Chapter 2000

After receiving the call, Zheng Ren, who was preparing to get off work, got on the bus as fast as possible and rushed directly to the cancer hospital.

Because it was a foreign body in the heart, Zheng Ren was very cautious and brought everyone, even anesthesiologist Lao he, together.

The whole team took two cars. When he got on the bus, Zheng Ren was in a trance. Has his medical team inadvertently grown to this extent.

Originally, Lin Yuan should stay and write the medical record with Chang Yue, but she said she would follow everything and promised that all work would be completed overtime after the operation.

Zheng Ren is also lazy to manage. He knows he is not a qualified medical team leader. Because their desire for control is not so strong, their doctors are basically free range.

"Boss, what do you say on that side?" After getting on the bus, Su Yun had time to ask.

"It's said that the PICC pipe fell off, the time is unknown, and the interventional operation can't take it out."

"No pulmonary artery thrombosis, that's troublesome." Su Yun frowned.

For example, in the rescue desk of the international hospital, it just fell into the big shelf in the heart, and the difficulty of operation is controllable.

However, the foreign body falling off at an unknown time means that the risk of surgery is huge.

Zheng Ren did not discuss his condition with Su Yun, but closed his eyes and prepared to go to the system operating room for surgery to see what to do.

"Ding Dong ~"

The long lost system task prompt sound sounded in my ear.

[urgent task: failed interventional surgery is not allowed.

Task content: remove the detached PICC pipeline by interventional surgery. Because the patient is in the advanced stage of tumor, the huge trauma of thoracotomy will lead to the continuous deterioration of immunity. If the exfoliated catheter cannot be removed by interventional surgery, the patient will die soon.

Task time: 12 hours.

Task reward: 100000 experience points, 10000 skill points, master level skill book × 1。】

This task name

Zheng renleng looked at the system panel and thought for a few seconds to understand the truth.

The logic is very simple. Patients are not healthy people in the past, but those who are diagnosed with advanced tumors and the flame of life has faded.

Interventional surgery, only one needle eye, the patient's body can accept. After all, interventional surgery has little impact on patients.

However, if you want to change to thoracotomy, split the sternum and open the mediastinum. Even if the operation is very fast, the patient will suffer considerable trauma.

In the words of the common people, this is called opening and hurting vitality.

How long you can live after surgery is really not certain.

It is possible to finish the operation. Even if the operation is smooth and successful, the patient can't bear the blow of the operation because of his poor physical function, and then he will die directly due to multiple organ failure.

Surgery does not benefit patients, but may shorten survival.

It's better not to do this kind of operation.

But

In short, this is a dilemma.

The task title given by big pig hoof is indifferent and ruthless - can't fail intervention surgery. What the hell is this!

Zheng Ren is also very helpless. After reading the task description, he enters the system operating room and clicks to buy the system operation time.

The system operating room sprang up. Zheng Ren worried that Su Yun's words would waste his valuable operation training time, so he directly went in.

Entering the system operating room, Zheng Renxian took a look at the patient's data.

He was stunned at once.

PICC pipe has fallen off for at least 1 month!

Normally, PICC pipeline maintenance is conducted once a week. Anticoagulant drugs such as heparin sodium should be injected to prevent thrombosis in the pipeline.

But it falls off for a month... Don't you maintain it at ordinary times?

As for what happened to the patient, Zheng Ren didn't think about it. It's no use thinking about this. The top priority now is to remove the detached PICC catheter.

Zheng Ren first inserted 6F sheath through the left median vein, guided the closure of ventricular septal defect, used basket catheter, went into the left subclavian vein through the left elbow median vein, and grabbed the end of PICC. The first attempt failed and the second succeeded.

For Zheng Renlai at the peak of interventional surgery, the two attempts in the arrest process are the most.

No more, it's impossible!

Many people will fail in this step, but it does not exist in Zheng Ren's world.

However, after grasping the PICC catheter, Zheng Ren made a slight effort, but the catheter seemed to be sewn by suture and did not move.

This should be that the catheter has formed an adhesion at the heart end. Zheng Ren immediately made a judgment. But he didn't give up. After all, this is a systematic operating room. He can make mistakes recklessly.

Push, push again

The operation failed and the experimental body died.

If one way doesn't work, change another way.

In the second operation, Zheng Ren placed 6F sheath through the right femoral vein approach.

Guided by the right coronary angiography catheter, the basket catheter was sent to the right ventricle, but the proximal end of the PICC tube had entered the right pulmonary artery. After many attempts, the basket catheter failed to capture the PICC tube.

However, it was difficult for Zheng Ren. He sent the right coronary artery catheter into the right pulmonary artery and manipulated the catheter to pull the proximal end of the PICC tube back into the right ventricle.

But this time the operation failed again.

The proximal end of the PICC tube is deeply buried in the thrombus, so it is impossible to cover the proximal end of the PICC tube with the ring head of the net basket catheter by the method of "rope loop horse riding".

Zheng Ren had no choice but to dissolve the thrombus first, flush the thrombus with urokinase, and take the thrombus a little bit by means of interventional surgery.

Then he grabbed the PICC tube at a distance, closed it, crossed the tricuspid valve with the front end of the basket catheter, and rubbed the adhesion of the catheter a little bit.

Atrial fibrillation... Subject died.

The subject died

The subject died

The subject died

Zheng Ren doesn't know how many times the experimental body died.

For him at the peak of intervention, it is inconceivable that he would fail so many times to do pure intervention surgery.

In other words, patients in cancer hospitals should not be treated with interventional surgery at all, but should have thoracotomy, open the heart, blunt separation and take out the PICC tube.

However, it was a patient with advanced tumor.

Zheng Ren knows he can admit it.

In this way, it can save a lot of operation training time. All we have to do is go to the cancer hospital and tell everyone what the difficulty of the operation is.

This is the most "economic", the most "affordable" and most in line with their own "interests".

However, life is not a game. What you face is not an experiment, but a living person, not a cold number.

No matter why the PICC pipe fell off for 1 month, the patient and his family still don't know. When you encounter a problem, you must go all out to try to retain the patient's life.

After the eighth failure, Zheng Ren began to dissect the experimental body, clarify the anatomical structure and look directly at the condition of the experimental body.