MTL - I Can See Health-v3 Chapter 879 nine deaths

   Chapter 879

   Came to the Cardiology Catheterization Room of Guanghai Central Hospital.

   The decoration structure here is similar to that of Guanghai First Hospital.

"Director Lu, there are currently two wards in our CCU." Dong Cheng smiled, "One ward is mainly for all kinds of critically ill patients, and the other is the postoperative observation room, with a total of fifty beds. "

   "Well, there are quite a few beds." Lu Chen nodded.

  Guanghai Central Hospital has all kinds of critical equipment, such as ECMO, IABP, etc., the utilization rate of various equipment is relatively high.

   "The talent gradient of our doctors, at least starts with a doctorate." Dong Cheng continued, "Many doctors have experience studying abroad."

   "How much was the National Natural Science Foundation of China in Cardiology last year?"

  Lu Chen asked a crucial question.

   Large-scale tertiary hospitals, in addition to the necessary clinical surgical equipment, the most important thing is scientific research funds.

"this…"

   Dong Cheng paused, "Not a lot."

   "Oh." Lu Chen smiled, Dong Cheng was naturally not much.

  Guanghai has a lot of money, but the background still can't be compared with Kyoto and the magic capital.

   "There will definitely be more and more in the future." Dong Cheng forced a smile.

  Lu Chen did not continue to struggle with this issue.

   Next, Jin Miao took Lu Chen to visit the catheterization lab.

  TAVR, coronary artery and electrophysiology, the current high-end surgical procedures in China, can be carried out smoothly in the catheterization room of the central hospital.

   "Well, it's not bad. The equipment and equipment arranged are first-class in China." After reading the hardware facilities, Lu Chen nodded slightly.

   The hospital in Guanghai is still rich!

  The equipment here is basically first-class in China, and even some of them are the most advanced in the world.

   "Director Lu, there will be a TAVR surgery later, can you give us some guidance?" Jin Miao showed a smile.

   "Well, when will the surgery start?"

  Lu Chen and Xu Wei made an appointment to go out to dinner. If it was too late, he would not be able to participate in the operation.

   "Very soon, ten minutes at most." Jin Miao said immediately, "You can go to the rest room next door and rest for a while. When the patient arrives, I will call you out."

   "No need." Lu Chen smiled, "I'll just walk around in the catheterization room, you don't need to worry about me."

   At this time, Director Dong Cheng had other things to do, so he left early.

   Next, Jin Miao and Shi Langqin will accompany Lu Chen together.

  …

   came to the lounge.

  Lu Chen smiled and looked at Jin Miao aside: "Jin Miao, it seems that after you came to Guanghai Central Hospital, your life was pretty good."

  Jin Miao touched the back of his head and smiled honestly, "Director Lu, it's better that you taught me before."

   Before Lu Chen went to Guanghai No. 1 Hospital, he Jin Miao was just a small doctor and was insignificant in the department.

   Even if he took a day off and didn't go to the department, not many people might find out.

   It was the arrival of Lu Chen that brought the vigor of the Cardiology Department of Guanghai First Hospital.

   Luckily, he was assigned to the same group as Lu Chen and received the longest operation teaching.

   "In any case, it all depends on your own efforts." Lu Chen smiled, "Wait a moment, who will be the chief surgeon for this operation?"

  Jin Miao nodded immediately, "Yes."

   "That's right, let me see if your surgical skills have improved!" Lu Chen said.

  Jin Miao's face was full of confidence, "Director Lu, don't worry, since we came to the Central Hospital, the amount of surgery has not decreased at all."

   In Guanghai First Hospital, Lu Chen's department at that time was also suppressed by the leaders of the hospital.

   The amount of surgery is not much.

   Came to Guanghai Central Hospital, the atmosphere of the department here is much stronger than that of Guanghai First Hospital!

  Shi Langqin also vigorously develops TAVR, and he values ​​Jin Miao's surgical talent very much.

   Therefore, Jin Miao’s operation volume here is even double that of Guanghai Hospital!

   "Okay, then let's wait and see." Lu Chen smiled.

  …

   Just when everyone was about to leave the lounge and go to the catheterization room to observe the operation, a resident suddenly hurried in.

   "Professor Shi, there is a patient in CCU that is dying! Director Tian asked you to take a look!"

  Shi Langqin stood up immediately with a serious expression, "Is that the patient he had in the morning?"

   "Yes, it is the severe aortic stenosis!" The resident nodded vigorously, looking very anxious.

   "Okay, I'll go now." Shi Langqin said to Lu Chen, "Director Lu, I'm sorry, there is an emergency at my CCU."

   "Go, I'll watch Jinmiao's surgery later." Lu Chen said.

"That's not what I meant." Shi Langqin was a little embarrassed, but he gritted his teeth and said, "Director Lu, I want you to accompany me to see this patient. His condition is relatively complicated, and it is very likely that he needs to be treated. Emergency surgery!"

   "This... that's fine." Lu Chen didn't refuse.

  Professor Shi Langqin could pull his face down and ask him to take a look. The patient's condition is definitely complicated.

  Lu Chen would never let go of these difficult cases.

   Right now, there may be an emergency TAVR surgery, so Jinmiao's TAVR surgery, which is a common diagnosis, has to be stopped for the time being.

  Jin Miao came to the CCU ward with Lu Chen.

  …

  CCU ward, emergency room.

  The doctors and nurses are carrying out the rescue in an orderly manner.

   "Adrenal fast, dopamine together!"

   "Prepare for central venous access!"

   "Pay attention to brain protection and have your IABP ready."

  “…”

  Lu Chen followed Shi Langqin's side, he saw the patient lying on the bed with only 32 (--) health!

"Mr. Shi, you are finally here." The CCU doctor called Director Tian immediately walked up to Shi Langqin, "This is the patient I told you this morning, who has heart valve disease and severe aortic valve stenosis. , severe pulmonary hypertension, and a history of myocardial infarction."

   After saying this, Shi Langqin nodded slightly, "Continue to talk about the disease."

After a short pause, Director Tian continued: "The patient was admitted to the hospital due to chest tightness and asthma for more than a year. The main symptoms are the gradual increase in chest tightness and shortness of breath."

"Conservative treatment after admission to the hospital continued to deteriorate for 6 days. Just had a sudden breathlessness, coughed pink foamy sputum, HR111 beats/min, BP decreased to 75/33mmHg, RR24 beats/min, SpO2 under the state of mask oxygen inhalation (6L/min) Only 70%-80%.”

"The physical examination prompts on admission: Grade 5/6 systolic ejection murmur was heard in the auscultation area of ​​the aortic valve, cardiac function grade IV, moderate edema of both lower extremities. Auxiliary examination: echocardiography showed that the whole heart was enlarged, the aorta was enlarged, and the aorta was enlarged. Valve stenosis (very severe), pulmonary hypertension (moderate-severe), significantly reduced left ventricular systolic and diastolic function, and ejection fraction (EF) of 28%."

   "The patient was transferred from the general ward to our CCU."

   Lu Chen and Shi Langqin both had very solemn expressions.

   Judging from the auxiliary examination and physical examination, the patient is already a patient with advanced heart failure and acute attack.

   This kind of patient is a near-death!

   (end of this chapter)