Chapter 643: Chapter 584: Affectionate and Righteous Chapter 643: Chapter 584: Affectionate and Righteous When Yang Ping arrived at the intervention surgery room, Qin Xiaowei sat on a bench outside, hunched over, hands buried in his hair.

When he heard footsteps, Qin Xiaowei raised head. Seeing Yang Ping was like seeing hope. He stood up immediately: “Professor Yang, Ajun is being rescued inside.”

Yang Ping patted his shoulder: “Don’t worry, I’ll go in and see.”

Ajun had previously suffered from a pulmonary embolism, but the symptoms were mild. At the time, the doctor said he was lucky. If luck was not on his side and a fatal pulmonary embolism occurred, the chances of successful rescue would be very small.”

Qin Xiaowei was both anxious and tired, his face covered in oily sweat and shiny.

He was right, the chances of successfully rescuing from a fatal pulmonary embolism are very low. It usually only takes two hours from onset to death.

The clot in a pulmonary embolism comes from a vein, usually from the vein in the lower extremities. The biggest danger of a clot is blocking blood vessels. If it blocks peripheral parts, it can cause vein reflux problems. Once the clot dislodges, it flows back to the heart with the venous blood, then from the heart into the pulmonary artery. The artery branches into smaller parts, at some point the clot can’t pass, it will block the pulmonary artery or the branch blood vessels.

When the blood vessels are blocked, a chain reaction occurs.

The sequential obstruction of the pulmonary artery causes a sudden increase in pulmonary pressure and a sharp drop in cardiac output.

This dramatic drop in cardiac output can cause circulatory failure, particularly acute right heart failure, leading to shock and insufficient blood supply to vital organs, such as cerebral blood vessels and coronary arteries, which can then cause fainting, even death.

A large amount of small clots can stimulate blood vessels to cause vagus nerve excitement, and stimulate platelets to release serotonin, thromboxane A2, etc. The nerve reflex will lead to spasm of the coronary artery, pulmonary artery, bronchial artery, pulmonary hypertension, right heart failure, and stubborn hypoxemia.

Having consoled Qin Xiaowei, Yang Ping entered the intervention surgery room with Song Zimo, leaving Xu Zhiliang, Takahashi, Robert, and the others outside.

The intervention physician moved quickly, and the angiographic image of the pulmonary artery had already appeared on the screen.

The chief surgeon was Director Ji. Director Ji and Director Guan were the two aces of the intervention department. Director Guan, the department head, had profound expertise in cardiovascular intervention. Director Ji, on the other hand, was versatile, performing almost all interventions surgery with extreme proficiency.

“It’s progressing very quickly. The main pulmonary artery is obstructed by the clot, I will first crush it, then use the thrombus ablation device to melt it, the remaining clots will be dealt with local drug thrombolysis.”

“Look, after I cleared this area, it’s like snowing again, becoming thicker instantly. I’ll have to crush it a bit more.”

“This doesn’t look good!”

Director Ji had worked with Yang Ping before, so they were quite familiar with each other.

“The diameter of pulmonary artery is normal, there shouldn’t be any spasm. It shows that the vagus nerve is not excited, there’s hope.”

Although Yang Ping had undergone a lot of intervention surgery training in the system operating room, he did not use it often in normal circumstances.

“Exactly, you doctors from your department discovered it early and acted quickly. He was lucky to have made it to the operating table on time.”

Director Ji was pleased with Li Guodong’s performance.

Li Guodong, standing aside said: “These are the basic requests Professor Yang usually have of us.”

It may seem like he was sucking up at this minute, but Li Guodong certainly did well this time. A few minutes of delay might lead to a completely different outcome.

Rescue is truly a race against time; seizing the opportunity could save a life, but missing the opportunity would lead to an irreversible situation.

Director Ji performed the surgery while speaking, crushing the large clots, then melting the remains with a thrombus ablation device. Finally, for the remaining clot, he injected alteplase into it using a catheter. The surgery result was very good.

With the timely elimination of the clot, coagulation function did not collapse completely; it was as though the snow had stopped, and no more snow accumulated on the wall of the blood vessels, naturally maintaining its smoothness.

After observing for several minutes and seeing no problems, Director Ji asked the doctor below the stage.

“What’s the oxygen saturation?”

Director Ji asked the doctor below the stage.

“Eighty percent.”

The anesthesiologist below the stage replied.

This wasn’t acceptable. This was with mechanical ventilation, pumping high flow of oxygen input.

High flow oxygen ventilation cannot be prolonged as it can cause oxygen toxicity.

“Connect the ECMO, quickly!”

As the blood oxygen level was not increasing, it was necessary to resort to ECMO (Extracorporeal Membrane Oxygenation). If the body remains in a state of low oxygen for a prolonged period, major organs, such as the brain, can suffer from oxygen deficiency.

Only the ICU has ECMO. Director Ji, being experienced, saw the CT images of Li Jun and knew instantly it was extremely dangerous. He contacted the ICU in advance and had an ECMO placed on standby in the operation room. It was now time to deploy it.

Without ECMO, this young man basically stood no chance.

After connecting to the ECMO, Li Jun’s blood oxygen started increasing, and it rose to one hundred percent.

The Extracorporeal Membrane Oxygenation (ECMO) device replaced Li Jun’s lungs, conducting artificial lung circulation.

“Send him to the ICU!”

Director Ji left the tidying up work to the doctors below and took off his gloves and surgical gown.

“Let’s go explain the situation to the family together.”

Director Ji invited Yang Ping to meet with the family.

When the two came out of the intervention surgery room, Qin Xiaowei immediately stood up and anxiously asked: “Professor Yang, how is it?”

Yang Ping calmly replied: “We’ve temporarily rescued him, but due to pulmonary infarction, he has developed persistent hypoxemia. He will need a special device to replace the function of his lungs to help him stick through the critical period.”

Upon hearing there was still hope, Qin Xiaowei did not hesitate: “Professor Yang, I agree. I’ll sign the consent!”

Before the surgery, Li Jun had written a letter of authorization for Qin Xiaowei, granting him full authority to make medical decisions during his hospital stay at Sanbo Hospital.