Chapter 1063: The standard of the community Hospital is really low.
Xie ning looked at his ‘son – in – Law’, who didn’t know his identity, and felt that it was very interesting.
The young man looked a little silly and honest, but he really did a good job in the surgery. At such a young age, he could come to Maio and Hyde for surgery. He was not just an ordinary capable person.
“Zheng Ren …” Just as Xie ning called out, Zheng Ren’s phone rang.
Zheng Ren smiled apologetically. His face was full of fatigue as he picked up his phone.
“Fugui ‘er, we’re going to eat. Come with us.” Zheng Ren said.
“Eh? Alright, I’ll be there immediately. ”
“No, it’s faster for me to go by myself. Get someone to pick me up at the door. Forget it, you can pick me up yourself. ”
Zheng Ren hung up after he finished speaking.
“What’s the matter, boss?” Su Yun was clearly unhappy. To her, this drinking session would more or less become a joke. This would become something to mock Zheng Ren about in the future.
However, this guy’s luck was really good. The professor seemed to have encountered some difficulties. Su Yun thought about it and felt a little regretful.
“The rich guy said that there’s a thoracic artery stent placed into the fake cavity.” Zheng Ren said.
The regret in Su Yun’s heart dissipated, and she could not help but shiver.
Aortic dissection was the same disease that cui Heming had suffered on the plane. As long as it was not type 1, it could be treated through interventional surgery. Form 1 was also possible now, but the difficulty was too high, so very few people did it.
However, when the stent was inserted, there would be a complications. The stent would not be inserted into the thoracic aorta. Instead, it would enter the middle layer of the blood vessels through the torn opening and expand the false cavity.
This would cause the patient’s condition to worsen and could die at any time.
Such complications were extremely rare, and they only appeared because of the doctor’s surgical skills. In China, it could be said to be a very serious medical malpractice.
This kind of complications could only appear after multiple treatments!
Zheng Ren cursed in his heart.
Zheng Ren had only seen similar reports in magazines about this kind of man – made injury. He still had no idea how to treat it.
He smiled apologetically and said,””Uncle ning, you guys go and eat first. I’m going to perform an operation. If everything goes well, I’ll probably be able to get there in an hour. ”
“Do you need me?” Su Yun asked in a serious tone.
As a doctor, every time he heard about emergency surgery, he would put himself in the situation. This was a sense of duty at work.
“There’s a rich man’s son. I’ll go and take a look. You can chat with uncle ning for a while.” Zheng Ren said.
“Alright,” he said. “Yes,” Su Yun agreed.
Although it was a pity, the emergency rescue was still more important. He thought of how if he put the stent into the false cavity, it would cause the condition to worsen … The blood flow of the aorta would rush into the mezzanine, and now, the mezzanine between the blood vessels would probably be torn to the tip of his toes.
‘MD, the medical standards of the rich are not that good,’ Su Yun thought to herself.
Xie ning looked at his cheap and capable son – in – Law, who was so busy even in Germany, and felt a little helpless. However, that was an emergency rescue, so he could not say anything.
‘She’s quite capable.’ Xie ning smiled.
“Doctor Zheng, don’t call for a taxi. Take my car.” Zou Jiahua said.
“Then I won’t be polite.” Zheng Ren agreed immediately.
In fact, he had this idea when he told professor Rudolph Wagner. Zou Jiahua was a smart person. It was impossible that he did not know what she meant.
However, Zheng Ren had never thought about whether it would be too ostentatious to go for surgery in an extended Lincoln.
After apologizing to Xie ning and Zou Jiahua, Zheng Ren turned around and left. One of Zou Jiahua’s men followed him and brought Zheng Ren to the extended Lincoln.
The car was very stable. Zheng Ren sat in the car and entered the system space to prepare for surgery training.
The system operating theater was immediately set up. After Zheng Ren entered, he took a look at the x – ray and immediately started the operation. The catheter was inserted, and once he saw the x – ray image, Zheng Ren was dumbfounded.
The stent in the thoracic aorta of the experimental body had the near end in the thoracic aorta, and the far end in the torn fake cavity. There was almost no blood flowing out of the true cavity of the thoracic artery. Although the false cavity was not as exaggerated as he had expected, it had torn directly to the common ilial artery.
This … Was a little too heavy.
The severity of the patient’s condition had exceeded Zheng Ren’s expectations. It was already an urgent matter, and the patient could die at any time from a ruptured blood vessel.
The outer layer of the thoracic artery was tougher, and the patient was lucky, so there was no rupture or bleeding. The high pressure of the aorta continued to tear open the blood vessels and gushed all the way to the common ilial artery.
The blood vessels here could not be compared to the thoracic artery in terms of thickness and could be torn at any time.
Once the blood vessels burst, the patient would die without a doubt.
Zheng Ren cursed in his heart. He was about to do something when he was stunned.
What should he do?
This was an extremely unfamiliar surgery, and even Zheng Ren, who was at the peak of his first step, was beginning to feel a little lost.
Surgery was not something that could be done just because he wanted to.
In general, puncture of the femoral artery required an internal guide wire or catheter.
The patient’s current situation was to remove the stent, and the true and false cavity of the aorta could not be operated on at the same time.
It was definitely impossible to operate on both a guide wire and a catheter at the same time.
Zheng Ren thought about it for a while and decided to use an operation mode that he had never done before to set up a tube in the femoral artery.
However, he was the only one in the operating room …
Zheng Ren sighed and focused on dealing with the current situation. Even if it was just one person, so what?
‘I’m a man at the peak of the first step,’ Zheng Ren encouraged himself.
The experimental subject was under general anesthesia, and both its femoral arteries were exposed and a sheath was placed. Zheng Ren did not care about the sterile operation. He knelt on the narrow operating table and began the surgery.
After all, he could leave the other side to professor Rudolf Wagner. Zheng Ren still gave a strong recognition to the professor’s level.
He impaled both femoral arteries, placed the right catheter into the true cavity, and directly placed the left catheter into the false cavity. After the hard guide wire was inserted, a 5F and 95cm long scabbard was placed on the abdominal trunk for angiography. The result showed that the abdominal trunk, superior mesentery artery, and right kidney artery were the true cavity, while the left kidney artery and lumbar artery were the false cavity.
The left sheath tube was placed at the far end of the original stent in the false cavity, and a multi – Ring sheath was inserted. On the right side, the 10F sheath tube was replaced with a hard guide wire and placed into the true cavity so that it was two centimeters away from the end of the original stent.
After a few failed surgeries, Zheng Ren summed up his experience and began to have some ideas about the surgery.
A 5f catheter was placed at the end of the 10F sheath tube, and it was close to the enchant device in the fake cavity. A 0.014 – inch guide wire was inserted, and with the help of the catheter, the inner membrane was passed through the enchant device between the true and false cavity. The guide wire and catheter were then inserted into the original stent.
After the hard guide wire was replaced, the continuous sackening expanded the window to a diameter of 25mm. Then, a 36mm wide and 77mm long Tax2 stent was placed. Half of it was in the original stent, and the other half was in the true cavity of the abdominal aorta above the abdominal trunk.
The angiography showed that the visceral artery and the kidney artery were filled with more blood.
The surgery was completed with a completion rate of 88%.