Kang Xinghua planned to go out again to urge the opinions of his family members. It is not a problem that the leg has been dragged like this. If during this process, the venous thrombus in the lower limbs fell off, causing myocardial infarction, pulmonary infarction, and cerebral infarction, then it might be possible.

In the end, I couldn't even save my life, let alone my legs.

Life is gone, even if the legs are still there, in the end it will just be a pile of bones, what's the use?

Kang Xinghua originally couldn't recognize who Lu Cheng was. Although Lu Cheng had been training in the Department of Orthopedics for the longest time and had also been in Kang Xinghua's group, Kang Xinghua was the chief director at the time. How could he treat a minor?

How caring is Pearson, let alone wearing a mask?

However, Lu Cheng, a young doctor, left such a deep impression on him after the formal training, so Kang Xinghua still remembers Lu Cheng even when he was wearing a mask, especially Lu Cheng's eyes.

As a junior high school student, Lu Cheng must be very familiar with the director. He was stunned for a moment and shouted: "Hello, Director Kang!"

Lu Cheng's active greeting did not make Kang Xinghua's demeanor or eyes change much. Instead, he showed great enthusiasm: "Well, Xiao Lu! It's you. I thought you wouldn't come to Changshi for two days.

Was it Chen Bing who called you to come to the operating room?"

Kang Xinghua is such a scheming boy. Even if he hates Lu Cheng in his heart, how could he openly say nasty things to Lu Cheng because of what happened in the past?

Lu Cheng was called by Chen Bing from the Second Xiangya Hospital to be an instructor. Although Kang Xinghua did not think that Lu Cheng was qualified to be an instructor. Chen Bing's move seemed to be a slap in his face, but Kang Xinghua believed that Chen Bing was

Director, he can do whatever he likes, as long as it doesn't cost him his current three-thirds of an acre.

After he was relieved of the responsibility of director, Kang Xinghua's mentality changed a lot. What does the development of orthopedics have to do with him?

He has worked hard for the development of orthopedics. Although the method may not seem right to others, it is indeed a solution. Changshi First People's Hospital is such a place. If you don't go to the top, then your department will

They are the ones being bullied.

As one of the oldest departments in orthopedics and surgery, emergency surgeries have never been rare, but the average performance is occasionally lower than that of the emergency department!

What can you do? Orthopedic surgeons are also human beings and they also need to eat!

But now, he left this matter to Chen Bing to worry about. Anyway, he has no way to get in again. He still has the title of director, and he also does not lack the money. However, if orthopedics has always been like this

In terms of remuneration, it will be impossible to retain talents, and then there will be no talk of development at all.

Generating electricity for love, drawing big cakes, and talking about medical ethics and benevolence are all nonsense. If you don't give people enough food and the treatment they deserve, you won't want to come to this ghost place if you change your career!

"No, Director Kang, a friend called me over to take a look. The injured person is my friend's brother." Kang Xinghua's sudden enthusiasm made Lu Cheng a little panicked, but it was just a little bit.

Now Lu Cheng and Kang Xinghua are not in the same system. Even if Kang Xinghua wants to use any methods, he has to consider his own identity. Lu Cheng is now a student of Xiangnan University, and his student status is Lu Cheng's talisman.

In addition, no matter how bad it is, there are still two monuments, Li Dongshan and Min Hong. They dare not talk about it nationwide, but within Hunan Province, they can still be a little more open.

After Kang Xinghua heard this, he didn't say much. He just said, "Xiao Lu, you should wash your hands and go on stage first. There are still people on stage. I want to talk to my family now!"

Lu Cheng nodded and said, "Okay, Director Kang!"

…

When there are no conflicts of interest, everyone can chat happily, and it doesn’t cost money anyway!

Lu Cheng got out of Kang Xinghua's way, and after Kang Xinghua walked out, he walked to the operating table and took a look at the young man being operated on!

The young man's green life value is only about 500!

There are red spots all over from the chest to the legs, but there are more red spots on the legs.

Although it seems like a lot, the level of each red dot is actually not very high to Lu Cheng now, just over 20 degrees. However, the level of the monster formed by the dense red dots has suddenly reached

lv81!

"Extensive arterial embolism in both lower limbs, branch vein embolism in both lower limbs, soft tissue crush injury! Blood vessel damage, nerve crush injury lv81! Characteristics: embolism progression speed +10%, muscle necrosis speed +20%, fat and muscle necrosis dissolution speed +

50%! Note: It is recommended to ampute the limb as soon as possible to avoid death!"

Good guy!

This can no longer be simply described as difficult.

After Lu Cheng finished reading, he immediately put on special orthopedic microscopic glasses. The glasses immediately revealed the patient's blood flow in front of Lu Cheng's eyes.

Good guy, basically there are blood clots in all the branches of arteries and veins under the knee joint, and the blood clots are getting bigger!

Before the vascular surgery instruments were removed from the femoral artery, there were still many black cord-like traces of blood clots on the operating table. Lu Cheng estimated that it might be someone from the vascular surgery department who removed the thrombus from the femoral artery.

Or it was taken out from the popliteal artery, the branches of the popliteal artery, and the proximal ends of the anterior and posterior tibial arteries are also connected.

Obviously, after the vascular surgeons completed the thrombectomy of the relatively large blood vessels, they could no longer go further.

First, the distance from the femoral artery to the lower part of the knee joint is too far, and most of the space for operation has been lost. Moreover, without the assistance of any imaging, they cannot blindly guess where the artery should go next.

go!

Seeing this, Lu Cheng immediately exited the operating room and washed his hands as quickly as possible.

This patient was special, so the roving nurse assigned three of them directly. Even Dean Zeng Dewei was doing hemostasis on the surface of the liver on the operating table. Therefore, the roving nurse didn't even ask Lu Cheng which department he was from, and just put him on.

The clothes are ready.

What's more, Lu Cheng had chatted with Kang Xinghua before, which proved that he was from the hospital. In this way, no one would doubt him.

After Lu Cheng put on his clothes and gloves, he immediately came to the opening made by Tan Yuanwu.

In fact, the most suitable thrombectomy for this patient is arteriotomy and thrombectomy from the popliteal fossa. However, the patient also has abdominal injuries, and the popliteal fossa is at the back, so he can only take the supine position!

Thrombosis will only harm the legs, but if the damage inside the abdomen is not treated, it can also be fatal!

Therefore, Qin Yuanwu could only resort to ultra-long-distance arterial balloon dilatation and thrombectomy from the femoral artery.

Zeng Dewei glanced at Lu Cheng who was doing the operation, but didn't say much. Instead, he chose to continue treating his abdomen with the general gastrointestinal surgeon.

Lu Cheng immediately extended the balloon downward, and then along the femoral artery to the popliteal artery. Through the field of vision of his glasses, Lu Cheng saw the position of the distal end of the balloon tube. Lu Cheng turned slightly in one direction.

Drilled directly into the anterior tibial artery!

The anterior tibial artery is slightly simpler, unlike the posterior tibial artery which branches into the posterior tibial artery and the peroneal artery.

And the anterior tibial artery plays an important role as it can supply blood all the way to the dorsalis pedis artery!

However, even if the thrombus in the anterior tibial artery is removed, it is still useless, because there is still a thrombus in the dorsalis pedis artery. Therefore, Lu Cheng must perform at least two accurate thrombectomy operations before he can truly restore the health of his lower limbs.

Restore blood supply.

At this moment, Lu Cheng's mental energy was highly concentrated throughout the whole process.

Intravascular catheterization has similarities with arthroscopic surgery, but there are more differences. The catheter has been extended from the femoral artery to the anterior tibial artery. This is already an extra-long tube, no less than extending the catheter from the neck to the neck.

The blood vessels extend into the cerebral blood vessels!

Moreover, this is done without the assistance of angiography, so there cannot be any mistakes.

Otherwise, if the blood vessel is punctured or the inner wall of the blood vessel is scratched, the intima of the artery will be torn, and the patient will not be able to withstand such torture.

Finally, the front end of Lu Cheng's catheter was about to touch the front end of the thrombus. Lu Cheng continued to move forward, which became a little difficult.

The catheter is soft, but the thrombus is not soft, and it cannot penetrate deeply violently. The branch artery at this moment is almost only slightly larger than the catheter!

If it were larger, the balloon catheter would not be effective and would only push the thrombus further forward.

After Lu Cheng felt the thrombus with his hand, and with a little force, the catheter passed through the thrombus. When it got inside, before it was halfway through, when he pushed forward, the catheter had already moved the anterior tibial artery.

The distal thrombus was pushed farther away.

Lu Cheng tried again, but the catheter still couldn't pass through again, so he could only inflate the balloon and start to pull back the thrombus that had passed through.

But not too fast. If you pull it too fast, it will damage the blood vessels, and it will easily cause the thrombus to detach from the bifurcation of the anterior and posterior tibial arteries into other blood vessel cavities. In addition, it may also push the blood vessels into the anterior recurrent artery of the knee joint.

go.

The recurrent knee artery and the anterior tibial artery are a bifurcation!

Therefore, this process must be done carefully. Lu Cheng carefully controlled the direction of the closest end of the thrombus in the blood vessel, and then slowly adjusted it, and then, finally!

Lu Cheng brought the thrombus out of the common artery before the branches of the anterior tibial artery and the anterior recurrent knee artery. Then he used the same principle to bring the thrombus back to the popliteal artery!

At this time, Lu Chengcai breathed a sigh of relief. Perhaps in the eyes of others, Lu Cheng was entering and recovering the intravascular balloon catheter like an apprentice, so he moved very slowly.

But don’t you know that Lu Cheng’s balloon is carrying heavy blood clots at the moment!

Moreover, when it reaches the large blood vessels, be careful to continue to expand the balloon a little. Otherwise, the lumen of the large blood vessels may be larger than the sum of the diameter of the thrombus and the expanded balloon in the small blood vessels, and then the thrombus will fall into the small blood vessels.

Unknown place!

Lu Cheng slowly pulled back and then took out the first blood clot!

"Circulating teacher, can you get me another balloon catheter of the smallest size?" Lu Cheng asked the circulating nurse.

The circulating nurse said yes immediately, without any hesitation, and quickly opened a thinner catheter and went to the stage.

Seeing Lu Cheng taking out the blood clots, Zeng Dewei and several other abdominal surgeries didn't think anything. Before Qin Yuanwu went out, they said that the patient had many blood clots and they were widely distributed. Even if one or two were removed,

It doesn't mean much either.

For this reason, when Lu Cheng was operating here, even though he looked young, there was a high possibility that both lower limbs of this patient would be amputated, so there was nothing wrong with letting Lu Cheng practice his skills!

Lu Cheng changed the catheter to a thin one, and when he felt it in his hand, he frowned fiercely.

The smaller the thing, the more unbearable the force will be in the longitudinal direction. The catheter must be wound at least several times from the femoral artery to the anterior tibial artery and even further to the dorsalis pedis artery and metatarsal artery!

This makes it more difficult to apply force longitudinally and break through the thrombus, which requires more precise force control!

…
To be continued...