Finding thrombus from tiny arteries and looking for thrombus from the trunk of arteries are completely two different concepts.

Moreover, the external pudendal artery, a branch of the femoral artery, has such a thin branch angle. Let’s put it this way, it has been less than ten years since the term external pudendal artery was internationally recognized and announced. You know?

You know how hard it is to find.

Bu Hao then said: "Director Qin, this Dr. Xiao Lu, oh no, he should be called Professor Xiao Lu."

"Is he really an orthopedic surgeon and not our vascular surgeon?"

Bu Hao asked this mainly because he wanted to find out whether this was a fact. Lu Cheng had such a unique vascular thrombectomy technique, but he turned out to be an orthopedic surgeon. Why bother?

Shouldn't he be a rising star in vascular surgery?

Qin Yuanwu sighed and said, "Yes, Xiao Lu is an orthopedic doctor. If he can choose to engage in vascular surgery, then the patients of vascular surgery will be blessed."

Lu Cheng was still concentrating on looking for thromboembolism in the secondary external pudendal artery and did not reply.

Chen Bing immediately joked: "Director Qin, Director Bu, what are you going to do? Take advantage of the situation?"

"Xiao Lu, why don't we go back? It's really too dangerous here. They're just a bunch of bandits."

Lu Cheng seemed to have put the distal end of the catheter past the embolus. After inflating it slightly, he pulled the embolus back and said, "Okay, I'll step down after I finish removing this."

Although Qin Yuanwu knew that Lu Cheng and Chen Bing were joking, at this moment he could only cater to Lu Cheng, "No, no, no, no, doctor Lu, instructor Lu, Professor Lu, I was just joking."

Then he immediately said with a straight face: "Director Bu, look at you, what kind of sarcastic words are you talking about? It almost scared our Dr. Lu away."

Bu Hao was also a good person, so he immediately said: "Don't I think Dr. Xiao Lu was born to be the breadwinner of our vascular surgery department? In fact, there is one thing I didn't say, that is, if Dr. Xiao Lu doesn't work in

As far as orthopedics is concerned, it is a huge loss to orthopedics.”

"There is a saying from ancient times that it is difficult to have both loyalty and righteousness. It's hard to live with two people."

The atmosphere of talking and laughing on the table is actually what the tour operators and wash hands want to see most. If Qin Yuanwu and Bu Hao don't speak, it proves that the patient's surgery and condition may be too dangerous.

It's just that the anesthesiologist didn't speak during this process, and the patient's condition is now very pessimistic.

Especially the people in the neurosurgery department seemed to be silent.

While Qin Yuanwu and others were talking, only two junior doctors glanced here and continued to work hard.

Feeling the atmosphere of the neurosurgery department, Lu Cheng, Qin Yuanwu and others looked around for a while and stopped talking.

In fact, after Bu Hao just saw that Lu Cheng was able to remove all the emboli from the external pudendal artery, he knew that Lu Cheng's level was extremely high. It can be said that this kind of micro-artery thrombectomy is no less than

Thrombectomy for ultra-remote small arteries.

With Lu Cheng's level, he can almost certainly save his leg.

As for the internal pudendal artery, Qin Yuanwu was going to directly incise and remove the thrombus. He felt that the problem was not too big, so he wanted to liven up the atmosphere and ask about the situation at the neurosurgery department. If they also answered, it would prove the situation.

fine.

However, it seems that things are not developing in the most optimistic direction.

The good atmosphere was not responded to, and Qin Yuanwu felt a little heavy.

To be honest, the doctor does not treat his relatives, but his nephew is lying on the operating table. It will still have some impact on his mentality to a certain extent.

That's why he didn't have much confidence in removing the thrombus in the renal artery and lower extremity artery at the same time.

In fact, it's not that Bu Hao can't perform vascular surgery. It's just that vascular surgery has recently emerged, and the county hospital where Bu Hao is located can't rely solely on vascular surgery to make ends meet. The number of patients is not enough.

So he had no choice but to call Lu Cheng from Chang City to Jin City.

This was originally a favor from him, but the trauma of an emergency surgery was not limited.

If his nephew can't carry it through, then what's the point of saving his legs or kidneys?

As long as the limbs are not amputated and the kidneys are not cut out, to put it bluntly, it is still a complete corpse.

Qin Yuanwu continued the operation while thinking. He had now removed some thrombus from the branch arteries. As long as the remaining thrombus in the renal artery was removed, he could deal with the internal pudendal artery.

For three minutes, no one spoke.

The atmosphere seemed to have suddenly broken away from the previous chatting and laughing.

Bu Hao and Qin Yuanwu both saw the nervousness of the neurosurgery group when Lu Cheng kept taking out the blood clots.

Didi didi!

Just when everyone felt that the atmosphere was a little tense.

The anesthetist's monitor began to flash rapidly and alarmed quickly.

"The blood pressure has started to drop, Director Chang!" The anesthesiologist has been busy making various preparations.

At this moment, I saw that the blood pressure quickly dropped to below 90, and at the same time, the heart rate quickly reached over 100, and was still soaring towards 110 and 120.

Immediately, the anesthesiologist adjusted the pumping speed of norepinephrine and dopamine through the intravenous channel to the theoretical maximum.

"Atrial fibrillation!"

"Stop the operation for a moment!" the anesthesiologist shouted.

"No, the patient is still bleeding actively. We must find the bleeding point immediately, and once we stop, the blood oozing from the bleeding point will kill him immediately."

The director of neurosurgery explained, but it was obvious that he had no way to quickly find the bleeding point.

Originally, the purpose of opening the skull for fenestration surgery was to reduce pressure and avoid brain herniation.

However, if the bleeding point does not stop, brain herniation will soon form again.

Once cerebral herniation occurs and a large amount of brain tissue is necrotic, any treatment will be useless.

But, there is another more important issue, that is, the patient’s injured part is on the head.

When looking for bleeding points in the head, the mobility and mobility of the head tissues are much lower than those of other tissues.

The cortex of the brain is very fragile and its functions are very important. It is impossible to just open it and find it.

As long as the bleeding point is found and clamped with hemostatic forceps, the operation is almost over.

But where are the bleeding points? How many are there? They still don't know this.

At this time, the patient's vital signs were not good yet.

"The patient's blood pressure is still falling! Circulate, 1 norepinephrine, intravenous injection." The anesthesiologist immediately ordered.

In fact, in the operating room, the circulating and hand-washing nurses only need to check the patient's wrist band and make sure that the intravenous access is established.

Routine dispensing of medicines and small things like drawing blood during surgery are all done by anesthesiologists.

"Xiao Duan, draw a complete set of blood for the patient. Then call the head nurse to assign two people to come over." The anesthesiologist called immediately.

"Okay, I'll call the head nurse right away." The circulating nurse didn't seem to be very old, so she immediately walked out of the operating room after hearing this.

She obviously looked like you were new here. The anesthesiologist was so angry that he yelled: "What are you doing? I asked you to give the patient a norphenin injection and inject it intravenously."

She had obviously never dealt with a similar situation, so she seemed to be running around with her head in her hands.

"Oh, okay, Doctor Huang." After hearing this, she immediately rushed to the emergency locker and took out the emergency medicines stored in the locker.

Here, the patient's oxygen saturation and heart rate have begun to increase, and the heart rate is getting faster and faster.

The anesthesiologist has started an intravenous drip of lidocaine.

Hope it can be of some use.

But at this time, the patient's blood pressure dropped further. The high pressure had dropped to below 60.

"Director Qin, Director Chang, the operation must be terminated immediately. The patient's blood pressure is too low." The anesthesiologist almost used a commanding tone.

In just one minute, the blood pressure has dropped below the super dangerous level, and the pulse pressure difference is not big!

"But!" Director Chang still wanted to argue.

Didi, didi, didi!

The monitor screamed fiercely again.

When I looked at the electrocardiogram again, it was already a straight line!

"Cardiac arrest!"

"Extracardiac compressions!"

When Qin Yuanwu heard this, he immediately threw away the things in his hands and pressed directly on the heart compression point.

At the same time, he ordered: "Tour, lower the operating table."

Dr. Huang also immediately said: "Please ask the directors of the ICU and anesthesiology department to come and take a look."

When Chen Bing saw this scene, he slightly pulled Lu Cheng's clothes, indicating that he could retreat. At this time, no matter how good their operation was, it was meaningless.

Lu Cheng also understood that when the patient reaches this stage, if the compression is not returned within five minutes at most, it may not be of much use anymore.

If compressions are not returned for 30 minutes, death can almost be declared. If the time is pushed back further, the compression time is basically invalid!

Even if a person was alive at that time, he would probably be in a vegetative state.

Life is sometimes very tenacious, sometimes very fragile. It will come, be wonderful and leave in various accidents.

"Director Chen, what about this?" Lu Cheng only asked a few words softly.
To be continued...