My medical skills are a billion points

Xiao Chu is very clear about the patient's condition.

If you are transferred from their hospital to the capital, you cannot take a plane and need to be sent there by ambulance.

It took more than ten hours for the ambulance to reach the capital.

The bumps along the way are likely to worsen the patient's condition and cause his death.

In general, the risk of transferring him to another hospital is higher than the risk of waiting in the Provincial People's Hospital for three days.

In this way, the patient's condition is close to death, and his life is hanging by a thread.

When this happens, Xiao Chu can't sit idly by.

He is a doctor after all.

If you refuse to save him, you will feel bad for your conscience.

After all, if you activate your skills, you will perform this operation.

If he does not know how to perform this operation, he will not feel guilty if the patient dies.

But in this situation, if the patient dies, Xiao Chu will not forgive himself in his heart.

It's such a time, and he doesn't care about "one thing more than one thing less", saving people is the most important thing.

Seeing Zhao Fangshu's painful choice, Xiao Chu said: "Senior sister, how about I do this operation!"

"you?"

Zhao Fangshu's eyes widened instantly, and she looked at Xiao Chu in surprise.

"Xiao Chu, you can't joke, right? You know how to do this interventional operation?"

Stent implantation in aortic dissection aneurysm is a fourth-level operation, and the difficulty is not ordinary.

Only Wang Xingfeng can manage the entire Provincial People's Hospital.

I haven't heard of other doctors who can do this operation.

But now Xiao Chu actually said that it was really unbelievable that he could do this operation.

Zhao Fangshu also knew in her heart that it was almost impossible for Xiao Chu to be joking.

She has been working with Xiao Chu for more than a month, and she has also witnessed Xiao Chu's extraordinaryness.

Although it is said that he cannot understand Xiao Chu thoroughly, he already has a general understanding of Xiao Chu.

Xiao Chu is a very steady person, he won't play casual jokes when it comes to curing diseases and saving lives.

But Xiao Chu said that he would do aneurysm stent interventional surgery, Zhao Fangshu still didn't want to believe that he would really do it.

Although Xiao Chu's words didn't sound like a joke.

Looking at Zhao Fangshu's expression, Xiao Chu knew that she didn't believe what she said.

Let alone Zhao Fangshu, if it was someone else, he wouldn't believe it himself.

After all, age and experience are here, Xiao Chu is too young.

Xiao Chu said solemnly: "Senior sister, of course I won't make a joke about this kind of thing, what I said is true, I can do this operation,

But if you really don't believe me, just pretend I didn't say it.This patient, whether to transfer him to the capital or let him wait for Director Wang for three days, you decide for yourself! "

You have to speak out, and you can't let yourself go against your will.

As for how Zhao Fangshu decides, that is her business, Xiao Chu will not interfere.

Zhao Fangshu thought for a while, leaned closer to Xiao Chu, looked him in the eyes, and asked again: "Xiao Chu, can you really perform this operation?"

Xiao Chu raised his head and said proudly: "I can assure you that I can perform this operation 100%, and I will not make fun of the patient's life."

Seeing Xiao Chu's affirmation, Zhao Fangshu seemed relieved.

She looked at Xiao Chu fixedly, and said: "Okay, I will leave this patient to you, and you will perform this operation, but I have to ask Director Chen to come on stage together, so that we can take care of him."

In fact, even if Chen Bin was on the operating table for this operation, he couldn't help much.

After all, he is not a professional. The reason why Zhao Fangshu called Chen Bin over was just to have an extra psychological comfort.

Of course Xiao Chu agreed to her.

When he asked Chen Bin for instructions, he was also surprised for a long time.

Chen Bin knew that Xiao Chu was very skilled in hand surgery and general surgery.

But he really didn't expect that Xiao Chu would still perform interventional surgery.

In particular, this kind of fourth-level surgery in cardiovascular intervention was far beyond his expectations.

But Chen Bin also knew in his heart that Xiao Chu would not joke about this matter.

And after seeing the patient, I also know the patient's condition. It is estimated that I can't wait for three days, and there is almost no possibility of transferring to another hospital.

All they can do now is unconditionally believe that Xiao Chu can do this operation well.

Zhao Fangshu told the family members in detail again, and then asked the family members to sign the consent form for the operation.

Because this operation requires imported stents, the emergency department does not have such stocks.

In the end, it was Chen Bin who carried his old face and went to the Department of Great Vessel Surgery to transfer the stent and related application materials.

And Xiao Chu has already spent [-] points to upgrade the aneurysm interventional surgery to an advanced level.

Now Xiao Chu can do this surgery easily.

This operation needs to be performed in the digital subtraction angiography (DSA) room.

Under the shadowless lamp, the patient was under general anesthesia, lying on his back, and a urinary catheter was placed.

Xiao Chu was the main operator, Chen Bin was his deputy, and Zhao Fangshu was on the sidelines preparing relevant materials.

Routine disinfection of the skin of the left upper extremity and bilateral groin area, and laying sterile drape.

The reason why the bilateral groins were disinfected was to prevent the brachial artery puncture from failing, and the femoral artery puncture was replaced.

Therefore, it is necessary to disinfect in advance.

Xiao Chu punctured the left brachial artery with the Seldinger technique, inserted a 5F angiography catheter to the opening of the left subclavian artery, and performed angiography of the aorta to distinguish the true and false lumens of the dissection.

Seeing Xiao Chu's accurate piercing and extremely skillful movements, Chen Bin felt relieved.

Xiao Chu's technique experience is really too professional.

Chen Bin could tell at a glance that Xiao Chu was definitely an expert in vascular intervention.

While being shocked, I really can't figure out how Xiao Chu could undergo so many surgeries at such a young age!

It was too unexpected!

Zhao Fangshu at the side also heaved a sigh of relief.

She knew that the patient's operation should be fine.

Xiao Chu is concentrating on the operation.

After all, it was a level [-] surgery, so there was no room for carelessness.

Chapter 54 Your bonus is gone

Xiao Chu first marked the opening of the left subclavian artery and the opening of the dissected intima on the monitor screen.

The distance between them and the maximum diameter of the normal aorta proximal to the tumor were measured.

The maximum diameter of the tumor and the length of the dilated aorta were compared with the preoperative spiral CT results.

Choose grafts of appropriate caliber and length.

The iliac artery on one side without obvious stenosis, distortion and dissection was selected.

A small incision was made at the root of the femur, and the common femoral artery was freed about 3 cm.

Puncture into the guide wire, after systemic heparinization (1mg/kg intravenous injection).

The femoral artery was transected to about 1/2 of its circumference, and the Telent catheter was introduced into the descending aorta through the femoral artery along the guide wire.

Xiao Chu operated the operation meticulously, and Chen Bin, the deputy, became more and more shocked as he watched.

Although he had never undergone vascular interventional surgery, he had watched the video of Wang Xingfeng performing the surgery during the academic exchange.

In comparison, he felt that Xiao Chu's manipulation techniques were more skillful and superb than Wang Xingfeng's.

With Zhao Fangshu's level, she can't fully understand this level of surgery.

But, have you never eaten pork or seen a pig run?

Naturally, she could also see that Xiao Chu's manipulation techniques were beyond the reach of ordinary people.

He became more and more curious about Xiao Chu in his heart.

And he couldn't understand Xiao Chu more and more.

No matter what, she never imagined that a resident doctor in a small county town of Xiaochu would be able to perform so many surgeries!

It's hard to believe it!

But Xiao Chu was concentrating on the operation without any other distractions.

When the upper edge of the graft overlaps with the lower edge of the opening of the left subclavian artery, controlled decompression is required.

Fix the inner sheath, slowly withdraw the outer sheath, and the memory alloy stent will automatically expand.

The proximal end is fixed below the intimal tear in the dissection, and the stent is properly fixed by expanding it with a balloon.

If there is an endoleak at the proximal or distal end of the graft, another graft can be placed again and connected to the proximal or distal end of the original graft to seal the endoleak.

All of the aortic blood flows into the true lumen of the dissection through the graft.

The intimal tear and false lumen are completely closed.

At this point, the entire operation is considered to be successfully completed.

By the way, in the examination room, another angiography was performed.

It was found that the aortic dissection had been completely closed, the blood flow was smooth, and the alloy stent was firmly fixed.

The whole operation took just over an hour.

Seeing Xiao Chu complete the operation with ease, Chen Bin couldn't help admiring.

"Xiao Chu, I didn't expect you to be able to do this kind of surgery, I'm really convinced!

I didn't expect you to have such abilities at such a young age. The dean really didn't misjudge you. "

As Chen Bin said, he turned to look at Zhao Fangshu.

"Have you recorded the whole operation?"

"Well, it's all recorded!"

Chen Bin chuckled.

"Wang Xingfeng, this old boy, feels that he is the best in intervention all day long. Today I will let him see what it means to have people outside the mountains and people outside the mountains."

"correct!"

Chen Bin changed the topic.

"After get off work today, I'm treating guests. I should reward Xiao Chu for solving such a big problem for our department."

This is the first time that Chen Bin treats guests.

Xiao Chu was not used to it.

"Director Chen, don't you need it? Isn't it natural to perform surgery on patients?"

Zhao Fangshu booed from the sidelines.

"Xiao Chu, why are you being polite? It's not easy to make Director Chen bleed once, so don't refuse."

"OK then!"

As the director of the emergency department, Chen Bin would not invite his subordinates to dinner easily.

He invited guests to dinner today, not on a whim, but with his purpose.

He has already fully seen that Xiao Chu is definitely a medical genius.