After being separated from my family, I became a darling of the military region thanks to my medical

The first day of the seven-day pilot program, at 7:00 AM.

The lights in both catheterization labs were turned on at the same time.

The medical administration observer's surname is He.

The expert sent by the Provincial Health Department is surnamed Zhao.

The two arrived half an hour early and checked the video recording equipment, equipment registration forms, and the availability of beds in the recovery area.

Zhou Hai made no arrangements for reception, and Ye Zhen did not come out to exchange pleasantries.

Inside the catheterization lab, everyone was standing at their respective posts, ready and waiting.

The twelve children listed on the scheduling whiteboard have been regrouped according to their risk level.

The first case at Station No. 1 is classified as a Level 2 risk.

The first case at station number two is classified as a level three risk.

The two level-four patients were scheduled for observation in the morning and afternoon, respectively, with an hour's observation time in between.

Ye Zhen put on her gloves, her voice cool and clear.

"start."

The red light on station number one is on.

The first machine took 38 minutes, and the second machine took 42 minutes.

At 10 a.m., the first four children were all transferred to the recovery area in good condition.

Each time a nurse receives a child, she immediately presses the timer on the bedside table.

The time of each patrol, skin temperature, skin color, and dorsalis pedis artery pulsation must all be meticulously recorded in the original log.

If even one number is missed, the pilot program will be halted on the same day.

The fifth patient was named Zhou Xiaohe.

Two years and one month old.

Weight: 9.8 kilograms.

Upon admission, the patient presented with mild dehydration and had a narrow femoral artery, resulting in a risk level of four.

The surgery went very smoothly and the occluder was in a stable position.

During the operation, the blood oxygen level rose from 76 to 94.

After the sheaths were removed, Lin Yi was put in charge of the pressure.

He placed the mechanical clock neatly in front of him.

Every five minutes, he would carefully check the blood flow near the heart and the bleeding at the puncture site.

By the eighteenth minute, the bleeding from the puncture site had stopped.

Twenty minutes later, Lin Yi relieved the pressure precisely on time.

He first carefully checked the tightness of the bandage, then reached out to feel the dorsalis pedis artery.

"Skin color is normal."

"The dorsalis pedis artery is palpable."

"The skin temperature is the same on both sides."

Li Hong immediately recorded the data item by item, and the child was then sent to the recovery area.

Seven minutes after the operation.

Li Hong lifted the corner of the quilt, first touching her left foot, then her right foot.

Her movements stopped instantly.

My right foot was noticeably colder than my left foot.

She immediately fetched two skin thermometers and attached them to the backs of both of the child's feet.

One minute later, the numbers appeared.

Left foot, 34.2 degrees.

Right foot, 32.1 degrees.

The temperature difference reached 2.1 degrees.

Li Hong decisively pressed on the nail bed of the child's right toe.

After letting go, it took nearly three seconds for the blood to slowly return to its original color.

Although the dorsalis pedis artery can still be felt, its pulse is significantly weaker than that on the left side.

"Activate Level 3 alert!"

The call bell by the bed immediately rang sharply.

Lin Yi had just walked to the sink to wash his hands when he heard the bell and immediately turned around and rushed back.

Instead of rushing forward to handle the situation, he grabbed the internal phone first.

"Teacher Ye, the awakening area is under a level three alert."

"Seven minutes after the operation, Zhou Xiaohe noticed that the skin temperature of his right foot dropped by 2.1 degrees Celsius, the nail bed was engorged for nearly three seconds, and the dorsalis pedis artery pulse weakened."

"Please come over immediately to make a judgment."

"Turn on the Doppler machine and retrieve the intraoperative records for review."

After hanging up the phone, Lin Yi first bent down to check the puncture site.

There was no progressive swelling, and no further bleeding under the bandage.

He laid the child's right leg flat, carefully untied the outer fixation band, and confirmed that no additional pressure was being applied.

"Never rub the affected limb."

"We'll have to wait for Teacher Ye to come and make a judgment."

At this moment, Observer He and Expert Zhao had already stepped inside the yellow line.

The child's mother stood outside the door and saw several doctors with solemn expressions gather around the bed. Her face turned pale on the spot.

"What happened?"

Is the child's leg blocked?

The nurse quickly stopped her behind the yellow line.

"We are checking, please don't touch the child yet."

"That's my son!"

The woman was so anxious that she pushed her way forward without regard for anything else.

"I just had heart surgery, and now my leg is acting up. How am I supposed to wait?"

The heavy iron door of the catheterization lab was pushed open, and Ye Zhen strode out wearing a thick lead apron.

She had just finished angiography on another child and immediately paused the subsequent procedures upon hearing the call.

"Give me Duple."

Lin Yi immediately handed over the probe.

"An abnormality was detected seven minutes after the surgery, and two minutes have now passed."

"The skin temperature of the right foot is low, the nail bed is engorged and elongated, and the dorsalis pedis artery pulsation is weakened."

Ye Zhen squeezed the coupling agent onto the probe and began the examination from the instep with steady movements.

Intermittent sounds of blood flowing could be heard from the Dopler.

She slowly moved the probe upwards.

There is blood flow behind the ankle, and the popliteal artery blood flow is continuous.

Pushing further up, the blood flow below the puncture point is still not completely interrupted.

Although the spectrum on the screen narrowed, there was no fixed, blocked dead phase.

"Stimulate the soles of the feet."

Li Hong immediately used a cotton swab to quickly run it across the sole of the child's foot.

The five toes immediately gave a flexion reflex.

"The motor response exists."

Ye Zhen re-examined the skin color of her right foot and then reached out to touch the area around the puncture site.

The skin is fair, but there is no hematoma.

The child struggled to wake up half-asleep from anesthesia, crying loudly, with the muscles in his right leg constantly tense.

Ye Zhen handed the peephole back to Dubul.

"It's not a fixed thrombus."

Expert Zhao pressed further, "What's the basis for that?"

"The blood flow was uninterrupted; continuous blood flow could be detected in all segments below the puncture point."

"There is no progressive swelling, no fixed blockage, and the toe movement response is normal."

"The persistent tension in the right leg muscles, combined with the low temperature, pain, and small blood vessel factors, triggered femoral artery spasm."

Observer He glanced down at the timer on his wrist.

"Should we do an angiography to rule it out?"

"First, eliminate the triggering factors."

Ye Zhen raised her hand and issued a series of instructions.

"Close the ventilation openings."

"Cover the right lower limb with a preheated cotton pad, making sure the temperature does not exceed 40 degrees Celsius."

"If there is no improvement within six minutes, or if a blocking sound is heard during Doppler ultrasound, immediately return to the catheterization lab for angiography."

"Lin Yi, you will carry out the order."

"Yes."

Lin Yi quickly moved the partition next to the bed.

Li Hong ran over to close the vent and carefully covered the outside of the child's right leg with a preheated cotton pad.

Ye Zhen did not leave, but personally watched the changes in the color of her right foot and the fluctuating data on the monitor.

First minute.

The temperature of my right foot did not change.

The child's mother, separated by a yellow line, gripped the hem of her clothes tightly with both hands.

"Dr. Ye, would you be willing to handle this yourself?"

"I'm handling this now."

Ye Zhen did not raise her voice, but her tone left no room for argument.

"Dr. Lin is following my medical orders."

The woman turned to look at Lin Yi, who was operating the machine, and clearly recognized the name.

The day Zhang Xiaobao suffered an acute thrombosis, the corridor was filled with noise, and many people heard about it.

"Is he the doctor who pressured you beyond the allotted time last time?"

The awakening area fell silent instantly, the atmosphere tense.

Lin Yi's eyes remained fixed on the timer.

"it's me."