I can see health
Chapter 879 9 Dead 1 Life
Chapter 879 Nine Dead Lives
Came to the catheterization room of the Cardiology Department of Guanghai Central Hospital.
The decoration structure here is similar to that of Guanghai First Hospital.
"Director Lu, there are currently two wards in our CCU." Dong Cheng smiled, "One ward is mainly for all kinds of critically ill patients, and the other is the postoperative observation room, with a total of fifty beds. "
"Well, there are quite a lot of beds." Lu Chen nodded.
Guanghai Central Hospital has all kinds of intensive care equipment, such as ECMO and IABP, which are used at a relatively high rate.
"The talent gradient of our doctors is at least starting with a doctorate." Dong Cheng continued, "Many doctors have studied abroad."
"How much was the National Natural Science Foundation of China in the Department of Cardiology last year?"
Lu Chen asked a crucial question.
In addition to the necessary clinical and surgical equipment, the most important thing for a large tertiary hospital is the scientific research fund.
"This one……"
Dong Cheng paused, "Not many."
"Oh." Lu Chen smiled, Dong Cheng naturally didn't have many.
There is a lot of money here in Guanghai, but the background is still not comparable to that of Kyoto and Shanghai.
"There will definitely be more and more in the future." Dong Cheng forced a smile.
Lu Chen didn't continue to struggle with this issue.
Next, Jin Miao took Lu Chen to visit the cath lab.
TAVR, coronary artery and electrophysiology, the current domestic high-end procedures, can be carried out smoothly in the cath lab of the central hospital.
"Well, it's not bad. The equipment and equipment that are sorted out are all first-class in China." Lu Chen nodded slightly after reading the hardware facilities.
The hospitals in Guanghai are still rich!
The equipment here is basically first-class in China, and some of them are even the most advanced in the world.
"Director Lu, there will be a TAVR surgery later, can you give us some guidance?" Jin Miao smiled.
"Well, when will the surgery start?"
Lu Chen and Xu Wei made an appointment to go out for dinner together. If it was too late, he would not be able to participate in the operation.
"Soon, 10 minutes at most." Jin Miao said immediately, "You can go to the lounge next door and rest for a while, and I will call you out when the patient arrives."
"No need." Lu Chen smiled, "I'm just wandering around in the cath lab, you don't need to worry about me."
At this time, Dean Dong Cheng had other things to attend to, so he left early.
Next, Jin Miao and Shi Langqin accompanied Lu Chen.
……
Come to the lounge.
Lu Chen smiled and looked at Jin Miao who was looking aside: "Jin Miao, it seems that after you came to Guanghai Central Hospital, you have a good life."
Jin Miao touched the back of his head and smiled honestly, "Director Lu, it's better to teach you before."
Before Lu Chen went to Guanghai No. [-] Hospital, he, Jin Miao, was just a small doctor, and he was insignificant in the department.
Even if he asked for leave and didn't go to the department, not many people might find out.
It was Lu Chen's arrival that brought vitality to the Cardiology Department of Guanghai No. [-] Hospital.
He was lucky, he was assigned to the same group as Lu Chen, and received the longest surgery teaching.
"In any case, it all depends on your own efforts." Lu Chen smiled, "Will you be the chief surgeon for this operation later?"
Jin Miao nodded immediately, "Yes."
"That's right, let me see if your surgical skills have improved!" Lu Chen said.
Jin Miao was full of confidence, "Director Lu, don't worry, since we came to the Central Hospital, the number of surgeries has not decreased at all."
In Guanghai No. [-] Hospital, Lu Chen's department was suppressed by the hospital leaders.
The amount of surgery is not much.
Coming to Guanghai Central Hospital, the atmosphere of the departments here is much better than that of Guanghai First Hospital!
Shi Langqin is also vigorously developing TAVR, and he values Jin Miao's surgical skills very much.
Therefore, Jin Miao's surgery volume here is even double that of Guanghai Hospital!
"Okay, let's wait and see." Lu Chen smiled.
……
Just as everyone was about to leave the lounge and go to the catheterization room for surgery observation, a resident doctor suddenly rushed in.
"Professor Shi, there is a patient in CCU who is dying! Director Tian asked you to take a look!"
Shi Langqin immediately stood up with a serious expression, "Is that his patient from the morning?"
"Yes, it's severe aortic stenosis!" The resident doctor kept nodding, looking very anxious.
"Okay, I'll go now." Shi Langqin said to Lu Chen, "Director Lu, I'm sorry, I have an emergency at the CCU."
"You go, I'll go and observe Jin Miao's operation later." Lu Chen said.
"I didn't mean that." Shi Langqin was a little embarrassed, but he still gritted his teeth and said, "Director Lu, I want you to accompany me to see this patient. Emergency surgery!"
"This... that's fine." Lu Chen didn't refuse.
Professor Shi Langqin could even lower his face and ask him to take a look, then the patient's condition is definitely very complicated.
Lu Chen would never let go of these difficult cases.
Right now, there may be an emergency TAVR operation, and Jin Miao's ordinary TAVR operation must be stopped for the time being.
Jin Miao followed Lu Chen to the CCU ward.
……
CCU ward, emergency room.
Doctors and nurses are working in an orderly manner.
"Adrenaline speed, dopamine together!"
"Ready to open the central venous access!"
"Pay attention to brain protection and prepare IABP."
"..."
Lu Chen followed Shi Langqin, and he saw the patient lying on the bed with only 32 HP (----)!
"Mr. Shi, you are finally here." The CCU doctor named Director Tian immediately walked up to Shi Langqin, "This is the patient I told you about this morning, with heart valve disease and severe aortic valve stenosis , severe pulmonary hypertension, and a history of myocardial infarction."
After saying this, Shi Langqin nodded slightly, "Continue to talk about the condition of the disease."
After a short pause, Director Tian continued: "The patient was admitted to the hospital for more than one year due to chest tightness and asthma. The main manifestations are gradual aggravation of chest tightness and shortness of breath."
"He was admitted to the hospital for conservative treatment on the 6th and his condition continued to deteriorate. He just had a sudden dyspnea, coughed up pink foamy sputum, HR 111 times/min, BP dropped to 75/33 mmHg, RR 24 times/min, oxygen inhalation by mask (6L/min) Under normal conditions, SpO2 is only 70%-80%."
"The physical examination on admission revealed that a systolic jet murmur of grade 5/6 was heard in the auscultation area of the aortic valve, cardiac function grade IV, and moderate edema of both lower extremities. Auxiliary examination: echocardiography showed that the whole heart was enlarged, and the aorta was enlarged. Valvular stenosis (very severe), pulmonary hypertension (moderate-severe), left ventricular systolic and diastolic functions were significantly reduced, and the ejection fraction (EF) was 28%."
"The patient was transferred from the general ward to our CCU."
Lu Chen and Shi Langqin's expressions were very solemn.
Judging from the auxiliary examination and physical examination, the patient is already a patient with advanced heart failure and acute attack.
Such patients are close to death!
(End of this chapter)
Came to the catheterization room of the Cardiology Department of Guanghai Central Hospital.
The decoration structure here is similar to that of Guanghai First Hospital.
"Director Lu, there are currently two wards in our CCU." Dong Cheng smiled, "One ward is mainly for all kinds of critically ill patients, and the other is the postoperative observation room, with a total of fifty beds. "
"Well, there are quite a lot of beds." Lu Chen nodded.
Guanghai Central Hospital has all kinds of intensive care equipment, such as ECMO and IABP, which are used at a relatively high rate.
"The talent gradient of our doctors is at least starting with a doctorate." Dong Cheng continued, "Many doctors have studied abroad."
"How much was the National Natural Science Foundation of China in the Department of Cardiology last year?"
Lu Chen asked a crucial question.
In addition to the necessary clinical and surgical equipment, the most important thing for a large tertiary hospital is the scientific research fund.
"This one……"
Dong Cheng paused, "Not many."
"Oh." Lu Chen smiled, Dong Cheng naturally didn't have many.
There is a lot of money here in Guanghai, but the background is still not comparable to that of Kyoto and Shanghai.
"There will definitely be more and more in the future." Dong Cheng forced a smile.
Lu Chen didn't continue to struggle with this issue.
Next, Jin Miao took Lu Chen to visit the cath lab.
TAVR, coronary artery and electrophysiology, the current domestic high-end procedures, can be carried out smoothly in the cath lab of the central hospital.
"Well, it's not bad. The equipment and equipment that are sorted out are all first-class in China." Lu Chen nodded slightly after reading the hardware facilities.
The hospitals in Guanghai are still rich!
The equipment here is basically first-class in China, and some of them are even the most advanced in the world.
"Director Lu, there will be a TAVR surgery later, can you give us some guidance?" Jin Miao smiled.
"Well, when will the surgery start?"
Lu Chen and Xu Wei made an appointment to go out for dinner together. If it was too late, he would not be able to participate in the operation.
"Soon, 10 minutes at most." Jin Miao said immediately, "You can go to the lounge next door and rest for a while, and I will call you out when the patient arrives."
"No need." Lu Chen smiled, "I'm just wandering around in the cath lab, you don't need to worry about me."
At this time, Dean Dong Cheng had other things to attend to, so he left early.
Next, Jin Miao and Shi Langqin accompanied Lu Chen.
……
Come to the lounge.
Lu Chen smiled and looked at Jin Miao who was looking aside: "Jin Miao, it seems that after you came to Guanghai Central Hospital, you have a good life."
Jin Miao touched the back of his head and smiled honestly, "Director Lu, it's better to teach you before."
Before Lu Chen went to Guanghai No. [-] Hospital, he, Jin Miao, was just a small doctor, and he was insignificant in the department.
Even if he asked for leave and didn't go to the department, not many people might find out.
It was Lu Chen's arrival that brought vitality to the Cardiology Department of Guanghai No. [-] Hospital.
He was lucky, he was assigned to the same group as Lu Chen, and received the longest surgery teaching.
"In any case, it all depends on your own efforts." Lu Chen smiled, "Will you be the chief surgeon for this operation later?"
Jin Miao nodded immediately, "Yes."
"That's right, let me see if your surgical skills have improved!" Lu Chen said.
Jin Miao was full of confidence, "Director Lu, don't worry, since we came to the Central Hospital, the number of surgeries has not decreased at all."
In Guanghai No. [-] Hospital, Lu Chen's department was suppressed by the hospital leaders.
The amount of surgery is not much.
Coming to Guanghai Central Hospital, the atmosphere of the departments here is much better than that of Guanghai First Hospital!
Shi Langqin is also vigorously developing TAVR, and he values Jin Miao's surgical skills very much.
Therefore, Jin Miao's surgery volume here is even double that of Guanghai Hospital!
"Okay, let's wait and see." Lu Chen smiled.
……
Just as everyone was about to leave the lounge and go to the catheterization room for surgery observation, a resident doctor suddenly rushed in.
"Professor Shi, there is a patient in CCU who is dying! Director Tian asked you to take a look!"
Shi Langqin immediately stood up with a serious expression, "Is that his patient from the morning?"
"Yes, it's severe aortic stenosis!" The resident doctor kept nodding, looking very anxious.
"Okay, I'll go now." Shi Langqin said to Lu Chen, "Director Lu, I'm sorry, I have an emergency at the CCU."
"You go, I'll go and observe Jin Miao's operation later." Lu Chen said.
"I didn't mean that." Shi Langqin was a little embarrassed, but he still gritted his teeth and said, "Director Lu, I want you to accompany me to see this patient. Emergency surgery!"
"This... that's fine." Lu Chen didn't refuse.
Professor Shi Langqin could even lower his face and ask him to take a look, then the patient's condition is definitely very complicated.
Lu Chen would never let go of these difficult cases.
Right now, there may be an emergency TAVR operation, and Jin Miao's ordinary TAVR operation must be stopped for the time being.
Jin Miao followed Lu Chen to the CCU ward.
……
CCU ward, emergency room.
Doctors and nurses are working in an orderly manner.
"Adrenaline speed, dopamine together!"
"Ready to open the central venous access!"
"Pay attention to brain protection and prepare IABP."
"..."
Lu Chen followed Shi Langqin, and he saw the patient lying on the bed with only 32 HP (----)!
"Mr. Shi, you are finally here." The CCU doctor named Director Tian immediately walked up to Shi Langqin, "This is the patient I told you about this morning, with heart valve disease and severe aortic valve stenosis , severe pulmonary hypertension, and a history of myocardial infarction."
After saying this, Shi Langqin nodded slightly, "Continue to talk about the condition of the disease."
After a short pause, Director Tian continued: "The patient was admitted to the hospital for more than one year due to chest tightness and asthma. The main manifestations are gradual aggravation of chest tightness and shortness of breath."
"He was admitted to the hospital for conservative treatment on the 6th and his condition continued to deteriorate. He just had a sudden dyspnea, coughed up pink foamy sputum, HR 111 times/min, BP dropped to 75/33 mmHg, RR 24 times/min, oxygen inhalation by mask (6L/min) Under normal conditions, SpO2 is only 70%-80%."
"The physical examination on admission revealed that a systolic jet murmur of grade 5/6 was heard in the auscultation area of the aortic valve, cardiac function grade IV, and moderate edema of both lower extremities. Auxiliary examination: echocardiography showed that the whole heart was enlarged, and the aorta was enlarged. Valvular stenosis (very severe), pulmonary hypertension (moderate-severe), left ventricular systolic and diastolic functions were significantly reduced, and the ejection fraction (EF) was 28%."
"The patient was transferred from the general ward to our CCU."
Lu Chen and Shi Langqin's expressions were very solemn.
Judging from the auxiliary examination and physical examination, the patient is already a patient with advanced heart failure and acute attack.
Such patients are close to death!
(End of this chapter)
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