Start From Emergency Doctor

Chapter 234

I thought it was just an ordinary blood vessel that was twisted, so one or two blood vessels were deformed.

However, Zhou Yuan glanced at the past and could see that multiple blood vessels were twisted.

Zhou Yuan frowned, patted the vascular surgeon next to him, and walked out of the ward with him.

Some words are between doctors, letting patients know that the impact will be very bad.

Zhou Yuan looked a little serious, and asked, “You have transplanted a few blood vessels, how come there are so many blood vessel distortions…”

“Two blood vessels…I suspect that the transplanted blood vessels have affected the surrounding blood vessels, causing multiple distortions.” The vascular surgeon said.

“It’s a bit serious, it may really be a problem when doing blood vessel transplantation…”

The two waited for the results of the vascular color Doppler ultrasound, and the doctor inside assisted the patient to move his arms and relieve symptoms.

Soon, the results of the blood vessel ~ color Doppler ultrasound were sent.

The vascular arteries of the arm were elongated and twisted in many places, and the blood flow resistance became larger due to the twisting of the arteries, which affected the blood supply of the deep palm and superficial palm arches, resulting in bruising in the palm.

“Look, the transplanted blood vessel is too long, and one place is twisted, which causes the blood flow pressure to increase and oppresses other blood vessels, which causes the distortion of multiple blood vessels…” Zhou Yuan pointed to the vascular color Doppler ultrasound-result, Analysis Road.

The vascular surgeon’s face changed, and he said, “Why… why is it too long? The length we intercepted was just right at that time!”

Zhou Yuan sighed, “Let’s perform the operation first. Let’s talk about the reason later.”

Zhou Yuan and the two walked into the ward. Zhou Yuan went to the patient again and checked it carefully.

The patient’s arm can feel the twisted, thickened, circular artery on the body surface, and the murmur in the artery can be heard close to the ear.

This is a sign of obstructed blood flow.

“Is there any acute non-suppurative inflammation of the vein wall?” Zhou Yuan asked.

If inflammation is present, the coagulability of the blood will increase, which will cause the distortion of the blood vessels to sound more serious, but in fact it is just that the blood is too thick and causes more murmurs, and the symptoms are actually relatively mild.

“No!” the vascular surgeon replied.

Zhou Yuan’s face changed.

The patient’s blood vessel murmur is very turbid, and the blood vessels are severely twisted.

“Start the preoperative check immediately and proceed with the operation.”

Although the preoperative examination was done only four days ago, the human body has changed so much that no one can be sure that the patient’s physical condition can be operated on today.

Fortunately, everything was normal, Zhou Yuan quickly went to the operating table.(Read more @ wuxiax.com)

Patients under shadowless lights are particularly nervous.

“Doctor, what the hell is going on! A few days ago, it was so good, it suddenly became like this!”

Zhou Yuan glanced at the vascular surgeon next to him.

The vascular surgeon lowered his head and apologized: “I’m sorry, this is our doctor’s mistake! When the anastomosis was estimated to have a problem with our length, the blood vessel was twisted!”

Hearing these words, the patient relaxed a little, and said: “Fortunately, I thought it was because my body was not working…”

Zhou Yuan probed the patient’s arm and confirmed the incision. He said, “Don’t worry, your body is very good. After this operation, the blood vessel distortion can be resolved.”

“Then you still need to take blood vessels from my feet?” the patient asked with some fear.

He refers to the great saphenous vein.

Although the doctor has explained to him that there are compensatory blood vessels here, removing a part of the great saphenous vein has no effect on the body, but…the original blood vessel in the body is missing a blood vessel, so I’m scared no matter how you think about it!

This is human nature and cannot be solved by a doctor with a few words.

“The great saphenous vein has only been stripped, and the wound has been sutured. Now if the operation is performed again, the second operation will cause great harm to the patient…” Zhou Yuan frowned.

Of course, the current secondary blood vessel transplantation is also very harmful to the patient, but for the safety of the patient’s life, it can only be carried out.

What Zhou Yuan can do is to avoid causing more harm to the patient.

“No, we provide artificial blood vessels… This is a problem in our hospital, so our hospital will bear the cost of artificial blood vessels!” The Director of Vascular Surgery walked into the operating room and said.

The patient nodded in satisfaction: “That’s good, I’m still worried about expensive.”

“Zhou Yuan, how’s it going?” The director of vascular surgery came up and took the place of the first assistant.

“The incision has been confirmed and the operation can be performed.” Zhou Yuan said.

The patient glanced at Zhou Yuan and said in surprise: “I don’t know why, I feel relieved to chat with you. Last time I lay on the operating bed and listened to your discussion, my body was frightened and cold!”

·········Ask for flowers···········

Zhou Yuan naturally knew that it was the “10% increase in language affinity” given by the system that worked.

“Anesthesiologist, prepare for anesthesia.” Zhou Yuan said.

Soon, the anesthesia was over.

“Scalpel.”

Zhou Yuan looked serious, and opened the operation at the place marked by the marker, exposing the underlying tissue, and then continued to cut down, exposing several twisted arteries in the surgical field.

Under the microscope, it was obvious that the anastomosis of the previous blood vessel transplantation was infected and swollen.

Originally, the transplanted saphenous vein was too long, which caused the blood vessel to be twisted, but at this time the anastomotic stoma was infected again, which caused the surrounding blood vessels to be implicated and evolved into multiple arteries elongated and twisted.

……… ……. …….

“Vascular clamp.”

“Tissue shears.”

After the director of vascular surgery blocked the blood flow, Zhou Yuan did not hesitate to remove the transplanted saphenous vein.

Due to infection, this section of the saphenous vein has lost its function and cannot be reused.

What he has to do now is to expose the blood vessels, reconnect them with artificial blood vessels, solve the infection problem, unblock the twisted and knotted blood vessels here, and restore normal blood circulation.

Fortunately, the patient was sent to the doctor in time, so there was no cell necrosis in the palm tissues. If it is delayed for several hours, the patient may be at risk of amputation.

The Director of Vascular Surgery didn’t understand, and said, “I’ve seen the operation report and watched the video. When the operation was performed, the anastomosed blood vessels were cut according to the required length. The difference is between mm. Now it is longer than before 3mm…why is this?”

The vascular surgery doctor also looked puzzled and said, “The last time you performed the blood vessel transplantation in the emergency department, the intercepted saphenous vein was longer than required, but in the end it was successfully anastomosed! I did it! I took this operation according to the required length of the blood vessel, but it was longer…”

Both of them looked at Zhou Yuan with puzzled faces.

Zhou Yuan is also a little strange. It is impossible for the doctors of vascular surgery to make mistakes for simple length problems…

He provoked the excised saphenous vein and carefully examined it under the microscope. A.