Start as an Emergency Physician

I thought it was just an ordinary distortion of blood vessels, but one or two blood vessels were deformed.

However, Zhou Yuan could see at a glance that multiple blood vessels were distorted.

Zhou Yuan frowned, patted the vascular surgeon next to him, and walked out of the ward with him.

Some of the words are between the doctors, and it will be very bad for the patient to know the impact.

Zhou Yuan's face was a little serious, and he asked, "You have transplanted several blood vessels, how can there be so many distorted blood vessels..."

"Two blood vessels... I suspect that the transplanted vessel is affecting the surrounding blood vessels, causing multiple twists. The vascular surgeon said.

"It's a bit serious, maybe it really went wrong when I did the blood vessel graft..."

The two waited for the results of the ultrasound, and the doctor inside assisted the patient to move his arm and relieve the symptoms.

Soon, the results of vascular color ultrasound were delivered.

The arteries of the arm blood vessels are elongated and twisted in many places, and the blood flow resistance becomes larger due to the distortion of the arteries, which affects the blood supply to the deep arch and superficial arch of the palm, resulting in the bruising of the palm.

"You see, the transplanted blood vessels are too long, and one of them is distorted, causing the blood flow pressure to increase, compressing the other blood vessels, thus causing the distortion of multiple blood vessels..."Zhou Yuan pointed to the results of the blood vessel color ultrasound and analyzed.

The vascular surgeon's face changed and he said, "How could it be... Why is it too long? We took just the right length at the time!"

Zhou Yuan sighed, "Let's do the surgery first." The reasons are later. "

Zhou Yuan and the two walked into the ward, and Zhou Yuan went to the patient again and examined it carefully.

The patient's arm can feel twisted, thickened, and circular arteries on the surface of the body, and a murmur in the artery can be heard close to the ear.

This is a sign of blocked blood flow.

"Is there any acute non-purulent inflammation of the vein wall?" Zhou Yuan asked.

If there is inflammation, the blood will be more coagulable, which will cause the blood vessels to twist and sound more severe, but in fact it is only because the blood is too viscous and there is more murmur, and the disease is actually milder.

"No!" replied the vascular surgeon.

Zhou Yuan's face changed.

The patient's bruit is cloudy and the blood vessels are severely distorted.

"Immediately start the preoperative examination and perform the surgery. "

Although the preoperative examination was done only four days ago, the human body has changed so much that no one can be sure that the patient's physical condition is ready for surgery today.

Fortunately, the results of the examination were normal, and Zhou Yuan quickly got on the operating table.

Patients in shadowless light are especially nervous.

"Doctor, what the hell is going on! A few days ago, it suddenly became like this!"

Zhou Yuan glanced at the vascular doctor next to him.

The vascular surgeon bowed his head and apologized, "I'm sorry, this was a mistake on the part of our doctor!

Hearing this, the patient relaxed a little and said, "Fortunately, I thought it was my own body that was not working..."

Zhou Yuan probed the patient's arm and confirmed the incision, and said, "Don't worry, your body is very good, and after this operation, the distortion of blood vessels can also be solved." "

"Are you going to take the blood vessels from my feet?" the patient asked, a little frightened.

He was referring to the saphenous vein.

Although the doctor had explained to him that there was a compensatory vessel, and that the removal of a part of the saphenous vein would have no effect on the body, but... There is a lack of blood vessels in the original blood vessels in the body, and no matter how you think about it, you are afraid!

This is human nature, and it cannot be solved by a few words from a doctor.

"The saphenous vein has just been peeled off, and the wound has been sutured, and if the surgery is done now, the second operation will cause great harm to the patient..."Zhou Yuan frowned.

Of course, the secondary vascular transplantation that is being performed now is also very harmful to the patient, but for the sake of the patient's life, it can only be performed.

What Zhou Yuan can do is to avoid causing more harm to the patient.

"No, we provide artificial blood vessels... This is our hospital's problem, so our hospital will bear the cost of artificial blood vessels!" said the director of vascular surgery as he walked into the operating room.

The patient nodded with satisfaction: "That's good, I'm still worried about the cost." "

"Zhou Yuan, how is it?" the director of vascular surgery came up and took the place of Ichisuke.

"The incision has been confirmed, and the incision can be opened. Zhou Yuandao.

The patient glanced at Zhou Yuan and said with some surprise: "I don't know why, I feel at ease chatting with you, the last time I was lying on the operating table listening to your discussion, my body was scared cold!"

Zhou Yuan naturally knew that it was the "ten percent increase in language affinity" given by the system that worked.

"Anesthesiologist, prepare for anesthesia. Zhou Yuandao.

Soon, the anesthesia was completed.

"Scalpel. "

Zhou Yuan looked serious, made an incision in the place marked by the marker, exposing the underlying tissue, and then continued to cut downward, exposing several twisted arteries and blood vessels in the surgical field.

Under the microscope, it is evident that the anastomosis that had previously undergone a vascular graft is infected and swollen.

Originally, it was only because the transplanted saphenous vein was too long, which caused the blood vessels to be distorted, but at this time, the anastomosis was infected again, which caused the surrounding blood vessels to be implicated and evolved into multiple arteries elongated and twisted.

"Vascular clamps. "

"Tissue scissors. "

After the director of vascular surgery blocked the blood flow, Zhou Yuan did not hesitate to remove the transplanted saphenous vein.

Due to infection, this segment of the saphenous vein has lost its function and is not possible to reuse.

What he has to do now is to expose the blood vessels, reconnect them with artificial blood vessels, and then solve the problem of infection, unclog the twisted and knotted blood vessels here, and restore normal blood circulation.

Fortunately, the patient was sent to the hospital in time, so there was no cell necrosis in the tissues of the palm. If it takes a few more hours to arrive, the patient may be at risk of amputation.

The director of vascular surgery was a little puzzled, and said: "I have seen the operation report, and I have also watched the video, and when I did the operation, the anastomosis blood vessels were completely intercepted according to the required length, and the difference was between 0.1mm, and now it is 3mm longer than the original... Why is that?"

The vascular surgeon was also puzzled, and said, "The last time you did the vascular graft in the emergency department, the amputated saphenous vein was longer than the required length, but in the end it was successfully anastomosed!

Both of them looked at Zhou Yuan with puzzled expressions.

Zhou Yuan is also a little strange, it is impossible for a doctor in vascular surgery to make a mistake in the simple length problem...

He picked up the removed saphenous vein and examined it under a microscope. _

Feilu reminds you: there are three things to read - collection, recommendation, and points