I Can See Health

   Chapter 484 ECMO

  CCU ward, doctor-patient communication room.

   A middle-aged woman in her forties stood in front of Zhou Bin.

   Her eyes were already very red and swollen from crying, and her eyes were bloodshot, and even her voice was hoarse.

   She gently pulled on the cuff of Zhou Bin's white coat, as if pulling the last glimmer of hope.

   "Doctor, how is my daughter?"

   Zhou Bin said softly: "Temporarily out of danger, but the situation is still very critical."

Hearing the first sentence, the middle-aged woman breathed a sigh of relief, but when she heard the word "critical" again, her heart raised in her throat again, "Doctor, you must save my daughter! I beg you. !"

   "Auntie, don't get excited yet." Zhou Bin comforted, "We are doing our best to treat now, and we may need to use a machine next. I don't know if you have heard of it, it is ECMO."

The    middle-aged woman shook her head, "I'm not literate, I don't understand anything, doctor, just tell me how much it will cost next!"

  Lu Chen stood behind Zhou Bin, and when he heard the words of the middle-aged woman, his heart was not very good.

   "Auntie, so, let me briefly tell you about the patient's condition first." Zhou Bin said, "Our current diagnosis is fulminant myocarditis, which may be caused by your occasional cold some time ago, causing persistent damage to the myocardium."

   "Cold?" The middle-aged woman asked suspiciously.

   "Yes!" Zhou Bin nodded, "It's just a common viral cold, which persists for a long time. It is very likely to cause damage to the myocardial tissue and cause critical diseases such as malignant arrhythmia and acute heart failure."

"It's all my fault. I thought the cold was just a minor illness, and I didn't care much." The middle-aged woman looked down, her eyes filled with remorse, "Today she said she had chest tightness, so I sent her to the hospital, it's all my fault, it's all me wrong."

"Don't talk about it yet." Zhou Bin stopped the middle-aged woman from complaining, "Because your daughter has severe heart failure, that is, the heart has almost no function. So the next treatment needs to use ECMO, this machine put it plainly, It is an artificial heart that replaces the heart and maintains the functioning of the body.”

   The middle-aged woman's face darkened, "How much does it cost?"

   "As long as the ECMO machine is used, it will cost at least 20,000 yuan." Zhou Bin said, "This is not the most important thing. As long as the machine starts running, the daily cost is tens of thousands of yuan, and this does not include other treatment costs in the CCU."

   "How many days will this machine take?" the middle-aged woman asked.

   "This depends on the patient's condition. When the condition improves, we can try to remove the machine."

   "If it's not good all the time, don't you want to use it all the time?"

   "Well." Zhou Bin nodded.

   In the doctor-patient communication room, the atmosphere was a little heavy.

   For an ordinary family, this is undoubtedly a huge sum of money.

   However, children represent the hope of a family.

  People, it is impossible to give up hope.

   After a long while, the middle-aged woman slowly raised her head.

   "Doctor, I agree to use the machine, and you will be treated first. I will pay part of the money immediately. I will also pay the rest in batches."

  Lu Chen knew that her silence and hesitation were not thinking about whether to cure or not, but thinking about how to raise funds.

   "Okay, then you sign the informed consent form and the operation consent form." Zhou Bin said, "Then we will start ECMO."

  The middle-aged woman picked up the pen and signed her name on the consent form without hesitation.

  …

  CCU Ward A Ward, the 8th rescue room.

   ECMO implantation team is in place.

The leader of the    team is the deputy chief physician Ren Feng, one of the young representatives of interventional therapy in the Second Beijing Hospital.

   Zhou Bin is also a member of the team, as well as doctors such as Li Qinghua and Li Hui.

   "The family agreed?" Ren Feng was already fully armed.

   "Well, I agree to get on the plane." Zhou Bin nodded.

   "Okay, then let's start." Ren Feng gave an order, and all the doctors in the group were ready to go.

  The ECMO machine has also been pushed over.

   "The patient has been sedated and can start the operation." said the nurse tube bed.

   ECMO treatment, the patient's blood is drawn from the femoral vein, after membrane oxygenation, and then infused through another tube through the internal jugular vein and returned to the human body.

   The heart has no power to pump blood, and ECMO takes its place, pumping blood to the whole body.

   After the damage to the heart from fulminant myocarditis has recovered, ECMO can be withdrawn step by step.

   In short, ECMO is a chance for the heart to breathe together.

   This time does not need to be long, but it is often very important!

  …

  Due to the complicated process of getting on the ECMO machine, medical staff must prepare carefully for medicines, machinery and equipment, and surgical equipment.

   After more than an hour, these preparations were completed.

   "Start the puncture of the passage." Ren Feng's eyes narrowed.

   This is the most important part of the entire ECMO implantation.

   "Brother Feng, the patient's blood pressure is not high, and blood vessels may be difficult to find." Zhou Bin said.

   "I'll try it first." Ren Feng said solemnly.

  The blood pressure is not high, just like there is no water in the water pipe. At this time, the blood vessels will become deflated, and it is difficult to have a successful puncture.

  Ren Feng put on gloves, held a puncture needle, and started looking for the girl's femoral vein.

  The femoral vein in the thigh, along with the femoral artery.

   When normal, arterial pulses are easily palpated.

   But for the girl at this time, her arterial pulsation was too weak.

   "It's really hard to find blood vessels." Ren Feng frowned, "Let the ultrasound department take a look."

   He searched for five minutes, but he couldn't find the pulsation.

   Vascular ultrasound and cardiac ultrasound are different.

  CCU doctors may do cardiac ultrasounds, but may not be very good at ultrasounds involving blood vessels.

   "I have informed the sonographer." Zhou Bin said, "They are positioning a pericardial effusion upstairs, and it may take ten minutes to come down."

   "Okay, then wait ten minutes." Ren Feng said.

   Zhou Bin looked like he was hesitant to say anything.

   "Is there any problem?" Ren Feng asked in confusion.

   "Lu Chen seems to be able to do vascular ultrasound. Would you like him to try it?"

   Zhou Bin's words made everyone stunned.

   "Lu Chen?" Ren Feng raised his brows, "Is that Lu Chen from the eighth district in his heart?"

   "Well." Zhou Bin nodded, "He just happened to be transferred to our CCU."

   If it is other students, people may ignore it, or laugh it off.

   But, this person is Lu Chen!

   "Are you sure he can have an ultrasound?" Ren Feng glanced at Zhou Bin beside him.

   "Brother Feng, I only found out yesterday." Zhou Bin said, "He used ultrasound to successfully diagnose a case of aortic dissection."

   Ren Feng was stunned. Ultrasound diagnosis of aortic dissection?

   The doctor of the ultrasound department may be able to, but after all, the doctor of the cardiologist is not a professional, it is really not easy to be able to achieve this level of cardiac ultrasound.

   "Okay, let him start, shall we."

  …

  CCU ward, doctor's office.

  Lu Chen really wanted to see the ECMO implantation process.

   But the entire rescue room No. 8 was surrounded by doctors, and it was rare for him to see the puncture process, so he could only give up.

   "Lu Chen, Teacher Zhou called you to grab 8!"

   Suddenly, Fatty Cheng walked into the office quickly.

   (end of this chapter)