Doctor Peerless

Chapter 724 Remember this young man
Boss Li said it was a bit cold.

Zhou Sheng called the patrol nurse, and added a towel to Boss Li to cover his legs.

A shop towel doesn't do much.

But Boss Li felt a little warmer.

The role of human psychology is sometimes very great.

Just like in the operating room, doctors and patients have completely different feelings about cold.

Doctors usually don't feel cold very much.

And patients often feel a little cold.

Not long after, Su Quan and Cao Xin were ready for anesthesia.

The two returned to the operating table.

Then it's surgery time.

Zhou Sheng also ended his chat with Boss Li at this time.

Cao Xin held the anesthesia needle and hadn't given it yet.

Before the operation, Zhou Sheng had held a simple pre-operation meeting.

He also knew that the entry point for this PCI operation was the patient's right radial artery.

But he was a little nervous, without Zhou Sheng's doctor's order, he didn't dare to do anything casually.

Zhou Sheng is very considerate and doesn't talk too much.

He directly started to disinfect Boss Li's exposed right arm surgery site.

After disinfection is complete.

Zhou Sheng signaled Cao Xin to do it.

Zhou Sheng's service has arrived at home, and even the place where the injection was given has been disinfected.

Originally, Cao Xin should have done the disinfection work himself.

Now, Cao Xin is only left with the job of giving injections.

Local anesthesia, often used in emergencies.

Cao Xin also practices a lot these days, and his skills are still good.

Immediately, Cao Xin began to give Boss Li a local anesthesia on his right arm.

In minutes, the anesthesia takes effect.

Zhou Sheng started to get started.

In PCI interventional surgery, the part to be treated is the blood vessels in the heart.

But the miracle is that the entry point of this operation is in the blood vessels of the arm.

Sometimes, of course, it is even possible to access the vessels from the legs.

The principle of this, of course, is that the blood vessels are all figured out.

Through the blood vessels in these parts, the therapeutic stent material is delivered to the position of the heart blood vessels little by little.This is a pioneering treatment that has saved thousands of patients with myocardial infarction, thus avoiding the pain of having their chests opened.

As Boss Li said, this surgery was first invented by Dr. Gt in the 70s.

Now that Zhou is born, I want to pay tribute to him.

And with the help of modern technology and the help of the system, Zhou Sheng is confident to do better.

Zhou Sheng turned on the assistant and started the operation.

Zhou Sheng first identified the radial artery in Boss Li's right arm, and cut a small incision with a scalpel.

Then he said in a deep voice, "Puncture needle!"

The equipment nurse handed it over immediately.

Zhou Sheng carefully used the puncture needle to puncture the blood vessel.

Like intravenous drip, whether the needle punctures blood vessels is accurate or not depends directly on the return of blood in the needle tube.

If there is blood back, the puncture is successful.

If there is no return of blood, it means that the muscle was punctured.

It is definitely not difficult for Zhou Sheng to do this kind of puncture.

After one injection, you will see blood returning directly.

After the puncture is successful, the next step is to send in the puncture guide wire for positioning.

The puncture guidewire is in place.

At this time, the puncture needle is pulled out, and a tube is inserted along the puncture guide wire.

After the tube is put in place, the positioned puncture guide wire is useless and removed.

The tube is left behind, which is equivalent to establishing a working channel in the blood vessels of the right arm.

Puncture, lower guide wire positioning, sleeve tube.

This is a common routine in many endoscopic surgeries, and Zhou Sheng has mastered it.

Once the pathway is established, it is equivalent to establishing a temporary open door on the blood vessel.

Opening the door This is still the easiest part of the PCI procedure.

Next, he had to go through this door and perform a difficult operation to make Boss Li's blood vessels clear under the X-ray machine.

The X-ray machine is not Zhou Sheng's auxiliary system, it cannot see the normal blood vessels clearly.

In this case, a contrast medium is used.

Zhou Sheng operated a very thin guide wire to go retrograde from the radial artery of the right arm to the great blood vessel of the heart through a complicated vascular path.

After the guidewire is positioned, a catheter is passed over the guidewire.

A catheter inserted into a blood vessel that can deliver contrast media in real time.

With the help of the contrast agent, Boss Li's blood vessel thickness, direction, and the position of the blocked blood vessel can be clearly seen under the X-ray machine.

Now, the preliminary work of PCI operation is completely completed.

The blood vessels in question have been fully exposed on the computer monitor connected to the X-ray machine.

The next step is to deal with the problem of blood vessels.

Zhou Sheng pulled out the angiography catheter and inserted another catheter.

The catheter in front is called the contrast catheter.

At this time, a guiding catheter is introduced.

The biggest difference between the two is that the contrast catheter is thinner and the guiding catheter is thicker.

This is normal. At the beginning, there was no contrast, and the status of the blood vessels and the location of the lesion were unclear. It is safe to use a thin tube, and the input of the contrast medium does not need to be too thick.

Now, with contrast, blood vessels are clearly visible on the monitor.

Although this X-ray radiography is not as powerful as Zhou Sheng's auxiliary system.

But it can be regarded as a plug-in developed by today's medical technology.

Therefore, PCI surgery must be performed in the environment of an X-ray machine.

Of course, Zhou Sheng has an auxiliary system. Without X-ray machines and imaging, he can accurately know the location of diseased blood vessels and the condition of blood vessels.

But he is not alone in the operation, and the process still has to go.

Next, Zhou Sheng hardly looked at the blood vessels on the X-ray monitor, and directly used his ability to "see through" the patient's body at a glance to operate the guiding catheter through Boss Li's blood vessels.

Wait until the diseased blood vessel.

PCI surgery is almost more than half successful.

The next step is to place the stent through the guide catheter.

Zhou Sheng performed the whole operation with ease.

This kind of minimally invasive surgery, Zhou Sheng's powerful assisting system was used to its fullest.

If it weren't for the presence of Bai Mingming and others.

He can do these without even looking at an X-ray machine.

after an hour.

A metal mesh stent was left in Boss Li's blood vessel.

Zhou Sheng carefully withdrew the catheter.

The next step was to remove the "door" left on Boss Li's right arm.

This job is not too difficult.

It is also not life-threatening.

Minimally invasive surgery, the wound is very small, no stitches are needed, it is just a wound treatment.

Zhou Sheng asked Bai Mingming to do it for him.

Bai Mingming's trip this time was mainly to learn the technique of PCI puncture from Zhou Sheng.

After watching for a long time, he has already gained a lot.

At this time, he also became generous. He gave up the work of "breaking the door" to Su Quan and Cao Xin.

These two are still in the internship period, of course they are willing to do any job.

In this operation, the most idle person is Bai Mingming.

Su Quan and Cao Xin are busy "breaking down the door".

Zhou Sheng chatted with Boss Li again.

In fact, Boss Li was awake during the whole operation.

It's just that putting guide wires and catheters in the blood vessels is a delicate job, and Zhou Zhou has no time to chat with him in his life.

At this time, of course it is possible.

"How is it? Are you feeling well?" Zhou Sheng asked.

"It's okay, the operation is complete?" Boss Li asked.

"The bracket has been successfully installed. Your wound is being treated."

Boss Li was slightly surprised, "So fast?"

Zhou Sheng smiled, "One hour, normal operation."

Boss Li thought to himself, it seems that his decision was correct. This young doctor can complete the PCI operation in an hour, which proves that he has some strength.

Boss Li said: "Thank you so much, by the way, I still don't know what your name is?"

Zhou Sheng said: "My name is Zhou Sheng, the life I want in my life."

Zhou Sheng, Dr. Zhou, is interesting.

Boss Li remembered the young doctor's name.

……

(End of this chapter)