The Godfather of Surgery

Director Jiang gave up his seat: Come here, Xiao Yang, look at the color Doppler ultrasound images, the catheter is close to stenosis, I began to plan to go to the interventional operating room, the interventional room has better surveillance, but I dare not move the patient, move it a little. Move a little, and the blood oxygen will drop immediately.

Although there is no X-ray monitoring in the intervention room, it is better to have color Doppler surveillance than to cross the stenosis with bare hands. Yang Ping said to the color Doppler doctor: Just keep this position, don't move, I'll start to advance the tube now.

The color Doppler doctor's hand was very stable, and it was fixed at a position that Yang Ping thought was good. He was sitting beside the bed, because he couldn't compress his abdomen and his hand was hanging in the air, so it was very hard. In order to maintain stability, he held the probe with the other hand. hand.

Miss Ning, could you please go out for a while? Yang Ping said.

When doctors perform operations, family members are generally not allowed to be present, because sometimes family members will interfere with the operation, especially at a critical juncture.

Miss Ning hesitated and left the ward reluctantly. When she left, she said to Yang Ping, Please!

Yang Ping nodded firmly to her.

Be careful! Xiao Yang, the walls of blood vessels are very thin, and a little poke will break them. The deputy chief physician of the Vascular Surgery Department reminded him, entirely out of the kindness of his colleagues.

Director Jiang suggested on the side: Should I withdraw the catheter, use an interventional tool to send a vascular stent, stretch the stenosis, and then re-insert the catheter?

This method is good, but there is no way to use it now. The catheter cannot be withdrawn. Once withdrawn, the circulation of the entire human body will be interrupted. Mr. Ning's own lungs have no function at all. Therefore, the direct consequence is that the dominoes collapsed, and multiple organ failure occurred. No way to help.

The narrow part can just pass through the tube. As long as the direction is adjusted, it should be able to pass. The tube cannot be retreated. Once retreated, the blood oxygen will plummet! Yang Ping stared at the color Doppler screen and said.

Director Jiang stopped talking. Yang Ping was right. Once the tube was withdrawn, before the new tube was inserted, the patient's blood oxygen would be extremely low, causing brain tissue ischemia, which in turn caused multiple organ failure.

Color Doppler ultrasound cannot replace the hand feel, not to mention that the image displayed on the color Doppler ultrasound is flat and distorted.

Based on the length and state of the exposed part of the catheter, Yang Ping judged the depth of the catheter's entry and the state it was in at this time. His thumb index finger, middle finger, and three fingers gently pinched the catheter and rotated it very gently.

After retreating about one centimeter, the image in his mind was a little blurry. Yang Ping strengthened it again to make it clearer, because the composition was too laborious, and sweat was oozing on his forehead. He tried to replenish it a few times before the image became clear.

Just like an ordinary person remembering an object and keeping its appearance in his mind, it will be very clear at first, but after a while, it will become blurry, especially the details, and it will not be recalled at all.

Xiao Yang! If it doesn't work, don't force it—

Director Jiang was worried. Newborn calves are not afraid of tigers. They must not cause heavy bleeding and die on the spot. Even if the family does not pursue it, it is not a good thing.

Don't worry, I know what I know. Yang Ping said.

The catheter goes up gently and touches the stenosis. The slight contact between the catheter and the stenosis is transmitted to the hand through the catheter. The hand makes fine adjustments based on this indirect tactile feedback, just like threading a thread. through the eye of the needle.

Little by little, while passing and adjusting, everyone stared at the color Doppler screen.

No way, my hand can't be steady anymore. Doctor Color Doppler's hanging hand trembled a little.

Yang Ping immediately gently backed the pipe: Let go of your hand, take a rest, I'll wait for you!

After a short rest, the ultrasound doctor's probe was pressed down again.

Yang Ping's hand holding the catheter didn't move, until the images of blood vessels and catheters reappeared in the color Doppler ultrasound image. His hand adjusted the catheter again, and the tube began to slowly pass over the stenosis.

The blood oxygen fluctuated violently and suddenly dropped. Mr. Ning was a little restless. The tube in Yang Ping's hand was retracted again, extremely dexterous, and did not touch the wall of the blood vessel.

Give me some more sedatives!

There was an anesthesiologist next to him, who never made a sound. He only came on when needed.

The stenosis can just pass through the catheter, and there is no way to pass through the direction deviation. When passing, if the patient is restless, the catheter will most likely puncture the blood vessel.

Passing slowly like this was too risky, so Yang Ping decided to seize the opportunity to pass quickly.

At this time, I don't know when Director Han also came in. It should be Director Kong who called him. After all, he borrowed people to do high-risk operations, so what if he didn't notify him.

Director Han heard the news at home and rushed over immediately. No matter how powerful Yang Ping was, he was still a human being. He could come to help come up with ideas.

Director! Yang Ping greeted Director Han.

Director Han nodded slightly, meaning you keep doing it and don't be distracted.

After saying hello to Yang Ping, Director Han went to the reading light to watch the film, studied it for a while, and said:

Xiao Yang, in this case, it is best to pass quickly, but the risk is extremely high, but it is better than slow passing.

This idea coincides with Yang Ping.

Call Miss Ning in! Yang Ping wanted to talk to her about the risk, but he could only take a gamble. done! Mr. Ning can hold on for a few more days, or even dozens of days; no! The heartbeat and breathing may stop at this moment.

Director Kong knew what Yang Ping meant and said, We discussed carefully before the operation. The risk is extremely high, and the heartbeat and breathing may stop immediately.

Yang Ping still insisted that it was necessary to talk: I'll talk to her again.

Director Kong called Miss Ning in. Just now, Miss Ning had been in the corridor and was very nervous. Although she was mentally prepared, she couldn't accept it at this juncture.

Miss Ning, now this catheter must pass through the stenosis, otherwise Mr. Ning will not be able to survive today, but crossing this stenosis is very risky. Now I want to seize the opportunity to quickly send the tube, success or failure is a matter of seconds, only It's a chance. It's done! Mr. Ning can last for a few days, even dozens of days; if he loses, his heart may stop breathing on the spot. I want to hear your opinion, are you willing to take the risk--

Now that the anesthesiologist has given sedative medicine, Mr. Ning can't express his position, even nodding. Miss Ning is in a dilemma. Her facial muscles are trembling.

We don't have a lot of time. The oxygen pressure given now is very high. This pressure can't be given for too long! Yang Ping said calmly.

If you don't take risks and can't survive today, it's no different from stopping on the spot. Father wants to drag, just wants to see his brother, Miss Ning analyzed in her heart.

Although she is young, she has been in the market for a few years, she is calmer than ordinary people, and she is more able to seek advantages and avoid disadvantages.

How sure are you? Miss Ning asked.

Yang Ping shook his head: It's hard to tell!

Miss Ning gritted her teeth and said decisively, Dr. Yang, I believe in you. You can let go and fight for it. I am willing to take risks, and I am willing to accept the consequences no matter what.

Okay, I understand, you go out and wait again! Since the family members are willing to take risks, they will gamble on their own.

However, Yang Ping still has a good grasp of it, and he is very confident. It's just that this kind of thing must be made clear to the family, and it can't be said with certainty.

When Miss Ning went out, the door of the emergency ward was closed again by a doctor.

Can the color ultrasound still persist? If not, let go and rest for a while. Yang Ping said to the color ultrasound doctor.

The doctor of color Doppler said: You can persevere!

Keep still for 30 seconds, and I can complete the delivery of the tube. It must be motionless. It's best to take a rest. Yang Ping saw that he had persisted for a while.

Okay! The color Doppler doctor retracted the probe and began to move his wrist, feeling sore and numb.

After resting, he picked up the probe again and pressed the position of the lower abdomen on the right side. When the image was in the best state, he stopped the action.

Okay, don't move!

Yang Ping and the color Doppler doctor confirmed their eyes.

Stay steady, look for opportunities, and go once! Director Han encouraged.

Everyone held their breath, stopped talking, and stared at the color Doppler screen.

The ultrasound doctor clenched his teeth tightly, and his hands did not move, like a sculpture.

The screen image is very stable, there is no shaking, and the red and blue colors representing blood flow flicker.

Yang Ping adjusted his breathing, holding the catheter in his hand, neither loose nor tight, adjusted to the best direction, breakthrough!

In an instant, like a sniper aiming for a long time, he finally pulled the trigger.

Excellent! The catheter passed through the stenosis smoothly without touching the wall of the tube, and then went a full twenty centimeters deep before Yang Ping let go.

Everyone's hearts were put down when they mentioned their throats.

The blood oxygen saturation on the monitor slowly rose, 90, 92, 95, 99——

It worked! Director Han suppressed his voice.

With the help of this magic lung, Mr. Ning can survive for a few days without any problem. If he is lucky, he can survive for dozens of days.