When doctors have a simulated operating room

The doctor said, "What's wrong with Director Liang? Why hasn't he come back yet?" "Yes, nothing happened, right? I'll go to the toilet to take a look." The assistant said and really prepared to go to the toilet to take a look. Liang Yuan came back just after he finished speaking. Liang Yuan limped in. The nurse quickly helped him put on his surgical gown and radiation protection suit again. Wang Mingjun asked, "Director Liang, what's wrong with you?" Liang Yuan smiled awkwardly and said, "Hehe... I squatted for too long, my legs are a little numb..." "Are you okay? Do you have diarrhea? But the hot pot we had yesterday was fine?" Wang Mingjun and Liang Yuan ate the same hot pot. Vegetables, meat, and other things were all put together, so if Wang Mingjun had diarrhea, he should have had it.

But Wang Mingjun had no problem at all.

Liang Yuan smiled bitterly and said:

"I'm old, so my gastrointestinal function is weak. It's okay, I feel much better now, and the operation will continue."

After Liang Yuan took a break, his legs were no longer numb, so he walked to the operating table to continue to solve the problem of blood vessel obstruction.

But strangely, Liang Yuan's hands were shaking?

What's going on?

Could it be that he was exhausted from diarrhea?

But Liang Yuan only went to the toilet twice.

He couldn't be exhausted from diarrhea after two trips, right?

"Director Liang, are you okay? Otherwise... otherwise, let us do the operation?" Wang Mingjun saw that Liang Yuan didn't look very good, so he volunteered.

Liang Yuan also found that his hands were shaking a little.

It should be caused by gastrointestinal problems.

Oh!

What a sin!

I shouldn't have eaten hot pot last night!

What should I do now? ?

The family specially invited me to perform the surgery, but I failed at the critical moment!

This is an interventional surgery. If I can't even hold the guidewire steadily due to hand shaking, how can I dissolve the thrombus in such a small coronary artery?

After thinking about it, Liang Yuan could only nod and say:

"Okay, Director Wang, you come, I'll watch from the side."

He knew Wang Mingjun a long time ago. He is a very skilled cardiac surgeon.

Although this patient is 90 years old and his blood vessels are in poor condition.

But Liang Yuan believes that with Wang Mingjun's strength, it should be no problem.

Then, the positions of the main surgeon and the assistant were exchanged.

Liang Yuan walked to the position where Wang Mingjun was just now, and Wang Mingjun walked to the position of the main surgeon.

When Liang Yuan was not there just now, Wang Mingjun tried it. I don't know if it was because the super slippery loach guidewire was too thin and soft.

The coronary branch was hard and stuck there and couldn't go in.

Liang Yuan said, "If it doesn't work, change to a harder guidewire."

Wang Mingjun saw that Liang Yuan said so, so he did it.

Pull out the super-smooth guidewire and replace it with a harder steel wire guidewire.

It still doesn't work.

What should I do? !

Liang Yuan's hands are still shaking, and he is definitely unable to hold the guidewire at the moment.

But this guidewire just can't get into the blocked section, which makes it difficult for the people in the operating room.

"Strange, why can't it get in?"

Liang Yuan thought for a while and said, "If it doesn't work, we can only settle for the second best and try the subclavian artery."

The most preferred surgical plan before the operation is radial artery puncture and needle insertion.

But now this road can't get in, so we can only change another way.

Withdraw the guidewire in the radial artery, and then puncture and insert the needle in the subclavian artery in the same way.

Half an hour later...

It still can't get in.

And the guidewire paths in both directions are stuck in the same position.

Wang Mingjun's anxious frown never relaxed again.

Liang Yuan couldn't hold it in any longer and ran to the toilet again.

At this time, Jiao Yong looked at the guidewire that couldn't be put in, and then looked at Liang Yuan's disappearing back.

Finally! He couldn't bear it anymore!

"Director Wang, it's not a good idea to drag it on like this! Otherwise... I'll ask Zhang Yi to come up and take a look?"

Wang Mingjun looked up, with a flash of surprise in his eyes.

It seemed that he just remembered this person!

"Yes, don't we have Zhang Yi in our hospital!"

"But... can he do it?" Wang Mingjun hesitated.

Jiao Yong said: "Don't hesitate, Director Wang, you will know if he can do it after he comes up. Director Liang's hands are shaking and he can't hold the guidewire now. We can't get in with the guidewire, so we can only ask him to take a look."

Wang Mingjun finally nodded: "Okay, go and call the emergency department and ask Zhang Yi to come to the operating room!"

...

Emergency Department.

The phone in the doctor's office rang.

"Hello, emergency department."

"Looking for Zhang Zhu

"Is he in charge? Okay, I'll notify him right away!"

Zhang Yi raised his head and looked at the doctor who answered the phone.

"Assistant Zhang, the cardiac surgery department asked you to go to the No. 3 operating room to help!"

Zhang Yi was shocked. The cardiac surgery department asked for help?

Is it a major operation that can't be handled?

I didn't think much about it and immediately stood up and prepared to run to the operating room.

On the side, Gao Han and Shen Lingyue also waited for Zhang Yi's call with anticipation!

Teacher Zhang is going to the operating room?!

Then can they also benefit from it??

Sure enough, when Zhang Yi walked to the door, he suddenly turned around:

"You two hurry up and follow me."

"Okay, okay!"

"Coming! "

The two little followers excitedly followed Zhang Yi to the operating room.

Although they both went to the hospital for internship before graduation.

But the internship time was short and they didn't go into the operating room many times.

All interns are very eager for the operating room.

Unexpectedly, they can go to the operating room on the second day after they arrived!

Ahhh~!

Teacher Zhang is so good~!

In the operating room, as soon as Zhang Yi came in, he saw Wang Mingjun and Jiao Yong waiting inside with anxious faces.

"Zhang Yi, come and have a look. The guide wire can't go in after entering the left coronary branch. We changed several guide wires but it didn't work. We also changed the puncture point but it still didn't work."

While Wang Mingjun was describing the situation, Zhang Yi had already walked to the operating table.

"Huh? Isn't Director Liang Yuan operating with you? Where is Director Liang? ”

The director of West China Hospital can’t be bad at it.

Where’s the person?

Where did he go?

Speaking of this, Jiao Yong couldn’t help rolling his eyes: “Director Liang had diarrhea after eating hot pot yesterday. He went to the toilet twice and his hands started shaking. He couldn’t even hold the guidewire steadily. He definitely couldn’t perform the surgery. Now he’s going to the toilet again.”

“Ah? "Zhang Yi didn't expect this either.

How could this happen??

He ate the hot pot, so there's nothing wrong with that??

Forget it, don't worry about whether he has diarrhea or not, let's deal with the patient in front of us first.

Zhang Yi followed the two vascular pathways punctured on the old man's body and observed the aortic sinus bottom to the coronary branch.

It was found that there was a hardened deformity at the bend two centimeters away from the blocked section of the coronary branch.

And there was also damage.

Zhang Yi guessed that they accidentally poked it when they were moving the guidewire forward just now.

No wonder it can't pass. Although this deformity is not narrow, it is somewhat different from the blood vessels of the normal pathway.

Zhang Yi glanced at the guidewire model in the catheter and said, "Change to a super-smooth guidewire."

"No, the super-smooth one is too thin and soft, and it can't go in. I've tried several times." Wang Mingjun kindly reminded.

But Zhang Yi still insisted, "It's okay, just use that one. "

Seeing Zhang Yi's insistence, Wang Mingjun said nothing.

The guidewire was inserted through the sheath and followed along the vascular pathway to the coronary artery branch.

As everyone watched with bated breath...

Zhang Yi took the guidewire, first rotated 30° to the left, and then rotated 10° to the right.

Two times!

It only moved twice!!

The guidewire actually went in!!