I can see health

Chapter 667
Lu Chen was a little confused, but he still followed behind Dai Wansong.

The young doctor was slightly taken aback, but he didn't say much, and still led the way.

"Is this the direction to CCU?"

Walking out of the classroom, Lu Chen found that the young doctor was walking towards the CCU.

Sure enough, after going around a few turns, the three of them stopped at the entrance of the medical passage of CCU.

The young doctor swipes the card.

The three entered one by one.

Both Dai Wansong and the young doctor put on their own Crocs.

"Lu Chen, put on a shoe cover."

"it is good."

Lu Chen nodded, took a pair of shoe covers from the glove cabinet, and followed Dai Wansong to the CCU ward.

This time, instead of going to the cath lab, I came to the hospital bed.

……

Before approaching, Lu Chen saw the busy doctors and nurses beside the hospital bed, as well as the ticking alarm of the monitor.

"Intubation!"

"Ice bag head protection!"

"Open a few more veins!"

"..."

The situation of the patients in the hospital bed is not optimistic.

In Lu Chen's eyes, the patient's HP is only 35 (——)!

And the trend of declining health is very fast, reaching 1.26/min.

"Dean, you are here."

The person in charge of the rescue was a middle-aged doctor who nodded slightly when he saw Dai Wansong coming.

"What's the situation?" Dai Wansong frowned tightly, staring at the patient on the hospital bed.

The middle-aged doctor quickly said: "This patient was originally scheduled to undergo TAVR surgery three days later. He just suffered from acute heart failure and cardiogenic shock. His blood pressure was just 70/40mmHg. He lost consciousness and was in a very bad condition!"

Upon hearing this, Dai Wansong stepped forward to check the patient's condition.

The patient has undergone bronchial intubation and central venous catheterization. After active rescue by medical staff and application of a large number of vasoactive drugs, the blood pressure finally stabilized.

"Bring me the medical records." Dai Wansong said.

The young doctor quickly ran to the doctor's office and took all the patient's information.

Dai Wansong glanced at it for a while, then handed it to Lu Chen who was beside him.

It was only then that the other doctors in the CCU noticed Lu Chen's strange face.

Lu Chen didn't care about the opinions of the unexpected, picked up the medical record folder, and began to compare and check the patient's condition.

He faintly sensed the reason why Dai Wansong asked him to follow.

……

Patient, male, 86 years old this year.

He was admitted to the hospital with "repeated palpitations for more than 6 years, chest pain with shortness of breath for more than 1 month".

The patient developed palpitations for no obvious reason 6 years ago. The local hospital diagnosed "coronary heart disease" and did not give standardized treatment.

Chest pain, palpitations, and shortness of breath occurred more than one month ago, accompanied by paroxysmal dyspnea at night. During hospitalization in the local hospital, sudden chest pain, dyspnea, and loss of consciousness occurred.

The diagnosis was "acute left heart failure, calcific stenosis of aortic valve (severe) and regurgitation (mild), pulmonary infection, stress ulcer".

After giving antiplatelet, lipid-lowering, anti-infection, and anti-heart failure treatments, the shortness of breath improved, and then he was transferred to Modu Central Hospital.

……

Lu Chenfan saw the patient's echocardiogram report.

"LVEF: 28%; bicuspid active leaflet thickening, calcification, limited opening, Vmax=4.24m/s, PG=72mmHg, MG=49mmHg, AVA=0.3cm."

The ejection fraction of a normal person should be above 50%, but this patient only had 28%, and the myocardial contractility was severely damaged!

"Lu Chen, what do you think?" Dai Wansong looked at Lu Chen.

This surprised the surrounding doctors.

Dean Dai actually asked this little doctor for his opinion?
Everyone looked at Lu Chen and felt unfamiliar.

Where is this student from?
Lu Chen thought for a while, without too much nonsense, and said directly: "Emergency TAVR surgery tonight, there is still a possibility to save the patient, if it drags on, I don't know what will happen."

The other doctors were a little shocked when they heard this.

This little doctor speaks so decisively? !

The middle-aged doctor who presided over the rescue looked at the young doctor who led the way just now, and asked in a low voice, "Who is this young man?"

The young doctor said slowly: "President Dai brought out the students from the TAVR class, which should be the students of this group."

Member of TAVR class?

The middle-aged doctor frowned deeply, unable to figure out what Dean Dai Wansong meant by bringing Lu Chen here.

At this time, Dai Wansong heard Lu Chen's words and nodded slightly: "Yes, it's the same as I thought."

Then, he turned to look at the middle-aged doctor beside him, "Huayuan, go talk to your family about the emergency TAVR surgery. Everyone else comes to the office, let's discuss it first."

"Okay." Hua Yuan nodded, without ink marks, and went to the CCU doctor-patient communication room immediately.

The other doctors, apart from taking care of the patients, put down their work and came to the doctor's office.

……

This is the first time for Lu Chen to come to the CCU office of Shanghai Central Hospital.

The overall layout of the office is similar to that of a hospital in Shanghai.

Everyone sat down one by one.

Dai Wansong began to speak first.

"The patient had sudden acute left heart failure and cardiogenic shock. His vital signs are temporarily stable, but they may deteriorate at any time. We are going to do TAVR surgery in the emergency department."

"Now we are discussing the risks of surgery and the precautions after surgery."

As soon as the words fell, everyone whispered.

An elderly doctor stood up and said slowly: "Dean Dai, you are an expert in TAVR. I know that you are eager to operate on the patient. But the patient's current condition is very unstable. I'm afraid I can't get off the operating table."

"Then what do you mean, don't do it?" Dai Wansong looked at the old doctor, "Just wait like this? See God's will?"

"This..." The old doctor paused, "The operation is too risky, and to be honest, this operation has just begun in China, and our experience may not be enough."

"Okay, I understand what you mean." Dai Wansong stared at the old doctor closely, "Don't worry, you won't be allowed to undergo this operation."

Afterwards, Dai Wansong ignored the old doctor, but looked at the other doctors present.

"Anyone have any other opinions?"

After a while, a young doctor raised his hand.

"Speak directly, without raising your hand." Dai Wansong said in a deep voice.

"Oh." The young doctor stood up quickly, "The cause of the patient should be severe aortic valve stenosis, resulting in cardiogenic shock. If we don't solve the cause, the patient's vital signs will definitely not be maintained."

"As long as the vasopressors are withdrawn, the blood pressure will definitely collapse."

"So TAVR surgery must be done! But the risk is extremely high. Before the operation, we need the patient's family members to sign an informed consent form, or a life-and-death statement. Otherwise, this patient will not be able to move!"

The young doctor talked a lot, and his mouth was a little dry.

Dai Wansong nodded slightly, "Young people are still aggressive!"

However, he immediately frowned, "But what you said, except for the surgery, everything else is nonsense! What did I ask just now? The risks, precautions and postoperative care of the surgery! What you said are all What nonsense?"

The young doctor looked embarrassed and immediately lowered his head.

At this time, Lu Chen finally spoke.

"Dean Dai, may I say a few words?"

When Dai Wansong heard Lu Chen's words, a smile appeared on his gloomy face, "Well, tell me."

Everyone's eyelids jumped.

Dean Dai's face-changing speed is really fast!
(End of this chapter)