I Can See Health

Chapter 427 Failed Electrophysiology Surgery

Remember [new] in one second! Walked out of the outpatient clinic building.

Xiaofang holds the hospitalization certificate in his hand and is preparing to wait for his father to go to the hospital.

But Father Fang stopped.

"Dad, what's wrong?" Xiao Fang looked at his father in confusion.

"Didn't you say you wanted to explain to me in the clinic?" Father Fang said slowly, "Does my illness require hospitalization?"

Xiao Fang was a little silent.

He hasn't figured out how to explain it to his father yet.

According to Professors Lu Chen and Qin Sifeng, his father's early repolarization syndrome carries a high risk of sudden death.

In this case, it is necessary to implant cid in the heart to prevent sudden death.

"Dad, you may need a minor operation." Xiao Fang raised his head and glanced at his father, "It's just a very common interventional operation. It's a small problem, so don't worry."

Father Fang frowned and looked at his son, "Fang Yuan, your dad and I are not stupid either. We have to be hospitalized for surgery. Is this a minor problem?"

Xiao Fang's tone was stagnant and he was unable to speak.

"If you don't tell me, then I will go back to find Professor Qin." After speaking, Father Fang turned around and went back.

Xiao Fang quickly grabbed his father's sleeve and said with a bitter tone, "Dad, if you don't want to go, I'll tell you."

Father Fang turned back and looked at his son.

The white hair on his temples made Xiao Fang a little stunned.

He has graduated with a doctoral degree and his father is old.

I thought that after I graduated and worked, my parents would live a good life, but I didn't expect that there would always be many unpleasant things in life.

Many of his classmates, at his age, had already started families and started careers.

"Son, just say it directly. No matter how big the problem is, I can handle it." Father Fang smiled calmly.

Xiao Fang organized his words and said slowly: "Dad, there is actually a problem with the electrophysiological conduction system of your heart. It means that the circuit system of a room is faulty."

"Very serious?" Father Fang said.

Xiao Fang nodded, shook his head, and said: "There is a certain risk, but it is not exact. A small device needs to be installed at the heart. The next time you get sick again, this device can automatically identify the ECG. abnormal."

"Yeah." Father Fang was silent for a few seconds, then looked at his son, "The surgery fee..."

"Dad, you don't have to worry about these things." Xiao Fang immediately interrupted his father, "Leave the rest to me."

"But you have only been working for a short time..."

"Dad," Xiao Fang said again, "In order to support my education, my family doesn't have much savings and still owes a lot of money. Now that I'm working, it's time to take on my own responsibilities."

Father Fang was startled, and then a smile appeared on his wrinkled face.

Yes, his son has grown up and is no longer the young man who grew up under their wings.

"Dad, let's go, I'll take you to the inpatient unit."

"good!"

Cardiology catheterization room.

Lu Chen was undergoing a routine electrophysiological operation—pacemaker replacement and ICD implantation.

The patient is a patient in his seventies.

Nine years ago, a pacemaker was implanted because her heartbeat was too slow, leading to heart failure.

Recently, the pacemaker often stopped working because the battery was exhausted, so symptoms of heart failure appeared again, such as chest tightness and shortness of breath.

This time, in addition to replacing the patient's pacemaker, Lu Chen also needed to implant an ICD to act as a defibrillator.

"Uncle, the operation will be over soon. Don't be too nervous." Lu Chen said to the patient with a smile, "If you feel any discomfort during the operation, you must speak up and remind me in time."

"good."

Lu Chen was already very experienced in doing this surgery.

Pacemaker implantation is also one of the items that cardiac electrophysiology interventional doctors must master.

Disinfection, draping, puncture...

Everything went so smoothly.

"Lu Chen, after this operation is over, come and have a meal with me." Xiao Shikang on the side smiled and said, "I'll take you to meet a few people."

"Okay, thank you, Teacher Xiao." Lu Chen smiled.

Xiao Shikang is the deputy chief physician of a top tertiary hospital, and the people he knows must have high status.

In the medical circle, it is always good to know a few more people.

Lu Chen replied to Xiao Shikang, and then continued to focus on the operation.

After the puncture is completed, the guide wire is entered.

Lu Chen held the guidewire in his hand and entered it from the patient's puncture point.

On the display screen in front of the operating table, the guidewire had successfully passed through the subclavian vein.

Next, is the superior vena cava.

Lu Chen's hand gently pulled the guide wire and sent it into the blood vessel.

As long as the guidewire enters the superior vena cava, it can enter the heart directly.

Suddenly, Lu Chen felt a resistance from the guide wire in his hand.

The guide wire passed under the subclavian vein and could no longer go in!

"What's going on?" Lu Chen frowned.

From the subclavian vein to the superior vena cava, the guidewire should pass easily!

Lu Chen had never encountered such a situation before.

He gently turned the direction of the guide wire and applied a little force, trying to continue feeding the guide wire into it.

At this time, don't use too much force.

If you use too much force, the guidewire may injure blood vessels and even myocardial tissue.

However, Lu Chen tried four or five more times.

The guidewire was still stuck in place, unable to enter the superior vena cava.

"What's wrong?" Xiao Shikang also noticed something unusual during the operation.

"The guide wire seems to be stuck." Lu Chen frowned.

"Ah?" Xiao Shikang looked at the screen on the operating table. Sure enough, the guide wire was at the subclavian vein and could not be advanced forward.

"You can increase your strength a little bit." Xiao Shikang was afraid that Lu Chen would be too cautious, so he reminded him.

Lu Chen shook his head slightly and said, "Teacher Xiao, I've tried my best, but it's still not working. The guide wire doesn't move at all."

Xiao Shikang was also quite puzzled.

If a novice in electrophysiology intervention performs this surgery and encounters the problem that the guide wire cannot pass, he will definitely think that the surgeon's skills are not up to par.

But the magician in front of me is Lu Chen!

He can even do dry pericardiocentesis, is he going to be stumped by this small guidewire operation?

"Let me do it." Xiao Shikang put on his gloves and took over Lu Chen's position.

He held the guide wire tightly and also slowly pushed the guide wire in.

A resistance immediately came from his hand, and no matter how he adjusted the direction and angle of the guide wire's entry, the guide wire still remained motionless.

At this time, Lu Chen frowned and said, "Teacher Xiao, could it be that the patient's superior vena cava is blocked?"

Xiao Shikang was shocked when he heard this. If the patient's superior vena cava is blocked, he will be in big trouble!

He immediately adjusted the position of the X-ray vascular machine.

At this time, the patient's superior vena cava was immediately displayed on the operating table screen.

This superior vena cava has become abnormally narrow compared to normal blood vessels!

"I'll go, it's really blocked!"

The two looked at each other and saw the helplessness in each other's eyes. UU read www.uukanshu.net

If the superior vena cava is blocked, that means the surgical channel is blocked!

"Would you like to try again?" Lu Chen said slowly.

He doesn't have any confidence now. This kind of chronic blood vessel blockage cannot be solved by human power.

Xiao Shikang looked very helpless, and now he could only do his best.

Even if the guide wire can pass through by chance, can the subsequent electrodes pass through?

When Lu Chen saw that Xiao Shikang had no objection, he continued to try to push the guide wire in.

Ten minutes later.

Lu Chen's right hand was shaking slightly, and there was even sweat on his forehead and the bridge of his nose.

However, on the video screen of the operating table, the guide wire was still at the subclavian vein and had not moved at all.

"Exit the guidewire."

With Xiao Shikang's words, the operation failed.

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