1090 good news
The thoracic aorta bulged, and the dark red hematoma looked so harsh.
Director Ma muttered, "Thoracic aorta...... That, the bracket went down?"
"Come on, don't worry. Director Kong also saw Shuye in the back, and felt a strange feeling, and whispered comforting.
Even if Director Kong saw the big shelf go down with his own eyes, he was still shocked. If there is no bracket for this, it looks like it will definitely break, and the person will be gone directly, and it will be a fart!
Fang Lin carefully touched the position around the hematoma with hemostat forceps, and could feel the hardness of the stent. In fact, as long as the stent is lowered and the position of the intimal break is sealed, there is no problem.
He tried, and had some doubts in his mind.
Boss Zheng is very strong, and when he rescued himself, he heard some processes afterwards. The level of emergency first aid, that's one class. But how did he know he had a thoracic aortic dissection?
Director Miao was injured and was sent, and he was the first to learn the news, and he trotted all the way over, and Boss Zheng's surgery was completed.
Not only abdominal surgery, but also a special thoracic aortic stent was put in.
Depending on the extent of the hematoma, I am afraid that it will break at any time. Once broken, the rescue is over.
But doubts are doubts, but questioning Zheng Ren's matter, Fang Lin can't do it.
"Director, the stent is perfect, if I don't feel at ease, cover it with a layer of hemostatic gauze......" Fang Lin whispered, no matter how much he disposed of, he couldn't give it.
The heaviest rescue operation, Boss Zheng had already done it before everyone arrived.
What a demon, Fang Lin stood in Ichisuke's position and glanced up at Zheng Ren, who was sitting next to the airtight lead door with his back against the wall.
Is Boss Zheng so powerful? It's really unimaginable.
Director Ma nodded, you can't do too much here. If the stent is put in, there is no need to think about the procedure for aortic replacement. With Director Miao's current state, he can't bear the trauma of replacing the aorta at all.
Su Yun stood silently beside Lao He, looking at Shuye from the perspective of an anesthesiologist. When the mediastinum was opened, he was the one who was most surprised.
Zheng Ren's strange surgical method at the beginning seems to prove something.
Femoral artery puncture, built-in double guidewire, two-handed operation, one to remove the lower aortic stent, and one to embolize the left hemihepatic hemorrhage.
In retrospect, both of these actions made sense. I'm afraid that if it is a little later, Director Miao will either die of excessive bleeding or rupture of thoracic aortic dissection.
As soon as Su Yun took a look, he could see that there was only a very thin layer left in the adventitia of the thoracic aorta, which would not rupture at any time, but would rupture immediately.
It was only because of hemorrhagic shock that blood pressure was almost undetectable, and a balance was maintained. If the spleen and liver are cut first, and the bleeding is stopped, such a routine operation, I am afraid that if the blood pressure rises, Director Miao will die on the operating table.
It's dangerous...... But how do you diagnose this thing?
Countless questions immediately surfaced in Su Yun's heart, some in front of him and some in the past.
Rich clinical experience of bullshit, how could Su Yun believe such words! With his thoughts, I don't have such rich clinical experience, master, can anyone else have?
But diagnosing is one thing, operation is another.
Although Su Yun watched Director Ma and Fang Lin doing the operation, what appeared in front of him was the interventional operation of double guide wire and double operation.
His level is high enough, and Su Yun is not someone who has never seen international involvement. He was so familiar with Professor Rudolf Wagner, and he knew what the level of international involvement was like.
Su Yun judged that his level of intervention could be ranked at least in the top 50 in the world. This still includes various branches such as visceral intervention, neurointervention, vascular intervention, and cardiac intervention.
But can you do it yourself?
Not to mention that two different procedures are performed at the same time by operating the double guidewire with both hands, but only to concentrate on the simplest thoracic aortic stent...... The answer is obvious – you can't do it yourself!
Although there were countless questions in his heart, Su Yun did not say it, but sealed all these questions.
Say what should be said, don't say what shouldn't be said, this is the reason why Su Yun is willing to scare people, but he can live peacefully until now, but he has friends all over the world.
"The head trauma was very light, and the inside looks fine now. The director of the neurosurgery department put away the small flashlight and let out a sigh of relief.
Unlike thoracic and general surgery, neurosurgery does not have a craniotomy.
Without the cooperation of CT and MRI, no one dared to go on stage for surgery.
If you really open the skull and the bleeding point is on the other side, then you will have to die. There is no space in the head, and it is particularly difficult to even judge the bleeding point, and it is bloody.
What they can do is to examine the body first, mainly by looking at the pupil to determine the possibility of intracranial hemorrhage. If the chest and general surgery can be rescued and the hemorrhagic shock can be controlled, and the stage can be returned after a CT scan.
"The pupils are equal to both sides, and the light reflex is weak, but it is present. It is estimated that even if there is bleeding inside, the amount is relatively small, and the problem is not big. "The director of the Department of Neurosurgery finally said good news when he saw that almost everyone was looking at him.
As long as the pupils do not appear to have a loss of light reflex, it is best.
Glancing at the monitor, the numbers on it told everyone present that blood pressure seemed to be stable!
60/40 mm Hg, although still very low, but blood pressure. The duration of ischemia and hypoxia of various organs in the body is not long, and it is estimated that it will not cause any irreversible damage.
The operation continued, and the general surgeon came and took a look at the operation. Seeing that his abdomen was covered with warm saline gauze, Professor Yang brushed his hands on stage and checked it. The entire abdomen was cleaned, the spleen was removed, the left lobe of the liver was removed, and there was no bleeding.
Boss Zheng's surgery was done well, Professor Yang admired it in his heart. Not to mention finding and repairing the intestines, if you do it by yourself, it will take at least about 40 minutes.
And that's not counting the time to open the abdomen and stop the bleeding.
Looking at the left half of the liver cut out in the pathology basin, Professor Yang also had palpitations. Tattered, you can imagine how fierce the bleeding was at that time.
He probed carefully for nearly half an hour, and Boss Zheng's surgery was flawless!
The surgery was done perfectly, whether it was resection, hemostasis, or repair of the right half of the liver.
"Boss Zheng, it's nothing, I'm closed here?" Professor Yang didn't make his own decisions, but turned back to ask Zheng Ren.
"Trouble. Zheng Ren said softly, his eyes were slightly closed, his eyelashes were constantly trembling, although there was no expression on his face, it was difficult to hide the waves in his heart.
"Brother Yang, shall I take the stage to help?" asked Su Yun.
"No, we have people. Professor Yang smiled, also a little sad.
He didn't think that Zheng Ren had a big shelf, and after the operation as soon as possible, at least 500-1000 ml of blood was lost to Director Miao. This is a life-saving operation, I am afraid that when Boss Zheng rescues him, his whole body is tense, and now he is tired.
Saving his own family, no one comes to the stage, that's a big joke.