I can see health

Chapter 58 System Activation!

Chapter 58 System Activation!
half an hour.

After the middle-aged uncle finished his phone call, he walked quickly to Lu Chen.

"Doctor Lu, we agree to the operation! You push the patient into the operating room first, and I will go to the first floor to pay later."

"Okay! Let's arrange surgery right away!"

Hearing the answer from the middle-aged uncle, Lu Chen heaved a sigh of relief, and handed him the informed consent form for the operation again.

"I've already told you about the necessity of surgery. Now it's about the risk of surgery. I want to emphasize it again."

"Coronary angiography is a minimally invasive interventional treatment. Generally, a puncture is made at the radial artery, a cardiac catheter is sent into the blood vessel of the heart, and then a contrast agent is injected for imaging to show whether the blood vessel is narrowed and the degree of narrowing."

"So the common complications of cardiac angiography are the puncture of the radial artery. There may be bleeding, hematoma or even infection. There is also the risk of local anesthetic allergy, contrast agent allergy, and even the risk of the catheter puncturing the heart vessel..."

"Uncle, if you agree with these risks, then you can sign in the column agreeing to the operation."

The middle-aged uncle carefully read the informed consent form for the operation.

"What is the success rate of your surgery?"

Lu Chen said in a deep voice: "Coronary angiography is a minimally invasive procedure, and the chance of serious complications is very low. In Jinghua Cardiology Department, there are hundreds of interventional procedures every month, and most of them are successful."

"However, there will be individual cases of accidents and even sudden death, so we will not guarantee the success rate of each patient's operation."

"Because once this complication happens to you, it's 100 percent likely."

"Okay, your Jinghua Second Hospital is the best hospital in Jinghua City, I believe in you!"

The middle-aged uncle picked up a pen and signed his name in two strokes.

After signing, Lu Chen went to the ward with the informed consent form.

"Mr. Li, the family agrees to the operation!"

"Okay, Liu Mei, prepare the defibrillator and emergency medicine." Li Yao ordered, "Guoguo, you and the nurse will escort the patient to the CCU ward on the fourth floor."

"Roger that!"

Everyone in the ward was surprised.

According to the character of this family member, he has always been hesitant, and the family has no money, so why did he suddenly agree to the operation.

But as long as the family agrees to the operation, now is the time to count!
"Family, come over and help push the bed!"

Sun Guoguo and Liu Mei put the defibrillator and first-aid kit on the ward.

At this time, the middle-aged uncle ran into the house and began to help push the bed.

Lu Chen is already in contact with the logistics center and asked the emergency elevator to wait on the eighth floor.

Everyone escorted the ward to the elevator entrance.

"Lu Chen will accompany and escort, everyone else should go back to the ward."

Li Yao named Lu Chen to accompany him, and the others returned to the ward.

……

The distance from the eighth floor to the fourth floor is very short, but for Zhang Guangming, every floor is a challenge in life.

In the elevator, Lu Chen, Sun Guoguo, and Liu Mei were always paying attention to Zhang Guangming's vital signs.

I'm afraid he will have ventricular fibrillation again!

"Son, how are you feeling now? Can you talk?"

The middle-aged uncle leaned over to Zhang Guangming's ear.

Zhang Guangming was extremely weak now, slowly opened his eyes and closed them again.

"Uncle, the patient needs to rest now, so don't bother him."

Sun Guoguo reminded from the side.

Although the middle-aged uncle was anxious, he could only nod helplessly.

The elevator descends slowly.

"Ding!"

When they reached the fourth floor, the three of Lu Chen breathed a sigh of relief.

The CCU is just around the corner, as long as the patient can be successfully sent to the CCU, even if the patient gets sick again, the probability of successful rescue will be much greater!

The hospital bed was parked safely at the door of the CCU.

The security guy at the door immediately swiped his card to open the door, and at the same time shouted to the CCU:
"Here's the emergency patient!"

Because the CCU had been informed in advance, the doctors and nurses in the ward arrived quickly.

Sun Guoguo immediately handed over the condition to the CCU doctor.

The middle-aged uncle was also called aside by another doctor, and explained again the risks of his condition, the necessity and risks of surgery.

Clinically, it is extremely important to repeatedly explain the risks to the patient's family members and keep a documented record of the condition.

After explaining the illness, the mission of Lu Chen and the others was completed.

The three of them glanced at each other, smiled at each other, relieved.

"Junior brother, why did this family suddenly change their mind?"

The three walked up the stairs to the eighth floor, and Sun Guoguo looked at Lu Chen strangely.

It was Lu Chen who was explaining his condition to his family just now.

After the explanation, the middle-aged uncle suddenly agreed to the operation!
Lu Chen smiled.

"Because I was the first to see this patient, and I knew a little bit about his family's family situation at that time..."

After listening to the explanation, Sun Guoguo couldn't help sighing.

"It seems that his mother paid for it. Junior brother, you are really careful. You even inquired about the patient's family situation."

"I also overheard the patient's family members saying it." Lu Chen said, "What's more, the patient is so young. If conditions permit, his family will never give up the opportunity for surgery."

"Well, now I just hope the operation goes well."

Sun Guoguo sighed.

It is said that money is not everything, but it can solve most things.

Many major diseases even rely on spending money and consuming a lot of medical resources to get more hope of survival.

……

The operation time of coronary angiography is very short, from vascular puncture to angiography, it can be completed within a few ten minutes.

Some big hands can even cut the time to under 10 minutes though!

Angiography is the preparatory stage, and the stent implantation after angiography is the most important step, which takes several times longer than that of angiography.

It takes a lot of time to judge the culprit vessel, select the position, type, and quantity of the stent to be implanted, and successfully send the stent to the lesion.

The operation time of a coronary intervention is usually about one to two hours.

In the event of complex vascular disease, or the patient’s serious condition, if IABP or even ECMO is used, the operation time may be longer.

While helping the patient with the transfer procedure, Lu Chen refreshed the patient's surgery record.

View real-time surgery status.

……

11:30 in the morning, when I was about to leave work.

Three hours had passed since the surgery!

Lu Chen refreshed the page of the computer surgery record sheet again.

"Yes, the operation is over!"

Lu Chen was overjoyed, and the patient's surgery situation had already appeared in the surgery record sheet.

"Operation record: The patient underwent selective coronary angiography in the catheterization room today. The patient was placed in a supine position, routinely disinfected, draped, and local anesthetized with 1% lidocaine. The right radial artery was punctured by the Seldinger method, and the 6F arterial sheath was inserted. After administration of 5000u heparin and 200ug nitroglycerin, a 6F multifunctional angiography catheter was sent along the sheath to the left and right coronary ostia respectively, and selective coronary angiography was performed."

"Coronary angiography results show: LM (left main) no obvious stenosis, about 95% diffuse stenosis can be seen in the mid-to-distal segment of LAD (anterior descending artery), 80-90% localized stenosis of the opening of the first septal branch, distal anterior Blood flow TIMI grade 3; middle section of LCX (circumflex branch) completely occluded, distal forward blood flow TIMI grade 0..."

"PCI for LAD and LCX lesions... The re-examination of coronary angiography showed that the stent was well attached to the wall, without residual stenosis, intimal tear and thrombus, and the distal anterior blood flow TIMI grade 3 PCI was successful; the patient had no complaints, Aseptically bandage and return to the ward safely."

The operation was a success!
And looking at the operation records, there was no ventricular fibrillation during the operation, and the process went smoothly!

Zhang Guangming's two blood vessels, LAD (anterior descending artery) and LCX (circumflex artery), were severely occluded, and a total of three domestic drug-eluting stents were implanted.

At this time, Lu Chen received a prompt from the system.

"Congratulations, received a thank you from Zhang Guangming +1!"

"Congratulations, received the thank you from Zhang Jun +1!"

Last time the system was 90% complete, so this time...

Looking at the system panel, the system completion has indeed reached 100%!

Above the system light curtain, a line of text appeared.

"The system is officially activated!"

"From the next upgrade, the completion rate is 0%!"

In the system light curtain, from the original blank, began to change.

(End of this chapter)

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