I'm a god of medicine

Chapter 402 Interventional Surgery

Just as he was talking, Director Liu Jian of the Intervention Department came to the door with a thick bag of materials.

He greeted Gao Yong first, then pulled a chair and sat down next to Yang Xi.

Yang Xi stepped aside, and said with a smile: "Director Liu, don't try to have sex with me if you don't want to be close to each other."

Liu Jian didn't like this at all, and Yang Xi let him go, so he continued to post, and put his arm on Yang Xi's shoulder. "Don't hide, bro, I've coveted you for a long time."

Yang Xi turned around, hooked Liu Jian's chin with his fingers, and said with a smile: "Old girl, give me a smile!"

Liu Jian is a few years older than Gao Yong. If rounded, he is already 50 years old, but he is born with a good temper and can joke with anyone, especially the relationship with Director Ma. Tie, overtly and secretly, this dude always considers himself Director Ma's horse boy.

Based on this relationship, Liu Jian is naturally very close to Gao Yong and Yang Xi's group.

After the joke, Liu Jian put a thick bag of patient information into Yang Xi's arms, and said, "Help me take a look at this patient, small nodular liver cancer, I had an intervention three months ago, and there is nothing wrong with it." used, and is still thriving.”

Yang Xi opened the information bag, took out the information in the bag, and a group of people surrounded him, and then divided the materials thoroughly.

Pass it on, see more medical records and experience.

"Director Liu, tell me objectively, what is the effect of liver cancer intervention?" Yang Xi looked at the film and asked casually.

Liu Jian said: "Half to half, it still depends on the classification."

"I've read a medical novel. The number one male in the book has a lot of experience in the interventional treatment of liver cancer. He created an original one that uses [-]D reconstruction technology to select the interventional approach. The effect is so good..." Yang Xi read that The patient's latest CT film, and then find out the CT film before the interventional operation three months ago, and compare it carefully.

Liu Jian smiled and said, "That male number one won the Nobel Prize for it, right?"

Yang Xi said pleasantly, "Have you read that book too?"

Liu Jiandao: "The book is a good book, fascinating, and has created a very positive and excellent image of a surgeon, but professionally, we can't compliment it, but it can be seen that the person who wrote this book is an insider Professional content rubbed into his fantasies."

Yang Xi nodded and continued, "Then what do you think about the prospects of interventional treatment for liver cancer?"

Liu Jian sighed and replied, "Not very optimistic."

Yang Xi moved his gaze away from the CT film in his hand, and landed on Liu Jian's face. He was a little surprised and said, "Your answer is a bit unexpected!"

Liu Jian smiled and said, "Did it surprise you?"

Yang Xi curled his lips and said with a smile: "The homophonic stalk is not fun."

Liu Jianzai sighed, and said: "To be honest, interventional therapy for liver cancer is nothing more than two methods, one is to block the blood supply of the cancer focus, and the other is to locally inject chemotherapy drugs, just as a model, the effect is good, but in fact, The blood supply of the cancer focus cannot be sealed at all. If you seal it today, it will rebuild a set for you in a few days, which may be even richer than the previous blood supply. As for local chemotherapy, it is useless. The blood supply cannot be sealed. live, the chemotherapeutic drugs cannot be preserved.”

Yang Xi said: "Then you can intervene many times, such as once a week, four times or five times in a row."

Liu Jian smiled wryly and said, "I think, the patient must be able to bear it."

Yang Xi frowned and said, "Economic problem?"

Liu Jian shook his head and replied, "The economy is a problem, but it's not the main one."

Yang Xi continued: "The patient's blood clotting mechanism can't bear it, can it?"

Liu Jian sighed and said, "Yes! Once a week, the effect is definitely so good that it can go to heaven, but it's a pity that the concubine can't do it!"

Interventional surgery is a type of minimally invasive surgery. A small opening is opened on the surface of the body, and a catheter guide wire is inserted along the blood vessel to send the catheter guide wire to the lesion, or to inject drugs, such as blocking the blood supply of the cancer focus, or intravascular surgery. Thrombolysis, or the placement of therapeutic equipment such as stents, such as heart stents, and stuffing coils to treat brain aneurysms.

Compared with traditional treatment methods, interventional surgery has minimal trauma to patients, but the clinical effect is not as bad as traditional methods, or even better.

However, interventional surgery has a considerable impact on the patient's blood system.

Inserting a one-meter-long or even longer catheter guide wire into a blood vessel, the blood system is bound to have a stress response, the most common being the aggregation of platelets and the formation of thrombus.For this reason, large doses of anticoagulant drugs, such as heparin, must be given during interventional therapy.Although the metabolism of heparin in the body is fast, the recovery of the blood system requires a process. If a large dose of heparin is used repeatedly for anticoagulation in a short period of time, it is easy to cause problems in the patient's blood coagulation mechanism.

The cancer focus was not killed, but a multi-organ diffuse hemorrhage occurred instead, which was not worth the candle.

Many people think that the risk of interventional surgery is very low. This is definitely a misunderstanding. In fact, there are many complications of interventional surgery. In terms of the probability of complications, general surgery ranks first, and interventional surgery and obstetrics are tied for the second place. two.

As for the most sacred brain surgery in people's hearts...

To comment, among all surgical specialties, brain surgery is the easiest, will you be beaten?
But it is true.

A general surgeon, who switched to a brain surgery, can be on duty independently for at most one year.But on the contrary, a brain surgeon came to the general surgery department, and a year later, he could only work as a small follower.

The reason is that the anatomical structure is relatively complex, and the functions of tissues and organs are also relatively complicated.

"The patient was in good condition three months ago, why wasn't he sent here for a cut?" Yang Xi glanced at Liu Jian with a slightly dissatisfied expression.

Liu Jian replied seriously: "Here, let's make things clear. Don't think that I, Liu Jian, left this patient for intervention for the benefit of the department. For this patient, I first went to Old Ghost Qin, and then I also looked for the old horse, but neither of them would accept it, what should I do?"

Yang Xi patted his forehead, grandma was confused, three months ago, he hadn't come to the municipal hospital, and he hadn't started hanging up. As far as the difficulty of the operation was concerned, whether it was for Old Ghost Qin or Director Ma, It is quite difficult, and if you are not sure, you are naturally unwilling to take over.

"Then you don't know how to find me in Liuquan Town?" Yang Xi said seriously.

Following Yang Xi's example, Liu Jian patted his forehead and replied, "Yes, why do you think I forgot about this at the time!"

Yang Xi smiled and said: "Okay, I won't talk nonsense with you. This patient still has a chance of surgery. Laparoscopy is unlikely, but it can still be cut with a big knife."

Liu Jianxi said: "That's great, I'll go tell the patient right away."

(End of this chapter)