Chapter 718: with translation of chapter title

Sun Zong, for similar Shou Bing, the purpose of interventional is to open blood vessels; any other use? Xie Ning asked.

Ning Shu, being able to open blood vessels is already remarkable. Especially this kind of critical trauma thrombus, opening to where, that limb…… the limb up 5-10 cm can be preserved. Sun Zong explained: "However, interventional thrombectomy Shou Bing is very difficult; thrombus over 6 hours makes thrombectomy especially difficult; specifically I don't do interventional, so I don't really understand."

Xie Ning nodded, didn't speak, watching Zheng Ren inside start Shou Bing, thoughtful in his heart.

Soon, the screen in the Operating Room lit up.

The guide wire extended along the femoral artery, but didn't go far; the catheter was also positioned. At the moment the screen lit up, angiography had already begun.

The contrast agent didn't go far before being blocked. Below the one-third point of the injured's thigh, Blood Vessels are severely occluded, a blank area. This means thrombi keep forming, having already spread from below the knee joint to the one-third point of the thigh.

Ischemia, exudation, edema, causing the injured's affected limb condition to continuously deteriorate.

These past days, similar injured are too many; Sun Zong has become numb.

If one invested emotion, even a trace, doctors would likely have already emotionally collapsed, resulting in more people being unable to receive treatment.

Now, all doctors only focus on the condition, not thinking about the injured's other circumstances.

Being able to come down alive from the front is already a great fortune amidst misfortune.

On the screen, angiography finished; the operator didn't stop pulling the wire, but withdrew the ordinary catheter, and the thrombectomy catheter immediately went in.

Reaching the critical point of the Shou Bing, Sun Zong knew.

The thrombus has already formed for at least over 6 hours, even up to 36-72 hours; not considered fresh thrombus, extraction difficulty is extremely high.

But the operator Persistence to do it; should be able to extract a segment of thrombus, Sun Zong has this confidence.

Under the current situation, people of insufficient skill absolutely dare not waste time trying again and again. The injured piled up like a mountain outside are themselves a huge pressure.

In this situation, it's not the time to show off. Doing what one can do is the key.

"Eh? Ning Shu? Your side isn't busy, how come you have time to come over?" Su Yun's voice came from the door of the Operating Room.

"Su Yun ah, I come to check this side's situation, to have a clear picture. Your side okay?" Xie Ning smiled, said: "Is your Shou Bing done quickly?"

"It's the Boss's Shou Bing done fast, not related to me." Su Yun said: "Mu Tao takes forty Minute to do one, slow as an ox pulling a cart."

Su Yun talking about Mu Tao feels no pressure, as if having no relation to him at all.

Eh…… Sun Zong was startled.

Forty Minute for one set of severe pelvic fracture Interventional surgery? Already fast enough to fly, right?

How did it become slow like an ox pulling a cart?

He turned his head and glanced at the person who walked in, a handsome young man.

What a big mouth, do young people nowadays all talk like this? During emergency 120 Emergency time, there isn't a single proper word?

Perhaps, this is their Operating Room's style? Possible. Each hospital's Operating Room, the chat atmosphere differs; in short, the simpler and more relaxed the better. However, which hospital's doctors are these, how come they're so unprofessional?

"Pretty good." Xie Ning laughed.

"Chief Jiang, what is the Boss doing?" Su Yun asked.

"Thrombectomy Shou Bing." Chief Jiang replied.

"Oh, has he slept a while?" Su Yun asked.

Just slept about ten Minute.

"Go ahead, sooner or later this damned dog will be worked to death." Su Yun cursed.

The few people standing before the operating table all felt dim in their hearts; at least they've been busy with Shou Bing for 36 hours, before that they'd traversed mountains carrying the severely injured; Su Yun spoke the truth.

But, what can be done about it?

Outside still lie more than ten severely injured awaiting Amputation. If thrombectomy Shou Bing succeeds, it means the limb will be preserved as much as possible.

Sun Zong stared blankly, feeling somewhat sighing. Looking back at the screen, he was startled to discover the thrombectomy catheter was no longer in the femoral artery.

Was it an operational mistake? Definitely.

Being this fatigued, having a mistake is also unavoidable, not a big deal.

But…… looking at the image, it seems somewhat different.

He examined closely and found that part of the thigh femoral artery seemed to have opened; the remaining contrast agent in the nearby Capillary branches is spreading at a visible speed.

This means the time since blood supply loss is short; the Capillaries haven't been completely blocked. Once the femoral artery opens, blood flowing down will arterial pressure reopen the Capillary network.

In the time it took to speak just now, a segment of thrombus was taken out?

This speed…… is too fast, right?

However Sun Zong wasn't surprised; the Shou Bing had just begun, the thrombus in the femoral artery can be said to be full; taking out only a segment doesn't greatly help the overall condition or subsequent Shou Bing.

Specifically how, still need to see more.

"Orthopedics Department?" Su Yun walked over, glanced askance at Sun Zong, asked.

Eh…… this way of speaking is really unfriendly. Sun Zong wondered, I probably haven't offended this person, why does he speak to me in this tone?

Somewhat dazed, but not worth quarreling over this small matter; everyone's tempers aren't small, Sun Zong knows. He nodded, said: "Um, I am the Inpatient Chief of the Provincial Hospital Orthopedics Department."

"Inpatient Chief, has your chief come?" Su Yun asked in a lazy tone.

"The chief is at home on standby; I was pulled over for emergency 120 Emergency at the First Time of the incident." Sun Zong grew increasingly annoyed at this effeminate person, giving a perfunctory reply.

"That Shou Bing you might not be able to pull off……" Su Yun drew out his tone, then seemed to ponder something.

"I've done it before, definitely can do it." Sun Zong's temper, even if good, couldn't be held back; he said coldly.

"Hehe." Su Yun chuckled, "Looking at the angiography, the crush injury should be at a position 5-6 cm below the knee joint. The distance is especially short; do you have confidence to preserve the knee joint?"

"Um……" Sun Zong hesitated a moment; in his view, the knee joint is definitely not preservable. The operator's efforts in the ongoing Shou Bing are to open the blood vessel as much as possible, to make postoperative compartment syndrome milder, healing faster, and to amputate less of the thigh.

"Furthermore, I see the Boss's meaning; Amputation should not use a Tourniquet." Su Yun narrowed his eyes at the screen, muttering.

What he said, even he himself doesn't really believe. But Zheng Ren laboriously extracted the thrombus, opened the artery; normally one must wait at least 12 hours after all Capillaries have opened before performing Shou Bing.

This is just a special matter in special times.

Normally, it's rare to encounter patients crushed by heavy objects for over 1 hour. Now, even 1 hour counts as fresh crush injury; most people are crushed by heavy objects for about 1-2 days, with severe traumatic necrosis.

At this moment, if Capillaries open, necrotic tissue will be absorbed into the blood, causing severe complications such as bacteremia, acute renal failure, etc.

So absolutely cannot wait 12 hours to do Amputation Shou Bing; instead, we must seize the time, preferably immediately after opening the Blood Vessel, start Amputation, remove necrotic bodily tissue, and as much as possible reduce the possibility of complications.

Sun Zong was stunned. Amputation without a tourniquet? How to stop the bleeding? That's the femoral artery; once cut, blood flows like a river.

"So then, you watching is just wasting time; go find someone more skilled." Su Yun crossed arms, watching the operation on the screen, and exclaimed: "Speaking of Boss's Shou Bing, he's getting more and more proficient, really amazing."

The tone of praise toward Zheng Ren was completely different from the tone used when speaking to Sun Zong, as if it were a different person.

Sun Zhenxing was stunned. This person really changes face faster than flipping a page. Is the Shou Bing done well? Probably not. Although he doesn't understand interventional surgery, he couldn't help but mutter a couple of sentences.

He was somewhat annoyed; even his own department head had never spoken to him so bluntly. Who is this person? How annoying.

Although annoyed, he couldn't very well start an argument in the operating room. Sun Zhenxing took a deep breath, trying to maintain his composure.

In a few breaths, Sun Zhenxing's emotions stabilized.

He focused on the Shou Bing, and suddenly saw…… the thrombectomy catheter was extracting a large segment of thrombus from the anterior tibial artery, pulling it outward.

Has it already passed the knee joint?

How did he manage to remove a thrombus that had been occluding for over 48 hours……