Medical road Qingyun

Many people misunderstand a brain aneurysm as a tumor.

In fact, brain aneurysms are not the same as tumors, they are congenital defects.

The blood vessels in the brain are like the tires of a bicycle, after a long time or the quality is relatively poor, a bag will bulge out of the tire, and it will be easy to puncture.

Once a cerebral aneurysm explodes, the consequences are very serious, and many patients die before they can be sent to the hospital.

The bomb disposal process is also thrilling, no less thrilling and tense than the bomb disposal expert on TV cutting the red and blue wires on the bomb.

Treatment of a cerebral aneurysm is also like repairing a tire.

One is to clamp the ruptured part from the outside, and the other is to fill it from the inside.

The former is a craniotomy and clipping, and the latter is an interventional embolization.

This time, the latter is used, which is technically difficult and less traumatic to the patient.

"Inject contrast agent, whole brain angiography!" The

key to embolization is to insert a microcatheter into the aneurysm cavity, and in order to prevent the aneurysm from rupturing, the surgical operator must be gentle, precise and skilled.

Shan Zhenyu entered the cerebral aneurysm through the femoral artery under the guidance of a microcatheter under the guidance of a microguidewire under DSA imaging.

The aneurysm wall is "as thin as a cicada's wings".

As time passed, everyone breathed a sigh of relief as the largest lesion was successfully embolized.

The surgery is performed in a calming atmosphere.

Shan Zhenyu also took the time to tell two jokes.

However, Zhao Yuan's expression became solemn

, although he was a spectator, he knew that he had to express his concerns at this time.

"Director Shan, be careful of the porridge-like plaques falling off!" Shan

Zhenyu glanced up at Zhao Yuan, his expression changing from relaxed to solemn.

The biggest variable in surgery is vascular embolization.

With rich experience and superb technology, Shan Zhenyu's operation can be described as impeccable.

However, outside of technology, there are also factors that cannot be controlled.

When the guidewire is placed in the blood vessels, it will cause the cerebral arteriosclerosis atheroma to fall off, which will cause vascular embolism, and if it leads to cerebral infarction, it can be life-threatening in severe cases.

"Why do you have this judgment?" Shan Zhenyu glanced at Zhao Yuan.

Zhao Yuan said: "During angiography, there are two places where the blood vessels are narrowed, and then, you manipulate the microguidewire into the blood vessels, which should be noticed.

Everyone looked at Zhao Yuan in surprise.

I didn't expect Zhao Yuan to find fault.

An intern from another department, finding fault at this time, inevitably takes himself too seriously.

Is he crazy?

Shan Zhenyu stopped what he was doing, was silent for a few seconds, and gave an instruction, "Intravenously push urokinase 200,000 IU thrombolysis!" The

conversation between the two seemed to be an understatement!

However, everyone knew that Shan Zhenyu had adopted Zhao Yuan's suggestion.

Although Shan Zhenyu is more easy-going with people, he is an absolute authority in the operating room, and no one will question his operation.

It's not that he's a master of magic, but his skills are too good, and the people around him have a kind of trust that borders on worship.

No one thought that the operation would be beyond Shan Zhenyu's control.

With this little episode, the atmosphere in the operating room changes.

Zhao Yuan, a spectator, was obviously a little "restless".

Shan Zhenyu was not angry, he admired Zhao Yuan, and his eyesight was very accurate.

Stay silent when you shouldn't, and poke at the point as soon as you open your mouth.

Zhao Yuan realized that there was something wrong with his behavior.

Shan Zhenyu may just not find it for the time being, and he will find abnormalities with his rich experience when he checks and fills in the gaps.

But, as a doctor, he can't ignore the safety of his patients.

If you miss that point, it will be too late to remedy it in time, and it is very likely that there will be embolism on the spot, which will not only fail the operation, but also cause many sequelae in the later stage.

The operation is finally over.

Zhao Yuan found Shan Zhenyu in the bathroom, "I'm sorry, Director Shan, I was a little abrupt just now."

Shan Zhenyu shook his head with a smile, "I have to thank you." If you don't remind you in time, there is a high probability that something will go wrong. At the end of the imaging, I noticed that your judgment was correct, he had signs of arteriosclerosis, and the dosage of the relevant drugs had to be adjusted after the operation.

Zhao Yuan didn't expect Shan Zhenyu to be so humble, and secretly breathed a sigh of relief.

Although there are narrow-minded people among the medical staff, most of the doctors are very simple, and they have been in the operating room for a long time, and their hearts are not so twisted and turned.

Outside the operating room, Zhou Fang and her husband were very nervous.

The front door opened, Shan Zhenyu walked out, and nodded at the two, "The operation was successful!" The two

were relieved, the old man successfully removed the time bomb in his head, and he no longer had to live in fear.

Sit inside the office.

Shan Zhenyu picked up the teacup, took a sip of tea, and after a long time, shook his head slightly, "It seems that I'm really old!"

Zhang Fuxiang's surgery is not only as simple as a huge aneurysm, but also five or six brain aneurysms of large and small sizes.

Normally, an operation takes only two hours, but today the operation took almost four hours.

The four-hour operation was done on my own.

Although the assistants will also share some of the work, the most difficult part will have to be done by themselves.

Shan Zhenyu's physical strength can't keep up.

As for the plaque falling off mentioned by Zhao Yuan, it was indeed his own carelessness.

In the past, it would never have happened.

Shan Zhenyu sighed softly, as the reputation of the neurosurgery department of Hua Hospital today, but he himself knew the actual situation, and no one in the middle-level group of doctors could provoke the beam.

Shao Kun was originally the target of Shan Zhenyu's key training, but his character was corrupted, and after he was dismissed, he directly joined the team of equipment dealers and completely became a businessman.

"Teacher Shan, are you alright? I'll get you a meal. Liu Sha knocked on the door, her face full of concern.

Shan Zhenyu came back to his senses and shook his head with a smile, "I'm fine, I'm just a little tired." If you're not hungry yet, you can put it on the coffee table.

Liu Sha put the lunch box on the coffee table and prepared to leave.

Shan Zhenyu suddenly called out to Liu Sha and asked, "Did Zhao Yuan excel when he was in school? Who has better grades compared to him?"

Liu Sha shook his head and smiled: "Zhao Yuan was a stuffy gourd when he was in school, and he rarely participated in various activities, his basic skills were very solid, and every subject was ranked high in the class. In terms of grades, I scored a little bit higher than him. However, the score does not represent a person's true strength.

Shan Zhenyu nodded slightly, "It means that the gap between the two of you is not big, but you can't be thrown too far by him."

Liu Sha hurriedly said: "I am also working hard to improve."

Shan Zhenyu thought for a while, his expression was solemn, "Theoretical knowledge is one thing. The key is to look at practice! From tomorrow onwards, you have to be mentally prepared to participate in more surgeries, not only to increase the quantity, but also to further participate.

Liu Sha instantly understood what Shan Zhenyu meant, and her eyes lit up, "Thank you, Teacher Shan."

Lyusa left with a smile on her face.

Shan Zhenyu's eyes suddenly sprouted.

He figured it out.

Since several senior leaders in the group lack spirituality and lack potential, it is better to find a gifted person from fresh blood to cultivate.

After this period of observation, Liu Sha is a good seedling.

Although he is not as demonic as Zhao Yuan, he is definitely a malleable talent.

From now on, invest resources and energy, and after a few years of polishing, she can definitely become the heir to her mantle.

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