I Can See Health

   Chapter 427 Thrilling

   On the hospital bed, the patient's face was full of pain.

  Lu Chen stepped forward immediately and walked to the operating table.

   At this point, the patient was already lying on the operating table, and the surgeon who performed the puncture had already completed the puncture.

   "What's going on?" Lu Chen frowned tightly.

   A little nurse next to the hospital bed said, "The patient had another episode of ventricular tachycardia just now, and his blood pressure dropped to 60/40mmHg!"

  Ventricular tachycardia, a highly malignant arrhythmia with a very high mortality rate!

  If an ordinary person has a continuous burst of ventricular tachycardia, it is very dangerous.

   Not to mention, this kind of continuous ventricular tachycardia, the patient may go into shock at any time, or even die suddenly!

   "The patient's ventricular tachycardia has been terminated, but the blood pressure has not come up, and he is still in a state of shock."

   Only then did Lu Chen understand the reason for the three minus signs of the patient's life value.

  If the ventricular tachycardia is allowed to occur and the blood pressure collapses, the patient's life value will definitely continue to decline.

   "Time is running out. When blood pressure rises to normal, start dry pericardiocentesis immediately!" Lu Chen said solemnly.

   "Okay." Yu Hewei nodded solemnly and brought the pericardiocentesis kit.

   This time, although Lu Chen was only an assistant, he was actually the real chief surgeon, and Yu Hewei was his assistant.

   Since the last time he encountered this "epicardial" ventricular tachycardia, Lu Chen went back and conducted targeted simulation training.

  Dry pericardiocentesis is very difficult because there is no effusion.

  The direction of the guide wire must be very precise. If you are not careful, you may poke the heart or coronary vessels!

   After several more training sessions, Lu Chen finally mastered this skill.

  …

  After the ventricular tachycardia was terminated, the patient's blood pressure gradually recovered, and the ablation operation officially began.

  With Yu Hewei as an assistant, Lu Chen did not need to do the disinfection and drape before the operation.

   Until the puncture step, Yu Hewei gave way.

   "Lu Chen, please be steady, if there is any abnormality, we will withdraw the guide wire!"

  Outside the catheter room, Qin Sifeng said into the room through the microphone.

  Lu Chen didn't look back, just nodded slightly in response.

   Recalling the training process in the simulated surgery room, Lu Chen took a deep breath and his eyes were unusually firm.

   Beside, Yu Hewei even sensed that Lu Chen's aura had changed.

   This kind of self-confidence, he thought he was inferior to Lu Chen.

   Holding the puncture needle in his right hand, under the guidance of the ultrasound probe, Lu Chen began to perform pericardiocentesis.

The    needle penetrates the skin and enters the pericardium layer by layer.

  Lu Chen's movements were very gentle, not at all sloppy.

  Everything seems to be going in a good direction.

   But at this moment, the ECG monitor next to the patient heard another "didi" alarm!

   "Oops, room speed again!" Yu Hewei screamed secretly.

   Outside the catheter room, everyone saw the changes on the ECG monitor.

   On the ECG monitor, everything turned into a ventricular tachycardia waveform!

   What worries everyone is that the patient's blood pressure has collapsed again!

   From 100/60mmHg just now, it has dropped directly to 50/30mmHg.

   On the operating table, the patient made a groaning sound of "woo woo".

   There was ventricular tachycardia during the operation, which is really terrible!

   "What should I do? Pull out the guide wire?" Yu Hewei turned to look at Lu Chen.

  Forcibly puncture, this risk is not ordinary.

  If the patient has a large movement, it is very likely that the guide wire will penetrate into the pericardium, and the gods will be hard to save!

   However, if the guidewire is withdrawn, the next puncture may be more difficult.

   Moreover, there is no guarantee that the patient's arrhythmia will not recur during the next operation!

  Lu Chen also noticed the sudden change, he didn't hesitate, and the movement of his hand was not slow at all.

   "Brother Yu, look at my operation. Once I find the origin of VT, you will cooperate with me and perform the ablation immediately!"

   "Huh?" Before Yu Hewei could react, Lu Chen completely penetrated the guide wire into the pericardium.

   The ECG map next to the operating table has begun to show the origin of the arrhythmia.

   "Quick, discharge ablation!" Lu Chen said quickly.

   Yu Hewei's brain was a little empty at this time, but he still followed Lu Chen's words and mechanically performed the discharge ablation operation.

   "Nurse, open another venous channel!" Lu Chen said, "Then use a set of dopamine to stabilize blood pressure!"

"receive!"

  …

  Conduit outdoor.

   Everyone's mood was even more nervous than Lu Chen and Yu Hewei in the catheterization room.

   But in addition to being nervous, everyone also started talking.

   "Lu Chen really dared!"

   "Perhaps few people dare to perform radiofrequency ablation during ventricular tachycardia, right?"

   "Which hospital did Lu Chen come from?"

   "I remember it seems to be from Jinghua. He is still in graduate school. This kind of talent, I want our director to poach it!"

  Qin Sifeng looked at the calm and calm Lu Chen, and his heart was very hot. At this moment, he especially wanted to dig Lu Chen to their First Affiliated Hospital of Kyoto University.

   "Ou Yangming, what an old guy, he really had **** luck!" Qin Sifeng shook his head helplessly.

   The ability that Lu Chen showed was not only his skillful operation technique, but also his adaptable, calm and calm mentality!

  Technology is important, but as an interventional surgeon, what is more important is this kind of mentality.

  …

   Catheter room.

   Lu Chen's forehead was oozing with sweat. In such a high-risk situation, it would be a lie to say that he was not nervous at all.

  The good thing is that He Wei cooperated very well. Halfway through the ablation, the patient's ventricular tachycardia finally stopped!

   Following this, blood pressure also rose to 90/60mmHg.

  Lu Chen breathed a sigh of relief.

   "Brother Yu, let's ablate." Lu Chen said, "I just detected that there are many origins in the epicardium, and there are also in the endocardium. It may be necessary to perform bilateral ablation!"

   "Okay!" Yu Hewei nodded, and his face finally returned to normal.

   Just now, he was frightened by Lu Chen's actions.

   He asked himself, if this happened to him, he would definitely stop the operation and not take such a risk!

   But risk and outcome are proportional.

Almost all origins of    patients in the epicardium have been found.

   On the operating table, the patient's condition has calmed down.

   His HP also increased gradually from the previous 54.

   The three minus signs after the health value have also become one!

   "Let's induce again!" Lu Chen ordered.

  How to determine successful ablation?

   At this time, artificial induction is required. If arrhythmia cannot be induced, it will prove initial success.

   "Received." Yu Hewei nodded and began to inject drugs into the patient for induction experiments.

One minute……

  Two minutes…

five minutes……

ten minutes……

   On the ECG monitor next to the operating table, the patient's heart rhythm is always in sinus rhythm, and no string of ventricular tachycardia can be seen!

   "Congratulations, the completion of the system upgrade has increased!"

   "Congratulations, +1 for receiving Yu Hewei's thanks!"

   "Congratulations, +5 for receiving Qin Sifeng's thanks!"

  “…”

   A series of system prompts sounded, and Lu Chen's face also showed a sense of relief.

   Epicardial ventricular tachycardia ablation, successful!

   At the same time, outside the catheter room, there were bursts of exclamations from the crowd.

  I don't know when, all the other interventional doctors in the catheter room came to watch.

   "Fuck! It's really amazing, which master brought out this little doctor?!"

   "At his age, I don't even know what radiofrequency ablation is!"

   "This doctor is young, so he probably doesn't have a girlfriend yet. I beg for his contact information!"

  …

   (end of this chapter)