After removing a layer of blood vessels, my mind became clearer. After the carotid endarterectomy, he sighed.

Several projects of the company are about to be launched, and his beloved daughter is about to take the high school entrance examination. Every day, 40-year-old Mr. Wang works like a machine. He dares not stop, and even takes a nap for fear of missing something.

However, while reviewing a project that day, he suddenly felt dizzy. This feeling had never happened before, as if his soul was about to leave his body.

After closing his eyes and resting for more than ten minutes, he felt a little better, but his head was splitting. This time, he couldn't hold on any longer. With his knowledge, he thought he might be really tired. So he lay on the bench in the office and rested as much as possible.

However, the coma did not completely subside until 6 o'clock in the evening. This time, he finally made up his mind to go to the hospital for a check-up.

At this time, the hospital's normal reception hours have passed, so you can only go to the emergency department.

Seeing this young man in front of us, everyone seemed to have no idea what disease he could have. But when the test results came out, everyone was shocked: one of his carotid arteries was almost completely blocked, and the other side was also thickened. Obviously, his dizziness and other symptoms could be explained by this.

Medicine is scientific, and there is no disease without reason. After examination, it was found that his blood sugar was abnormal and his blood lipids were high. In addition, he smoked for many years and had irregular rest, which might be the cause of his blood vessel problems.

The emergency doctor immediately contacted the neurology department, and the neurology doctor on duty quickly admitted him to the hospital.

When he saw the hospitalization notice, he wanted to argue with the doctor. The doctor said: "Do you want to live or work?" This sentence choked him back.

That is to say, he relies on his youth, but even if the blood vessels in this area are not good, the blood vessels in other places can compensate, so his blood pressure is not as serious as imagined, it's just that the low pressure is a little higher.

The day before the operation, the anesthesiologist checked his various test indicators again and asked a lot of questions. Just as he was wondering, the doctor in charge told him: This operation must be performed under general anesthesia. During the operation, the anesthesiology department is responsible for ensuring safety. Especially for this operation, the anesthesiology department's control of blood pressure and elimination of stress reactions are the key to the success of the operation.

On the day of the operation, he saw a real operating room for the first time in his life, but this operating room seemed a bit advanced.

That's true, because the operating room he was in was a DSA operating room. During the operation, the operation could be guided by images at any time. Therefore, the equipment was much more advanced.

After entering the operating room and confirming his name again, anesthesia began.

In order to prevent excessive circulatory fluctuations from affecting cerebral blood supply, anesthesiologists use vasoactive drugs to counteract the effects of anesthetics on blood pressure.

If it were any other surgery, such surgery would not require postoperative analgesia. Because the trauma is so minor, most people would not feel anything and would not spend so much money in vain. But this surgery is different. Postoperative pain can completely affect circulatory stability. The stress caused by pain will also increase the burden on the heart.

Because he is still young, his heart and blood vessels are not yet in good condition. If the heart and blood vessels are affected, a little stress response may lead to perioperative cardiac events. Therefore, postoperative analgesia must be done well.

Taking this into consideration, the anesthesiologist performed cervical plexus blockade on him on the basis of general anesthesia. In this way, the local pain was effectively blocked, and the stress caused by the pain was controlled.

The operation lasted just over an hour, but multiple details ensured its success: when dealing with the carotid sinus, the anesthesiologist gave heart rate-raising treatment in advance to prevent sinus bradycardia; after the blood vessels were reopened, the anesthesiologist prepared various long-acting and short-acting vasoactive drugs early to prevent hyperperfusion syndrome.

After the operation, in order to allow him to recover stably, he was not rushed to wake up. When he met the conditions for deep anesthesia extubation, the anesthesiologist removed the tracheal tube in his trachea that might cause him discomfort.

Another half an hour later, he had some reaction.

The day after the operation, he said that his mind had become clearer and he was now more efficient at work. Hearing this, no one knew how to persuade him. Treating and saving lives is the strength of medical staff, but it is up to him to balance his career and health.

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