world famous doctor

Chapter 60 PCI Failure
Zhou Chen also didn't want to waste time explaining too much to him.

He found a stool, sat down, and said:
"Kong Wenchao, don't worry, come and sit and wait together."

"How can we not be in a hurry? It's been so long since we've been in, and there's still no news." Kong Wenchao said anxiously.

Zhou Chen shook his head and couldn't help but smile wryly.

"What are you laughing at?" Kong Wenchao asked.

"Do you know that no news outside the operating room is the best news!" Zhou Chen said.

"No news is the best news?"

Kong Wenchao scratched his head and thought about this sentence carefully, maybe it really is the truth.

If suddenly a doctor walked out of the door with a dejected face and told him that we have tried our best, it would be even more difficult for him to accept.

After pondering for a while, Kong Wenchao came to Zhou Chen and sat down, looked at him again, and asked:
"Hey, by the way, who are you? Lili's friend?"

Zhou Chen said slowly, "Kong Wenchao, I was the one who brought Yuan Lili to the hospital before she fell ill."

"What, you held her hostage?"

It's good not to mention this matter, but Kong Wenchao will get angry when he mentions it.

He stood up angrily, frowning.

Gu Qing beside Zhou Chen only raised his head to look at Kong Wenchao, forced by Gu Qing's deterrent force, Kong Wenchao sat back again.

Just being pinched by Gu Qing just now, his shoulder is still in pain.

Kong Wenchao pointed at Zhou Chen's nose and shouted, "What on earth do you want, kid? We have no grievances or enmities."

"Look at you, can you talk? What is abduction?" Zhou Chen replied indifferently: "I said you have a little brain, if I don't bring your daughter-in-law to the hospital, she has a sudden attack on the street. Is acute myocardial infarction still alive?"

Kong Wenchao calmed down and thought about it, and it was true.

In the eyes he looked up at Zhou Chen, the anger and hatred had subsided a lot, but it was more unbelievable.

"You How do you know that my wife will have a heart attack?"

"You don't need to know this, but now you need to know that I can know in advance that she will have a heart attack." Zhou Chen's words sounded a bit convoluted.

But after thinking about it carefully, when Kong Wenchao wanted to understand the logic, his heart trembled slightly, and he looked at Zhou Chen with extremely shocked eyes.

Kong Wenchao thought secretly:

He was able to accurately predict that his wife would have a sudden myocardial infarction, so what he just said: Lili's PCI operation will fail later, is it bound to become a reality?
"You mean... my wife really can't do PCI?"

Kong Wenchao asked tremblingly with fear.

Zhou Chen nodded and smiled in relief.

"It seems that you have figured it out."

Kong Wenchao lowered his head, the more he thought about it, the more afraid he became.

His lips were even trembling slightly...

"No, it must not be like this."

Kong Wenchao clasped his hands together and silently prayed for his wife and children.

Zhou Chen stood up and patted Kong Wenchao's shoulder lightly.

"Stop kidding yourself, the only thing we can do right now is call the doctors out and say what's at stake, or stop them from doing PCI."

While talking, Zhou Chen looked at the time.

It has been almost an hour since the patient Yuan Lili was pushed into the intervention room.

He couldn't help sighing again:

"Hey, I don't know where the surgery is now."

usually.

When general surgeons perform some first-level minor operations, because it takes a long time, in order to pass the boredom, everyone will chat to relieve boredom.

Talk about everything.

You can talk about the plot of the TV series, where a new restaurant has opened and what special dishes it has, or some interesting things that happened recently.

But now, PCI surgery done in the intervention room is different.

There is no "gossip".

This requires the doctor to be highly focused, and there should be no mistakes or mistakes during the operation.

When the interventional guide wire shuttles through the patient's blood vessels, special attention should be paid to the insertion direction and tactile sensation. A little carelessness may puncture the blood vessel and cause massive bleeding or other accidents.

Every step is related to the patient's life.

When the interventionist was performing the PCI operation on Yuan Lili in an orderly manner, the ECG monitor beside her suddenly beeped an alarm.

This is during PCI surgery, the patient developed arrhythmia.

The interventionist glanced back at the instrument.

The patient had a low heart rate, nearly 30 beats per minute, and the blood pressure was only 69/39mmHg, showing a nodal rhythm.

The assistant next to the operating table couldn't help but startled when he saw this.

He then turned his head and looked at the intervening doctor, intending to act according to his opinion.

The interventional doctor was extremely calm and said, "Atropine 0.9 mg was injected intravenously."

The second assistant nodded and got busy.

They are always closely watching the patient's heart rate.

But the heart rate rises, and the blood pressure does not follow the rise of the heart rate.

"Inject 0.1 mg of epinephrine statically." The interventional doctor added.

After a series of hard work, some beads of sweat began to appear on the forehead of the intervening doctor.

Things didn't go the way he expected.

The patient then developed a slow flow condition.

The interventional doctor punctures the balloon, injects sodium nitroprusside into the coronary artery several times continuously, and at the same time pumps dopamine to maintain blood pressure.

There was still no reflow in the left coronary artery.

The interventional doctor immediately decided to repeatedly aspirate and inject Xin Wei Ning...

Various complications will occur during PCI, which is quite normal.

However, multiple complications occur at the same time, which is relatively rare.

Even this interventional doctor who has accumulated enough clinical experience was suddenly caught off guard in the face of this sudden situation.

The next second, he raised his head and glanced at all the medical workers present.

They saw a bad message in the eyes of the intervening doctors.

Yes, the PCI operation failed.

The itinerant nurses, equipment nurses, first and second assistants present all realized the seriousness of the situation.

Fortunately, I was well prepared.

They also took into account the failure of PCI before surgery.

One of the common treatment options for patients who fail PCI treatment is emergency coronary artery bypass grafting (CABG).

As early as 1962, Sabiston first performed coronary artery bypass grafting under extracorporeal circulation on the human body.
In the mid-20s, with the advancement of off-pump coronary artery bypass surgery and anesthesia techniques, as well as the improvement of related surgical instruments, a new technology, opcab, was rapidly developed.

This operation is performed while the heart is beating.

Therefore, it is relatively difficult for interventional doctors to obtain a relatively static surgical field, and the quality of vascular anastomosis also needs to be considered.

Therefore, it is necessary to use a heart immobilization device, supplemented by β-blockers to control the heart rate below 84/min.

At this moment, the itinerant nurse suddenly remembered Zhou Chen who had just made a scene at the door of the intervention room.

Then he said with a look of surprise: "Just now there was a young man at the door, who kept yelling that this patient's PCI operation would fail."

"How would he know?" Several doctors turned their heads to look at her and asked.

The itinerant nurse shook her head with a mask on her face:

"I don't know. I thought he was talking nonsense and making trouble, so he didn't take it seriously."

After deliberating for a while, the interventional doctor who had been silent all this time turned around and said, "Go outside and have a look, and call him in if he is still there."

Although she didn't understand the intention of the intervening doctor, the itinerant female nurse had no choice but to follow suit.

(End of this chapter)