godfather of surgery

Chapter 142 There is only one chance

Director Jiang gave up his seat: "Come here, Xiao Yang, looking at the color Doppler ultrasound image, the catheter is already close to narrowing. I started to plan to do it in the interventional operating room. The interventional room is better monitored, but I dare not move the patient any more. Move it a little." Move it, and the blood oxygen drops immediately."

Although there is no X-ray monitoring in the intervention room, it is better to have color Doppler ultrasound monitoring than to go over the stenosis with bare hands. Yang Ping said to the color Doppler doctor: "Just maintain this position and don't move. I will start to push the tube now."

The hands of the color Doppler ultrasound doctor are very stable, and they are fixed at a position that Yang Ping thinks is good. He sits on the edge of the bed, and because he cannot compress the abdomen, his hand is hanging in the air, so it is very hard. In order to maintain stability, he holds the probe with the other hand. hand.

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

When the doctor is doing the operation, family members are generally not allowed to be present, because sometimes family members will interfere with the operation, especially at critical moments. Family members do not understand the principle of the operation, and it is easy to misunderstand. Once they interfere, accidents are likely to occur.

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

Yang Ping nodded firmly towards her.

"Be careful! Xiao Yang, the wall of the blood vessel is very thin, and it will break if you poke it a little bit." The deputy chief physician of the vascular surgery reminded him, out of the kindness of his colleagues.

Director Jiang suggested from the side: "Should we withdraw the catheter, use interventional tools to insert the vascular stent, stretch the stenosis, and then re-insert the catheter?"

This method is good, but it can’t be used now. The catheter cannot be withdrawn. Once it is withdrawn, the circulation of the whole body will be interrupted. Mr. Ning’s own lungs will not function at all, so the immediate consequence is that the dominoes collapse, and multiple organ failure occurs. It's useless to save him.

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

Director Jiang stopped talking. Yang Ping was right. Once the tube is withdrawn, before the new tube is inserted, the patient's blood oxygen will be extremely low, causing brain ischemia, and then causing multiple organ failure.

Color Doppler ultrasound can not replace the feel, not to mention the image displayed on the color doppler ultrasound is flat, distorted and deformed.

Based on the length and state of the exposed part of the catheter, Yang Ping judged the depth of the catheter and its current state. He gently pinched the catheter with his thumb, index finger, middle finger, and three fingers, and rotated it very gently.

Backed up about one centimeter, the image in my mind was a little blurry, Yang Ping strengthened it again to make it clearer, because the composition was too laborious, sweat oozes from his forehead, he tried to add it several times, and the image became clearer.

Just like ordinary people memorize an object and retain its appearance in their minds, it will be very clear at first, but after a while it will become blurred, especially the details, which cannot be recalled at all.

"Xiao Yang! If you can't do it, don't force yourself—"

Director Jiang was worried. Newborn calves are not afraid of tigers. They must not bleed profusely and die on the spot. Even if the family members do not pursue it, it is not a good thing.

"Don't worry, I know it well." Yang Ping said.

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

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

"I can't, I can't keep my hands steady." The hands of the color Doppler ultrasound doctor trembled a little.

Yang Ping immediately retreated the tube softly: "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 at all. He waited until the images of blood vessels and catheters reappeared on the color Doppler ultrasound image. His hand adjusted the tube again, and the tube began to slowly pass through the narrow part.

The blood oxygen fluctuated violently and dropped suddenly, Mr. Ning was a little restless, and the tube in Yang Ping's hand retracted again, extremely dexterously, without touching the blood vessel wall.

"Give some more sedative drugs!"

There was an anesthesiologist next to him, who kept silent all the time, and only came on when necessary.

The narrow part can just pass through the catheter, and if the direction is slightly deviated, there is no way to pass through. When passing, if the patient is agitated, the catheter will most likely puncture the blood vessel.

The risk of passing slowly like this is too high, Yang Ping decided to seize the opportunity to pass quickly.

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

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

"Director!" Yang Ping greeted Director Han.

Director Han nodded slightly, meaning you continue to do it and don't get distracted.

After greeting 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 passing slowly."

This idea coincides with Yang Ping.

"Call Miss Ning in!" Yang Ping wanted to talk to her about the risk, so it was only a gamble.It's done!Mr. Ning can last for a few more days, even dozens of days; no!My heartbeat and breathing may stop at this moment.

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

Yang Ping still insisted on the need to talk: "I'll talk to her again."

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

"Miss Ning, now this catheter must pass through the narrow part, otherwise Mr. Ning will not be able to survive today, but the risk of crossing this narrow part is very high. Now I have to seize the opportunity to quickly insert the tube. Success or failure is a second. Only One chance. It’s done! Mr. Ning can persist for a few days, or even dozens of days; if he loses, his heartbeat and breathing may stop on the spot. I want to hear your opinion, whether you are willing to take the risk—”

Now that the anesthetist gave me sedatives, Mr. Ning couldn't express his opinion, even if he nodded, Ms. Ning was in a dilemma. Her facial muscles trembled.

"We are not given a lot of time, and the oxygen pressure given is very high now, and this pressure cannot be given for too long!" Yang Ping said calmly.

If you don't take risks, if you can't survive today, it's no different from stopping the dance on the spot. My father wants to procrastinate, but he just wants to see his brother, Miss Ning analyzed in her heart.

Although she is young, she has experienced in the business for several years, she is calmer than ordinary people, and she is more able to avoid disadvantages.

"How sure are you?" Miss Ning asked.

Yang Ping shook his head: "It's hard to say clearly!"

Ms. Ning gritted her teeth and said decisively: "Doctor Yang, I believe in you. You can fight for it. I'm willing to take risks. I'm willing to accept the consequences."

"Okay, I understand, you go out and wait again!" Since the family members are willing to take risks, they take a gamble.

However, Yang Ping still has a good idea in his heart, and he is very confident, but this kind of thing must be clearly explained to the family members, and he cannot be too sure.

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

"Can you still hold on to the color Doppler ultrasound? If not, let go and take a rest." Yang Ping said to the color Doppler doctor.

The color Doppler ultrasound doctor said: "You can persevere!"

"Keep still for 30 seconds, and I can finish delivering the tube. It must not move at all. It's best to take a rest." Yang Ping saw that he had persisted for a while.

"Okay!" The color Doppler ultrasound doctor withdrew the probe and began to move his wrist, which was numb.

After resting, he picked up the probe again and pressed down on the lower abdomen on the right side. When the image reached the best state, he stopped the motion.

"Okay, don't move!"

Yang Ping and the color Doppler ultrasound doctor confirmed their eyes.

"Hold on, look for an opportunity, and pass it at once!" Director Han encouraged.

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

The color Doppler doctor clenched his teeth tightly, and his hands remained motionless, like sculptures.

The screen picture is very stable, without a trace of shaking, and the red and blue colors representing blood flow are flickering.

Yang Ping adjusted his breathing, pinched the catheter in his hand, not loose or tight, adjusted to the best direction, and broke through!
For a split second, it was like a sniper had been aiming for a long time and finally pulled the trigger.

Great!The catheter passed through the stenosis smoothly without touching the wall of the tube, and then it penetrated a full [-] centimeters before Yang Ping let go.

Everyone put down their throats when they mentioned it.

The blood oxygen saturation on the monitor slowly rises, 90, 92, 95, 99——
It worked!Director Han suppressed his voice.

With the assistance 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.

(End of this chapter)