I Can See Health

   Chapter 667 The speed of changing faces is fast

  Lu Chen was a little unclear, but he still followed behind Dai Wansong.

   The young doctor was slightly taken aback, but he didn't say much, and still led the way.

   "This is the direction to CCU?"

   Walking out to show the classroom, Lu Chen found that the young doctor was walking in the direction of CCU.

   Sure enough, after a few turns, the three stopped at the entrance of the CCU's medical passage.

   The young doctor swiped his card.

   The three entered in turn.

  Dai Wansong and the young doctor put on their own sneakers.

   "Lu Chen, put on your shoe covers."

"it is good."

  Lu Chen nodded, took a pair of shoe covers from the utility cabinet, followed behind Dai Wansong, and came to the CCU ward.

   This time, instead of going to the catheterization room, I came to the bedside.

  …

Before    approached, Lu Chen saw the busy doctors and nurses beside the hospital bed, and the ticking alarm of the monitor.

   "Intubation!"

   "Ice bag brain protection!"

   "Open a few more venous accesses!"

  “…”

   The patient in the hospital bed is in a very bad situation.

   In Lu Chen's eyes, the patient's HP is only 35(——)!

   and the trend of health decline is very fast, reaching 1.26/min.

   "Dean, you are here."

   A middle-aged doctor presided over the rescue. When he saw Dai Wansong coming, he nodded slightly.

   "What's the situation?" Dai Wansong frowned tightly, staring at the patient on the hospital bed.

   The middle-aged doctor said quickly: "This patient had just had acute heart failure and cardiogenic shock during the TAVR surgery that was planned to be performed three days later. His blood pressure was just 70/40mmHg, and he lost consciousness and was in a very bad state!"

   Dai Wansong heard the words and stepped forward to check the patient's condition.

   The patient has undergone bronchial intubation and central venous intubation. After active rescue by the medical and nursing staff and the application of a large number of vasoactive drugs, the blood pressure has finally stabilized.

   "Bring me the medical records." Dai Wansong said.

  The young doctor quickly ran to the doctor's office and took all the patient's information.

  Dai Wansong glanced at it for a while, and then handed it to Lu Chen who was beside him.

  The other doctors in the CCU only noticed Lu Chen's unfamiliar face at this time.

  Lu Chen didn't care about other people's opinions. He picked up the medical record folder and began to compare and check the patient's condition.

   He faintly sensed the reason why Dai Wansong asked him to follow him.

  …

   Patient, male, 86 years old this year.

   He was admitted to the hospital with "recurrent palpitations for more than 6 years, chest pain and shortness of breath for more than 1 month".

   The patient developed palpitations for no apparent reason 6 years ago. The local hospital diagnosed "coronary heart disease" and did not receive standard treatment.

   He developed chest pain, palpitations, shortness of breath, and paroxysmal nocturnal dyspnea more than 1 month ago. During hospitalization in a local hospital, he developed sudden chest pain, dyspnea, and loss of consciousness.

   Diagnosis of "acute left heart failure, calcified aortic valve stenosis (severe) with regurgitation (mild), pulmonary infection, stress ulcer".

   After being given anti-platelet, lipid-regulating, anti-infective, and anti-heart failure treatment, the shortness of breath improved, and then he was transferred to the Magic Capital Central Hospital.

  …

  Lu Chen flipped through and saw the patient's cardiac ultrasound report.

   "LVEF: 28%; bicuspid active leaflet thickening, calcification, limited opening, Vmax=4.24m/s, PG=72mmHg, MG=49mmHg, AVA=0.3cm."

   The cardiac ejection fraction of a normal person is above 50%, but this patient is only 28%, and the myocardial contractility is severely damaged!

   "Lu Chen, what do you think?" Dai Wansong looked at Lu Chen.

   This surprised the surrounding doctors.

   Director Dai actually asked this little doctor for his opinion?

   When everyone saw Lu Chen, they all felt awkward.

   Where is this student from?

  Lu Chen thought about it for a while, and without much nonsense, he said directly: "The emergency TAVR operation is going to be performed tonight, and it is possible to save the patient. If it drags on, I don't know what will happen."

  Other doctors were a little shocked when they heard this.

   This little doctor speaks so decisively? !

   The middle-aged doctor in charge of the rescue looked at the young doctor who was leading the way and asked in a low voice, "Who is this young man?"

  The young doctor said slowly, "Dean Dai brought out the students from the TAVR class. It should be this group of students."

   Member of TAVR class?

   The middle-aged doctor frowned deeply, unable to understand what Dean Dai Wansong meant by bringing Lu Chen here.

   At this time, when Dai Wansong heard Lu Chen's words, he nodded slightly: "Yes, just as I thought."

   Then, he turned to look at the middle-aged doctor beside him, "Hua Yuan, go talk to your family about the emergency TAVR surgery. Everyone else came to the office, let's discuss it first."

   "Okay." Hua Yuan nodded without ink, and immediately went to the CCU doctor-patient communication room.

  The other doctors, in addition to taking care of the patients, put down their work and came to the doctor's office.

  …

   This is the first time that Lu Chen has come to the CCU office of the Magic Capital Central Hospital.

   The overall layout of the office is similar to that of the Magic City.

   Everyone took their seats.

  Dai Wansong started to speak first.

   "The patient suffered from sudden acute left heart failure and cardiogenic shock. Currently, his vital signs are temporarily stable, but there is a possibility of deterioration at any time. We are preparing for emergency TAVR surgery."

   "Now we are discussing the risks of surgery and the precautions after surgery."

   As soon as the voice fell, everyone whispered.

An elderly doctor stood up and said slowly, "Dean Dai, you are an expert in TAVR. I know that you are eager to perform surgery on the patient. But the patient's current state is very unstable, I am afraid I can't get off the operating table."

   "Then what do you mean, don't do it?" Dai Wansong looked at the old doctor, "Just wait like this? See God's will?"

   "This..." The old doctor paused, "The risk of surgery is too great, and to be honest, this surgery has just started in China, and our experience may not be enough."

   "Okay, I know what you mean." Dai Wansong stared at the old doctor, "Don't worry, you won't be allowed to perform this operation."

   Then, Dai Wansong ignored the old doctor and looked at the other doctors present.

   "Who has other opinions?"

   After a while, a young doctor raised his hand.

   "Say it directly without raising your hand." Dai Wansong said solemnly.

   "Oh." The young doctor quickly stood up, "The cause of all patients should be cardiogenic shock caused by severe aortic valve stenosis. If we don't solve the cause, the patient's vital signs will definitely not be able to maintain."

   "As long as the vasopressors are removed, the blood pressure will definitely collapse."

   "So TAVR surgery must be done! But the risk is extremely high. Before surgery, we must ask the patient's family to sign an informed consent form, or a life and death certificate. Otherwise, the patient will not be able to move!"

   The young doctor said a lot, and his mouth was dry.

  Dai Wansong nodded slightly, "Young people are still motivated!"

However, he immediately frowned, "But what you said, except for surgery, everything else is nonsense! What did I just ask? The risks of surgery, precautions and postoperative care! You said all What nonsense?"

   The young doctor looked embarrassed and immediately lowered his head.

   At this time, Lu Chen finally spoke.

   "Dean Dai, may I say a few words?"

  When Dai Wansong heard Lu Chen's words, a smile appeared on his gloomy face, "Well, tell me."

   Everyone's eyelids jumped.

   Dean Dai's face-changing speed is really fast!

   (end of this chapter)