Chapter 361 Only Treating Diseases

"Director Kong, did you ask?"

"Oh, ok, wait a minute, let me remember."

As Zheng Ren spoke, he picked up a pen and found a piece of A4 paper, on which he wrote the general process of the patient's treatment in the imperial capital last time.

They are all old doctors, and they don't talk nonsense. Although they don't say much, they are all dry words.

The treatment process in the imperial capital was very similar to Zheng Ren's treatment. Low molecular weight heparin sodium was injected intravenously, followed by thrombolysis. They were afraid that the emboli would fall off, so they left a venous filter to filter the emboli.

Of course, the patient is going to have an abortion.

Because of the special constitution, if there is no miscarriage, the condition of thrombocytosis does not improve, and thrombus will continue to form.

The general process of the treatment was similar to what he thought, so Zheng Ren hung up the phone with confidence.

Continue to explain the condition to the patient's family members, sign, and then Zheng Ren handed over the pre-operative communication to Yang Lei on duty, and then returned to the operating room again.

Professor Rudolf Wagner was wearing a surgical gown, sitting on a white bench, waiting idly for the end of the thrombolysis time.

The patient's vital signs have gradually stabilized, and the blood oxygen saturation has risen to 90%.

This means timely diagnosis and treatment, and sending to the hospital for treatment as soon as the onset occurs. If you delay for a while, I'm afraid it won't be so easy to recover.

"Fu Guier, how long have you had thrombolysis?" Zheng Ren asked.

"Urokinase has been given for 15 minutes, depending on the situation, it should be almost the same." Professor Rudolf Wagner said: "Boss, the consumables you chose are really rough."

Hearing that the professor sprayed Changfeng Minimal Injury, Zheng Ren felt rather helpless.

Large import manufacturers have no contact with themselves and cannot be on call. The consumables of Changfeng Minimally Invasive should be imitated, and the quality is slightly inferior, but the advantage is that they can be delivered in time and the price is relatively affordable.

Yes, is better than nothing.

Because the city's No. 1 hospital did not carry out similar operations, nor did it have an independent vascular surgery for interventional operations, it did not purchase the corresponding materials.

It can only be purchased temporarily, which is a responsible choice for both the hospital and the patients.

As for whether it is easy to use or not... Zheng Ren also knows that compared with the consumables of major foreign manufacturers, they must be inferior.

It makes sense for the professor to spray.

Standing in the corner of the operating room, Feng Xuhui's face turned dark when he heard the professor's words.

Mr. Zheng, please don't refuse to use your own consumables, this big thick leg must be hugged.

"It's okay, let's make do with it." Zheng Ren smiled, and began to change clothes and wash his hands.

Feng Xuhui felt a little relieved when he heard Zheng Ren's words.

In this way, it is definitely not a long-term solution. In the next meeting, you must report to Chairman Ma. Whether it is materials or craftsmanship, it is true to seize the time to change and strengthen.

Feng Xuhui thought to himself.

After half an hour of thrombolysis with urokinase, Zheng Ren had finished brushing his hands and was ready for surgery on stage.

The lead door closed slowly, Zheng Ren stood in the operator's position, and the professor still acted as an assistant.

Inferior vena cava filter implantation is generally very simple, the most difficult step - the emergency rescue of pulmonary embolism has been passed smoothly, Zheng Ren did not go to the system operating room to train alone, so he started the operation directly.

The professor had already completed the puncture of the catheter for thrombolysis. Zheng Ren first inserted the 9F filter delivery sheath, and then slowly inserted the filter through the delivery sheath.

The lower chamber filter of Changfeng Minimally Invasive is a imitation of the SimonNitinol filter.

The whole is mushroom-shaped, consisting of two parts: a "roof"-shaped head and a pyramid-shaped tail.

This special shape has unparalleled advantages. SimonNitinol filter is the fourth-generation filter, which combines the advantages of all previous products and makes improvements.

The mushroom-shaped shape can block the thrombus to the greatest extent, and prevent the thrombus from passing through the filter and causing pulmonary embolism.

Although the technology of Changfeng Minimally Invasive is relatively rough and simple, the material of the filter is titanium-nickel memory alloy, and there is no cutting corners.

On this point, Zheng Ren was quite satisfied.

The filter entered the lower cavity from the femoral vein, and Zheng Ren began to step on the thread.

Slowly send the filter up the inferior vena cava until it is below the lowest level of the renal vein before Zheng Ren opens the filter.

Because of the blood flow velocity and stress below the level of the renal vein, the possibility of further dissolution of the "stuck" thrombus can be increased.

More importantly, such an operation will not affect the function of the kidney due to the placement of the filter, and try to avoid subsequent complications.

After the filter was placed, Zheng Ren began to perform pulmonary angiography.

Seeing that most of the pulmonary embolism had been dissolved, Zheng Ren felt relieved.

Withdrew from the transport system, Zheng Ren left, the professor already remembered that the postoperative compression was his own. He didn't leave at the same time as Zheng Ren like last time, creating an embarrassing scene.

When he was pressing to stop the bleeding, Zheng Ren began to change his clothes.

The entire operation took less than an hour, and more than half of the time was spent on pulmonary artery thrombolysis.

This is due to the early detection and timely diagnosis and treatment.

Zheng Ren was also very emotional, this girl's luck is really good. Pulmonary embolism happened twice in a row, and they were all rescued.

I don't know if she will learn from experience and lessons, and in the future...

Who knows what will happen next. Zheng Ren is only in charge of medical treatment, and has no right to manage other people's private life.

Even the patient's parents can't manage it, can they manage it themselves?

After stepping down, Zheng Ren took off his lead jacket, put it in the system space, and came to Director Pan's side.

"You brought it back?" Director Pan asked.

"Yeah." Zheng Ren nodded, "I went to eat with Yi Ren, and happened to have an acute attack of pulmonary embolism, so I brought her back to the emergency room for rescue."

"It's really lucky." Director Pan also expressed emotion, "How did you get this disease at such a young age?"

"It should be due to the increase of platelets in the body during pregnancy, which led to the formation of a large number of tiny emboli in the veins of the lower extremities. The emboli fell off and embolized to the pulmonary artery." Zheng Ren said.

Director Pan had encountered a similar situation before, but at that time there was no such complete surgical treatment as now, and only thrombolytic therapy was available.

The vast majority of patients died without even being diagnosed with pulmonary embolism.

The advancement of technology has turned many diseases that were terminally ill into treatable diseases. Director Pan feels deeply about this.

Compression hemostasis ended, and the patient was sent to the ICU.

Zheng Ren was a little embarrassed. After he came to the emergency ward, the frequency of sending patients to the ICU became higher and higher.

Afraid that the ICU will become a dedicated intensive care unit for the emergency ward in the future?

After explaining the patient's condition to the ICU doctor, Zheng Ren left, and communicated with the patient's family and explained.

The patient's father had aged a lot within a few hours, and the wrinkles around his eyes were like ravines, haggard and distressed.

A successful rescue is something to be happy about. But what about the future?

God knows.