I Can See Health

   Chapter 506 Ceiling of the Second Courtyard of Jinghua

   Back to the doctor's office.

   Before Lu Chen's buttocks were getting hot, Senior Sister Sun Guoguo came in suddenly.

   "Senior sister, why are you here?" Lu Chen immediately stood up.

  Sun Guoguo said solemnly: "A heavyweight patient will come later, Director Cao, Director Cheng, and even the Dean will come over."

  Lu Chen was taken aback, what kind of patient is this?

   Even the leaders of the hospital rushed over.

   "I heard that he is the leader of the hall, but I don't know the specifics." Sun Guoguo said, "I only know that an emergency coronary angiography may be required."

  There is such a rule in the hospital's regulation system.

   Surgery involving important foreign guests or important leaders, no matter the size of the operation, is a major-level operation!

   "Is the patient seriously ill?" Lu Chen asked.

  Sun Guoguo nodded slightly, "Anyway, it's not too bad. I have a history of coronary heart disease in the past, but this time I have chest pain again."

   Hearing that the provincial and ministerial leaders were coming to the hospital made everyone nervous.

  …

  Lu Chen writes medical records and sees patients as usual.

   Less than ten minutes.

  CCU's door was opened again.

  Lu Chen saw a group of people crowded around a hospital bed and entered the CCU ward.

  CCU's doctors and nurses have long been prepared.

   Graduate students and regular trainees simply can’t get involved.

  Lu Chen couldn't even squeeze in, and he couldn't even see the front of the patient.

  The hospital bed stayed at the gate of the CCU for a few minutes, and was quickly pushed to the catheterization room next door.

   It's come and gone!

  …

  Liu Han glanced at the place where the hospital bed left.

   "Junior Brother, what kind of big man do you think he is?"

   "Who knows..." Lu Chen smiled, "No matter how old he is, it has nothing to do with us."

   "That's true." Liu Han curled his lips, "But the leaders of this kind of hospital are really active. Whenever there is trouble, they all come over. I just heard that Director Cao is going to perform surgery in person."

  Cao Zhiying, as the director of the Cardiology Department of Jinghua Second Hospital, under his leadership, Jinghua Second Cardiology Department has developed rapidly and has become the top ten cardiology specialists in the country.

   However, due to factors such as the geographical environment, the development of Jinghua Second Hospital has reached a bottleneck.

  Cao Zhiying also moved from the academic field to the official field early.

   Nowadays, Cao Zhiying is rarely seen in Jinghua Second Hospital.

   All his energy is now running for the election of an academician.

   "I remember Director Cao, it seems that he hasn't had surgery for many years." Lu Chen wondered.

   "That's right!" Liu Han nodded, "Most of the operations are now done by Mr. Ren Feng, and Director Cao mostly guides him, and rarely does it himself."

   But this time, in order to show the importance of leadership, Cao Zhiying had to do it herself!

  …

   Jinghua Second Hospital, Cardiology Catheterization Laboratory.

  Cao Zhiying had already put on all the surgical gowns and lead gowns, and Ren Feng served as an assistant.

  As the leader of the younger generation of the Cardiology Department of the Second Hospital of Jinghua, Ren Feng's interventional surgery ability is within the scope of the Second Hospital, and almost no one can surpass him.

   "Director, I'll finish the puncture first, then you go?" Ren Feng said.

   "No, I'll start from scratch." Cao Zhiying shook her head slightly, "Give me the puncture needle."

   "This... okay." Ren Feng had no choice but to hand the puncture needle to Cao Zhiying.

   He also had some drumming in his heart. In his memory, Director Cao Zhiying hadn't done it himself for a long time.

   "Hey, maybe I'm overthinking, Director Cao's ability to intervene is beyond words!" Ren Feng thought.

   He can be regarded as Cao Zhiying's apprentice.

   The former Jinghua Second Hospital was developed under the intervention of Director Cao Zhiying.

  Cao Zhiying washed her hands and put on surgical gloves, and the operation officially started!

  Disinfection, anesthesia, puncture, the whole process, Cao Zhiying still did it in one go, and she didn't look a little strange.

   He really deserves to be an interventionist of the older generation. The entire operation process is extremely stable, so that Ren Feng on the side can't pick out any problems.

   "I started the operation inside the catheter." Cao Zhiying said solemnly.

  Ren Feng nodded and began to help Cao Zhiying prepare the catheter and guide wire.

  The guide wire passed through the lesion smoothly.

   However, when the coronary angiography was seen, the medical staff of the entire treatment group were frowning.

   encountered difficulties!

  Angiography showed that the patient had complete right coronary artery occlusion with severe calcification, 50% left main stenosis with severe calcification, 90% stenosis at the root of the anterior descending branch with severe calcification, and 95% stenosis at the root of the circumflex artery with severe calcification.

   The patient's coronary artery is very blocked, and the blood supply to the entire heart is insufficient or interrupted.

  Whether it is a complete occlusion lesion, a left main bifurcation lesion or a severe calcified lesion, whichever one is taken out alone is a difficult and high-risk operation!

   "ECMO Ready!"

   "Please consult the anesthesiology department for emergency consultation, and be ready to switch to general anesthesia at any time!"

  On the scene, only Cao Zhiying was calm and composed, and he issued various medical orders in an unstable manner.

   This high-risk patient may develop cardiogenic shock at any time. IABP alone is not enough, ECMO must be used!

   "Received!" Ren Feng immediately forwarded Cao Zhiying's doctor's order to the catheter room.

   Then, Cheng Guowen, who had been waiting outside, began to arrange these things.

   "Director, what should I do?" Ren Feng returned to Cao Zhiying's side.

   "Only wait for general anesthesia to go on ECMO." Cao Zhiying said, "The patient's current state, it is impossible to persist until all operations are completed."

   Ordinary coronary angiography may only take about half an hour, but such a difficult operation is different.

   The patient's own cardiac function is not very good, and long-term supine lying is more likely to induce the occurrence of heart failure.

  …

  CCU Ward.

  Lu Chen was a little surprised when he saw the doctors who came in and out.

   Doctors from the Department of Anesthesiology and Ultrasound have all come, and even the IABP and ECMO machines have been moved to the catheterization room.

   "It seems that this is a major operation!" Liu Han exclaimed.

  Lu Chen is also a little itchy in his heart. If he can participate in this level of surgery, he will definitely gain a lot of experience!

   However, he is only a graduate student now, and he is not even qualified to visit!

  …

  CCU Catheterization Lab.

   After the anesthesiologist arrived, he quickly gave the patient general anesthesia.

  Ren Feng put the ECMO machine on the patient directly.

   This time the ECMO machine debugging went very smoothly.

   "Continue the operation!" Cao Zhiying gave an order, and Ren Feng quickly cooperated and began to deal with the vascular disease of the coronary artery.

   Time passes in one minute and one second.

   Cao Zhiying's spirit is highly concentrated, and in such a difficult operation, there is simply no room for relaxation.

   "Director, the patient's heart rate is slow, I think it should be a third-degree atrioventricular block!"

  Cao Zhiying frowned, "This is not easy to handle. It may be necessary to put a pacemaker. Go and call Director Cheng in."

"it is good."

  …

  Cao Zhiying, Cheng Guowen and Ren Feng are already the top intervention team in the heart of Jinghua Second Hospital.

   "Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen on the side.

   "The pacemaker must be put on, but it depends on what type it is." Cheng Guowen said sternly.

   "Tell me about it."

   Cheng Guowen continued: "The patient's left and right ventricular systolic asynchrony also aggravates heart failure. Drugs alone cannot solve the problem, and surgery must be combined with an anti-heart failure pacemaker."

  The implantation of anti-heart failure pacemakers is different from ordinary pacemakers. In addition to implanting leads outside the right atrium and right ventricle, there is also a lead that needs to be connected to the left ventricle.

   Cheng Guowen looked back at Cao Zhiying and said slowly: "The patient is old, if the blood vessels are alienated during the operation, the consequences will be unimaginable."

  In the catheter room, the atmosphere was quiet for a moment.

   for a long time.

  Cao Zhiying said slowly, "Old Cheng, how sure are you?"

   Cheng Guowen looked solemn and shook his head slightly: "I haven't treated such an old patient yet, and this technology is still a new technology in our province."

  Cao Zhiying heard the words, her brows deepened, "Is it possible to give up the implantation of the pacemaker for the time being?"

  If the patient’s heart rate and heart failure problems are not solved this time, even if coronary intervention is done beautifully, it will not help!

   At this moment, Cheng Guowen suddenly said: "Director Cao, although I'm not skilled, there should be someone in our hospital who can."

  Cao Zhiying was taken aback for a moment, "Who?"

   He was surprised and delighted.

   However, Cheng Guowen's electrophysiological technology is already the ceiling of the Jinghua Second Hospital, and he has never heard of anyone surpassing him!

  I saw Cheng Guowen raised his head, his eyes flickered, his voice was low, and he said the name.

   "Lu Chen!"

   (end of this chapter)