Chapter 2570 【2570】Reply Calmly
Now Dr. Yao can only look for evidence from the interns, insisting on asking: "Tell me, what did you do to the patient? I think you opened the incision film and gave the patient intrathoracic cardiac compression? Did you? Have you changed your gloves?" Maybe it was a false emergency alarm signal created by these interns.
Dai Nanhui was the first one who couldn't bear the splash of dirty water. He was about to explode and shouted, "We ran over from the next door to save people when we heard the siren."
"Calm, calm." Two words burst out from the mouth of the fairy brother Cao Zhao.
This is to calm everyone's minds. Including his own students, including Dr. Yao.
In any case, as a doctor, you must first figure out what happened to the patient, whether the patient is in danger of life, and who is responsible for the rest.
Agreeing with the teacher, Xie Wanying said in a calm voice, "I removed the incision protective film to make sure that the electrodes of the pacemaker wires are connected to the patient's epicardium and have not fallen off."
pacemaker?
Pacemaker, maybe there are more people doing interventional surgery now, only know that pacemaker is related to interventional surgery. In fact, when the pacemaker was first applied, it was not installed by interventional surgery, but by traditional surgery.
To describe it more specifically, the installation of a pacemaker in interventional surgery is to send the electrode to the heart cavity through the peripheral vein and install it on the endocardium without thoracotomy.
Surgery to install a pacemaker requires doctors to open the thoracopericardium to connect the electrodes to the epicardium of the heart, which is not welcomed by patients.
Intervention has many advantages, but surgical installation is too painful. The technology seems backward and can be eliminated by advanced intervention. Besides, what is the surgical installation method for?
not like this. In clinical practice, whichever is more convenient to use and which is more suitable for the treatment of patients has always been used. So far, in pediatrics, surgery is the first choice for children under the age of five to install a pacemaker. This is due to a pediatric feature that has been emphasized again and again: the child develops. You need to pre-place longer wires for the child to grow taller. If interventional surgery is used, too long wires cannot be placed in the heart or peripheral blood vessels. Some children have malformed hearts, and it is difficult to locate the electrode installation position during interventional surgery, so they can only be installed by surgical means. Children are active. Surgery does not have to be fixed on the front chest where the sebum is thin and hard to put, like interventional surgery. It is better to fix it in other places where the sebum is thick.
In the same way, since Xiaohui has undergone a thoracotomy today, there is no need to intervene if a pacemaker needs to be installed. It is more convenient to directly install the electrodes on the epicardium during the thoracotomy.
Speaking of which, why does Xiaohui need a pacemaker? Isn't this child a disease that needs pacemaker treatment?
Clinically, a large category of pacemakers is used to treat diseases. Most of these patients have undergone interventional surgery, using permanent implantable pacemakers. Another type of application of pacemakers is mainly temporary pacemakers used in rescue and backup, such as the last rescue by Mr. Lu.
Like Xiaohui, the surgeon prepared her with a pacemaker during the operation because he was afraid of what happened to Teacher Lu. Many patients after heart surgery have unstable circulation. The heart may stop suddenly during and after the operation. Installing a pacemaker can help the doctor save the patient's life when the doctor is too late to rescue the patient in an emergency.