"What you're afraid of right now isn't something happening to the patient."

"You're afraid of making the same mistake again."

Ye Zhen's cool voice rang out from behind the sterile gown.

Lin Yi's back was soaked with sweat, and he gritted his teeth.

"Yes."

"Then keep an eye on the screen and see how I defuse this bomb."

Ye Zhen walked to the operating room and took the guide wire.

The imaging image is refreshed on the screen.

"The proximal end of the thrombus is 1.6 centimeters from the puncture site." Ye Zhen's eyes were fixed on the screen, her right hand twisting the guide wire. Her movements were so fast that they were almost imperceptible, yet extremely steady to the millimeter.

Lin Yi stood in the support position, his heart in his throat. This was the femoral artery of a child only a few years old; the blood vessel wall was as thin as paper, and the slightest carelessness could cause the wall to tear.

One millimeter.

"Two millimeters."

"Three millimeters, stop."

Ye Zhen's wrist paused slightly. The tip of the catheter pressed precisely against the edge of the blood clot.

She reached out her hand.

"syringe."

The nurse immediately handed over a large-sized syringe and connected it to the negative pressure port.

"Liu Xiaohe, press it close to your heart."

The moment Ye Zhen finished speaking, her thumb immediately pulled back the piston.

Dark red blood rushed into the transparent tube, followed by a small piece of viscous, dark substance that was forcibly drawn into the tube.

Li Hong stared intently at the monitor.

"Heart rate 136".

"Blood pressure is 96 or 62."

"The skin on my right foot hasn't warmed up yet."

Ye Zhen pushed the extracted residue onto sterile gauze, revealing a small, fragmented blood clot.

"That's not enough; the main body is still inside."

She reconnected the negative pressure and performed a second suction, pulling out two more blood clots.

"Teacher Ye, the bleeding hasn't stopped."

Ye Zhen stared at the screen expressionlessly.

The main thrombus that was originally blocking the proximal end shortened, but the remaining large section of the thrombus slid downwards due to the impact of blood flow and got stuck at the bifurcation of the blood vessel. One of the front sections pointed directly at the deeper popliteal artery.

Once a blood clot travels deep into the extremely fine peripheral blood vessel network of the calf, it will break into countless pieces, and even a miracle worker couldn't save that leg.

Lin Yi's breathing became erratic: "It ran away!"

"What's the panic?"

The catheter in Ye Zhen's hand remained motionless: "Miniature balloon."

The scrub nurse searched quickly: "Dr. Ye, there's only a 4mm balloon left on the table."

"Enough."

Without the slightest hesitation, Ye Zhen took the balloon catheter with her left hand and inserted it directly down the guide wire. Her technique was extremely tricky; the catheter clung to the blood vessel wall, scraping past a gap of less than half a millimeter on the side of the thrombus, reaching the distal end.

"Inflate."

The four-millimeter transparent balloon suddenly expanded below the bifurcation, firmly blocking the blood vessel lumen.

The blood clot, which was about to slide deeper, slammed against the top of the balloon and stopped.

Lin Yi's throat went dry from staring at the screen. He felt a lump in his throat.

Ye Zhen manipulated the negative pressure catheter to reapproach the proximal end of the thrombus.

First time drawing blood. Only blood.

The second attempt. Resistance increased sharply.

Ye Zhen didn't pull hard. Instead, she pinched the tube with her fingers and carefully pulled it back half a millimeter, slightly changing its direction by using the angled opening of the tube.

Pull the piston open.

With a soft "plop," a thick blood clot, nearly a centimeter in diameter, was sucked out.

Liu Xiaohe quickly measured on the gauze: "0.9 centimeters!"

Ye Zhen inserted the duct again, this time aiming directly at the fork.

The moment the catheter tip touched the remaining thrombus, the shadow on the screen suddenly dispersed. A small fragment of the thrombus slid along a small branch inside the tube, carried by the pressure difference.

"There's residue on the inside!" Lin Yi shouted urgently.

Ye Zhen firmly controlled the balloon with her left hand, while gently twisting it with her right thumb and forefinger: "Lin Yi, hold the sheath steady and turn it 15 degrees clockwise."

Lin Yi held the puncture sheath firmly against the child's groin with both hands.

Negative pressure is established.

The piece of plug that was trying to escape was caught by the strong suction of the pipe, but because of the pipe diameter, it got stuck at the edge and could not be sucked in.

"Don't loosen the negative pressure."

Ye Zhen gave a brief instruction, then pinched the catheter with two fingers and pulled it out along with the outer sheath.

"Maintain absolute coaxiality."

The process of quitting was extremely agonizing.

The blood clot was dragged across the bifurcation point, and the child's heart rate immediately soared to 150.

The anesthesiologist quickly administered the medication: "The heart rate is rising, I'll add half a dose of sedative!"

The last half centimeter.

The blood clot hung precariously from the sheath opening.

"Large-bore syringe!" Ye Zhen ordered. "Lin Yi, withdraw the sheath two millimeters. Liu Xiaohe, press down firmly on the proximal end!"

The three people acted simultaneously.

*Pfft*

A whole blood clot, resembling a dark red loach, was completely pulled out of the body and slammed heavily onto the gauze filter.

"Deflate the balloon and withdraw it." Ye Zhen pulled out the balloon.

The blockage was lifted. The contrast agent was reinjected.

This time, the right femoral artery, popliteal artery, and the peripheral vascular network all the way to the lower leg instantly lit up on the screen like a large tree.

The blood flowed unimpeded to the back of the foot.

The previously silent noise in the Doppler ultrasound by the bedside disappeared, replaced by a clear and powerful pulsation.

puff.

puff.

Lin Yi stood there, staring at the screen, his eyes welling up with tears, unable to utter a single word for a long time.

"The dorsalis pedis artery has recovered." Liu Xiaohe placed her palm on the child's instep. "The temperature is rising!"

Li Hong pressed on her toenail bed. The pale nail bed instantly turned red and became congested with blood when she released her pressure.

"Capillary filling is normal."

Ye Zhen's expression didn't even change.

"Check your ankle-brachial index."

"Observe for ten minutes."

"The heparin maintenance dose should be halved until the coagulation results are available."

After giving her instructions, Ye Zhen threw the gauze filter filled with blood clots directly onto the instrument table in front of Lin Yi.

"What are you looking at? Get to work."

"Record the length, color, texture, and estimated formation time."

Lin Yi snapped back to reality, grabbed the notepad, and started writing rapidly.

"Dark red, soft in texture, with obvious compression marks near the end."

Ye Zhen took off her gloves: "When did it form?"

Lin Yi replied in a deep voice, "Within three hours post-surgery. It hasn't organized and is very soft. The thickest part is near the puncture site, which should have started forming from the femoral artery rupture."

Ye Zhen made no comment. She walked to the foot of the operating table and gently traced the sole of Zhang Xiaobao's right foot with her fingertip.

The five little toes immediately curled up as if by conditioned reflex.

"Neurological and motor responses are normal." Ye Zhen picked up the medical record. "The leg has been saved. Send him to the ICU. Check his vital signs every ten minutes for the first three hours. Call me immediately if there are any changes."

The catheterization lab door slowly opened.

The woman waiting outside the door was completely disoriented. She leaned against the chair Gu Zheng had temporarily brought over, her hands twisting together incessantly, too weak to even stand up straight.

Upon seeing Ye Zhen emerge, she pounced on her like a madwoman.

"Dr. Ye!"

"The child's legs..."

"It's saved."

The woman covered her face and bent her knees as if to slam them to the ground.

Gu Zheng took a long stride, grabbed the woman's shoulder with his large hand, and lifted her up forcefully.

"Stand still."

Gu Zheng's voice was deep and authoritative: "My wife will not accept kneeling."

The woman was sobbing uncontrollably. She stumbled to the newly pushed-out stretcher and touched the child's right foot with trembling hands.

It is warm.

In his half-awake state, Zhang Xiaobao weakly called out.

"daughter."

The woman completely broke down, sobbing uncontrollably as she lay on the edge of the bed, crying, "Mother's here..."

Lin Yi changed his clothes and was the last to come out.

He didn't move forward, but stood far away at the base of the wall, his face deathly pale.

The woman looked up when she heard the noise. The moment she saw Lin Yi, her crying gradually stopped.

Lin Yi walked stiffly towards her step by step.

"Auntie, I'm sorry."

"I performed the compression hemostasis procedure after the surgery."

"The hospital will investigate why the complications occurred. If it is proven to be due to my operational error, I will not shirk responsibility."

The woman looked at the young military doctor. She could see the cold sweat on his forehead and his fingers, which were still trembling slightly against the seam of his trousers.

That murderous resentment suddenly dissipated.

She slowly stood up straight, stretched out her rough hand, and grabbed Lin Yi's cold fingers.

"I was so anxious just now that I said some really nasty things, please don't take it to heart."

"But you and Dr. Ye pulled him back from the brink of death, didn't you?" The woman held onto him tightly. "Young doctor, when you treat other children in the future, don't be afraid. We ordinary people rely on your hands when we go to the hospital."

Lin Yi gritted his teeth and managed to squeeze out a single word after a long while.

"it is good."

Ye Zhen stood a few steps away, coldly watching the scene unfold, without stepping forward to comfort her or offer any words of encouragement.

She looked down and opened Zhang Xiaobao's medical record, turning directly to the post-operative record page.

Apply pressure to stop the bleeding: 23 minutes.

Standard time: 20 minutes.

I then reviewed the preoperative lab results. Platelet count and prothrombin levels were normal. There were no underlying coagulation disorders.

Ye Zhen closed the medical record and handed it to Gao Yuan, who was standing next to her.

"Go to the security department and retrieve all the surveillance footage from today."

Gao Yuan was stunned: "Teacher Ye, aren't you going to rest?"

"I'm not going to sleep tonight." Ye Zhen looked at the night view at the end of the corridor.

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like