I Can See Health

Chapter 877 Zou Wei’s invitation

Lu Chen very accurately gave the disease status of the patient's valve, such as shape, location, degree of calcification, etc.

As the chief surgeon, Shi Langqin received all the information about the valve immediately.

He immediately started to perform aortic root angiography to clarify the shape of the aortic sinus and the location of the coronary artery opening.

As an assistant, Jin Miao assisted Shi Langqin and began to puncture blood vessels.

Lu Chen stood next to the operating table, with a panoramic view of the two men's operations.

Compared with their operations three years ago, their level has improved significantly.

Even on a national scale, both of them are ranked high at this level.

…

Under the guidance of the 14fr cook sheath, Shi Langqin inserted the 22mm balloon and pre-dilated it twice.

However, after completing the above operations, Shi Langqin suddenly stopped what he was doing.

"Director Lu, what type of valve should I choose for this patient?"

Compared with surgical skills, in various types of interventional surgeries, another important point is to evaluate the severity of the disease and select the most appropriate artificial valve.

The choice of artificial valve directly affects the success or failure of the operation.

Usually, the average patient will undergo detailed CT evaluation before surgery to select the optimal one.

However, for emergency TAVR surgeries like this one, there is no preoperative examination and only intraoperative ultrasound examination. It is difficult to choose the most suitable stent.

However, in this surgery, as the operator of the ultrasound machine, Lu Chen had a unique advantage.

He observed the ultrasound images again, carefully compared and evaluated the balloon expansion effect and the size of the valve annulus structure, and then slowly said: "Professor Shi, choose the j-valve 25mm valve."

"Okay." Shi Langqin believed Lu Chen's words and directly ordered Jin Miao to bring over the 25mm valve.

The valve begins to deliver.

Although Shi Langqin is a little older, the movements of his hands are not unfamiliar at all.

Valve delivery, delivery, and fixation.

The whole process is completed in one go.

After the valve was completely released, Lu Chen used ultrasound to confirm that the valve was in good position and functioning well.

Subsequently, Shi Langqin used balloon dilatation again, but no clear paravalvular leakage was found, and the effective valve annulus diameter after stent deployment was about 25 mm.

"Great, it worked!"

Shi Langqin and Jin Miao's eyes sparkled.

With Director Lu Chen here, the effect is different.

Immediately postoperatively, the patient showed significant hemodynamic improvement.

The peak av speed of the valve dropped from 12.33m/s to 3.2m/s!

Epinephrine dropped from 0.3μg/kg/min to 0.1μg/kg/min, and norepinephrine dropped from 0.8μg/kg/min to 0.3μg/kg/min!

The amount of rescue medication has been significantly reduced, which proves that the patient's heart function is gradually recovering.

Secondly, in Lu Chen's eyes, the patient's health points were declining at a rate that was slowly slowing down.

The three minus signs above my head have become two!

"Send him back to the CCU for continued observation. The dose of catecholamine vasoactive drugs can be gradually reduced until stopped." Lu Chen warned.

"Okay, Director Lu." Jin Miao nodded.

Postoperative care and preventing complications are also very important.

Interventional surgeries in cardiology are okay. Many surgeries, no matter how beautifully done, can easily lead to infection if the post-operative care is improper, causing the entire operation to fail.

…

Doctor-patient communication room.

Shi Langqin had already taken off his mask and hat and said to the patient's family: "The operation was successful! It lasted 120 minutes. Under strict anesthesia monitoring and management, no adverse cardiac events such as cardiac arrest or malignant arrhythmia occurred during the entire process."

The family member was a middle-aged woman. When she heard this, she was trembling with excitement, "Great, great! Professor Shi, you are really living Bodhisattvas!"

Shi Langqin smiled slightly, "You are lucky this time. The expert who came back from Mayo in the United States just happened to be inspecting our hospital. With his full participation in this operation, the safety of the operation has been improved a lot."

"Thank you, thank you!" The middle-aged woman thanked her again, and at the same time said to a man behind her, "I told you, you should come to the Central Hospital. Fortunately, you didn't go to Guanghai No. 1 Hospital..."

Hearing the conversation between the family members, Shi Langqin smiled and left.

"Director Lu, thank you so much this time."

In the lounge, Shi Langqin personally poured a cup of tea for Lu Chen.

You know, Professor Shi Langqin, who is almost fifty years old this year, personally poured tea for a junior.

This was enough to show how much he valued and admired Lu Chen.

Lu Chen quickly stood up, bowed slightly, and took the cup of tea, "Thank you, Professor Shi. Actually, I am just playing a supporting role. Aren't you the real surgeon?"

Shi Langqin smiled. Lu Chen's attitude made him a little embarrassed. He immediately changed the subject: "Director Lu, our hospital and our department really want you to come. With your By joining, we will definitely become more powerful, and over time, we will definitely be the top one in the domestic TAVR field!”

Jin Miao on the side also nodded quickly.

Lu Chen pursed his lips and smiled, "Professor Shi, I understand what you mean. This matter is not urgent, let me go back and think about it again."

"Okay." Shi Langqin smiled coquettishly, "I'm a little impatient."

He also knew that there must be many people coming to see Lu Chen.

Among them, there are definitely many that are better than Guanghai Central Hospital.

…

Left Guanghai Central Hospital.

Lu Chen went to the appointment and had dinner with Xu Wei.

On the second day.

A sudden phone call made Lu Chen change his next itinerary.

"Hey, Professor Lu, are you busy?"

On the phone, a male voice came.

Lu Chen felt familiar, but couldn't remember who the other person was.

"May I ask you are……"

"Professor Lu, this is Zou Wei!" A hearty laugh came from the other end of the phone.

"Zou Wei?" Lu Chen murmured, something familiar, but he still couldn't remember it.

"The nephew of Director Zou Yi of the Magic City Science and Technology Bureau."

"Oh?" Lu Chen was a little impressed.

"The one who was bitten by a tick was told by other hospitals to put in a pacemaker." Zou Wei continued, "Later I came to your place and found out that the slow heartbeat was caused by the tick bite, so there was no need to put in a pacemaker. "

"oh!"

When it came to the specific disease, Lu Chen suddenly thought of it.

"It's you! I remember! What's wrong?"

Zou Wei laughed and said, "Director Lu, I heard that you have returned to China?"

"Yes, you are quite well-informed." Lu Chen said.

"In Guanghai?" Zou Wei asked again. UU reading www. uukａnshu.net

"Um."

"Are you busy now? I happen to be in Guanghai right now and would like to treat you to a meal."

"Okay." Lu Chen thought for a while and realized that he had nothing to do in the afternoon.

"Okay, Director Lu, I'll send you the address."

After hanging up the phone, Zou Wei sent Lu Chen the address of a five-star hotel.

"Is this kid really rich?!"