Chapter 399 The God of Death Comes, Life in a Dead End!
special……
Xu Qiu frowned. What special can an aortic aneurysm have?
"The patient's identity?" he guessed.
"Yes, the patient is a little special... Do you remember that car accident in Professor Joseph?"
"Um."
This incident caused a great sensation at the time.
The perpetrator deliberately retaliated against the society because Linhai International Friendship Hospital misdiagnosed his wife's lung cancer as tuberculosis, delaying the optimal treatment time.
Joseph was saved by Xu Qiu, so he naturally remembered this.
Liu Susu's tone sank and said, "This aortic aneurysm patient is the mother of the perpetrator."
"I see."
Xu Qiu understood what Liu Susu meant.
She came here specifically. In addition to asking Xu Qiu for the operation, she should also want Joseph to participate in the operation.
The doctor was seriously injured by the perpetrator. After recovering, he saved the perpetrator's mother without grudges...
This kind of news is outdated in any country.
"It seems like there's a modification surgery?"
Xu Qiu was suddenly stunned.
After signing in a few months ago, he received an aortic arch replacement for an aortic aneurysm.
However, since this replacement technique is relatively old, it is almost fifty years ago and has many disadvantages.
According to the international study, the mortality rate of 30 days after surgery was 8.7%, the incidence of neurological complications after surgery was 13.0%, 65.2% of patients with postoperative ventilator support time greater than 2 days, and 34.8% of patients with more than 5 days...
In addition, acute renal failure and the chance of stroke are also very high.
Therefore, Xu Qiu has performed simulation operations many times and has continuously improved this old operation.
Finally, it was polished to the perfect level and upgraded to the "perfect modified version of aortic arch replacement".
The modified surgery adopts anterograde selective cerebral perfusion method and reconstructs the three major branches on the aortic arch, which significantly improves the surgical efficacy.
Of course, the difficulty also soared.
This is not like Linhai small vessel replacement surgery, which can be mastered by experienced attending physicians.
After several months of improvement of Xu Qiu, the modified aortic arch replacement has gone one way to improve the efficacy of the surgery. The difficulty of the surgery and the risk of the surgery will naturally increase, so that few people can control it except Xu Qiu.
Perhaps only a few famous cardiac surgeons in the international community can try to master it.
Before, Xu Qiu was wondering how to keep Joseph.
The current modified aortic arch replacement may be a good opportunity!
"You go and call Professor Joseph to come on stage, and several other famous foreign doctors can also observe it."
After Xu Qiu finished speaking, he rushed to the emergency department emergency room.
...
Here in the rescue room.
Seventy-three-year-old Lu Guilan was rushed to the hospital for emergency treatment due to sudden severe chest pain.
Before Xu Qiu came, the emergency department had quickly conducted relevant examinations.
Heart color ultrasound prompts: The aorta is significantly widened, and strong strip-like echoes are seen inside it.
This is already putting the aortic dissection on the face.
Moreover, during the rescue, an aortic aneurysm had ruptured, and CTA showed that multiple ulcers in the aorta were formed, accompanied by clad thrombosis and pericardial effusion.
The situation is extremely dangerous and the patient may die at any time!
The emergency room was already busy, with the doctor and nurse covered in fine beads of sweat, and their expressions were extremely serious.
Just as he was about to issue a critical illness notice, Xu Qiu broke in.
"Doctor Xu is here!"
After the surprise voice, everyone in the rescue room was happy and finally saved.
"Doctor Xu!"
"Patients may experience sudden death due to severe bleeding at any time!"
Xu Qiu nodded, then calmly put on gloves and began to rescue him.
"Puncture the radial artery pressure measurement."
"Internal carotid artery puncture."
"Bedside electrocardiogram monitoring..."
Xu Qiu's orders were orderly, and the rescue room immediately restored order.
Micro pump, high-flow atomization oxygen absorption, gastrointestinal decompression, sedation, pressure boosting...
A series of rescue measures were issued in sequence.
At this time, Joseph, Yang Yuen, and many famous foreign doctors rushed over.
Looking at the patient's extremely unstable vital signs, everyone's faces showed horror.
Too dangerous!
This level of rescue, even if Joseph takes action personally, may not guarantee that the patient will survive.
Joseph's expression was solemn, and he lowered his voice: "It's probably a type A mezzanine."
The StanfordA type interlayer has a very high risk factor, and the mortality rate is extremely high within 48 hours of the onset. After the interlayer ruptures, the mortality rate increases rapidly in minutes.
The only way is to quickly operate.
However, type A dissection surgery itself is very risky, which not only has strict requirements on the surgeon and surgical technology, but also puts a great test on the cooperation of the entire hospital for multidisciplinary cooperation.
Today, most hospitals cannot perform such surgery.
What's more, the aneurysm dissection has now ruptured!
It is already overestimated to say that it is a life-threatening death notice, and it is not an exaggeration to say the next death notice.
"It's a pity that if I was not injured, I could try the lead surgery. With your words... there might be a glimmer of hope!" Joseph looked at the famous doctors and sighed slightly.
If they are the masters of cardiac surgery, they can match a team that cooperates well.
You can find a ray of vitality from the dead end.
It's just a strand, not too much.
Conventional aortic arch replacement surgery is also difficult and has many side effects. It will cause considerable damage to the patient and will also bring a lot of sequelae... Given Lu Guilan's current physical condition, it is a different story to whether she can get off the stage.
But at this moment, the alarm sound of the monitor's rapid alarm came to an abrupt end.
Everyone looked at Xu Qiu holding a syringe, filled with blood drawn from his abdomen.
The next moment, the patient's sharp drop in heart rate, blood pressure, etc. gradually rebounded, leaving the verge of death, and reached a dangerous but not fatal range.
It was at this moment that Xu Qiu ordered: "Immediately contact the cardiac catheter room, anesthesia, blood transfusion, and infectious diseases department of the intervention center to prepare for emergency surgery."
Emergency surgery?
Joseph and others showed incredible eyes.
The patient's condition has just stabilized. Can she withstand the surgery at this time?
Xu Qiu didn't have time to answer these things, so he looked out the door: "Where is the family?"
Liu Susu's heart skipped a beat: "There is no family..."
Lu Guilan's daughter-in-law died of misdiagnosis in the hospital, and her son was detained for revenge on society. Her wife also died of a stroke three or four years ago, and there was no close relative who could make the decision.
"If you do the surgery, no one will sign it. You have to ask the director or the director...ah, it's not right."
Liu Susu suddenly remembered that Xu Qiu was already qualified to sign.
His signature is much more authoritative than the tools such as Wang Ping and Wang Shengde.
"Well, then let's have surgery."
Xu Qiu looked at Joseph: "Professor, everyone, go on stage to see?"
"I can't help." Joseph frowned.
The aortic arch replacement surgery itself is very difficult, and coupled with Lu Guilan's physical condition, it is not an exaggeration to say that no one can do it.
Chapter completed!