world famous doctor

Chapter 58 Preventing Surgery
The Intervention Room of the Municipal Hospital is on the top floor of Building 2.

Next to the intervention room is the doctor's office.

Interventional doctors from the cardiovascular department are gathering inside at this time, conducting pre-operative discussions.

Zhou Chen came to the door and stood still, listening quietly.

The interventional doctors carefully discussed the patient's indications, timing of surgery, etc...

The equipment nurses who intervened in the room were busy in an orderly manner.

They have completed all equipment preparations in advance before the operation.

Temporary pacing, loach guide wire, radial artery puncture device, drug-eluting balloon, stent...the devices used in interventional surgery are all available.

Listen, listen, Zhou Chen pricked up his ears when the doctors in the cardiovascular department discussed the chances of expected surgical complications.

This is his biggest concern.

At this time, the famous doctor system's calculation progress on the success rate of the operation and the probability of complications has only reached 30%.

A doctor said with a serious face: "Because this patient is a high-risk patient, emergency CABG should be performed if necessary."

"By the way, we need to check the patient's blood type and blood matching, and notify the surgical staff if necessary." Another doctor said cautiously.

"Has the Allen test been done?" a doctor asked.

"Yes, after the experiment, the patient's ulnar artery function is good, and radial artery interventional therapy is feasible."

"..."

Since the patient is suffering from acute myocardial infarction, in order to save time and win the best chance of rescue for the patient, the pre-operative discussion among several interventional doctors was extremely brief but important.

Before PCI, a doctor routinely conducts the final preoperative doctor's order and family members' signature confirmation check.

intervention room.

The interventional doctor first read the SCA images, and had a full understanding of the patient's coronary artery lesion, its degree of stenosis, lesion characteristics, blood vessel diameter, and blood flow.

PCI technology, to put it bluntly:
It is to use minimally invasive catheter technology to quickly open the infarcted criminal's cardiovascular system, restore the blood oxygen supply to the myocardium, save the dying myocardium, and prevent the occurrence of malignant cardiac events.

It sounds simple, but it is highly complex and a high-risk surgical treatment.

The door of the intervention room was closed.

Outside the door, only Zhou Chen, Gu Qing and the tall and thin young man were left. He was Yuan Lili's husband.

The tall, thin man was in a hurry, fidgeting, and looked like he was about to cry.

Zhou Chen walked up to him, patted him on the shoulder, and said a few words of comfort.

"Brother, relax, you must trust the doctor's skills."

The tall and thin man glanced at him and said nothing.

Step into the room and proceed in an orderly and tense manner.

Disinfect... drape...

Nurses perform a series of routine preoperative preparations.

After the 1% lidocaine local anesthesia was completed, the anesthesiologist looked back at the timer on the wall.

An interventional doctor is extremely skilled and sends 6FEBU375 along the sheath to guide the catheter to the opening of the patient's left crown.

Then send the runthrough guidewire to the distal end of LCX for US inspection.

After confirming the diffuse stenosis at the proximal end of the LED, looking back, the interventional doctor said:

"Supplementary heparin, 2500U."

The itinerant nurse nodded and immediately complied.

For their interventional doctors, they have done this kind of surgery countless times, so they can be said to be extremely skilled.

Next.

Prepare to enter and use the guide wire to send the balloon to place the LED proximal lesion, pre-dilate...accurate positioning, release the stent, and review the IVUS link.

After the operation is completed, the sterile bandage is applied, the circulating nurse and the equipment nurse conduct an inventory and check, and the patient is returned to the ward...

These processes have been rehearsed more than once in the mind of the interventional doctor.

Step outside.

Zhou Chen also paced back and forth anxiously.

From time to time, he checked the calculation progress of the famous doctor system in the sea of ​​knowledge.

"43%...45%..."

So slow.

Zhou Chen couldn't wait, he used 1000 likes again to redeem the accelerated computing function.

"Accelerating calculation..."

"Calculation completed 91%... 93%... 96%..."

The tall and thin guy raised his head and looked at Zhou Chen strangely.

I was wondering for a while:
This... my wife is undergoing surgery in the interventional room. Why does this man look more nervous than me?

"Calculation progress, 99%..."

Zhou Chen held his breath, and he secretly prayed, don't get stuck here.

There are two lives at stake.

It's not that he doesn't believe in the medical skills of interventional doctors, but that his intuition today is very bad.

My heart is always up and down, and I feel that something is always going to happen.

The famous doctor system conducted a comprehensive analysis on the patient Yuan Lili's various physical conditions through data collection and gave several different evaluation indicators.

For example, Yuan Lili's history of arrhythmia in the past, NYHA functional classification, etc.

After a comprehensive evaluation by the famous doctor system, the failure rate of PCI surgery was as high as 99.9%.

99.9%? !
Such a high probability does not mean that the operation is bound to fail.

Seeing this astonishing probability, Zhou Chen was startled all over.

He raised his eyes and looked at Yuan Lili's husband who was anxiously waiting outside the operating room. If he knew that the operation would fail, he would probably jump off the stairs.

Zhou Chen swallowed hard.

no!This operation must be stopped immediately.

He strode over to the door of the intervention room and kept knocking on the door.

"Doctor? Doctor? Nurse, what am I doing? It's urgent, open the door."

After shouting for a long time, no one answered.

In a moment of urgency, he couldn't care too much.

Zhou Chen raised his volume and said loudly:
"Open the door, someone is about to die, come quickly."

Within a few seconds, the door of the intervention room was opened by a circulating nurse.

The nurse reprimanded angrily:
"The patient is undergoing an interventional operation. It needs to be quiet here. Why are you yelling here?"

"Stop them quickly, if you can't perform the PCI operation, it will definitely fail!" Zhou Chen sternly said.

The nurse gave Zhou Chen a big stare, and didn't take his words seriously at all.

She said in an orderly tone: "Shut up! You'd better be quiet, or I'll call security later."

Zhou Chen ignored her, leaned his head and shouted loudly into the intervention room:

"This pregnant patient can't do PCI, stop it immediately."

The interventional doctor in the intervention room was concentrating on the operation, and didn't seem to hear Zhou Chen's call.

"Unreasonable."

The itinerant nurse snorted, then turned to close the door.

"I'm not joking with you." Zhou Chen pressed on the door, with an anxious expression on his face, and kept repeating the sentence: "Stop the PCI operation immediately."

The itinerant nurse still paid no attention.

Zhou Chen stooped to take off his shoes and rush into the intervention room to stop him.

Unexpectedly, at this moment, a hand suddenly placed on Peripheral's shoulder and grabbed him.

In this way, Zhou Chen could only watch helplessly as the door of the intervention room was closed again.

What she closed was not a door, but a passage of life for two people!

Zhou Chen turned his head angrily and took a look.

The person who grabbed her was actually Yuan Lili's husband - that tall and thin guy.

(End of this chapter)