I Can See Health

  Chapter 166 Is perfusion effective? (The third update yesterday)

After    Wang Zihao accepted the WeChat transfer, Lu Chen felt a little relieved.

  The 3M stethoscope in my hand is not so hot.

   Changed the white coat and came to the doctor's office.

   Replaced the Yuyue stethoscope on the neck and put on a brand new 3M stethoscope.

   Sure enough, expensive things are good.

  Lu Chen felt that his temperament was different.

   "Junior Brother, your new stethoscope is pretty good."

  Sun Guoguo saw Ke Lu Chen's 3M stethoscope at a glance.

   It seems that the junior and junior brothers are really not short of money and can use such a high-end stethoscope. She has only seen it at Teacher Li Yao.

  Lu Chen smiled and said nothing.

  Be low-key…

  …

   Finished the class.

  The most important thing this morning is Zhang Fengying's hypertrophic cardiomyopathy ablation surgery.

   "Mother-in-law, let me explain the precautions and risks of ablation surgery again."

  Lu Chen came to the hospital bed and took the trouble to communicate with Zhang Fengying and Yuan Hang about the risks of surgery.

   "The risk of surgery is that it may lead to acute myocardial infarction, malignant arrhythmia, and even the risk of sudden death..."

   "Doctor Lu, you've explained it many times, and I'll memorize it." Zhang Fengying smiled, "Everything depends on your arrangement."

   "That's good." Lu Chen nodded, "Mother-in-law, wait by the hospital bed first, a nurse will come to pick you up to the catheterization room soon."

nine in the morning.

   The nurse from the catheterization room came to pick up Zhang Fengying on time.

   Yuan Hang helped push the bed and went to the CCU catheter room on the fourth floor with Zhang Fengying.

  The surgeon is arranged by the cath lab.

   Now, Lu Chen is waiting for the final result.

   After getting along these days, Yuan Hang has greatly improved Lu Chen.

   The aura of "Professor Lu Chen" has faded, and now it is the young doctor Lu Chen.

   The young Lu Chen is more real and full of sense of responsibility.

   In addition, since Lu Chen told Fan Zhiping on WeChat that "patients came to the Second Jinghua Hospital".

  Fan Zhiping never took the initiative to contact Lu Chen again.

   Even if there was a difficult and interesting electrocardiogram in the Jinghua Electrophysiology Group, Fan Zhiping did not speak.

  If we say, the former Fan Zhiping was a talker in the group.

   But now, he is a squid who loves to dive, and he almost stops bubbling.

   "It is estimated that my identity was discovered by him, then it would be embarrassing." Lu Chen couldn't help but guess.

   But he didn't care.

   In line with the original intention of improving the ECG level and earning gratitude points, he is still active in the electrophysiology WeChat group every day.

   It hasn't been a month since he entered the group chat.

The title    "Professor Lu Chen" is already quite loud in the group.

  …

  11:30 AM.

   Zhang Fengying's ablation operation was over and she returned to the eight areas of her heart.

   "Mother-in-law's surgery was a success!"

   On the hospital bed, Zhang Fengying was still a little weak.

   But when she heard Lu Chen's words, she grinned, "Thank you Dr. Lu."

  Lu Chen picked up his 3M stethoscope and auscultated Zhang Fengying's heart valve area.

   "The murmur was significantly reduced compared to preoperatively."

   In patients with hypertrophic cardiomyopathy, pathological murmurs can be heard in the heart valve area.

  After the ablation operation, the obstruction will be reduced and the murmur will be weaker.

   "Doctor Lu, thank you so much." Yuan Hang was excited, "Well, when will my mother be discharged from the hospital?"

   is another timeless topic.

   As soon as the surgery was done, I was thinking of leaving the hospital.

Lu Chen smiled, "Although the operation was successful, I still have to beware of postoperative complications, such as acute myocardial infarction, high-grade atrioventricular block, and other malignant arrhythmias. I usually observe it for a week, and there is no problem, mother-in-law. I can leave the hospital."

   This time, Yuan Hang nodded very cooperatively: "Doctor Lu, I'll listen to you. If you want to stay for a week, it's a week."

   Next, the most important thing is to perfect the cardiac ultrasound.

   Echocardiography is the most non-invasive test for understanding the structure of the heart.

   After surgery, the effect of surgery can be further evaluated.

  Sun Guoguo directly requested a bedside emergency cardiac ultrasound.

   Bedside echocardiography showed that the pressure gradient of the left ventricular outflow tract decreased significantly to 30 mmHg, the contraction of the hypertrophic myocardium in the ventricular septum was weakened by ultrasonography, and the left ventricular outflow tract widened.

   "Well, the effect of the operation is good." Sun Guoguo read the echocardiography report, "Let's be discharged on a scheduled date and review it regularly."

   "Okay." Lu Chen nodded.

   "Congratulations, +1 for the thank you from Yuan Hang!"

   "Congratulations, +1 for the thank you from Zhang Fengying!"

The    system prompt made Lu Chen very happy.

  Zhang Fengying is regarded as the first "fan" in the true sense on his way of practicing medicine.

   Now the task has been satisfactorily completed.

  …

   Busy day in clinic.

  Lu Chen went to the Second Academy Skills Center again in the afternoon.

   This time, Dai Wansong did not continue to block.

   Since the last time the school released the latest awards, everyone has been working hard to enter the school team and get a good ranking.

  Lu Chen's arrival did not attract everyone's attention.

   He came to the corner alone and started training on basic skills.

   The system panel keeps popping up prompts:

   Skill proficiency increased...

   Skill proficiency increased...

  …

   After the proficiency of some basic skills has risen to 80%, he will finish the smooth training and leave the skill center.

   After dinner, go back to the bedroom.

   At present, Lu Chen still has the last universal card for virtual training. He wants to further improve the skill operation of internal medicine.

  Thinking of this, his consciousness entered the virtual space training and began to carry out targeted internal medicine training.

   After using this universal card for two hours, he should be able to complete 1/3 of the operation of the internal medicine system.

  …

   Fengmei County People's Hospital, Department of Cardiology.

   "Damn it, how did the emergency department take this drug-poisoned patient into our hearts?"

   When Fan Zhiping saw the patient in front of him, he couldn't help cursing the emergency room.

   He was on the night shift today, and just after he took over, the emergency department sent him a patient who was drinking medicine.

   Female patient, 17 years old, took 50 tablets of propafenone, 1 bottle of atenolol, and some adenosine triphosphate orally one hour ago.

  The patient's condition is not very good, and the spirit is extremely lethargic, and he complains of persistent palpitation and chest tightness.

   After gastric lavage in the emergency department, he was immediately sent to the cardiology department.

   "Director Fan, all she takes are anti-arrhythmic drugs, so she brought it to you." The emergency doctor quickly explained that Fan Zhiping's face was not very good.

  The patients have all been brought here, what else can Fan Zhiping do?

   "This is an electrocardiogram taken in the emergency room." The emergency doctor handed the electrocardiogram to Fan Zhiping, "I look like atrial fibrillation."

  Fan Zhiping took the electrocardiogram and frowned.

   The electrocardiogram showed rapid atrial fibrillation and wide QRS, which was consistent with the electrocardiographic manifestations of propafenone poisoning and atenolol poisoning.

   But their cardiology department will not treat overdose of this drug!

   "Invite the nephrology department and ICU emergency consultation immediately to see if blood perfusion can be done!" Fan Zhiping ordered immediately.

   "Received!" The nurse on duty responded and started contacting the relevant departments.

  In the emergency department of the primary hospital, there is no ability to diagnose and treat drug poisoning. Most of the poisoned patients are sent to the nephrology department, or it is recommended to go to a higher-level hospital.

   Consultants from nephrology and ICU came quickly.

   Doctors in both departments were hesitant about blood perfusion.

   "The patient's blood pressure cannot be stabilized, and the effect of blood perfusion is not good!"

   "Director Fan, should the patient be transferred to a higher-level hospital?"

  Fan Zhi was anxious.

   "Don't be silly, the two of you. If the patient's family members are willing to transfer to the hospital, they won't be admitted. And now the patient's blood pressure is unstable, and something happens on the way to the hospital, what should I do?"

The doctor who consulted in the ICU shook his head helplessly and said, "Director Fan, we have never seen this kind of drug poisoning. The blood perfusion costs tens of thousands of dollars once it is on the machine, and it is not reimbursed, and the effect is uncertain. If the family insists on Perfusion, you can come to our ICU."

  The ICU and the nephrology department have written consultation opinions, and blood perfusion is performed when necessary.

  Fan Zhiping is very helpless, isn't this the equivalent of not writing anything?

   Outside the doctor's office, the patient's family members are still urging outside, wanting to understand the condition and know the next step for treatment.

   "What should I do in the end?" Fan Zhiping didn't have a clue in his heart either.

   He was stunned for a moment, thinking of the Jinghua Electrophysiology Exchange Group.

   Now I can only try it out.

  Fan Zhiping posted the electrocardiogram and the medicine the patient was taking to the group with text.

   "Is the perfusion effective after taking these medicines?"

   Since the last time he communicated with Lu Chen, he finally bubbled up in the group again.

   Yesterday, I updated the guaranteed three watches, and I will update it when I take a break.

   (end of this chapter)