At this time, Xu Qiu actually completed the simple disinfection and hand washing work beside him, and put on gloves. He put on the spare surgical gown again. "The vagus nerve and internal jugular vein here have been sutured, and the operation is about to end..." "Yes!" "Why are you still wearing surgical gowns!" A bad premonition flashed through everyone's mind. They hurriedly looked at the operating table. At this time, the director of thyroid surgery stepped down. The director of otolaryngology came on stage again, took over the position, and began to clean the auricle and face cut by glass, and sutured. After completing all this, the nurse began to count gauze, curved needles and other surgical instruments.
But suddenly, Wang Ping pressed his hands and nodded his chin in the direction of Xu Qiu. Everyone looked. I saw that Xu Qiu had changed into a full set of surgical clothes. While walking towards the flat bed, he said slowly: "Do a bedside color ultrasound." Wang Ping was puzzled. The director of vascular surgery was a little angry. Was this questioning his suturing skills to see if the blood flow was smooth? Soon, the bedside ultrasound was pushed in. Xu Qiu personally took action, applied coupling agent, and scanned the neck. Suddenly, he stopped at the location of the carotid bifurcation. Everyone looked at the screen at the same time and was dumbfounded. The ultrasound showed that the patient had moderate to severe stenosis at the carotid bifurcation, and the degree of stenosis reached about 60%! "What the hell, he has a basic disease of carotid stenosis?!" "60%, endarterectomy must be performed!" "How did Xu Qiu find out..." While being shocked, Wang Ping and others found that they could not understand Xu Qiu more and more. During the whole operation, ultrasound was not used once, and no auxiliary equipment was used. But, he stopped the bleeding, found the rupture, and now even found the stenosis! The director of vascular surgery also suddenly realized it at this moment. But soon, he shook his head again: "In this case, endarterectomy cannot be performed, and surgery can only be performed at an elective time..."
The carotid artery had already been repaired. At this time, adding an endarterectomy, the probability of stenosis is very high. Moreover, if he is not careful, the anastomosis, which is not so strong to begin with, may rupture and cause heavy bleeding again. "Don't do it? If he doesn't do it, he will die." At this time, Wang Ping spoke again. He said with a gloomy face: "The carotid artery is too narrow, and the patient has a very high chance of cerebral infarction. Moreover, the plaque in the narrow artery may fall off at any time! The patient needs 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 cerebral thrombosis - if the elective surgery is delayed for another month, it will be too long, and he will probably have to be taken care of for the rest of his life." This consequence is more terrible than death. The patient is in his forties and is the pillar of the family. To put it cruelly, if he dies, he dies, at least the family can continue with the minimum standard. But if he survives, he can only be paralyzed in bed, which is the most desperate consequence! He can't die, and the family has to spend countless money on this, and will never see the hope of recovery... It is bad news for the patient himself and his family. "Talk to the family and confirm whether to operate." Wang Ping gave the order. No one in the operating room stopped them. They were all in a heavy mood and recalled some past events... A similar tragedy actually happened at Linhai First Hospital. More than a decade ago, when Wang Ping was still an attending physician, he followed his teacher to rescue a patient with cardiac arrest. After pressing for more than ten minutes, the patient still couldn't come. There is a saying about the golden four minutes for cardiac arrest. The success rate of rescue within four minutes is relatively high. If it exceeds ten minutes, it is basically sentenced to death. There are many cases in the news where the patient came back after pressing for half an hour or even two hours, which are extremely rare cases. In fact, this is not recommended in clinical practice. Even various medical guidelines recommend that cardiac death can be declared in ten minutes. Because it is meaningless to drag it on. It is not cost-effective to waste a lot of medical resources in vain, while the chance of rescue is very small! However, Daxia is a country that taboos death, and clinicians often extend the pressing time to about half an hour. So Wang Ping and his teacher tried to save the patient for more than ten minutes. At this time, Wang Ping's teacher was about to give up and asked about the patient's condition.
The patient had three children and the family was very poor. In the winter, the family could not even get a cotton coat. Hearing this, Wang Ping's teacher stopped and took Wang Ping to announce the death to the family. At that time, Wang Ping did not understand. He only remembered that when the family heard that there was no hope, they just sighed. There was sadness, but that was all. As a result, when Wang Ping was about to take the family to deal with the aftermath of the death, news suddenly came from the emergency room that the patient was saved. After asking, I found out that it was an intern who was unwilling to give up and pressed for more than 20 minutes, and he really came back to life. But when Wang Ping followed the family to the emergency room, he saw that the patient had become a vegetable. He had feelings and his eyeballs could move. But other than that, he could not do anything, could not turn his neck, could not eat, could not turn over, and even could not control his bowel movements, and needed someone to clean 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 stern face and cursed the intern, saying what he planned to do with the family in the future, taking 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 terrible 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 stenosis of the carotid blood vessels, he is likely to not survive the postoperative recovery period. He can survive, but he may suffer from cerebral thrombosis, causing sequelae such as paralysis. Surgery - he and his family will have real life. But...if surgery is chosen, the risk will be transferred to the doctor. "Signed, Director Wang, the family agrees to the operation!" At this time, Zhou Hua's voice rang out of the emergency room. In the temporary operating room, everyone's eyes fell on Xu Qiu at the same time. Xu Qiu, the center of the eyes, remained calm. He had received a master-level carotid endarterectomy during the sign-in a few days ago. He had already known this operation well. Without waiting for anyone to speak, Xu Qiu calmly said: "The operation time is about 20 minutes." This sentence was said to the director of anesthesia. Adding one more operation, the anesthesia time must be extended, and naturally some anesthetics must be added.
The director of anesthesia was stunned for a moment: "Only 20 minutes?" This operation should take at least an hour! But he still did it. The director of anesthesia had seen Xu Qiu remove pheochromocytoma before. At this moment, he had an inexplicable trust in this young doctor! "Wait a minute..." But at this time, Xu Qiu suddenly stopped the director of anesthesia.