Chen tried four or five more times.

The guide wire was still standing still, unable to enter the superior vena cava.

"What's wrong?" Xiao Shikang also noticed the abnormality during the operation.

"The wire seems to be stuck." Lu Chen frowned.

"Ah?" Xiao Shikang looked at the screen on the operating table, sure enough, the guide wire was in the subclavian vein, and it was too late to move forward.

"You can increase the strength in your hand a little bit." Xiao Shikang reminded because he was afraid that Lu Chen would be too cautious.

Lu Chen shook his head slightly, and said, "Mr. Xiao, I've tried hard, but it's still not working. The guide wire doesn't move at all."

Xiao Shikang was also quite puzzled.

If a novice in electrophysiological intervention is performing this operation and there is such a problem that the guide wire cannot pass, then he will definitely think that the surgeon is not skilled enough.

But the surgeon in front of him is Lu Chen!

He can even perform dry pericardiocentesis, so could he be stumped by this small wire operation?
"Let me do it." Xiao Shikang put on his gloves and took Lu Chen's place.

Holding the guide wire tightly, he also slowly pushed the guide wire in.

A resistance came from his hand immediately, and no matter how he adjusted the direction and angle of the guide wire, the guide wire still remained motionless.

At this time, Lu Chen frowned and said, "Mr. Xiao, could it be that the patient's superior vena cava is blocked?"

When Xiao Shikang heard this, his heart was shocked. If the patient's superior vena cava was blocked, it would be a big trouble!

He immediately adjusted the position of the X-ray vascular machine.

At this moment, the patient's superior vena cava was immediately displayed on the screen of the operating table.

Compared with normal blood vessels, this superior vena cava has become abnormally narrow!
"I'm going, it's really blocked!"

The two looked at each other, seeing the helplessness in each other's eyes.

If the superior vena cava is blocked, it means that the surgical channel is blocked!
"Do you want to try again?" Lu Chen said slowly.

He also has no certainty now that this kind of chronic blockage of blood vessels cannot be solved by manpower.

Xiao Shikang has a very helpless expression, and now he can only do his best.

Even if the guide wire can pass through by luck, can the subsequent electrodes pass through?
Seeing that Xiao Shikang did not object, Lu Chen continued to try to push the guide wire in.

……

10 minutes later.

Lu Chen's right hand was trembling slightly, his forehead and bridge of nose were even covered with sweat.

However, on the video screen of the operating table, the guide wire was still at the position of the subclavian vein, without moving at all.

"Exit the guide wire."

Following Xiao Shikang's words, the operation was declared a failure!

(End of this chapter)