Suddenly, everyone watching took a breath involuntarily.
Just now, the patient's arm seemed to be slightly rotated inward, and one could almost hear the guide wire slid into the subclavian artery, indicating that the patient had successfully completed this strange and high-risk path in his upper limb.
The upper limb is internally rotated? Shouldn't the upper limb be abducted?
The patient's routine intraoperative position is with the upper limbs abducted, which makes it easier for the doctor to pass the guide wire from the axillary artery into the subclavian artery.
The axillary artery is a continuation of the subclavian artery, and is renamed the brachial artery when it reaches the arm. It has a complex anatomical structure and is hidden deep in the curved axilla. Its projection on the body surface requires the upper limb to be abducted to a horizontal position. Moreover, each segment of the axillary artery has vascular branches, and the number of branches varies greatly. For doctors, abducting the arm at this time is conducive to straightening the axillary artery so that the guidewire can pass through.
Xie Wanying and her team did not completely pull the patient's arm back to the side of the chest, but just slightly rotated it inward. This strange method has a miraculous effect. This shows that the direction of the patient's blood vessels is quite strange. It would be difficult to understand without a comprehensive perspective of the patient's blood vessels from multiple angles.
Doctor Fang thought clearly at this moment. His brain was not as smart as the two medical students. Even the most experienced doctors can only rely on their brains when encountering special cases. So he said to the two medical students: "Perform the X-ray. If there is no problem, give it back to us to continue."
"Just give it up." Jin Tianyu said angrily, asking him not to be so shameless.
Doctor Fang said nonchalantly, "I just don't want them to stay here too long."
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The two juniors are very talented and should be cherished. Young people who are not married should not stay in the interventional room for too long. Now that the most difficult period is over, the doctor from the other side should be able to take over next.
"Don't turn on the phone, it's okay." Jin Tianyu said. Remembering the promise of the junior sister, he was willing to let them continue to try. It is difficult for interns to encounter such a practice opportunity. The teacher can give them as many opportunities as possible at this time.
The cell phone rang again.
Everyone looked at Fu Xinheng and saw him pick up his phone again. They knew who was calling.
Dr. Xu asked impatiently from the other end of the line: "Dr. Fu, how is it? Has the patient been transferred to the surgical operating room?"
"No, I'm doing PCI." Fu Xinheng said.
"Are you still doing it?" Dr. Xu asked twice in disbelief.
Fu Xinheng didn't have time to explain. He looked at the two medical students in the operating room and saw that they had stopped what they were doing.
This should be the end point where the guidewire reaches the heart.
Xie Wanying held the guide wire firmly in her hand, not daring to let go easily, and a layer of sweat broke out on her back.
I was nervous and had no experience wearing a lead vest for the first time, so I couldn't control the pressure of the weight.
During the time of delivering the guide wire, she felt like she had run a track for more than 20,000 meters, which was a bit tiring.
Pan Shihua, who was standing not far from her, was not much better. A clear crimson sweat oozed from his clean forehead, and his nostrils behind the surgical mask seemed to be breathing slightly, as if he was mentally more tense than her, like a thread that was about to break.
Unlike her, a famous top student, he, an unknown intern, had never had such an opportunity to go on stage. He could not think as well as her, so he could only follow her strategy. Time was short and required immediate response. He could not figure it out by himself and make a correct judgment before cooperating with her. Therefore, he was not very sure about his own operation. First, he was afraid that she would make a mistake and he would make the same mistake. Second, he was afraid that he would misjudge her thinking and do the wrong thing.
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