Chapter 368: with translation of chapter title

"Director Kong, did you ask about that?"

"Oh oh, okay, wait a moment, I'll note it down."

Zheng Renyi, while speaking, picked up a pen, found an A4 sheet, and wrote down the general process of the previous patient's treatment in Di Du.

They are all senior doctors, with no nonsense; although they didn't say much, everything they said was practical and to the point.

The treatment process in Di Du was similar to Zheng Ren's handling: intravenous injection of low-molecular-weight heparin sodium, then thrombolysis. They feared more clots might detach, so they placed an intravenous filter to filter clots.

Of course, the patient needs to undergo an abortion.

Because of her special constitution, if she does not abort, the condition of increased platelets will not improve, and clots will continuously form.

The general treatment process was about what he had expected, so Zheng Ren finally felt relieved and hung up the phone.

Continuing to explain the condition to the patient's family, obtaining signatures, then Zheng Ren handed over the pre-operative communication to the on-duty Yang Lei, and only then returned to the operating room.

Professor Rudolf Wagner wore a surgical gown, sat on a white bench, boredly waiting for the thrombolysis time to end.

The patient's vital signs had gradually stabilized, and blood oxygen saturation rose to 90%.

This is because treatment was timely; the patient was sent to the hospital at the first onset of symptoms. If there had been even a slight delay, recovery would not have been so simple.

"Fugui'er, how long has the thrombolysis been going?" Zheng Ren asked.

"Urokinase has been given for 15 minutes; judging by the situation, it should be about done." Professor Rudolf Wagner said: "Boss, the consumables you chose are really crude."

Upon hearing the professor criticize Longwind Micro-creation, Zheng Ren also felt rather helpless.

Imported major manufacturers have little connection and cannot be on call. Longwind Micro-creation's consumables are likely imitations, quality slightly inferior, but the advantage is timely delivery and a more affordable price.

Yes, it's better than nothing.

Because City First Hospital has not launched this type of surgery and lacks an independent vascular surgery department for interventional procedures, it has not purchased the corresponding materials.

Only temporary procurement is possible; this is a responsible choice for both the hospital and the patient.

As for whether it works well or not… Zheng Ren also knows that compared to foreign major manufacturers' consumables, it will definitely be somewhat inferior.

What the professor criticized is actually reasonable.

Feng Xu Hui stood in the corner of the operating room; hearing the professor's words, his face darkened instantly.

Chief Zheng, you must absolutely not refuse to use your own family's consumables; you definitely need to cling to this big thick thigh.

"It's fine, let's make do for now." Zheng Ren smiled and began to change clothes and scrub his hands.

Feng Xu Hui only felt somewhat relieved after hearing Zheng Ren's words.

This is definitely not a long-term solution; at the next meeting, we must report to Chairman Ma, and whether it's materials or craftsmanship, we need to promptly make changes and improvements.

Feng Xu Hui thought to himself.

After half an hour of urokinase thrombolysis, Zheng Ren had finished scrubbing his hands and went up to prepare for surgery.

The lead door slowly closed; Zheng Ren stood in the surgeon's position, while the professor continued as assistant.

The inferior vena cava filter implantation procedure is generally simple; the most difficult step—emergency rescue of pulmonary embolism—has already been stabilized, and Zheng Ren, without going to the System Operating Room for separate training, directly began the operation.

The professor had already completed the puncture for catheter thrombolysis; Zheng Ren first inserted a 9F filter delivery sheath, then gently placed the filter through the sheath.

Longwind Micro-creation's inferior vena cava filter is an imitation of the Simon-Nitinol filter.

Overall it is mushroom-shaped, consisting of a "roof"-shaped head and a cone-shaped tail.

This special shape has unparalleled advantages. The Simon-Nitinol filter is a fourth-generation filter, combining the benefits of all previous products and incorporating improvements.

The mushroom-shaped design can maximally block clots, preventing them from passing through the filter and causing pulmonary embolism.

Although Longwind Micro-creation's technology is relatively crude and simplistic, the filter's material is titanium-nickel shape-memory alloy, with no cutting corners.

Zheng Ren is still fairly satisfied with this.

The filter entered the inferior vena cava from the femoral vein, and Zheng Ren began to guide the line.

He slowly pushed the filter upward along the inferior vena cava until below the lowest level of the renal vein, then Zheng Ren opened the filter.

Because of the blood flow velocity and stress below the renal vein level, this increases the possibility of further dissolving clots that become lodged.

More importantly, this procedure does not affect kidney function due to filter placement, thus minimizing subsequent complications.

After placing the filter, Zheng Ren began pulmonary angiography.

Seeing that the vast majority of pulmonary artery emboli had already been dissolved, Zheng Ren felt relieved.

After withdrawing, Zheng Ren left; the professor already remembered that the post-operative compression task was his. He did not, as last time, leave together with Zheng Ren, causing an awkward scene.

While applying pressure to stop bleeding, Zheng Ren began to change clothes.

The entire operation took less than an hour, with more than half of that time spent on pulmonary artery thrombolysis treatment.

This is because the condition was detected early and treatment was timely.

Zheng Ren also felt deeply moved; this young lady's luck is truly good. Pulmonary artery embolism, which struck twice in succession, was rescued both times.

I don't know whether she will learn from this experience; in the future…

Who knows what will happen in the future? Zheng Ren only takes responsibility for treating illness; he has no right to interfere in others' private lives.

Even the patient's parents can't control her; can I even manage it?

After stepping down, Zheng Ren took off his lead clothing, stored it in the System Space, and went to Director Pan's side.

"Did you bring it back?" Director Pan asked.

"Mm." Zheng Ren nodded, "I went to eat with Yi Ren, happened to encounter an acute onset of pulmonary artery embolism, and brought her back for emergency rescue."

"What good luck." Director Pan also felt the same, "So young, how could one get this disease?"

"It should be due to pregnancy, with increased platelets in the body, leading to many microthrombi forming in the lower limb veins. The clots detach and travel to the pulmonary arteries, causing this." Zheng Ren said.

Director Pan had previously encountered similar situations, but back then there were not as comprehensive surgical treatment measures as now; only thrombolysis could be done.

Meanwhile, the vast majority of patients couldn't even be diagnosed with pulmonary embolism before dying.

The advancement of technology has turned many formerly fatal diseases into treatable conditions; Director Pan deeply feels this.

After the compression hemostasis ended, the patient was sent to the ICU.

Zheng Ren felt a bit embarrassed; after arriving at Jizhenbingfang, the frequency with which he sent patients to the ICU kept rising.

I'm afraid that later the ICU will become a dedicated critical care unit for Jizhenbingfang?

He briefed the ICU doctors on the patient's condition, Zheng Ren left, and then communicated with the patient's family, briefing them.

The patient's father had aged considerably in just a few hours, the wrinkles at the corners of his eyes like gullies, gaunt and anguished.

The rescue was successful, a cause for joy. But what about the future?

Who knows.