Chapter 1403 【1403】The Results Come Out

"Don't you need to build a bridge?"

Not only three-vessel lesions require bypass surgery. The worst part of this patient should not be the three-vessel disease.

Xie Wanying and Pan Shihua, who returned to the control room, stood with other students and continued to watch the progress of the operation in the operating room.

Unlike the two of them who had just fine-tuned their arms in the operating room, skilled doctors can now operate the operating bed on which the patient is lying, let the bed rotate, and coordinate with the c-arm of the angiography machine to adjust the shooting angle without manual work The position of the patient can be changed for multi-directional information collection. Advanced medical instruments and operating tables greatly reduce the burden on medical staff.

The catheter was first inserted into the left coronary artery for angiographic examination. From the previous structural analysis of the aortic sinus, it can be seen that the left and right coronary arteries that actually supply blood to the heart are a pair of branches of the aorta. Among them, the left coronary artery is a short trunk. Don't underestimate it as if it is shorter than the right coronary artery. However, the thickness of the left ventricle is usually thicker than that of the right ventricle, which means that the blood supply of the left coronary artery is always in greater demand. The left anterior descending artery with a stent installed in the last operation of the patient supplies nearly 50% of the blood volume of the left ventricle, which is very important.

After the contrast agent was injected, a section of blood vessel was missing on the computer screen, which proved that the stent had restenosis.

The results of the inspection were in line with the preoperative inferences of a group of medical students.

Classmate Feng Yicong raised his eyebrows, finally he can be happy, knowledge is not in vain.

Seeing the results of the angiography, Fu Xinheng told Dr. Xu on the phone: "In-stent restenosis is severe."

Dr. Xu was startled and took a deep breath: What's going on? It's only been a few months that the kung fu bracket is completely blocked?

What about restenosis? don't worry. It is necessary to check all the conditions of the patient's coronary arteries clearly before making a decision.

"Bridging is necessary, and a pre-operative plan needs to be made." Fu Xinheng said after reviewing the comprehensive results of the patient's coronary angiography on the spot.

Today's PCI is very meaningful and will provide a very important reference for their surgical operations. As for the other meaning, it should be that another strange surgical student was discovered.

After the operation, Jin Tianyu took Dr. Fang outside to explain the patient's condition to the patient's friend Mr. Zhou: "The stent was severely narrowed, and he was given temporary cutting balloon angioplasty to cut off the fibrous tissue that proliferated in the stent. , to restore blood supply to his left coronary artery."

"Is it because the stent he had done before was blocked because the operation was not done well last time?" Mr. Zhou asked.

Some family members of patients are always like this, questioning this and that, and like to question the doctor first. Dr. Xu never expected that he had been working on this patient for half the night, but the family members first questioned that he had done something wrong.

Jin Tianyu does not have the style of Dr. Xu who doubts his peers in front of his family members. He said to his family members: "He didn't take medicine on time for reexamination after the operation, he didn't control his diet, didn't rest, stayed up late on business trips, drank and smoked, can he no longer be narrow?" The installation of the stent does not mean that it can change his original blood vessel condition, but just to help him in an emergency. He has already contacted the surgery department for him, and he will be transferred to the surgery department after a while, and surgery may be needed.”

"Isn't this resolved? Do you still need a thoracotomy?" Mr. Zhou asked hesitantly.

Didn't you always clamor to switch to surgery? It seems that their internal medicine department prevented the patient from being transferred and wanted the patient to die in the internal medicine department. Now the doctor told me to transfer, but the family members did not want to transfer.