Mobile tool for medical drug equipment

As a doctor, I can tell you what might happen:

1. Let's start with the first bracket.

There are three blood vessels in the heart. If there are two blockages (100% lumen blockage), only one blood vessel supplies blood. If this blood vessel is narrowed or occluded again, the patient will indeed die immediately. If it is not 100% occlusion, then myocardial infarction may occur in the future, and the mortality rate of myocardial infarction is also very high. So, the brackets should be. But the decision is still in the patient's family. If the family refuses, no one will be forced.

2. My chest hurts again.

It should be acute thrombosis. As for the cause of thrombosis, it may or may not be the stent displacement you mentioned, but whatever the reason, acute stent thrombosis is a possible complication of stent surgery, which cannot be predicted in advance. And the patient showed chest pain symptoms after returning to the ward, indicating that the first stent implantation was successful.

3. Second operation.

According to the symptoms you described, the patient's condition is generally poor and critical, and there are indeed indications for emergency surgery. It is understandable to actively rescue patients.

4. Surgical path.

The second time was done on the leg, because it was an emergency operation, and the femoral artery path through the leg was easy to operate. In an emergency, I pay attention to race against time, so it is no problem to start with my legs.

5. It's bleeding.

(1) The second operation of femoral artery. When the femoral artery is punctured, the puncture needle penetrates the skin and pierces the femoral artery. When blood is ejected from the end of the needle, it is sent to the guide wire. At this point, a certain amount of blood will flow to the bed along the right groin.

(2) If it is acute thrombosis, the second operation will perform thrombus aspiration and draw a certain amount of blood.

(3) During the operation, when the guide wire, balloon and stent enter and exit the catheter entrance, some blood will flow to the operation sheet. If the surgical sheet is not waterproof, it is normal for blood to pollute the patient's body and mattress.

(4) Regarding the answer to hand washing water, the doctor you called may be just a nurse or an intern pushing a bed, not a surgeon, and I don't know the real reason. It's nonsense.

Stop the needle in 6.3 days.

To prevent acute thrombosis in stent, low molecular weight heparin should be used. It is ok to stop for three days. Because it increases the risk of bleeding.

7. About the cost.

According to the standards of 3A hospitals, the domestic stent1.2000, the imported stent1.9000, a balloon about 4000, and other guide wires, catheters, operation expenses and monitoring expenses1.5000. If you use two balloons and two stents for the first time, the cost should be 45,000-60,000, and if you use two balloons and 1 stent for the second time, it should be 30,000-40,000. In this case, your hospitalization fee should be around 80 thousand, depending on your father's medical insurance type.

8. About the cost of the second operation.

Your reason is not sufficient, because it is a complication, not caused by doctors and hospitals, so hospitals can't take the money. As you said, they are really talking about humanitarianism.

9. About the attitude of doctors

The doctor thinks that he has been wronged. He felt that he had worked for three hours in a sealed lead suit of 30 kilograms, risking his children and grandchildren (X-rays have teratogenic effects) to save a person. If he doesn't thank me, he will still blame me, and even if I lose money, everyone will be furious.

10. On resorting to law

You still feel wronged, you spent so much money, people almost died, and your attitude is still so bad that no one can stand it. It is the right of each of us to resort to the law, which is completely feasible. But I don't think you have a good chance of winning.