I Can See Health

Remember [new] in one second! Back to the doctor’s office.

Before Lu Chen's buttocks got hot from sitting, Senior Sister Sun Guoguo suddenly came in.

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

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

Lu Chen was stunned. What level of patient was this?

The leaders of the hospital actually rushed over.

"I heard it was the leader of the department, but I don't know the specifics." Sun Guoguo said, "I just know that he may need emergency coronary angiography."

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

Surgery involving important foreign guests or important leaders, no matter how big or small, is considered a major surgery!

"Is the patient's condition serious?" Lu Chen asked.

Sun Guoguo nodded slightly, "It's not serious anyway. I had a history of coronary heart disease in the past, but this time I have chest pain again."

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

…

Lu Chen wrote medical records and visited patients as usual.

Less than ten minutes.

The door to ccu was opened again.

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

The CCU doctors and nurses have been prepared for a long time.

Graduate students and regular trainees simply cannot get involved.

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

The hospital bed stayed at the entrance of the CCU for a few minutes, and then was quickly pushed to the cath lab next door.

What a rush!

…

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

"Junior brother, who do you think this big shot 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 hospital are really proactive. Whenever there is any trouble, they rush over. I just heard that Director Cao is going to perform the surgery himself."

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

However, due to factors such as the regional 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, it is rare to see Cao Zhiying in Jinghua Second Hospital.

All his energy now is running for academicianship.

"I remember Director Cao. It seems he hasn't had any surgery in many years." Lu Chen said doubtfully.

"That's right!" Liu Han nodded, "Nowadays, most surgeries are performed by Teacher Ren Feng. Director Cao at most provides guidance from the side and rarely does it himself."

But this time, in order to show his importance to leadership, Cao Zhiying had to take action himself!

…

Jinghua Second Hospital, Department of Cardiology Catheterization Laboratory.

Cao Zhiying has already put on all the surgical gowns and lead suits, with Ren Feng serving as an assistant.

As a leader of the young generation in the Department of Cardiology of the Second Hospital of Beijing, Ren Feng’s interventional surgery capabilities are within the scope of the Second Hospital, and almost no one can surpass him.

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

"No, let me start from the beginning." Cao Zhiying shook his 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 had not done anything personally for a long time.

"Hey, maybe I'm overly concerned. Director Cao's ability to intervene is nothing to say!" Ren Feng thought to himself.

He can be regarded as Cao Zhiying's apprentice.

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

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

Disinfection, anesthesia, and puncture, Cao Zhiying still completed the whole process in one go, and there was no sign of any unfamiliarity.

He was indeed an interventional expert of the older generation. The entire operation process was so steady that Ren Feng could not find any problems.

"I'm going to start 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, after seeing the coronary angiogram, the entire treatment team frowned.

We're in trouble!

The angiography results showed that the patient's right coronary artery was completely occluded with severe calcification, the left main artery was 50% stenotic with severe calcification, the root of the anterior descending artery was 90% stenotic with severe calcification, and the root of the circumflex artery was 95% stenotic with severe calcification.

The patient's coronary arteries are severely blocked, and the blood supply to the entire heart is insufficient or interrupted.

Whether it is a completely occlusive lesion, a left main bifurcation lesion or a severely calcified lesion, any one of them alone is a difficult and high-risk operation!

"ecmo ready!"

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

At the scene, only Cao Zhiying was calm and composed, and he was issuing various medical orders in an orderly and unsteady manner.

Such high-risk patients may suffer from cardiogenic shock at any time. Just iabp is not enough, ecmo must be used!

"Received!" Ren Feng immediately conveyed Cao Zhiying's medical advice 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.

"We have to wait for general anesthesia and put on ecmo." Cao Zhiying said, "The patient's current condition is impossible to persist until all the operations are completed."

Ordinary coronary angiography surgery may only take about half an hour, but this difficult surgery is different.

The patient's own heart function is not good, and lying down for a long time is more likely to induce heart failure.

…

ccu ward.

Lu Chen was a little shocked when he looked at the doctors coming in and out.

Doctors from the anesthesiology department and ultrasound department have all come, and even the iabp and ecmo machines have been moved to the cath lab.

"It seems like this is a major operation!" Liu Han sighed.

Lu Chen also felt a little itchy in his heart. If he could participate in a surgery of this level, he would definitely gain a lot of experience!

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

…

ccu cath lab.

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

Ren Feng directly installed the ecmo machine on the patient.

This time the ecmo machine was debugged very smoothly.

"Continue the operation!" Cao Zhiying ordered, and Ren Feng quickly cooperated and began to treat the vascular lesions of the coronary arteries.

Time passed by minute by minute.

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

"Director, the patient's heart rate is slow. I think he has third-degree atrioventricular block!"

Cao Zhiying frowned, "This is not going to be easy. We may have to insert a pacemaker. Go call Director Cheng in."

"good."

…

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

"Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen aside.

"The pacemaker must be inserted, but now it depends on what type it is." Cheng Guowen said seriously.

"Let's talk about it in detail."

Cheng Guowen continued: "The patient's left and right ventricular contractions are not synchronized, which also aggravates the heart failure. Drugs alone can no longer solve the problem. Surgical treatment must be combined with an anti-heart failure pacemaker."

The implantation of an anti-heart failure pacemaker is different from that of an ordinary pacemaker. In addition to the wires implanted into the right atrium and right ventricle, there is also a wire 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 deviate during the operation, the consequences will be unimaginable."

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

A long while. UU reading www.uukｎｓ.net

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

Cheng Guowen looked solemn and shook his head slightly: "I have never treated such an old patient, and this technology is still a new technology in our province."

When Cao Zhiying heard this, his brows deepened, "Is it possible that we have to give up pacemaker implantation for the time being?"

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

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

Cao Zhiying was suddenly startled, "Who?"

He was surprised and delighted.

However, Cheng Guowen's electrophysiology technology is already the ceiling of Jinghua Second Hospital. He has never heard of anyone surpassing him!

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

"Lu Chen!"