medical road high rise
Chapter 266 Shocking Interventional Technology
Chapter 266 Shocking Interventional Technology
Chapter 266 Shocking Intervention Technique
Retroperitoneal hemorrhage is very difficult to stop bleeding with surgery, because the pressure of the retroperitoneum is very high. Once the retroperitoneum is incised, the blood accumulated inside will rush to the sky under the huge pressure.
"Has the patient had a CT?" Qin Feng asked.
With the arrival of military doctors and CT machines, we have to admit that the power of the country is still strong.
"It's done, pelvic fracture and pelvic artery rupture." The military doctor handed the film to Qin Feng.
Qin Feng glanced at it, no wonder this patient was sent for interventional surgery.
Surgery is not suitable for the patient at all, and hemostasis can only be treated through interventional surgery first, and then the next treatment plan can be determined.
Qin Feng looked at the patient lying on the operating bed and measured the patient's blood pressure. There was no problem.
Take out the puncture kit directly, and perform sterilized puncture, straight to the point.
The military doctor on the side saw Qin Feng's operation and nodded.
The puncture was done well, and it can hit the nail on the head, which proves that there is still a solid foundation for intervention.
"Micro guide wire."
The military doctor sent the microguidewire to Qin Feng and wanted to see how Qin Feng dealt with the internal iliac artery.
It is necessary to know that the most difficult part of the interventional hemostasis of retroperitoneal hemorrhage is the superselection of the internal iliac artery. Once the embolization is wrong, it will lead to arterial embolism, and then the lower body will be paralyzed.
After Qin Feng entered the state, he quickly super-selected the desired blood vessels in the internal iliac artery, and directly closed the blood vessels with a microcatheter and a coil.
This is only the first step. Later, it is necessary to super-select the deeper small blood vessels. This is to avoid negative damage. Therefore, every embolization and hemostasis operation for pelvic fractures will take a long time.
The military doctor also has research on intervention. He can understand Qin Feng's steps. The reason why he has not made a sound is because Qin Feng's speed is too fast.
How long has it been? In less than a minute, Qin Feng superselected the aorta, and then superselected the blood vessel branches.
"Maybe the aorta is easier to select, and the super-selective surgery on the vascular branches will be slower." The military doctor comforted in his heart.
"Fuck, are you finished with embolism?" The military doctor came back to his senses, only to find that Qin Feng had already intervened to stop the bleeding, and he was just in a daze, if it wasn't so exciting?
Qin Feng injected the contrast agent, and there was no bleeding point. The completion of this operation was perfect.
The military doctor looked at Qin Feng in surprise. This little doctor's interventional skills can't be said to be a little bit, but a hundred million points.
The military doctor was relieved to hand over the interventional operating room to Qin Feng.
The interventional operating room is equivalent to the last hurdle of the entire medical camp. Patients who cannot be saved in other operating rooms will be sent to the interventional room for a try.
"Doctor Xiao Qin, I need to tell you about the importance of intervention in the operating room..." The military doctor glanced at Qin Feng after speaking, "Can you complete the task?"
"Guaranteed to complete the task! I will do my best to help the patients!" Qin Feng said without hesitation.
"Okay!" After the military doctor explained some things again, he arranged two nurses for Qin Feng.
Naturally, these two nurses could not be Zhao Ran and Qian Yi, but nurses from the military hospital, with a heroic spirit on them.
"Hello, Mr. Qin!"
This is the name of some specific hospitals. They like to call their boss XX, which is a kind of old-fashioned bureaucratic name.
Qin Feng was taken aback, and quickly said: "Don't call me like that in the future, just call me Doctor Qin."
"But shouldn't Mr. Qin be more fluent?" the nurse asked.
"Anyway, listen to me, just call Doctor Qin." Qin Feng can't say that he is shy.
Qin Feng took the nurse to wear isolation clothing. In the previous interventional operation, Qin Feng did not wear isolation clothing, nor did the military doctor. Qin Feng was afraid of waste, and the military doctor did not think that Qin Feng could do this operation. down.
Now that the interventional operating room has been officially handed over to Qin Feng, Qin Feng must also be responsible for the patients.
With the help of the nurse, I put on the isolation suit and walked towards the operating room, but unexpectedly found that there was an extra doctor.
"you are?"
"Hello, Doctor Qin, I was sent by Mr. Xu, and I have studied interventional studies abroad before." He Ju introduced himself.
Only then did Qin Feng realize that the surname of the military doctor just now was Xu. He had been in contact with others for so long, and it was embarrassing that others knew his name, but he didn't.
"Hello, you are the emergency doctor of Ruijin Hospital, Qin Feng."
"Hello, I am the attending doctor of the Intervention Department of the Sichuan Provincial Military Region Hospital, He Ju."
Qin Feng looked at He Ju in surprise. You must know that it is impossible for someone who has no ability to be a doctor in a military hospital.
"I studied at the Heisenberg Medical School in Germany for a few years before. I happened to have an uncle in the military hospital. I had a few operations and was admitted." He Ju said with a smile.
Good guy, good Versailles.
Heisenberg is a well-known medical university abroad, and there are many well-known medical experts in it, with a history of hundreds of years.
With my own ability and family relationship, it is normal to be an attending doctor in a military hospital.
"Then why are you here?" Qin Feng asked suspiciously.
Just now the military doctor said that he would hand over the interventional operating room to himself, then turned around and called a person, who was still such a qualified person, so Qin Feng had to think about it.
"Doctor Xu, let me be your assistant, and change shifts with you by the way." He Ju said.
Qin Feng nodded and was about to say something when another patient with a fractured pelvis was brought in.
Placed on the operating bed, Qin Feng micro-guide wire, micro-catheter, angiography, and superselection.
In just 5 minutes, this hemostasis operation was completed.
He was being stupid to help He Ju on the sidelines. Generally, in interventional surgery, there is an assistant to help stabilize the equipment so that the surgeon can operate it.
But Qin Feng started working directly with his left and right hands, and he did it so fast and so steadily.
When Director Xu told He Ju before, He Ju was a little unconvinced.
Although He Ju and Qin Feng are very nice on the surface, in fact they look down on Qin Feng secretly.
Even if Qin Feng is a doctor in Ruijin Hospital, how awesome can a doctor in the emergency department be.
But Qin Feng directly gave him a disarming blow, bleeding from a broken pelvis, can he do it?
Of course he can do it, but it is definitely not as fast as Qin Feng, even within an hour or two, Qin Feng only took 5 minutes, the gap...
When other doctors choose blood vessels, they have to test more or less until they find the correct position. Qin Feng got up like a reckless man and went in directly. The result is still good.
Look at yourself again, it's over before you're ready.
"Qin... Doctor Qin."
"Huh?" Qin Feng turned his head and looked at He Ju suspiciously, "Is there no room for you? Sorry, I will give you a seat."
"No, I want to ask where Dr. Qin learned about intervention?" He Ju asked.
"A director of our hospital taught me." Qin Feng explained.
(End of this chapter)
Chapter 266 Shocking Intervention Technique
Retroperitoneal hemorrhage is very difficult to stop bleeding with surgery, because the pressure of the retroperitoneum is very high. Once the retroperitoneum is incised, the blood accumulated inside will rush to the sky under the huge pressure.
"Has the patient had a CT?" Qin Feng asked.
With the arrival of military doctors and CT machines, we have to admit that the power of the country is still strong.
"It's done, pelvic fracture and pelvic artery rupture." The military doctor handed the film to Qin Feng.
Qin Feng glanced at it, no wonder this patient was sent for interventional surgery.
Surgery is not suitable for the patient at all, and hemostasis can only be treated through interventional surgery first, and then the next treatment plan can be determined.
Qin Feng looked at the patient lying on the operating bed and measured the patient's blood pressure. There was no problem.
Take out the puncture kit directly, and perform sterilized puncture, straight to the point.
The military doctor on the side saw Qin Feng's operation and nodded.
The puncture was done well, and it can hit the nail on the head, which proves that there is still a solid foundation for intervention.
"Micro guide wire."
The military doctor sent the microguidewire to Qin Feng and wanted to see how Qin Feng dealt with the internal iliac artery.
It is necessary to know that the most difficult part of the interventional hemostasis of retroperitoneal hemorrhage is the superselection of the internal iliac artery. Once the embolization is wrong, it will lead to arterial embolism, and then the lower body will be paralyzed.
After Qin Feng entered the state, he quickly super-selected the desired blood vessels in the internal iliac artery, and directly closed the blood vessels with a microcatheter and a coil.
This is only the first step. Later, it is necessary to super-select the deeper small blood vessels. This is to avoid negative damage. Therefore, every embolization and hemostasis operation for pelvic fractures will take a long time.
The military doctor also has research on intervention. He can understand Qin Feng's steps. The reason why he has not made a sound is because Qin Feng's speed is too fast.
How long has it been? In less than a minute, Qin Feng superselected the aorta, and then superselected the blood vessel branches.
"Maybe the aorta is easier to select, and the super-selective surgery on the vascular branches will be slower." The military doctor comforted in his heart.
"Fuck, are you finished with embolism?" The military doctor came back to his senses, only to find that Qin Feng had already intervened to stop the bleeding, and he was just in a daze, if it wasn't so exciting?
Qin Feng injected the contrast agent, and there was no bleeding point. The completion of this operation was perfect.
The military doctor looked at Qin Feng in surprise. This little doctor's interventional skills can't be said to be a little bit, but a hundred million points.
The military doctor was relieved to hand over the interventional operating room to Qin Feng.
The interventional operating room is equivalent to the last hurdle of the entire medical camp. Patients who cannot be saved in other operating rooms will be sent to the interventional room for a try.
"Doctor Xiao Qin, I need to tell you about the importance of intervention in the operating room..." The military doctor glanced at Qin Feng after speaking, "Can you complete the task?"
"Guaranteed to complete the task! I will do my best to help the patients!" Qin Feng said without hesitation.
"Okay!" After the military doctor explained some things again, he arranged two nurses for Qin Feng.
Naturally, these two nurses could not be Zhao Ran and Qian Yi, but nurses from the military hospital, with a heroic spirit on them.
"Hello, Mr. Qin!"
This is the name of some specific hospitals. They like to call their boss XX, which is a kind of old-fashioned bureaucratic name.
Qin Feng was taken aback, and quickly said: "Don't call me like that in the future, just call me Doctor Qin."
"But shouldn't Mr. Qin be more fluent?" the nurse asked.
"Anyway, listen to me, just call Doctor Qin." Qin Feng can't say that he is shy.
Qin Feng took the nurse to wear isolation clothing. In the previous interventional operation, Qin Feng did not wear isolation clothing, nor did the military doctor. Qin Feng was afraid of waste, and the military doctor did not think that Qin Feng could do this operation. down.
Now that the interventional operating room has been officially handed over to Qin Feng, Qin Feng must also be responsible for the patients.
With the help of the nurse, I put on the isolation suit and walked towards the operating room, but unexpectedly found that there was an extra doctor.
"you are?"
"Hello, Doctor Qin, I was sent by Mr. Xu, and I have studied interventional studies abroad before." He Ju introduced himself.
Only then did Qin Feng realize that the surname of the military doctor just now was Xu. He had been in contact with others for so long, and it was embarrassing that others knew his name, but he didn't.
"Hello, you are the emergency doctor of Ruijin Hospital, Qin Feng."
"Hello, I am the attending doctor of the Intervention Department of the Sichuan Provincial Military Region Hospital, He Ju."
Qin Feng looked at He Ju in surprise. You must know that it is impossible for someone who has no ability to be a doctor in a military hospital.
"I studied at the Heisenberg Medical School in Germany for a few years before. I happened to have an uncle in the military hospital. I had a few operations and was admitted." He Ju said with a smile.
Good guy, good Versailles.
Heisenberg is a well-known medical university abroad, and there are many well-known medical experts in it, with a history of hundreds of years.
With my own ability and family relationship, it is normal to be an attending doctor in a military hospital.
"Then why are you here?" Qin Feng asked suspiciously.
Just now the military doctor said that he would hand over the interventional operating room to himself, then turned around and called a person, who was still such a qualified person, so Qin Feng had to think about it.
"Doctor Xu, let me be your assistant, and change shifts with you by the way." He Ju said.
Qin Feng nodded and was about to say something when another patient with a fractured pelvis was brought in.
Placed on the operating bed, Qin Feng micro-guide wire, micro-catheter, angiography, and superselection.
In just 5 minutes, this hemostasis operation was completed.
He was being stupid to help He Ju on the sidelines. Generally, in interventional surgery, there is an assistant to help stabilize the equipment so that the surgeon can operate it.
But Qin Feng started working directly with his left and right hands, and he did it so fast and so steadily.
When Director Xu told He Ju before, He Ju was a little unconvinced.
Although He Ju and Qin Feng are very nice on the surface, in fact they look down on Qin Feng secretly.
Even if Qin Feng is a doctor in Ruijin Hospital, how awesome can a doctor in the emergency department be.
But Qin Feng directly gave him a disarming blow, bleeding from a broken pelvis, can he do it?
Of course he can do it, but it is definitely not as fast as Qin Feng, even within an hour or two, Qin Feng only took 5 minutes, the gap...
When other doctors choose blood vessels, they have to test more or less until they find the correct position. Qin Feng got up like a reckless man and went in directly. The result is still good.
Look at yourself again, it's over before you're ready.
"Qin... Doctor Qin."
"Huh?" Qin Feng turned his head and looked at He Ju suspiciously, "Is there no room for you? Sorry, I will give you a seat."
"No, I want to ask where Dr. Qin learned about intervention?" He Ju asked.
"A director of our hospital taught me." Qin Feng explained.
(End of this chapter)
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