Unable to outrun a large group of top students and teachers, Xie Wanying followed everyone's advice and walked back behind Senior Brother Cao.
Finally I saw her back.
Shen Youhuan stared at her head and preached: "Yingying, you are smart, so don't imitate the bravery and fearlessness of Junior Brother Cao."
When have I ever been brave enough to do something like this? Cao Yong absolutely disagreed with this statement and gave the other party a slightly dissatisfied look.
Brother Shen¡¯s character is like an ever-changing cloud, sometimes it rains and sometimes the sun shines. In the blink of an eye, after educating her, Shen Youhuan went on to comfort her: "You senior brother Huang doesn't like it, let's talk about him. Besides, with your senior brother Cao here, is it your turn to be a non-neurosurgery person? You can rest assured. Go. Watch us from next door doing surgery.¡±
"Yeah." Xie Wanying nodded.
In terms of neurosurgery expertise, she is definitely not as good as her senior brothers and Dr. Song. Leave the professional matters to the junior brothers.
The operation is about to begin. In addition to the surgeon, everyone else walked into the control room to watch the operation progress.
In the hybrid operating room, the surgical team can be divided into two situations, one is the cooperation between internal medicine and surgery, and the other is the surgery alone and directly performs the interventional surgery work of the internal medicine department. The latter requires the surgeon to make analogies and accumulate considerable experience in interventional surgery. This is not easy to achieve. Because with ordinary angiography, surgeons may be able to get started quickly. When it comes to more complex interventional surgeries such as thrombectomy and thrombolysis, doctors also need to accumulate sufficient surgical volume to accumulate technical strength. Surgeons who do not perform enough operations may not be able to adapt quickly. Therefore, in Mr. Zhang¡¯s idea, it would be better to collaborate with the Department of Surgery and Internal Medicine to perform this type of surgery in the future.
Today¡¯s surgery can be said to have been promoted intentionally by Zhang Huayao because he wanted to see what would happen after the combination of internal medicine and surgery.
After the meeting that night, the medical and surgical teachers met again many times to study. Now the surgeons and surgeons are taking their places.
The physician comes first. Shin Youhwan was fully armed and entered the operating room in person. The patient's operation today is complicated. A surgeon is taking over the second half of the operation. The progress of the operation requires the doctor to move quickly and not to wait for the doctors below to try.
Local anesthesia was performed, the right femoral vein was punctured, a pig tail tube was inserted, and a filter was placed in the inferior vena cava. There are a series of conventional surgical steps, and for the deputy surgeon who has already mastered the basic skills, it is inevitable to complete them in one go.
The catheter inserted after puncture carries the contrast agent to the designated location just like other interventional surgeries.
Like coronary angiography, due to the short pulmonary artery circulation time, only 2 to 4 seconds, CT imaging is technically difficult and not as good as the angiography machine, which can capture the instantaneous dynamics of blood vessels directly and clearly. The advantages of the imaging machine are demonstrated again. Clinically, it is an accepted practice that pulmonary angiography and thrombolysis and thrombectomy are the first choices for patients with high-risk PE. Therefore, the previous CT blood vessel scan results of the lungs and heart were rough scans, which did not have the significance of diagnosis and could only provide doctors with preliminary judgments.
Whether the patient can undergo subsequent surgical operations depends entirely on the results of the first half of the interventional surgery.
?Similarly, just like coronary angiography, even if it is only an interventional procedure, for patients who are not high-risk for PE, the interventional surgeon must be cautious and cautious in the medical treatment they perform on the patient, and there is no need to over-treat.