I can see health

Chapter 427 Thrilling
On the hospital bed, the patient's face was full of pain.

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

At this time, the patient is already lying on the operating table, and the surgeon who performs the puncture has already completed the puncture.

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

A little nurse next to the hospital bed said: "Just now the patient suffered another attack of ventricular tachycardia, and his blood pressure dropped to 60/40mmHg!"

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

It is very dangerous for ordinary people to have a series of episodes of ventricular tachycardia.

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

"The patient's ventricular tachycardia has been terminated, but the blood pressure has not yet come up, and he is still in shock."

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

If the ventricular tachycardia is allowed to attack and the blood pressure collapses, the patient's life value will definitely continue to drop.

"Time is running out. When the blood pressure rises to normal, start the dry pericardiocentesis immediately!" Lu Chen said in a deep voice.

"Okay." Yu Hewei nodded with a serious face, and brought a kit for pericardiocentesis.

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

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

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 training sessions, Lu Chen finally mastered this skill.

……

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

With Yu Hewei as an assistant, Lu Chen didn't need to do the disinfection and drapes before the operation.

It was not until the puncture step that Yu Hewei stepped aside.

"Lu Chen, be careful, if there is any abnormality, we will withdraw the guide wire!"

Outside the duct, Qin Sifeng spoke into the room through the microphone.

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

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

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

This kind of self-confidence, he thought he was not as good as Lu Chen.

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

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

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

Everything seems to be going in a good direction.

But at this moment, another "Didi" alarm sounded from the ECG monitor next to the patient!
"Oops, VT again!" Yu Hewei cried secretly.

Outside the catheterization 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 has collapsed again!

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

On the operating table, the patient groaned "Woo-woo".

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

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

The risk of forcibly piercing is not so great.

If the patient has a large movement, it is very likely that the guide wire will penetrate into the pericardium, and the gods will not be able to save it at that time!
However, if the guide wire is withdrawn, the next puncture may be more difficult.

Moreover, there is no guarantee that the patient's arrhythmia will not recur again during the next operation!

Lu Chen also noticed the sudden change, he didn't hesitate, and his movements were not slow at all.

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

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

On the electrocardiogram map next to the operating table, the origin of the arrhythmia has begun to be displayed.

"Quick, discharge ablation!" 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 electric discharge ablation operation.

"Nurse, open another intravenous channel!" Lu Chen said, "Then use a dose of dopamine to stabilize the blood pressure!"

"Roger that!"

……

catheter outside.

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

But in addition to tension, everyone began to talk about it.

"Lu Chen really dares!"

"Do radiofrequency ablation directly at the time of ventricular tachycardia. Maybe few people dare to do this kind of operation?"

"Which hospital did Lu Chen come from?"

"I remember it seems to be from Jinghua, who is still a graduate student. This kind of talent, I want our director to find it!"

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

"Which old fellow Ouyang Ming is really lucky!" Qin Sifeng shook his head helplessly.

The ability shown by Lu Chen is not only the skillful operation technique, but also this kind of adaptability, calm and calm attitude!
Technology is important, but as an interventional surgery doctor, what is more important is this kind of attitude of not being surprised.

……

catheter room.

Sweat dripped from Lu Chen's forehead. In such a high-risk situation, it would be a lie to say that he wasn't nervous at all.

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

Subsequently, blood pressure also rose to 90/60mmHg.

Lu Chen breathed a sigh of relief.

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

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

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

He thought to himself, if he encountered such a situation, he would definitely stop the operation and would not take such a risk!
However, risks and outcomes are directly proportional.

Almost all origins of the patient's epicardium were found.

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

His life value has also gradually increased from the previous 54.

The three minus signs after the life value also became one!
"Produce again!" Lu Chen ordered.

How to determine the success of the ablation?

At this time, artificial induction is required. If the arrhythmia cannot be induced, it proves that the initial success has been achieved.

"Received." Yu Hewei nodded, and began to inject drugs into the patient for induction experiments.

1 minutes……

2 minutes……

5 minutes……

10 minutes……

On the ECG monitor next to the operating table, the patient's heart rhythm is always sinus rhythm, and no series of ventricular tachycardias can be seen!

"Congratulations, the completion of the system upgrade has increased!"

"Congratulations, the thank you from Yu Hewei is worth +1!"

"Congratulations, I received Qin Sifeng's thank you +5!"

"..."

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

Epicardial ventricular tachycardia ablation, a success!
At the same time, outside the duct, everyone burst into exclamation.

At some point, other interventional doctors outside the catheterization room all gathered around.

"Damn it! It's really amazing, this little doctor, which master brought him out?!"

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

"This doctor is young, he probably doesn't have a girlfriend yet, please beg for his contact information!"

……

(End of this chapter)