Sleepless Doctor

　　 Wu Mian smiled, "Excuse me, Director Li."

　　 Entering the director's office, director Li turned on the reader and asked, "Mr. Wu, sit and watch."

　　 He didn't care much about what movies Wu Mian watched. It was the strangest thing that no one would see him for a top doctor like Wu Mian.

　　 The man was a little surprised, but the little doubts in his heart suddenly disappeared. After seeing Wu Mian, although Lin Daoshi said things like rejuvenation, doubts were inevitable.

　　 And he didn't have a badge, nor was he in the office. He just sat in a chair outside, looking like the youngest and least experienced intern. But the man was very cautious, Lin Xianchang had said so, he took it seriously.

　　His eyes were good, he saw Director Li walking over under the operation, and he saw the sign of the head of the burn department early in the morning. Although a director of the Provincial Medical University wouldn't let him be stubborn, but after all, it explained a certain problem.

　　 Wu Mian is also welcome, sitting on Director Li's chair, inserting the MRI film of the patient's head, and then taking it down.

　　 "The NMR is okay, give me a CT film of my lungs."

　　 Chu Zhixi immediately handed Wu Mian the already divided bags.

　　 The lung CT film was inserted into the reader. Director Li took a glance and saw a little inflammation in the lower left lung.

　　 It's okay, he thought to himself. Teacher Wu watched the film really fast, what do you want to watch next? Director Li guessed.

　　 But to Director Li's surprise, Wu Mian did not take down the film, but looked at a CT of his lungs for a long time as if facing each other.

　　 "Brother, have a problem?" Chu Zhixi asked suspiciously.

　　 "There are some density problems in the shadow of lung inflammation." Wu Mian said softly, "Isn't the whole abdomen CT done?"

　　 "Well, no, only B-ultrasound, there is no problem with the adrenal glands." Chu Zhixi said.

　　 Wu Mian put his arms on the table and looked at the film on the reader carefully.

　　 After nearly 1 minute, Wu Mian said, "Director Li."

　　 Director Li was taken aback. He didn't expect to have something to do with him, and quickly said, "What's wrong, Teacher Wu."

　　 "Chest, familiar with it."

　　 "Familiar, familiar."

　　 "Help me contact a bed, now the top three still let me add an extra bed?"

　　 "It's okay, if they don't have a bed, I will contact the special needs ward." Director Li readily agreed. As for the slight inflammation of the left lower lung, why should he be hospitalized anyway, he did not dare to ask.

　　 The diagnostics textbooks are all written by Mr. Wu, so what can I ask?

　　 "Okay, do some tests first, and then take anti-inflammatory and symptomatic treatments, and check the lung CT in about 5 days."

　　 Director Li called while listening to Wu Mian's doctor's advice.

　　 The phone rang a lot, but there was no answer on that side. Director Li glanced at the phone and said, "Mr. Wu, you will sit down first, and I will go to the chest department to take a look."

　　 "Thank you." Wu Mian said politely while still watching the film.

　　 Before Director Li went out, the phone rang.

　　 "Director Fang, how about the operation?"

　　 The voice on the phone side was very low. Wu Mian moved her ears slightly and asked, "My heart is gone. There is something wrong with the circulatory catheter."

　　 Director Li didn’t lie to Wu Mian. Because there was a patient, he walked up to Wu Mian and said with an ear, “Cycle surgery. The wire fell out when the balloon was expanded.”

　　 "Director Gao is on the operating table? May I ask if I have to take a look." Wu Mian's eyes kept staring at the film.

　　……

　　……

　　 Gao Boxiang hurriedly rushed to the operating room, calling all people with heart and **** on the way.

　　 The professor who led the team underwent a coronary balloon dilation operation, and just called to the rescue station, saying that the wire fell off.

　　 As soon as he heard the news, Gao Baixiang's mind buzzed.

　　 The wire is in the heart, but if it gets into the pulmonary artery, it's a **** thing. He hurried to the operating room and heard a sound coming from inside the corridor as soon as he entered the corridor after changing his clothes.

　　 "Lika, Lika, push slowly!"

　　As soon as he entered the surgery room, Gao Baixiang heard the team professor's hurried voice.

　　 Lidocaine static push, is this a ventricular tachycardia?

　　Ventricular tachycardia is a common manifestation of arrhythmia. It appears during the operation and is basically relieved by static push of lidocaine. If there is no effect, diltiazem or verapamil will be used for relief.

　　 "What's the matter?" Gao Baixiang hurriedly walked over and asked.

　　 "Director, the operation was originally smooth. The "two and a half" wires entered the left atrium again. During the withdrawal of the Inoue balloon, it was found that the end of the wire did not move during the retreat."

　　The professor of the belt group whispered the operation process just now, and at the same time, Gao Boxiang began to read the operation images. The process is very simple, but it is hard to reverse this process.

　　 The same as the professor of the belt group said before, and then the extended Inoue balloon was pulled to the right atrium, and immediately after it was pulled into the right atrium, it was found that the spring wire at the end of the wire had been completely broken off and landed in the right atrium.

　　 "Why are you so careless!" Gao Boxiang whispered angrily, but he didn't have time to entangle this point, and then asked, "Ventricular tachycardia?"

"Well, looking under C's arm, the spring wire is beating violently with a wide range of heartbeats~www.readwn.com~ The voice of the professor with the group is getting less and less, and the sterile cap on his forehead is wet with sweat. This is his body. Wearing lead clothes, otherwise the whole body will be dark green and wet with sweat.

　　 "Let me take a look." Gao Baixiang quickly closed the airtight lead door and irradiated it with a C-arm.

　　 On the opposite screen, the small spring wire is constantly moving violently following the influence of heartbeat and blood flow, and occasionally gets stuck in the tricuspid valve, immediately triggering transient ventricular tachycardia.

　　 After seeing the video, Gao Baixiang's heels are cold.

　　 The wire may fall into the right ventricle or pulmonary artery at any time, if it falls in...

　　 It is said that this kind of surgery belongs to the heart, but Gao Baixiang is timid and fearful that he will use the general breast, so he just found it.

　　 Gao Boxiang was a little anxious, so he quickly brushed his hands, put on lead clothes, and put on sterile clothes.

　　 The dropped spring wire may fall into the pulmonary artery at any time to form a pulmonary embolism, which is terrible.

　　 The embolism formed by the spring wire is different from the thrombus, and there is no way to dissolve the thrombosis. If you really fall in, you will have to take it out if you say it's not good.

　　Once the operation is performed...Patients with coronary heart disease are not in good physical condition, and it is hard to say whether they can get off the operating table. If you still need extracorporeal circulation and cardiac arrest during the operation...the consequences are really hard to think about.

　　 Gao Boxiang walks with wind, brushing his hands and putting on clothes as fast as he can to stand on the position of the surgeon.

　　 He proficiently turned the arc of the J-shaped guide wire to a larger extent, and then glanced at the screen for the position and shape of the spring wire, then opened it again, and then sent the J-shaped guide wire in.

　　 The operation should not be urgent, the more "urgent" the operation, the less urgent the operation.

　　 The ordinary "J"-shaped guide wire went down and was rammed by the blood in the heart, and it ran off the track. I couldn't catch the falling spring wire at all.