Medical road Qingyun

"Director Jiang, what's wrong with my father?" the

patient's daughter looked panicked.

Isn't Fang Cai doing well

? Why did he suddenly become critically ill?

Jiang Qiang's expression was solemn, and he explained with a serious face, "The specific reason for the deterioration of his condition is unknown for the time being, but we will do our best to save the patient." The

patient's son-in-law sneered, "Just now a doctor said that you have to operate on the old man as soon as possible, and you have to delay it until tomorrow, but now that it is better, the situation is getting more and more serious, and you will only perfunctory us, without actual action."

Jiang Qiang sighed and stepped forward to check on the patient, hiding the guilt in his heart.

Gao Qian explained to the patient on the side: "Thoracic aortic aneurysm is a very dangerous disease, and the failure rate of surgery is very high, and many people fall on the operating table. The patient has had surgery many years ago, and the second operation must be more cautious, and if we rush to the surgery, there will be many variables. Seeing

that her husband was still arguing, the daughter quickly pulled her husband, "Director Jiang is a well-known expert, you have to believe him." The

husband waved his hand disdainfully, "What kind of bullshit expert?

Jiang Qiang has seen all kinds of patients' family members, so he will naturally not be affected by their words, and quickly came to the test results:

the thoracic aortic aneurysm has ruptured, causing bleeding, even in the hospital, it may not be too late to operate, and the patient will die due to excessive blood loss.

Interventional treatment is imminent, otherwise the consequences will be unimaginable.

Jiang Qiang suddenly thought of Zhao Yuan, if he had listened to Zhao Yuan's opinion, he would not have been so passive!!

After Zhao Yuan left the cardiothoracic surgery, he came to the emergency surgery department and met Liu Juanjuan, who had just undergone surgery.

Liu Juan pulled Zhao Yuan and asked with a serious face, "Did you lend money to Wang Ming?" Zhao Yuan

was slightly stunned, and then nodded, "His mother's hospitalization card had no money that day, and he said that he had no money on him, so I lent it to him."

Liu Juan stomped her foot lightly and sighed, "Oops, you have been deceived."

Zhao Yuan was shocked, "What's going on?"

Liu Juan smiled bitterly, "Wang Ming usually works in his family's factory, and although his monthly salary is good, he can't afford to spend money lavishly, so he has a bad habit and likes to borrow money from relatives and friends around him." Over time, the people around him were afraid of him. In the past few days, Wang Ming has been going home drunk, and his father guessed that he must have found the money from some source, and when he asked, he learned that it was 'Dr. Sun' who lent him the money.

Zhao Yuan said angrily, "Is the money coming back?"

Liu Juan shook his head, "That's not true! His father will pay it back to you."

Zhao Yuan scratched his head and smiled bitterly, "I didn't expect Wang Ming to be a giant baby, so old, he can't support himself, and he has to have his parents wipe his ass for him."

Liu Juan sighed, "My little aunt is so pitiful, married to a bastard."

Zhao Yuan was also depressed for a while, he was doing bad things with good intentions.

At this time, the mobile phone rang, and after Zhao Yuan connected, Jiang Qiang's voice came.

Zhao Yuan's heart was shocked, and he secretly wondered, could it be that the patient's condition had really worsened

!"Xiao Zhao, have you gone back?" "Still in the hospital!Director Jiang, is there something wrong

?" "The patient in bed twenty-six suddenly became in a bad condition and is about to have surgery immediately, can you come to support?"

"I'll be there soon!"

Zhao

Yuan sighed in his heart, he didn't expect his speculation to come true so quickly.

The reason why it can be seen that the situation can deteriorate at any time.

On the one hand, it comes from practical experience, and on the other hand, it comes from careful analytical ability.

The instrument has limitations and can accurately detect the body's current vital signs, but it cannot predict the next change.

An experienced doctor is more flexible than a cold instrument and can predict the movement of a patient's bodily functions through the details of the patient's body.

Zhao Yuan arrived at the Department of Cardiothoracic Surgery and immediately changed into a surgical gown.

After the thoracic aortic aneurysm ruptures, the first thing to do is to resist shock and blood transfusion! Jiang Qiang's ability to adapt is very strong, and when Zhao Yuan entered the operating room, the patient's vital signs were stable and basically under control.

However, the root cause of the disease has not been solved, because the "thoracic aortic aneurysm" still exists!

According to the plan discussed by the previous training team, the patient needs to undergo "thoracic aortic aneurysm endovascular isolation interventional surgery".

This is a minimally invasive procedure with an iliofemoral approach and endoluminal isolation to reconstruct the thoracic aorta.

Jiang Qiang waited for Zhao Yuan to appear, and beckoned to him, "The problem is a bit complicated, you take a look at the CT."

Zhao Yuan took the CT scan to study it, and his face became solemn, "The patient's bilateral iliac arteries are small and have long and severe stenosis, with an inner diameter of less than 3mm, and the stent graft implanted through the iliofemoral artery approach requires the diameter of the iliac artery to be greater than 8mm." The patient's iliac artery is so small that the stent graft system simply cannot pass through.

Gao Qian saw Zhao Yuan see the problem at a glance, and nodded slightly, "The patient will die at any time." The surgery had to be performed! There was really no choice but to take open surgery. "

Compared with open surgery, thoracic aortic aneurysm endovascular isolation is minimally invasive, less traumatic, less intraoperative bleeding, and faster postoperative recovery, which is more suitable for the elderly.

Zhao Yuan frowned and pondered for a long time, then looked at Jiang Qiang, "Director Jiang, can I try the 'vena cava to abdominal aorta' to establish a surgical approach?"

Gao Qian's eyes lit up and he muttered, "There are similar case reports in foreign literature.

Jiang Qiang shook his head, "I have also read relevant reports, through the double pigtail catheter rotation positioning method, under the DSA perspective to select the appropriate path to complete the puncture." However, this technique has the problems of unstable catheter fixation and large deviation of puncture angle. Moreover, they use special piercing equipment.

"The so-called special puncture equipment may not be as mysterious as imagined.

Zhao Yuan thought about it and asked the nurse for a pen.

He hurried the time, his wrists shaking rapidly, racing against time to depict.

In about ten minutes, a surgical flow chart was completed and handed to Jiang Qiang.

Jiang Qiang thought thoughtfully, didn't say right or wrong, and handed it to Gao Qian.

Gao Qian didn't pay much attention to it at first.

Although Zhao Yuan has good ability, he and Jiang Qiang are helpless, and he is afraid that there will be all kinds of flaws in his thoughts!

However, her expression soon became richer.

"Is this a new technique?"

Zhao Yuan bowed, "Although no one has tried it, I think I can try it!"

Gao Qian's eyes lit up, and he deduced various possibilities in his mind.

Soon, she expressed her attitude

with Jiang Qiang, "I have no opinion!" Jiang Qiang breathed a sigh of relief at this time, and ordered with the instrument nurse, "Prepare a balloon-assisted puncture device!" Jiang Qiang

knew that Zhao Yuan was very strong, but he didn't expect him to be so strong.

Zhao Yuan's idea is very bold and creative!

Use a balloon-assisted puncture device instead of a special puncture device.

Under the guidance of real-time 3D image navigation technology, the "vena cava to abdominal aorta" approach is quickly established.

If the surgery is successful, it means that they will create a completely new procedure.