BXBX NOVEL Chapter 1397: 【1397】Particularity
Pan Shihua's gentle eyes changed, and his fair face was stained with a stern color.
Soon Jin Tianyu found that the seemingly weak classmate Pan didn't seem to be simple: this person is okay, he was not overwhelmed by his gaze.
A group of seniors in the control room scanned the two students in the operating room with sharp eyes, paying attention to their every move.
After finishing the previous preparations, Xie Wanying's right hand wearing sterile gloves pinched the ultra-smooth guide wire that Dr. Fang failed to reach the heart target.
As the name suggests, the ultra-slippery guide wire is super-slippery. It is made of special hydrophilic material. As long as it is dipped in water, it is very slippery, and it is easy to enter along the blood vessel. For diseased and narrowed blood vessels, having something like this increases the chances that the doctor will pass the guide wire through the middle of the stenosis, creating a successful balloon dilation and stenting success rate.
However, some doctors do not like to use this super-slippery material, and put forward the principle is to use an ordinary guide wire of non-hydrophilic material first. If the guide wire cannot pass through the lesion, a hydrophilic material can be selected. The reason is very simple. If it is too slippery, it is easy to stray into the small blood vessels of the branch. Especially for beginners, this degree is really difficult to grasp. Accidentally entering a small blood vessel will also cause a major accident. If the guide wire is torn in the blood vessel in the human body to form dissection bleeding, it doesn’t matter if you are a small blood vessel and a large blood vessel. The ultra-smooth guide wire will still bleed in small blood vessels, but if the diameter is placed there, it will burst the small-diameter blood vessels.
Dr. Fang’s choice of super-sliding guide wire is helpless. It is estimated that the coronary artery stenosis of the patient’s disease is very high. At that time, the ordinary guide wire will not be able to enter the diseased part, so it needs to be replaced with a super-slid guide wire. Back and forth, it is repetition and tossing.
can only continue to use the super smooth guide wire.
Jin Tianyu and the others did not forget that Xie Wanying should be holding it for the first time, and they were even more concerned about whether she could hold her hand firmly. Super smooth guide wire is not easy to control. The doctor should pinch it firmly to control its head not to walk around in the blood vessels of the human body. The walking path is always controlled by the doctor's hands and mind. Generally speaking, the doctor needs to practice hands-on experience. If you have no experience, you can rely on the hands-on experience and learned knowledge of similar operations.
A group of people carefully observed her hands-on posture, indicating that what she said she had watched the teaching video was true, and she could not say that she knew nothing about PCI.
Jin Tianyu, both confident and cautious, told her: "Go slowly, I know you seem to be sure, but don't be greedy."
She has a lot of experience with this kind of remote control equipment, including bronchoscopy, gastroscope and laparoscopy, so as long as the guide wire is placed on the tip of her finger, she can feel the feeling, her hand feel and her brain are all used to it. soon. Therefore, Senior Brother Jin saw her right, and what was even more fearful was that she saw that the attack would be quick as before.
The irritable Senior Brother Jin is now, um, more like the extremely slow Teacher Nie.
Technical gurus have the same characteristics, and they will appear more timid than ordinary doctors when they should be careful.
Senior brother must listen. Xie Wanying followed her brother's instructions, nodded, pinched the guide wire firmly with her fingers, fixed her eyes on the puncture port and the patient's entire left upper limb, and re-checked the roadmap she had deduced in her mind.
(end of this chapter)