I Can See Health

   Chapter 422 Accidents in Surgery

   This type of patient is definitely at risk of potential doctor-patient conflict.

   Then, Lu Chen couldn't let go of every doubt easily.

   Because once something goes wrong, there will be endless trouble.

   Don't look at the respectful appearance of the middle-aged man, but no one knows what he does behind his back.

   "Junior sister, our clinical thinking must not be disturbed by the outside world." Lu Chen said to Yao Jie, who was beside him. "Especially for this kind of patient who is said to be undergoing surgery, it is even more important to have a good examination."

   "Yeah, I see." Yao Jie nodded. She wrote down exactly what Lu Chen said to her today.

   in the doctor's office.

   Wu Lang's expression was a little ugly.

   After all, Lu Chen was the same age as him, the comparison between his peers. After the first round, he suffered a disastrous defeat.

   Actually, he also agreed with what Lu Chen said in his heart.

   But at that time, he was influenced by the patients and their family members, and he had tacitly agreed to do the surgery, and did not read the patient checklist carefully.

  …

  Lu Chen stayed in the third area of ​​the heart for a while, and then went to see the patient who was going to have atrial fibrillation ablation in the fifth area of ​​the heart.

  This second patient is nothing special.

  Lu Chen simply explained that "the recurrence rate may be relatively high", which is a topic that all ablation surgeries cannot avoid.

  In surgery, it is possible to ablate the origin of the arrhythmia as much as possible, but it is impossible to achieve 100%!

   Patients already have a basis for these arrhythmias, which may recur in the future.

   After seeing the two surgical patients, Lu Chen returned to the catheterization room.

   At this moment, Fang Ruzhang just came out of the coronary intervention catheterization room.

   "Brother Fang, there is a patient in your group who needs a pacemaker..." Lu Chen immediately gave a brief description of the patient's situation, "I think there is no thyroid function in the blood, it is best to check."

Fang Ruzhang heard the words and said in astonishment: "This patient's family is an acquaintance of one of my classmates. Before I could see the patient, I said that surgery might be necessary. I really did not expect that the patient did not even have thyroid function in the county hospital below. Check?"

   "I didn't check." Lu Chen shook his head.

   The level of diagnosis and treatment in primary hospitals is really uneven.

   A patient with a slow heart rate like this must actually have a thyroid function check.

   "Oh, thank you so much." Fang Ruzhang smiled helplessly, "I'll go to the ward in a moment, and I'll explain it to these students. If the operation is performed without checking the thyroid function, it will be a big deal!"

   Whether or not the patient has a problem with thyroid function, this is a violation of medical principles.

   Once the patient has any problems during hospitalization, the hospital will not be able to escape the blame.

  …

   Lu Chen spent the morning in the catheterization lab.

  Without surgery, he followed Xiao Shikang to study.

  Xiao Shikang is a senior deputy chief physician. Whether it is basic knowledge or interventional technology, he is a first-class existence.

During the    period, there was also a small episode.

   The coronary intervention patient that Director Wanjingshui personally performed had his hands swollen after surgery!

  Although this is a common complication of coronary intervention, it also makes Wanjingshui look a little bad.

   After finally doing an interventional operation, something went wrong.

   Fortunately, the stent surgery went relatively smoothly, and the patient didn’t say much.

the next day.

   Before ten o'clock in the morning, Lu Chen saw Fang Ruzhang running to the catheterization room out of breath.

   "Brother Fang, what's wrong with you?" Lu Chen wondered, even if there was an emergency coronary intervention, Fang Ruzhang would not be able to get it for the time being.

   "I came down to tell you..." Fang Ruzhang paused, "You saw that bradycardia patient yesterday, and the thyroid function result came out!"

  Lu Chen was slightly startled. Brother Fang was really serious. Halfway through the conversation, he could only ask one more question: "Is there any problem with thyroid function?"

"You're right, hypothyroidism! The surgery is canceled!" Fang Ruzhang grinned, then shook his head helplessly, "Fortunately, it was found out, if such a confused permanent pacemaker is installed, it is likely to be another medical dispute. ."

   The heart rate slows down due to hypothyroidism. As long as the hypothyroidism is cured, the heart rate will become faster, and there is no need to install a pacemaker.

   "Just check it out." Lu Chen said.

   "Yeah, his family is very happy, and the problem can be solved without surgery." Fang Ruzhang smiled, "He also said that he would come down to give you a pennant."

   "I don't want his pennant, just get cured." Lu Chen shook his head slightly.

   This kind of patient is two-faced, and Lu Chen's previous attitude towards Yao Jie is vivid in his mind, so he can't have anything to do with the family members of these patients.

   Fang Ruzhang said: "The next thing is the endocrinology department."

  …

   This patient is a very lucky case.

   The cause of the bradycardia was found in time, and a pacemaker was finally avoided.

   However, there are more patients who just went to the operating table in such a confused way.

   Yao Jie also sent Lu Chen a WeChat message, naturally a compliment to him.

   After such an incident, Lu Chen's reputation in the three districts in his heart is not small.

  Especially in Wu Lang's heart, Lu Chen seemed to be on the same level as Fang Ruzhang.

  You know, Fang Ruzhang is about to be promoted to Deputy Chief Physician!

  Wu Lang doesn't have any thoughts about Yao Jie now, so he should stay far away when he meets her.

  …

  Afternoon, two o'clock.

  Lu Chen ushered in his first operation in the catheterization lab, radiofrequency ablation of atrial fibrillation.

   This is also a relatively routine operation in ablation surgery.

  Lu Chen followed Xiao Shikang into the electrophysiology catheterization room.

   This time is not an assessment, but a real clinical treatment.

   First of all, Lu Chen told the patient about the risks of surgery again. (The consent form was signed before the operation, and we communicated again before the operation)

   After the patient expressed his understanding, Lu Chen started routine disinfection, drape, anesthesia and puncture.

   The surgery went well.

  Xiao Shikang looked on and nodded slightly.

   In fact, with Lu Chen's current interventional technology, he can operate independently.

   However, Xiao Shikang suddenly found that Lu Chen's movements were stagnant.

When the guide wire was about to enter the blood vessel, Lu Chen didn't move.

   "Why don't you continue?" Xiao Shikang wondered.

   At this time, Lu Chen stared at the screen in front of him, his eyes full of doubts and confusion.

The    screen shows where the guidewire enters the vessel.

   "Mr. Xiao, look at the image in the upper right corner!" Lu Chen whispered to Xiao Shikang.

  Xiao Shikang looked suspiciously at the place Lu Chen pointed, and after two seconds, his expression changed.

   On the image, there is a black area around the heart.

   "Is this pericardial effusion?!" Xiao Shikang frowned deeply.

   The amount is not much, but it is real!

   In normal people, it is absolutely impossible to have so much pericardial effusion.

  Lu Chen's heart sank to the bottom. The complication of electrophysiological intervention happened to be pericardial effusion.

   Could it be that the guide wire he used during the operation pierced the heart and caused pericardial effusion?

   (end of this chapter)