Chapter 1184 1185 Postoperative Complications (32500 Plus Change × 22 Ask for a Monthly Ticket)

This is a patient who underwent radiofrequency ablation of liver cancer today.

In advanced stage of liver cancer, there are multiple metastases in the liver. Such a diagnosis, as early as ten years ago, would have declared a patient of no therapeutic value and died after waiting three to six months to survive.

However, with the clinical development of interventional surgery, such diseases can not only be delayed for a period of time, but also the cure rate has increased from 0 to about 25%.

In addition, 912 has carried out research on 3D reconstruction of 64-slice CT operators, which has improved the cure rate of liver cancer again.

Embolization + radiofrequency ablation is indeed an effective method for the treatment of liver cancer. No matter how much Zhao Wenhua defames Zheng Ren, he has to admit that it is indeed beneficial for the surgeon to perform 64-row CT 3D reconstruction by himself.

The patient in front of me underwent liver cancer resection a year ago, and it recurred after surgery. Because left hepatectomy, and postoperative recurrence of lesions is a contraindication to surgery, there is only one way of interventional therapy.

Zhao Wenhua admitted the patient to the hospital in the outpatient clinic. After interventional embolization, he underwent radiofrequency ablation this morning.

The lesion was close to the diaphragm, and Zhao Wenhua chose the method of transthoracic radiofrequency ablation.

This is just an ordinary method of operation. Whether it is Zhao Wenhua or Director Kong, they have done more than a thousand cases.

The effect is also very good, as long as you pay attention to the burning needle path, there will be no complications of implant transfer.

Clinical data show that implant metastasis is really rare.

But the patient in front of me had another complication—bleeding.

Zhao Wenhua felt manic in his heart, what a day he was, and when he was withdrawing the needle, he carefully burned the blood vessels and the needle tract, and even had bleeding problems.

so special.

The only hope now is for the bleeding to stop on its own.

After using three groups of hemostatic drugs, even using a micropump to pump vasopressin into the pituitary gland, the bleeding still cannot be stopped.

Thoracic surgery consultation, the chest bottle from Fang Lin.

In an instant, the chest bottle was almost full, and Fang Lin had to clamp the chest tube with hemostatic forceps. He judged that this patient is likely to have thoracotomy. However, after explaining to Zhao Wenhua that it was the judgment of the thoracic department, Zhao Wenhua refused the suggestion of thoracotomy.

In fact, Zhao Wenhua's idea is also very simple, how thick can the RF needle be? However, the thickness of ordinary needles is so large that the damage to blood vessels will not be too great. Moreover, there were no large blood vessels at the location where the needle was inserted, and when the needle was withdrawn, it was carefully burned.

I have done everything I can, even if the bleeding should be stopped. If the chest is opened at this time, it is at least a medical accident.

Wouldn't it be better if the bleeding could be stopped on its own, and everyone would be happy in the end?

Now that the doctor-patient dispute is so serious, normal complications are considered medical malpractice.

Fang Lin was helpless, sighed and went back. He is just a doctor who consults and does the treatment related to himself. As for whether the patient should be transferred to general thoracic surgery, it is up to Zhao Wenhua to make up his mind.

This is the medical practice, Fang Lin can't just drag the patient onto the operating table.

Zhao Wenhua looked at the film and felt sad in his heart. He carefully recalled the operation process, and there was no room for improvement.

As long as it is an operation, there will be complications, no matter how high the level is, it cannot be avoided.

Zhao Wenhua tried to avoid it and waited for Zheng Ren to make mistakes first. That guy is like walking a tightrope. No matter how difficult the operation is, he has to go up and try it.

But something unexpected happened to him. Zheng Ren didn't make a mistake, but he made a mistake first.

The patient's postoperative bleeding was not his own fault, but just bad luck and complications occurred. (Note 1)

If there is no Zheng Ren, this patient Zhao Wenhua will also admit it. It was sent to the thoracic surgery department for thoracoscopic hemostasis, a very small operation, and the problem could be solved quickly. But after Fang Lin made his suggestion, Zhao Wenhua thought it was a conspiracy.

What is the relationship between Fang Lin and Zheng Ren, no one in the hospital does not know.

Zhao Wenhua knew about the accident and the rescue. This is Zheng Ren's dog, looking at him viciously, waiting for him to make a mistake, Zhao Wenhua thought to himself, and refused Fang Lin's suggestion without hesitation.

Just waiting for Fang Lin to leave, Zhao Wenhua began to hesitate and become anxious again.

What should I do if the bleeding doesn't stop? He took a look at the patient's blood pressure for almost a few minutes, for fear that the blood pressure would not stop falling. At that time, everything will come to the stage.

Hope not.

Every time the arterial blood pressure monitoring fluctuates by one or two values, Zhao Wenhua's heart will keep beating. Ascending, he saw hope. Come down, he will fall into hell.

It was already half past three in the middle of the night, and he was still anxiously observing and judging.

Zhao Wenhua never reopened the hemostatic forceps, and he gradually had an idea. Bleeding is because there is negative pressure in the patient's chest cavity, and the bleeding at the location of the ruptured blood vessel cannot be stopped at all.

If you want to change the negative pressure state, there is only one way - to fill the chest with blood.

After that, the blood vessels were blocked, the bleeding stopped, and the problem of atelectasis was gradually solved, which seemed to be a solution.

After hesitating for a long time, Zhao Wenhua decided to adopt this method.

Even so, he is very careful to look after the patient. In the end, I stopped walking around and took care of myself in front of the bed. At this time, he didn't trust anyone, and only when he was in front of the patient's bed would his restless heart be calmer.

It hasn't gotten better, it hasn't gotten worse, it just hasn't changed. Under the premise of continuous blood transfusion, the blood pressure is maintained at 80/40 mm Hg, which is regarded as hemorrhagic shock, but it is not serious.

In addition, the patient's preoperative basal blood pressure was low, and this blood pressure was acceptable.

It's just that such a night is so hard.

Almost every doctor has had a night like this, more or less.

Without Zheng Ren, Director Wei would still be doing extremely complicated operations on the operating table... No, without Zheng Ren, the patient would have died when he came to power, and he would not have to suffer.

Zhao Wenhua watched the film again, returned to the patient's bedside, sat on the bench, and stared blankly at the monitor.

The patient's family was grateful to Dade, who explained that there were complications before the operation, but they met unexpectedly.

This is bad luck, and the patient's family is reasonable and recognized.

Professor Zhao has been nursing at the bedside since the situation appeared, and the patient's family also expressed gratitude. Only Zhao Wenhua knows in his heart that what to do is the best choice.

It's just that he couldn't make that choice.

Although it was just an ordinary complication that no one could avoid, Zhao Wenhua still wanted to try his best not to enter the palace twice, and he could not give Zheng Ren a reason to attack him.

Zheng Ren is okay. When he thinks of Su Yun, who looks like a star of a men's group, next to him, Zhao Wenhua can't help being bored.

That man has the worst heart!

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Note 1: Do your best to add lucky value to Boss Zheng, so as not to make mistakes. Being a doctor is really important.