Chapter 129 Something Worse Than Death
At this time, Xu Qiu actually completed simple disinfection, brushed hands, and put on gloves beside him.
I put on the spare surgical gown again.
"The vagus nerve and internal jugular vein here have been sutured, and the operation is about to be completed..."
"yes!"
"Why are you still wearing surgical clothes!"
A bad premonition flashed through everyone's hearts.
They quickly looked towards the operating table.
At this time, the director of thyroid surgery withdrew.
The director of the otolaryngology department came on stage again, took over the position, and began to clean the auricles, the cracks on the face that were scratched by the glass, and suture them.
After completing all this, the nurse has started counting gauze, curved needles and other surgical instruments.
But suddenly, Wang Ping pressed his hand and moved his chin in Xu Qiu's direction.
Everyone looked.
I saw that Xu Qiu had already changed into a full set of surgical attire. As he walked towards the flat bed, he said unhurriedly: "Let's do a bedside color ultrasound."
Wang Ping was puzzled.
The director of vascular surgery was a little angry. Was he questioning his suturing skills to see if the blood flow was smooth?
Soon, bedside ultrasound came.
Xu Qiu took matters into his own hands, applied coupling agent and scanned the neck.
Suddenly, he stopped at the bifurcation of the carotid artery.
Everyone looked at the screen at the same time, and they were all dumbfounded.
Ultrasound showed that the patient's carotid artery bifurcation had moderate to severe stenosis, with the degree of stenosis reaching about 60%!
"What the hell, he has a basic disease of carotid artery stenosis?!"
"60%, endometrial ablation is necessary!"
"How did Xu Qiu find out..."
While shocked, Wang Ping and others found that they could not understand Xu Qiu more and more.
Throughout the entire operation, no ultrasound or any auxiliary equipment was used.
but,
He stopped the bleeding, found the rupture, and now even the stenosis has been discovered!
The director of vascular surgery also suddenly realized this.
But soon, he shook his head again: "In this case, endometrial ablation is not possible, only elective surgery..."
I had already had carotid artery repair done.
At this time, if one more intimal peel is added, the probability of stenosis is very high.
Moreover, if you are not careful, the already weak anastomosis may rupture, causing massive bleeding again.
"Don't do it? If he doesn't do it, he will die."
At this time, Wang Ping spoke again.
He said solemnly: "The carotid artery is too narrow, and the patient's chance of cerebral infarction is very high.
Moreover, the plaque inside the narrowed arteries may fall off at any time!
The patient will need to stay in bed for a long time after the operation. If the carotid artery stenosis is left alone, he will have a high chance of developing cerebral thrombosis. If the elective surgery is delayed for another month, if the blockage lasts too long, he will probably have to suffer from cerebral thrombosis for the rest of his life.
Take care of it."
This consequence is more terrible than death.
The patient is in his forties and is the breadwinner of his family.
To put it cruelly, if you die, you will die. At least this family can continue to use the lowest standards.
However, if he survives, he can only be paralyzed in bed. That would be the most desperate consequence!
He cannot die, his family will have to spend countless money on it, and there will never be any hope of recovery... This is bad news for the patient himself and his family.
"Talk to the family and confirm whether surgery is needed." Wang Ping gave the order.
No one stopped me in the operating room. I felt very heavy and thought of some past events...
A similar tragedy actually happened at Linhai No.1 Hospital.
More than ten years ago, when Wang Ping was still an attending physician, he followed his teacher to rescue a patient who suffered cardiac arrest.ъìqυgΕtv.℃ǒΜ
After pressing for more than ten minutes, the other party still couldn't come over.
There is a saying that there are four golden minutes for cardiac arrest.
The success rate of rescue is relatively high within four minutes, and if it exceeds ten minutes, it is basically a death sentence.
There are a lot of people on the news who have pressed the button for half an hour or even two hours and then come back, which is a very rare case.
In fact, this is not recommended clinically.
Various medical guidelines even recommend that cardiac death can be declared within ten minutes.
Because there is no point in dragging it any further.
A large amount of medical resources are wasted in vain, but the chance of rescue is very slim, which is very uneconomical!
However, Daxia is a country where death is taboo, and clinicians often extend the compression time to about half an hour.
So, Wang Ping and the teacher rescued him for another ten minutes.
At this time, Wang Ping's teacher was about to give up and asked about the patient's condition.
The patient has three children, and his family is very poor. In the middle of winter, the family cannot afford even one cotton-padded coat.
Upon hearing this, Wang Ping's teacher stopped and took Wang Ping to announce his death to his family.
Wang Ping didn't understand it at the time.
He only remembered that the family members just sighed after hearing that there was no hope of help. There was sadness, but that was all.
As a result, when Wang Ping was preparing to take his family members to handle the aftermath of the death, news suddenly came from the emergency room that the patient had been revived.
After asking, I found out that it was an intern who was unwilling to give in and kept pressing the button for more than 20 minutes, and he actually came back to life.
But Wang Ping and his family members rushed to the emergency room and saw that the patient had become a vegetative state.
He has feelings and can move his eyes.
But other than that, he couldn't do anything, couldn't twist his neck, couldn't eat, couldn't turn over, couldn't even control his urination and defecation, and needed someone to scrub him.
When the family members saw this scene, they immediately knelt down and cried, cursing God for taking her life.
When Wang Ping returned to the office, the intern was still excited and wanted to take credit.
As a result, Wang Ping's teacher came in with a straight face and yelled at the intern. What did he plan to do to the family in the future, to take care of a vegetative person who would never wake up for the rest of his life...
At that moment, Wang Ping finally understood.
Some things are more terrifying than death...
…
In the simple emergency room, the patients lying on the bed are actually facing the same dilemma.
Without surgery, judging from the degree of cervical stenosis, he would most likely not be able to survive the postoperative recovery period.
It is possible to survive, but cerebral thrombosis may occur, causing paralysis and other sequelae.
Surgery - only then can he and his family have a real chance of life.
But... if you choose surgery, the risk will be passed on to the doctor.
"Sign it, Director Wang, the family has agreed to the operation!" At this time, Zhou Hua's voice sounded outside the rescue room.
In the temporary operating room, everyone's eyes fell on Xu Qiu.
Xu Qiu, who was in the center of his gaze, remained calm.
During his check-in a few days ago, he had received a master's degree in carotid endarterectomy.
I have long been familiar with this operation.
Without waiting for anyone to speak, Xu Qiu said calmly: "The operation time is about twenty minutes."
This sentence is meant for the director of anesthesia.
If you perform another surgery, the anesthesia time will definitely be extended, and naturally more anesthetics will be needed.
The director of anesthesia was stunned for a moment: "Only twenty minutes?"
This surgery must take an hour!
However, he still did it.
The director of anesthesia had previously seen Xu Qiu remove a pheochromocytoma.
At this moment, he had an inexplicable trust in this young doctor!
"Wait a minute..."
Chapter completed!