I can see health

Chapter 422 An Accident During the Surgery

This type of patient is definitely at risk of potential doctor-patient conflicts.

Then, Lu Chen couldn't easily let go of every doubt.

Because once something happens, there will be endless troubles.

Don't look at the respectful middle-aged man on the surface, but no one knows what's going on behind the scenes.

"Junior Sister, our clinical thinking must not be disturbed by the outside world." Lu Chen said to Yao Jie who was beside him, "Especially for this kind of patients who said they would have an operation right away, they should be checked carefully."

"Well, I see." Yao Jie nodded, and she memorized everything Lu Chen said to her today.

in the doctor's office.

Wu Lang's expression was a little ugly.

After all, Lu Chen was the same age as him, and in the comparison between his peers, after the first round, he lost miserably.

In fact, he also agrees with what Lu Chen said in his heart.

But at that time, he was influenced by the patients and their families, and he had already tacitly agreed to have an operation, and he didn't read the patient's checklist carefully.

……

Lu Chen stayed in the third area of ​​the heart for a while, and then went to see the patient in the fifth area of ​​the heart who was going to undergo ablation surgery for atrial fibrillation.

This second patient was nothing special either.

Lu Chen simply explained that "the recurrence rate may be relatively high", which is a topic that cannot be avoided in all ablation surgeries.

During the operation, it is possible to ablate the origin of the arrhythmia as much as possible, but it is impossible to achieve [-]%!

Patients already have an underlying arrhythmia for these arrhythmias, which may recur later.

After seeing the two surgical patients, Lu Chen returned to the cath lab.

At this time, Fang Ruzhang just walked out of the coronary interventional catheterization room.

"Brother Fang, there is a patient in your group who needs a pacemaker..." Lu Chen immediately gave a brief description of the patient's condition, "I see that there is no thyroid function in the blood, it is best to check."

Fang Ruzhang was surprised when he heard the words: "This patient's family member is an acquaintance of a classmate of mine. Before I had time to see the patient, I said that an operation might be needed. I really didn't expect that the patient didn't even have thyroid function in the county hospital below." check?"

"No." Lu Chen shook his head.

The level of diagnosis and treatment in primary hospitals is really uneven.

Patients with slow heart rate like this must actually have their thyroid function checked.

"Oh, thank you so much." Fang Ruzhang smiled helplessly, "I'll go to the ward later and explain to these students. If the operation is performed without checking the thyroid function, it will be a big disaster!"

Regardless of whether the patient's thyroid function is problematic or not, this is a problem that violates medical principles.

Once the patient has any problems during the hospitalization, the hospital cannot escape the blame.

……

Lu Chen spent the whole morning in the cath lab.

Without surgery, he followed Xiao Shikang to learn.

Xiao Shikang is a senior deputy chief physician. He is a first-class existence in both basic knowledge and interventional technology.

During the period, there was also a small episode.

The coronary intervention patient performed by Director Wan Jingshui himself had swollen hands after the operation!

Although this is a common complication of coronary intervention, it also made Wan Jingshui look a little unhappy.

After finally doing an interventional operation, something went wrong.

Fortunately, the stent operation went smoothly, and the patient didn't say much.

the next day.

Before ten o'clock in the morning, Lu Chen saw Fang Ruzhang running to the catheterization room out of breath.

"Brother Fang, what's wrong with you?" Lu Chen wondered, even if there was an emergency coronary intervention, Fang Ruzhang would not be able to do it for the time being.

"I came down to tell you..." Fang Ruzhang paused, "The patient with bradycardia you saw yesterday had a thyroid function result!"

Lu Chen was slightly taken aback. Brother Fang was really serious. Halfway through his speech, he could only ask: "Is there a problem with thyroid function?"

"I got it right, hypothyroidism! The surgery is cancelled!" Fang Ruzhang grinned, then shook his head helplessly, "Fortunately, it was found out. If a permanent pacemaker is installed in such a muddle-headed way, it is likely to be another medical dispute .”

The heart rate slows down caused by hypothyroidism. As long as the hypothyroidism is cured, the heart rate will become faster, and there is no need to install a pacemaker.

"Just check it out." Lu Chen said.

"Yeah, his family members are very happy. The problem can be solved without surgery." Fang Ruzhang smiled, "And said that he will come down to give you a pennant."

"I don't want his pennant, just cure the disease." Lu Chen shook his head slightly.

This kind of patient is double-faced. Lu Chen can vividly remember his attitude towards Yao Jie before, so he can't have anything to do with the family members of these patients.

Fang Ruzhang said: "The next thing is the endocrinology department."

……

This patient is considered a very lucky case.

The cause of the bradycardia was found in time, and a pacemaker was finally avoided.

However, there are more patients on the operating table in such a daze.

Yao Jie also sent Lu Chen a WeChat message, naturally praising him.

After such an incident, Lu Chen's reputation in the three districts in his heart is not small.

Especially in Wu Lang's heart, it seemed that Lu Chen was on the same level as Fang Ruzhang.

You know, Fang Ruzhang is about to be promoted to deputy chief physician!

Wu Lang doesn't have any thoughts about Yao Jie now, when he meets her, he stays away.

……

Afternoon, two o'clock.

Lu Chen ushered in his first surgery in the cath lab, radiofrequency ablation of atrial fibrillation.

This is also a relatively routine operation in ablation surgery.

Lu Chen followed Xiao Shikang into the electrophysiology catheterization room.

This time it is not an assessment, but a real clinical treatment.

First of all, Lu Chen explained the risks of the operation to the patient again. (I signed the consent form before the operation, and communicated again before the operation)
After the patient expressed his understanding, Lu Chen began routine disinfection, draping, anesthesia and puncture.

The operation went well.

Xiao Shikang watched from the side, and couldn't help but nodded slightly.

In fact, with Lu Chen's current interventional technology, he can operate independently.

However, Xiao Shikang suddenly found that Lu Chen's movements had stagnated.

When the guide wire was about to enter the blood vessel, Lu Chen didn't move.

"Why don't you continue?" Xiao Shikang asked doubtfully.

At this time, Lu Chen was staring at the screen in front of him, his eyes were full of doubts and puzzles.

On the screen, the position where the guide wire enters the blood vessel is displayed.

"Mr. Xiao, look at the picture in the upper right corner!" Lu Chen whispered to Xiao Shikang.

Xiao Shikang looked at the place Lu Chen was pointing at suspiciously, looked at it for two seconds, and then his expression changed.

On the image map, there is a layer of black area around the heart.

"Is this pericardial effusion?!" Xiao Shikang frowned deeply.

It’s not much, but it’s there!
For normal people, it is absolutely impossible to have so much pericardial effusion.

Lu Chen's heart sank to the bottom, and the complication of electrophysiological intervention happened to have pericardial effusion.

Could it be that the guide wire he used during the operation poked the heart, which caused the pericardial effusion?

(End of this chapter)