I can see health

Chapter 728 How about I come? (third change)

As the chief resident of the Cardiology Department, Lu Chen also undertakes all the emergency consultation and rescue work of the Cardiology Department.

Therefore, although he knew about the island medical team coming to exchange information, he didn't go to join in the fun.

However, the island medical team did not bother him.

The emergency consultation in the emergency department came to him again!
Shanghai No. [-] hospital, CCU lounge.

At this time, Lu Chen was dreaming.

A rapid beeping of the phone's alarm woke him up directly.

"President Lu, urgent consultation in the emergency department!"

Wu Si didn't call the special phone number of the general hospital now, and directly called Lu Chen's private phone.

"Okay, I'll be there soon!"

Lu Chen was busy putting on his white coat while holding his mobile phone in one hand.

Opening the door, there was a burst of noise coming from outside the catheterization room. He didn't pay much attention to it, and hurriedly walked towards the emergency department.

……

In about 5 minutes, Lu Chen rushed to the emergency department.

On the hospital bed, an old man who was sweating profusely and short of breath was sitting on the hospital bed.

The head of the bed was shaken to form a ninety-degree right angle with the ground.

Wu Si, the attending doctor of the emergency department.Nurses are being organized to rescue patients.

Seeing Lu Chen arrived, he felt a little more at ease.

"Mr. Lu, this should be a patient with acute heart failure."

Lu Chen nodded, without any trace of ink, picked up the stethoscope, and began to conduct a simple physical examination on the patient.

Wu Si started to introduce Lu Chen's condition from the side.

The patient experienced dyspnea with no obvious cause more than one month ago, accompanied by chest tightness and shortness of breath, which aggravated in the supine position, and could be relieved after sitting up. She was treated in a local hospital, and the symptoms improved after diuresis and circulation improvement.

One day ago, the above symptoms worsened, and he coughed up pink frothy sputum, so he went to the local hospital again.

Diagnosed with "heart failure", he was given nitroglycerin and sodium nitroprusside, but the curative effect was not good, and then 7 tubes of "recombinant human brain natriuretic peptide for injection" were pumped in for 5 days, but the patient's condition did not improve significantly.

An hour ago, the patient was transferred to the emergency department of Shanghai No. [-] Hospital to continue treatment.

"At present, heart failure is certain!" Lu Chen agreed with Wu Si's diagnosis.

Through physical examination, the patient was sitting for breathing, full of moist rales in the lungs, and edema of both lower extremities, which was obviously a symptom of acute heart failure.

And his life value is 47 (----), he is in a critical condition, and the risk of sudden death is extremely high!

"Use furosemide first." Lu Chen said, "After stabilizing the patient's vital signs, transfer to the CCU."

"Okay." Wu Si nodded, and at this time, he took out another medical record.

It seems that it should be the case information of the patient in the local hospital.

"Mr. Lu, look at this. The patient had an echocardiogram at the local hospital, which showed severe aortic valve stenosis-mild regurgitation!"

Lu Chen frowned slightly, and immediately took the report in his hand.

Judging from this echocardiographic report, the patient's condition can be completely determined.

Chronic heart failure caused by heart valve disease, and acute attack!
Moreover, patients with severe aortic stenosis are the absolute indications for TAVR surgery!
After flipping through it for a while, Lu Chen asked Wu Si to bring over the emergency ultrasound machine just to be on the safe side.

He needs to review the patient with an echocardiogram.

Ultrasound is related to the operator's technique.

A small difference in technique is very likely to cause huge errors!
……

Wu Si quickly asked the nurse to push the ultrasound machine.

After Lu Chen performed an echocardiogram on the patient, he re-diagnosed "severe aortic stenosis".

Moreover, he also measured the cardiac ejection fraction of the patient, only 38%!

Other data showed severe calcification of the aorta.

Aortic valve: Vmax: 3.5m/s, Pgmean: 26mmHg, valve area: 0.6cm.

Left atrium, left ventricle enlarged, ascending aorta widened.The basal segment of the ventricular septum was thickened, and the pulsation of the ventricular wall was diffusely weakened.

"What was the result?" Wu Si asked curiously from the side.

An echocardiogram, unlike an abdominal ultrasound, can be difficult to read without an understanding of the anatomy.

"The local hospital is quite accurate." Lu Chen said in a deep voice, "There is indeed severe aortic stenosis, it is best to do emergency TAVR surgery immediately!"

Wu Si didn't have any doubts about Lu Chen, "Shall I communicate with the patient's family?"

Lu Chen nodded, "If the family members agree to the operation, they should be sent to the CCU immediately, and I will help contact the surgeon."

"Okay!" Wu Si heard the words, quickly called the patient's family aside, and began to talk about the emergency operation.

Lu Chen, on the other hand, stayed in the emergency room, continuing to watch the patient's condition change.

……

Five minutes later, Wu Si's communication ended.

"The patient's family has agreed!" Wu Si walked into the emergency room, holding a hospital certificate in his hand, "Mr. Lu, go to the CCU now?"

In fact, he almost guessed the result. The patient's family members went to many hospitals and sent the patient to the No. [-] hospital in Shanghai. They would definitely not give up easily.

"Wait a minute, I'll call the CCU first." Lu Chen said.

He wants to ask the CCU doctor to prepare, and also confirms that there is a free operating room for the CCU catheter.

The call was connected immediately.

"CCU in your heart? I'm Lu Chen."

"President Lu, what's the matter?" It was CCU doctor Zhang Lulu who answered the phone.

Lu Chen heard it all at once, and hurriedly said, "Sister Lulu, there is a patient with severe aortic valve stenosis in the emergency department. He has acute heart failure and may need emergency TAVR surgery. I heard that the island country medical exchange team came to catheterize Room, can surgery be performed there now?"

"Now there is a free operating room, emergency surgery can be done!" Zhang Lulu immediately said, "But Professor Zhang Shuqing and Professor Zhu Qingshan are both on stage, if you want to do TAVR emergency surgery, there may be no one."

Lu Chen frowned slightly, "Is there no one?"

At present, there are quite a few people who can perform TAVR surgery in the No. [-] hospital in Shanghai, but the only doctors who can really perform the surgery and undertake this kind of emergency surgery are Zhang Shuqing and Zhu Qingshan!
Lu Chen hesitated for a moment, then slowly said: "How about I do it!"

Zhang Lulu was slightly taken aback. She knew that Lu Chen could independently lead the TAVR surgery, and he had done quite a lot.

"But you are the head of the hospital now..." Zhang Lulu whispered.

"Sister Lulu, I'm a cardiologist first, and then the chief resident." Lu Chen said, "The patient needs emergency surgery, and I'm definitely duty-bound. As for the general work in the hospital, Sister Lulu, are you busy now?"

Zhang Lulu smiled helplessly, "You kid actually came here to pick on my sister! I happen to be not the head of the class today, and I can help you with the general work of the hospital for a while."

Seeing what Zhang Lulu said, Lu Chen had a look of joy on his face.

"That's great! Thank you, sister Lulu! I'll have the emergency department bring the patient to the CCU right away."

After hanging up the phone, Lu Chen immediately told Wu Si to pack up his things and prepare to transfer the patient to the CCU ward.

Lu Chen, on the other hand, went one step ahead and returned to the CCU ward to start preoperative preparations.

(End of this chapter)