Rebirth begins in the operating room

I'm afraid Ye Li doesn't know that this little chatterbox has so many things to complain about.

Even if they knew it, they would still complain together.

"Now we need to unblock the patient's coronary arteries and maintain the balance of the blood supply system. Sister nurse, go call the director and tell him the truth. Brother Ye, follow me in for rescue."

Hanyaxin spoke faster, making the nurse stunned for a moment.

It is necessary to inform leaders of the illness.

At this moment, the patient's grandson's eyes were red, "Doctors, you want to save my grandpa..."

"We will try our best..."

Ye Li responded, acquiescing to Hanyaxin's decision and thinking that this medical master was not simple.

Pathological treatment was taken very decisively.

There are some places that Ye Li can't reach.

Without integrity, he is just a grassroots doctor who studies hard.

"What are you doing in here! Get out quickly..."

When the doctor in the cardiac catheterization laboratory saw that it was not Liu Yimin, he immediately changed his face and started shouting at Ye Li and the female nurse.

The patient's current condition is enough to make them anxious.

Don't even know what to do.

Now here come two more people who don't want to do it.

Faced with the scolding in front of her, Hanyaxin refused to be outdone.

"You don't even know how to save people, and you still dare to yell!"

When the patient was in critical condition, Hanyaxin seemed to be a different person.

Ye Li looked at this little talk with admiration.

"It's important to save people now, it's best to keep your mouth shut..."

Hanya Xin didn't want to waste her breath at all.

She approached the catheterization table and first observed the major indicators on the monitor with a very serious expression.

Ye Li himself is not the frightened baby bird he once was. The more he encounters this kind of situation, the more calm he has to be.

I saw my blood pressure was 36 and still falling.

The patient's temperature subsequently dropped.

It is coronary artery obstruction, causing myocardial ischemia and decreased cardiac function.

Hanyaxin turned to look at the other two doctors, "You all used those medicines just now! Tell me..."

"I used 0.2 milligrams of cardiac stimulant, which raised the patient's blood pressure a little."

"And nitroglycerin..."

The two doctors didn't have to report this to a nurse, but they were concerned about the patient's life and safety.

But now there are two treatment options before Han Yaxin.

The first is immediate stent implantation surgery, and the other is thrombolytic treatment.

Although the overall treatment cost of stent implantation surgery is relatively high, compared with thrombolytic therapy, interventional therapy has a higher blood vessel opening rate, wider indications, and fewer bleeding complications.

There are certain risks associated with stent implantation.

Now the medical staff in the cath lab, seeing how strong this nurse is, are wondering who this female nurse is!

How could he be with that shameless Ye Li?

At this moment, Hanyaxin didn't look like she was chattering at all. She showed her previous work attitude.

"How are you going to rescue me?"

Ye Li looked at the patient and saw that the situation was not optimistic.

Next, Hanyaxin told Ye Li the two options she had in mind.

Upon hearing this, Ye Li fell into deep thought.

He could see the condition of the coronary arteries, and atherosclerosis was on both sides of the blood vessels.

I was thinking why should I choose? Wouldn’t it be better to do both treatments separately?

However, at this time, the system issued a task to Ye Li to provide advice to Hanyaxin.

Mission reward, 500 conflict points, 15 mission points.

"There is no need to choose. My suggestion is to perform two rescue methods in one step and one step at a time. First perform thrombolysis and then stent implantation. The patient's current condition requires emergency oxygen supply."

In fact, Ye Li observed that at the location of coronary artery obstruction, vascular stenosis will occur after thrombolysis is performed.

A stent is implanted to prevent the patient from suffering from arterial stenosis and blockage in the future.

"Yes, there is an oxygen supply problem. Please help insert the oxygen tube!"

Hanyaxin didn't expect Ye Li to think about something she didn't expect.

After using the two methods one after another, I suddenly felt that this method was feasible.

Thrombolytic therapy mainly uses fibrinolytic drugs for treatment. The more commonly used drugs are streptokinase, urinary hormone and tissue plasminogen activator.

The main method of administration is intravenous infusion. Streptokinase can be added to saline or glucose for intravenous infusion.

When two cardiologists inserted oxygen tubes, Han Yaxin also found thrombolytic drugs.

It can be seen that her pretty face shows a little pride.

The next series of operations made other medical staff dumbfounded and ashamed.

The key point was that Ye Li saw the embarrassment on their faces.

I was pretty good at flattering him last night, but when it comes to saving people, I can't do anything else.

You don’t even know how to give first aid, so you have to ask the director!

Is it really too busy to be a director?

After administration.

past few minutes.

The blood pressure, which had been falling, had an effect during the thrombolytic process, and the cardiotonic drugs had an effect, and the blood pressure rose somewhat.

Ye Li secretly promised that this Hanyaxin was not simple.

I can't help but think that the other party is not a student of Sun Yao?

They all belong to thoracic surgery, so how can they perform intracardiac operations?

Are all the doctors from tertiary hospitals so good?

Various questions emerged in Ye Li's mind.

Of course, when you think of it, Han Yaxin obtained a master's degree in medicine at a young age and is a veritable medical master.

Cardiology operations are no problem either.

The eldest lady from a medical family is so outstanding.

It's just that Sun Yao, as a teacher, doesn't know.

Otherwise, I wouldn't have been kicked out of the ward yesterday.

But there is one more thing that Ye Li probably doesn't know. The top three hospitals have their own evaluation model for doctors.

This assessment model can develop potential doctors.

Competition among doctors in tertiary hospitals is also very fierce.

It is rumored that even if you want to enter a tertiary hospital after graduation, you must pass a written examination and interviews.

Time passed little by little.

The patient's condition improved.

It shows that the thrombolytic treatment used by Han Yaxin is very effective, and the blocked coronary artery has begun to open up a little.

Next.

Han Yaxin is going to perform stent implantation surgery on the patient.

This is a delicate job.

It's about patience.

It can also be said to be ingenious.

First, Han Yaxin disinfected the patient and performed local anesthesia, used a puncture needle to puncture, and then inserted the puncture guide wire.

Place the sheath along the puncture guidewire.

Finally, remove the puncture guidewire and inner sheath, leaving the outer sheath to establish the channel.

Then the imaging begins.

Han Yaxin could not see inside like Ye Li, so she slowly inserted the angiography guidewire and catheter into the blood vessel.

They can bend and turn flexibly within blood vessels.

Although this process is very slow.

However, the catheter advanced smoothly through the blood vessel to the coronary ostium, found the location of the lesion, and pushed in the contrast agent.

Next, under the X-ray photography, with the help of the contrast agent, the direction and thickness of the blood vessels can be clearly seen, and the location of the diseased blood vessels can also be clearly seen.

If you are not careful, you will be unable to recover if your arteries and blood vessels are punctured.

Therefore, girls are very careful and gentle in this aspect.

Don't be careless at all.

Hanyaxin pointed to the X-ray shooting screen, "The location of the lesion is right here."

Ye Li saw the coronary arteries under contrast imaging. The entire blood vessel was thick at the front and narrow at the back, and was very thin.

The cardiologist behind me will perform stent implantation surgery whenever he sees a nurse.

They couldn't wait to find a hole to crawl in.

Ye Li saw Hanyaxin's skillful operation and thought that the doctors from this tertiary hospital were really extraordinary.

Under his medical vision, Han Yaxin inserted a balloon to dilate the blood vessels and deflate the remaining atherosclerotic lumps.

Finally, the stent was implanted and the surgery was completed.