Chapter 758: Medical Academic Tyrant Chapter 755 He Wants to Save Him!
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Protagonist:
Fang Ziye
Wang Youhua glanced at Pang Haichao again; Pang Haichao noticed Wang Youhua's gaze and immediately lowered his head slightly, honestly looking at the mirror he was holding.
Such words were not suitable for the current occasion; ordinarily, teachers said such things privately after a patient's surgery.
Now the patient was in the process of being injured, and was still in a period where life and death were uncertain.
Wang Youhua merely glanced at Pang Haichao a few times, and did not blame him; instead, he somewhat envied Pang Haichao for being young.
In the operating room, young people could wear the label of 'innocent words from children' and say a few bold words.
However!
Just five seconds after Pang Haichao's words fell, a low curse came from Fang Ziye's side: 'Holy crap, your grandpa.'
Wang Youhua and Pang Haichao both looked up to see exactly what had made Fang Ziye lose his composure.
After a burst of flickering light spots on the display screen, Pang Haichao discovered that, in the originally unobstructed arterial network, some segmental arterial images were slowly disappearing within the network.
'A... a motile thrombus.' Pang Haichao's eyeballs bulged several degrees.
The so-called motile thrombus was a thrombus that ran with the circulation; no one knew where it would embolize, nor where it came from, and at this moment it had no specific location.
'Can you still spare someone?'
'Could you please call your Vascular Surgery department and ask for one or two outside helpers?'
'It would be good to help put up a filter.'
'Otherwise, I can't even fish them out cleanly!' Fang Ziye asked Pang Haichao.
Although Fang Ziye could add points to learn the operation of placing a filter, this operation was after all a specialized operation of Vascular Surgery, and Fang Ziye did not want to delay time because of it.
Otherwise, later on, who knew how many more calls the people from Vascular Surgery would make.
Pang Haichao gritted his teeth; the pressure made the goosebumps on his neck rise.
Fang Ziye said the word 'please'.
'I... I'll go ask the teacher!' Pang Haichao was just a Master's Student.
Normally, he could use the Great Summoning Technique.
Now the Big Bosses were all entangled, otherwise it would not be possible to send only Pang Haichao to Fang Ziye.
'Call someone who can operate over.'
'The key parts must still be protected!' Fang Ziye quickly restrained his emotions.
Fang Ziye sent the catheter he had already pulled out back into the carotid artery, beginning to extend toward the intracranial area.
Fang Ziye guessed that, if there was no accident, this patient might currently be in Dean Chen Song's 'special period'!
Some accidents came without warning and could not be summarized by the most basic medical principles at all.
Without cause, only effect.
But here, for a while, they definitely could not invite the top Traditional Chinese Medicine Group from the Yangyuan to predict when an accident would come, or whether it could be reversed.
So, under such circumstances, what Fang Ziye had to do was to gamble once more with existing resources!
Or, if his luck was truly bad.
Fang Ziye would personally escort the surgical patient he had handled himself 'on the road'! ~
Fang Ziye's 'please' still carried considerable weight.
In just three minutes, Pang Haichao completed leaving the operating room and entering another operating room, and also brought over Associate Professor Mi Qi who had come to support.
'Ziye, what's the situation here?' Mi Qi asked.
'A free-floating thrombus, Brother Qi, hurry up and scrub in to help place a few filters!' Fang Ziye did not question why Pang Haichao had brought Mi Qi.
Since Mi Qi's hand was injured, he had always been in the 'edge' status of the department.
Although his hand function had recovered most of it, after all it could not completely recover as before.
His strength could no longer improve; now what he could complete were relatively basic routine operations of Vascular Surgery.
Placing a filter was exactly within his range of operation.
Mi Qi would have no connection with high-end Vascular Surgery operations for the rest of his life; he could only be a senior technician of Vascular Surgery.
This was Mi Qi's fate, not something Mi Qi brought upon himself.
'Okay!' Mi Qi nodded upon hearing this and went out to wash his hands.
Only then did Fang Ziye glance at Pang Haichao and scold in a low voice: 'Who told you to bring Brother Qi?'
Fang Ziye knew his own operation level; he was afraid that after Mi Qi saw it later, he would have a certain autistic psychology.
Originally, Mi Qi could have climbed higher in Vascular Surgery.
Now, he had lost all hope, and showing him more advanced operations than Professor Deng Haibo and Professor Wu Yong was killing his heart!
People with dreams all looked forward to seeing higher peaks.
But for those who had lost the opportunity to strive toward their dreams, after seeing higher peaks, the emotional gap would be even greater.
'It was arranged by Teacher Deng Haibo.' Pang Haichao did not take off his Sterile Surgical Gown; after re-entering, he approached the operating table to help.
Fang Ziye's mouth corner twitched, and he continued to continue withdrawing the guidewire downward.
During the time Pang Haichao was out, he took out two more newly discovered thrombi; the whole process was very short.
After withdrawing the guidewire from the carotid artery path, Fang Ziye patiently continued to observe the patient's blood vessel images.
After most of the bleeding had been handled, the fullness of the blood vessels was satisfactory. Blood pressure had also begun to rise.
Now for the patient, the danger was not Hemorrhagic Shock.
The anesthesiologist wore a lead apron, whispering little secrets with Dou Yueyue.
Taking advantage of Mi Qi not having entered yet, Pang Haichao plucked up his courage to explain: "My teacher said Teacher Mi Qi works very hard, and his technique has improved somewhat."
"So from now on, don't treat Teacher Mi Qi with colored glasses."
Fang Ziye was stunned upon hearing this, then suddenly understood.
Mi Qi hurried in from outside, quickly put on a sterile surgical gown over his lead apron, and said with a smile: "Sorry, Professor Fang, to have kept you waiting."
"It's fine. The situation is complex anyway; if the safety plug isn't in place, I wouldn't dare move it elsewhere lightly." Fang Ziye answered truthfully.
Compared to intracranial tissue necrosis, whether one kidney is needed or not isn't that important.
Believe ninety percent of men, compared to their little brother standing up, they would rather be able to stand up themselves, let alone that the relationship between the little brother standing up and the kidney is actually not great.
"Ah~ lie~" Mi Qi smiled and looked at the intervention display screen; the sartorius muscle instantly cramped, almost clamping the testicle.
Skill with the hands declining doesn't mean the skill in the brain has declined too.
Mi Qi understood at a glance what Fang Ziye was doing, and what he had done?
"You're waiting to retrieve the thrombus?" Mi Qi asked.
After speaking, he looked at Fang Ziye taking out the four horizontally placed 'earthworms', his breathing slightly disordered.
Pang Haichao went to shake people, not to chat, so naturally he couldn't explain all the details; he just shouted to the superior that Professor Fang Ziye asked us to send someone over, and Mi Qi immediately followed.
"Put the filter on first, Brother Qi!" Fang Ziye did not answer directly.
Now is not the time to chat!
Once you finish putting on the filter on your side, I don't know what I'll face on my side; anyway, put the safety plug on first.
Mi Qi stopped wasting words, obediently went up onto the platform, and after the circulating nurse brought the filter, once Fang Ziye got into position, he sent the filter to the bilateral carotid arteries.
Moreover, to be safe, Mi Qi, with Fang Ziye's assistance, also put a filter on the inferior vena cava.
This way, the probability of pulmonary embolism and intracranial vascular embolism, which seriously affect vital signs, became much smaller.
However, the patient actually already had a local pulmonary embolism, just that the embolism area wasn't large, and it temporarily hadn't affected the patient's breathing function.
The human lung function capacity has surplus.
After Mi Qi put down the sheath in his hand, Fang Ziye took over again.
The distal end of the guidewire, as if equipped with a locator, immediately headed toward the renal artery...
Mi Qi saw Fang Ziye manipulate the catheter for the first time, and saw Fang Ziye retrieve a thrombus for the first time.
After watching, he couldn't help but look down at his own hands; whether his hands were injured or not, did it ultimately affect the difference in strength between the two people?
The answer seemed to be negative.
Even at his own peak period, during his fastest growth period, he seemingly didn't dare to expect... Don't run.
"Mm mm mm!" While Mi Qi's thoughts were tangled and confused, Fang Ziye not only retrieved the thrombus but also sent the guidewire into a branch of the renal artery.
It was that kind of very fine branch, truly incredible...
Mi Qi, very lacking in quality, interjected: "Can something so small be inserted? How thin would it have to be?"
Mi Qi's muttering wasn't loud, and his tone wasn't clear enough, causing Fang Ziye to pause slightly: "Brother Qi, what?"
"Is there a problem with my operation?"
Mi Qi hurriedly shook his head: "No no! Continue, Big Brother, continue."
"Please." Mi Qi knew he had interrupted Fang Ziye's operation; it was very lacking in quality.
Mi Qi had the awareness of being a 'disabled person' and apologized immediately.
If I can't help, I shouldn't make things worse.
Fang Ziye controlled the guidewire to continue advancing.
To verify his guess—this person probably encountered the same 'extremely difficult to measure' situation as Dean Chen Song, so he had to proceed with the surgery very cautiously to have a chance of saving him.
Fang Ziye previously didn't dare believe in the risk of dead vessels.
But after experiencing Chen Song's surgery, Fang Ziye believed...
Just because he believed didn't mean he feared it; Fang Ziye wasn't so far as to have an instinctive fear of it!
So Fang Ziye needed to eliminate all factors that might affect the patient's vital signs as soon as possible, and then consider how to counter each move.
Only a pity, things didn't go as wished.
Fang Ziye's operation on this side was still proceeding when the anesthesia machine began to alarm—
"Beep beep beep beep beep..."
"Ventricular fibrillation!" The anesthesiologist's calm yet panicked voice drifted over; her tone betrayed her age, probably around thirty years old.
Fang Ziye's movements paused slightly, and he did not immediately stop the operation.
Instead, in the blink of an eye, Fang Ziye retrieved another thrombus.
Ventricular fibrillation is not atrial fibrillation; ventricular fibrillation is a malignant heart rate arrhythmia and must be handled immediately.
"What's wrong with you?" The anesthesiologist on the other side was quickly administering 2% lidocaine, atropine, epinephrine, amiodarone...
Seeing Fang Ziye still operate for a few seconds, she felt somewhat wronged.
"I'll start chest compressions immediately; you call someone over right away."
"The patient has no myocardial infarction; consider transient ischemia or electrolyte imbalance!" Fang Ziye didn't explain, just stated what should be done now.
Dou Yueyue also immediately became very actively nervous: "Airway resistance is normal; rule out drug allergy causing airway spasm."
"Prepare ECMO and IABP!"
The circulating nurse was somewhat annoyed: "What is IABP? Speak human language."
"Intra-aortic balloon counterpulsation!" Dou Yueyue was also somewhat annoyed, but she also repeated the full name.
"Call which department's people?" The circulating nurse asked again, her tone rising again.
"Cardiology!" Dou Yueyue's tone weakened.
Not everyone can understand all abbreviations, even if you, as a doctor, feel that writing medical orders this way is convenient.
But the premise of writing medical orders is that the person executing them can understand your orders.
"That's just not going to work." The circulating nurse muttered.
"Call Director Liang Duo." The anesthesiologist pleaded.
The occurrence of ventricular fibrillation during surgery had already exceeded her control range, meaning her technical reach could only make do temporarily in the face of such a sudden situation.
"Draw a rapid electrolyte panel." Dou Yueyue began taking over and giving instructions.
The anesthesiologist glanced at the patient and replied, "Doctor Dou, help me administer digoxin and sodium bicarbonate! ~"
Dou Yueyue was already rummaging through the tray for drug labels commonly used in anesthesia and ICU rescue, placing them within easy reach, and began administering injections in an orderly fashion.
Just as the anesthesiologist went to draw blood, Dou Yueyue, who had already administered digoxin, immediately adjusted the oxygen flow downward.
The patient had been converted from "passive general anesthesia" to active general anesthesia, so they had already been intubated and ventilated, and there was no need for the 30:2 chest compression procedure at this moment.
Fang Ziye began cardiac compressions in an orderly fashion.
While watching the cardiac imaging, he said: "The heart still shows no vascular organic obstruction; consider an electrolyte issue."
"Got it! ~" Dou Yueyue replied.
"Fluid resuscitation is already being accelerated. Generally, ventricular fibrillation is caused by excessively high ion concentration. We can't determine which one yet, so we'll first give a weak base and expand circulation to lower the relative concentration."
"The specific plan will wait for the test results! ~" Dou Yueyue added an explanation to prove she wasn't acting recklessly.
Fang Ziye continued compressions.
"Prepare the defibrillator! ~" Dou Yueyue said.
"Coming, coming." The experienced circulating nurse had called someone in advance; at this moment, a new circulating nurse was entering from outside the operating room.
Mi Qi and Wang Youhua and several others were ready at any time to take over Fang Ziye for chest compressions.
Chest compressions continued for nearly three minutes.
The anesthesia machine emitted a pleasant beep-beep-beep sound.
Dou Yueyue glanced at it and shouted: "20:09; 36, the patient has restored sinus rhythm, bp 82/65 mmHg, hr 110 bmp! ~"
On Fang Ziye's side, he also paused the intraoperative chest compressions! ~ Fang Ziye turned to the lower limb to remove the thrombus.
"Doctor Wang, you begin hemostasis in the liver and gallbladder." Fang Ziye instructed.
"Not treat the liver embolism yet?" Wang Youhua had already prepared to stop the bleeding and asked.
"Not treating it for now. The location of the liver embolism is acceptable." Fang Ziye said.
Fang Ziye further removed the thrombus from the lower limb artery.
Since the filter was placed in the inferior vena cava, Fang Ziye did not need to worry that removing the lower limb artery thrombus would affect the filter's stability.
However, Fang Ziye had only been operating for nearly five minutes.
The anesthesiologist happened to return with the results from outside: "It's hyperkalemia and acidosis."
Associate Professor Liang Duo, who had rushed over to save the scene, looked up and said: "It's meaningless now; ventricular fibrillation still hasn't been corrected, and atrial fibrillation has come again. Damn it."
"Prepare to administer heart rate-lowering drugs. Atrial fibrillation does not require stopping the surgery."
Atrial fibrillation differs from ventricular fibrillation; atrial fibrillation is not considered circulatory arrest! ~
Circulation is the anesthesiologist's responsibility.
Dou Yueyue came for this reason; she calmly glanced at the patient's heart rate and said: "If atrial fibrillation cannot be restored after three minutes, connect ECMO!"
"Are the family members here? Has payment been made?" Dou Yueyue asked.
Having come from the ICU, she paid close attention to the patient's payment status.
The circulating nurse replied: "This car accident is highly valued by provincial leaders; the Dean called immediately. Do not consider treatment costs for now."
Yes!
In a city, a patient can die from an elective disease type going untreated, but after a major car accident or incident, the death toll is directly linked to responsibility.
Therefore, once a major accident occurs, the medical institution must first ensure that treatment is not suspended due to cost issues.
Dou Yueyue nodded: "Then in two minutes and forty-six seconds, use ECMO as appropriate."
"Draw another electrolyte panel." Liang Duo instructed the attending physician of the Anesthesiology Department.
"Okay! ~" The anesthesia girl replied and obediently went to the blood draw station.
Mi Qi suddenly roared: "Holy crap~~"
"Where did these thrombi come from?"
Fang Ziye had just removed the thrombus when he saw the thrombus shadow drifting into the arterial system again, its destination unknown at this moment.
However, through the thrombus imaging at this moment, Fang Ziye finally found the culprit of the free-floating thrombus.
Turbulence in the left atrium caused inversion, so even contrast agent could not be imaged, resulting in obstruction.
"Left kidney!"
"Left lower limb."
"Add some anticoagulants." After being shocked, Mi Qi immediately calmed down.
Thrombus belongs to the disease type of vascular surgery; he must provide professional suggestions.
However, just as Mi Qi finished his medical order suggestions, he saw Fang Ziye already manipulating the guidewire toward the aortic arch.
"What are you doing?" Mi Qi's sartorius muscle contracted violently again, pinching once.
This time it really pinched.
Under the violent squeezing and contraction of the vas deferens, Mi Qi's gluteal muscles began to contract high, his buttocks sticking back several degrees, but he held back his cry.
His complexion began to tremble slightly.
Fang Ziye did not answer Mi Qi's words, just as Pang Haichao had said, since Mi Qi had come, then he himself would not mind Mi Qi's identity and psychological health.
Fang Ziye sent the guidewire to the right atrium, and the guidewire probed through the atrioventricular valve between the opening and closing of the valve.
Immediately after, Fang Ziye also pushed the thrombectomy device along the guidewire.
"You wouldn't be trying to grab a free-floating thrombus, would you? If it punctures something..."
"The problem is that positioning is impossible." Mi Qi was still in pain, but Fang Ziye's madness could only make him forget the pain temporarily.
After forgetting the pain and reacting, it still hurt, so his buttocks still lightly puckered backward, and his abdominal muscles tightly retracted.
After Mi Qi finished speaking, he saw Fang Ziye use his own instrument to lift all the free-floating thrombi up.
Immediately after, under a not weak suction and clamping, the thrombus, as if put into a qiankun bag from a TV drama, entered the instrument's retrieval gun.
Fang Ziye took it out, and it once again transformed into a "worm-like" shape, lying side by side with the previous thrombus.
After finishing these, Fang Ziye's movements did not stop, but continued to probe, and only after pulling out another thrombus amidst the somewhat fearful gazes of Mi Qi and Pang Haichao did he let out a breath.
It was only then that he observed the blood contrast in the four chambers of the heart.
If a thrombus is hidden at the site of turbulent flow, it is the hardest to discover.
If this patient's right atrium and right ventricle still have thrombi, it would make the thrombectomy more difficult, requiring a route from the aortic arch around to the right subscapular artery, then through the superior vena cava back to the right atrium to complete the pathway.
Going through the pulmonary circulation back to the left atrium and left ventricle is not a "possible" operation.
But fortunately, Fang Ziye continued to look for one minute, and the contrast inside the patient's heart still showed no abnormality! ~
"The cardiac arterial contrast is normal, with no signs of embolism."
"No obvious thrombus shadows were found in the four chambers; now beginning to handle the thrombi in the lower limbs and left renal artery."
"Anesthesiologist, pay attention to controlling the patient's circulation, and be ready for ECMO and IABP at any time!" Fang Ziye said.
"The atrial fibrillation heart rate has been controlled, and blood pressure is currently trending stable." Liang Duo watched with wide eyes as Fang Ziye dragged the patient back from the Ghost Gate, and it also sparked a bit of fighting spirit in him.
"Professor Fang performs the operation; everything else is left to me! ~"
Fang Ziye nodded!
The most critical elements of sudden human death are essentially just those few things.
The deaths of most patients can ultimately be summarized as sudden death!
Sudden death is a clinical presentation, divided into cardiac and non-cardiac. Cardiac sudden death is caused by organic heart disease and malignant arrhythmia. Non-cardiac sudden death includes mental stress, allergy, severe infection, etc.
The patient is currently in a state of coma under anesthesia, so there cannot be any mental stress, and infection does not exist.
If he were to die suddenly, it would either be an allergy or a cardiac cause.
For a patient without underlying disease to develop cardiac sudden death, there are only two opportunities: one is embolism, and the other is malignant heart rate arrhythmia.
Fang Ziye wanted to see, apart from these two things, what else could take this patient away right under his eyelids!
Mi Qi then saw Fang Ziye accidentally chase after a thrombus midway.
The thrombus was located at the turbulent flow site in the abdominal cavity.
This belongs to thrombus chasing, almost an operation that is theoretically feasible but beyond human operational capability.
Of course, the probability of such a thrombus staying is extremely small, and the significance is not great; it is purely showing off skill.
But since it was encountered and even caught, it is not suitable not to take it out.
The Anesthesiology Department sent a graduate student to help as a surgical assistant at this time. It was Liang Duo who actively made a phone call to summon him.
"The patient's blood pressure is currently stable; after supplementing blood volume and blood transfusion, the high pressure is already 91!" Liang Duo said.
"Let's do the thrombectomy first! ~" Fang Ziye said.
The human world is not a legend, and the operating room is not a real battlefield; there is no fighting with knives and guns.
But Fang Ziye knew that if he really wanted to compete with King Yama in skill, he could only do every detail to the extreme bit by bit.
And, from an atheist perspective, there is no Hall of Yama in this world.
So, whether the patient lives or dies still depends on "probability" and various preparations.
Next, the patient's vital signs gradually returned to calm.
Thrombi do not arise without cause, nor do they disappear without cause! ~
So, after Fang Ziye finished handling the thrombus and looked at the contrast instrument again, his mood gradually calmed down.
Liang Duo said: "The patient's electrolytes are currently at high levels and not yet fully stable; continue checking!"
"Open another bag of sodium bicarbonate." Liang Duo would not tell the circulating nurse the dosage, did not specifically emphasize the dosage, it was just the routine amount to be used.
The time came to nine twenty in the evening.
Fang Ziye looked at Wang Youhua, who was still performing liver processing, and said: "I am going to remove the thrombus from the liver; it may increase the bleeding volume."
"Pay attention! ~"
"Okay! ~" What else could Wang Youhua say?
Fang Ziye had already swept the battlefield clean; if he couldn't even do such a conclusion, then his technique was too poor.
At this moment, even if the technique was not good, he had to bite the bullet and go on.
This person's life was forcibly taken back by Fang Ziye from the hands of King Yama!
The process of thrombectomy naturally increases some blood loss, but the situation was observable.
It did not cause special discomfort.
Wang Youhua said: "It may be because the blood has undergone anticoagulant treatment, so there is local slight oozing, just bleeding from small arteries."
At this time, Xu Haoyang of the Hepatobiliary Surgery Department also walked in, took a rough look, and then planned to go and cut the spleen! ~
Seeing this, Fang Ziye took a deep breath and said: "Anesthesiologist, Circulating Teacher, add another shot of antibiotics."
"Although this patient is not an open injury, the number of embolism occurrences is relatively high."
"The risk of infection is still relatively large."
"Okay! ~" Liang Duo adopted the surgery department's suggestion.
At the same time, Tang Xiaoping of the Vascular Surgery Department also walked in from outside and said: "Professor Fang, I'm here; how is the situation over here?"
"Professor Deng said that if the situation over here is good, he hopes you can go over and help."
Fang Ziye responded: "Fine, I'll watch a bit longer. If the patient's condition remains stable, I'll go over..."
"Damn it!" Fang Ziye hadn't finished speaking.
The fluoroscope suddenly showed the patient's aortic wall beginning to spasm and jump! ~
Aortic spasm!
This was a situation that hadn't even appeared when Chen Song encountered sudden accidents back then.
Moreover, the aortic spasm caused the aortic lumen to begin narrowing.
"Fuck your mother! ~" Fang Ziye instantly broke down again, cursing loudly in a choked voice.
"This damn thing can clamp, how can it clamp?" Fang Ziye exploded.
Aortic spasm, they've even managed an aortic dissection.
Without warning!
Of course, Fang Ziye soon calmed down.
"Prepare the aortic vascular stent. Perform angioplasty! ~" Fang Ziye roared.
"Professor Han Yu of Cardiac Surgery is on the platform." Tang Xiaoping heard Fang Ziye's voice in his mind and felt a pang, only he didn't understand why Fang Ziye's reaction was so great.
Tang Xiaoping hadn't experienced everything Fang Ziye did from when the patient was in the Emergency Room until coming to the operating room, so of course he thought Fang Ziye was a bit strange.
"Place the stent, I'll place it." Fang Ziye instructed.
"Call Professor Han Yu! ~"
Tang Xiaoping's steps froze, tiptoeing, gluteal muscles clenched: "But?"
"No buts, we can't just watch him die! ~"
"Call Professor Han Yu, I have cardiac surgery surgical permission. Hurry up and call." Fang Ziye said.
Fang Ziye might not have corresponding surgical authorization at Zhongnan Hospital, but he did at the Yangyuan.
This authorization could be transferred flat, as long as the Medical Affairs Department accepted it.
Surgical authorization is an access system.
It's not that once you get authorization at this hospital, going to other units still requires reassessment.
It's just that previously Fang Ziye hadn't thought he'd be doing cardiac surgery, so he hadn't transferred the permission over, making the Medical Affairs Department people think he was a "Generalist"!
No need for that.
But in emergencies, one must bend the rules.
"Fang Ziye, you'd better calm down, you can't possibly have cardiac surgery authorization." Tang Xiaoping had already taken out his mobile phone, though his tone wasn't very pleasant, honest advice is hard to hear.
"I do, Professor Tang, you make the call."
"I'm very calm! ~" Fang Ziye's two hands began to tremble slightly.
The clamp of the aorta, and the clamp with the sound of a clamp, are completely different concepts.
Aortic dissection has no beauty at all.
Fang Ziye is an Associate Professor, the Lead Surgeon in the operating room; if he wants to do this, no one can stop him now.
Unless calling the Medical Affairs Department, letting the department director personally call to stop him.
But Tang Xiaoping obviously wouldn't do that.
He had already fulfilled his obligation to advise against it! ~
Aortic dissection belongs to absolute emergencies; every hospital has a Green Channel, so instruments for treating aortic dissection cannot fail to be urgently on standby.
The Circulating Nurse soon had someone bring the instruments over.
The catheters were all ready-made.
What Zhongnan Hospital Cardiac Surgery does more of is aortic balloon fenestration among interventional surgeries!
Generally speaking, it's using a J-type catheter puncture needle to puncture the aortic dissection septum, then using a balloon catheter to expand the septum puncture hole, causing the false lumen pressure to drop and the true lumen to recover...
Fang Ziye's proficiency in this aspect isn't high either, only level four, equivalent to the level of an ordinary Associate Professor in Cardiac Surgery.
But it's enough.
This patient's aortic dissection was just clamped, all preparations are in place.
The interventional operation preparations are all complete; it only took two minutes for Fang Ziye to finish the operation.
As the balloon expanded the blood vessel, the hematoma inside the false lumen produced by vascular spasm and the intima torn due to spasm, also slowly restored the true aortic lumen with the balloon's expansion.
Having done this much, Fang Ziye slightly narrowed his eyes.
After softly exhaling a breath of relief, Fang Ziye began to retreat backward.
Closing his eyes, he murmured in a low voice: "Big brother, if I've done this much and still can't keep you, then this is your fate."
"Sorry, the time I can give you today is just this much."
"I'm a doctor, I'm dealing with a major emergency accident, I must leave."
Fang Ziye had been in the operating room all along because there was no transfer order.
Now the message from Tang Xiaoping of Vascular Surgery is actually an alternative transfer order.
In emergency accident rescue, orders are absolute! ~
No room for Fang Ziye to be unconventional and seek special treatment!
Fang Ziye stepped back, quickly removed his gloves, removed his clothes, took his mobile phone, and walked toward outside the operating room.
At the operating room doorway, the foot-operated automatic sensor airtight door was wide open; Fang Ziye looked back once, just that one look back.
Then he decisively turned and left.
After Fang Ziye left, Tang Xiaoping said: "What's wrong with Professor Fang today?"
"Why are his emotional fluctuations so great?"
This kind of thing can't be explained in a sentence or two; only Vascular Surgery attending physicians Pang Haichao and Wang Youhua know a bit more.
Wang Youhua looked at Xu Haoyang at this moment and slowly said: "Professor Fang wants to save him..."
The atmosphere in the operating room suddenly became somewhat stiff.
Everyone fell silent.
Only the drip sound of the anesthesia monitor continued.
An emotionless machine can certainly keep running without fluctuating due to any change.
But people cannot. (Chapter End)
End of Chapter
