I Can See Health

Remember [new] in one second! On the hospital bed, the patient looked in pain.

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

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

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

A young nurse next to the hospital bed said: "The patient had another episode of ventricular tachycardia just now, and his blood pressure dropped to hg!"

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

It would be very dangerous for ordinary people if they have continuous episodes of ventricular tachycardia.

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

"The patient's ventricular tachycardia has stopped, but his blood pressure has not increased yet and he is still in a state of shock."

Only then did Lu Chen understand the reason for the three minus signs in the patient's health.

If ventricular tachycardia is allowed to occur, the patient's health will definitely continue to decline.

"Time is of the essence. Let's start dry pericardiocentesis immediately after the blood pressure rises to normal!" Lu Chen said solemnly.

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

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

Since the last time he encountered this ventricular tachycardia originating from the "epicardium", Lu Chen also conducted targeted simulation training after returning.

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 blood vessels!

After many more trainings, Lu Chen finally mastered this skill.

…

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

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

It wasn't until the piercing step that 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 spoke into the room through the microphone.

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

Recalling the training process in the simulated operating room in his mind, Lu Chen took a deep breath, his eyes unusually firm.

On the side, Yu Hewei even sensed a change in Lu Chen's aura.

He thought he was inferior to Lu Chen in this kind of self-confidence.

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

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

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

Everything seems to be moving in a good direction.

But at this moment, another beeping alarm sounded from the ECG monitor next to the patient!

"Oops, ventricular tachycardia 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 dropped again!

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

On the operating table, the patient moaned and moaned.

Ventricular tachycardia occurred during the operation, which was really fatal!

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

The risk of forced puncture is not high.

If the patient makes large movements, it is very likely that the guide wire will penetrate into the pericardium, and even the gods will not be able to save him!

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 did not hesitate at all, and his movements were not slow at all.

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

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

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

"Quick, discharge and dissolve!" 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 intravenous channel!" Lu Chen said, "Then use a set of dopamine to stabilize the blood pressure!"

"receive!"

…

Outside the duct.

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

But despite being nervous, everyone also started talking.

"Lu Chen is really brave!"

"Perhaps not many people dare to perform radiofrequency ablation directly during ventricular tachycardia, right?"

"Which hospital did Lu Chen come from?"

"I think he is from Jinghua. He is still a graduate student. I want our director to dig out such a talent!"

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

"That old guy Ouyang Ming is really lucky!" Qin Sifeng shook his head helplessly.

The ability that Lu Chen showed was not only his skillful operation skills, but also his adaptability and calmness!

Technology is important, but as an interventional surgeon, the more important thing is this attitude of being unfazed.

…

Inside the catheter room.

Sweat broke out on Lu Chen's forehead. In this high-risk situation, it would be a lie to say he wasn't nervous at all.

Fortunately, He Wei cooperated very well. Halfway through the ablation, the patient's ventricular tachycardia finally stopped!

Subsequently, the blood pressure also rose to hg.

Lu Chen breathed a sigh of relief.

"Brother Yu, let's perform ablation." Lu Chen said, "I just detected that there are many origin points in the epicardium, as well as in the endocardium. Bilateral ablation may be needed!"

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

He was frightened by Lu Chen's operation just now.

He asked himself, if he encountered this situation, he would definitely stop the operation and not take such a risk!

However, risks and results are directly proportional.

Almost all epicardial origins in patients were found.

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

His health value also gradually increased from the previous 54.

The three minus signs after the health value also turned into one!

"Carry out the induction again!" Lu Chen ordered.

How to determine successful ablation?

At this time, artificial induction is needed. If arrhythmia cannot be induced, it proves 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 sinus rhythm, and no series of ventricular tachycardia can be seen!

"Congratulations, UU Kanshu www.uukanshu.net system upgrade completion has increased!"

"Congratulations, I received Yu Hewei's gratitude value +1!"

"Congratulations, I received Qin Sifeng's gratitude value +5!"

"..."

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

Epicardial ventricular tachycardia ablation was successful!

At the same time, everyone outside the catheter room also burst into bursts of exclamation.

At some point, all the interventional doctors outside the catheter room gathered around to watch.

"Damn it! It's really amazing. Who brought this little doctor here?!"

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

"This doctor is young and probably doesn't have a girlfriend yet. Please beg him for his contact information!"

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