medical road high rise

Chapter 48 Myocardial infarction surgery ([-])

Chapter 48 Myocardial infarction surgery ([-])

"Has the patient's ECG come out?" The intervening doctor asked urgently.

After finally going home to rest for a while, he received a call from the cardiovascular department, asking him to come to the emergency department to see a patient with myocardial infarction, and his tone of voice was a bit aggressive.

"I'm coming."

Wang An printed out the electrocardiogram and showed it to the intervening doctor. The intervening doctor glanced at it and immediately widened his eyes.

Tnl (organocalcin): 1.87ng/ml.

Ck-MB (serum creatine kinase): 50.07ng/ml.

Myo (myoglobin): 318.82ng/ml.

"Why is it so serious!" The intervening doctor was shocked, "Quickly contact the patient's family and prepare for the operation."

The three values ​​​​of the patient are particularly serious among myocardial infarctions, and must be dealt with within two hours. After two hours, the patient will undoubtedly die.

The golden rescue time is only these two hours.

"Doctor Liang, is the patient's condition serious? I think the patient's blood pressure is stable now." The emergency doctor asked in surprise when he saw the interventionist's face as if he was facing a formidable enemy.

"Blood pressure can only be used as a reference. The blood vessels in the patient's body should be blocked now, the blood cannot circulate, and the natural blood pressure is stable. However, after the atrial fibrillation passes, the patient has abnormal arrhythmia, and the blood will flow back and completely block the patient's heart. Blood vessel.

At that time, let alone surgery, even if the gods come, it will be difficult to save them.

Do you only look at the surface when you see a doctor? "

Dr. Liang's words made the emergency doctor silent. He was hasty. He thought that the patient's condition should have improved a lot after some rescue, but he didn't expect it to be this serious.

Qin Feng stood outside the emergency room, not because Qin Feng was unwilling to go in, but because there were too many people in the emergency room, and Qin Feng had no place to stand, so doctors from several departments filled the emergency room.

After delivering the ECG, Wang An also came out, shaking his head with a heavy expression, and said, "This patient is a bit difficult."

"What's the situation? Isn't the initial treatment effect quite good?" Qin Feng asked puzzled.

"The patient's myocardial infarction is too serious, and the interventional doctor is not sure." Wang Andao.

Qin Feng was silent, this is also a kind of sadness, Qin Feng sighed.

"Trigger a hidden mission to treat patients with myocardial infarction. Mission reward: interventional surgery for liver cancer."

When Qin Feng heard the notification sound from the system, he was taken aback. He doesn't know how to do myocardial infarction surgery, so how can he fix it?
During this period of time, although Qin Feng was also training radial artery interventional surgery, he did not encounter myocardial infarction surgery, and he is now a stunned young man.

"Ding, the system training is refreshed, the host can enter the training room to check."

"Training refreshed?" Qin Feng looked up at the time in the hospital corridor, 23:59.

Qin Feng suddenly woke up, it was a new day, and before he knew it, it was the early morning of the next day.

As for why the time of the hospital is still 23:59, it is related to the fact that the time of the hospital is always 1 minute slower than that of the outside world.

There is also a story about this minute. The most widely circulated story and one that is recognized by doctors is the agreement between doctors and the God of Death.

The god of death will give the doctor 1 minute after the death of the person. If the doctor rescues the person, the person will belong to the doctor. If the person is not rescued, it will belong to the god of death.

This 1 minute is a bet between the doctor and the god of death.

"call!"

Qin Feng let out a long breath and chose to enter the training room.

"Training for radial artery interventional surgery."

"Ding, the training operation is generated, the patient's condition: myocardial infarction, please successfully treat the patient within an hour."

Looking at the patients appearing on the operating table of the system, Qin Feng took a deep breath.

"Sure enough, the system is giving me a chance to save the patient fifty times. As long as I succeed once, I can save the patient, but it fails..."

Qin Feng suddenly felt the pressure on his shoulders, the pressure of one family or even five or six families.

Twirling the catheter in his hand, Qin Feng began to perform the operation with his eyes focused.

"The operation failed!"

the second time.

"The operation failed!"

Until the No. 20 failures, they failed to enter the first embolized blood vessel, let alone perform thrombus removal.

In Qin Feng's mind, he was thinking about the patient's embolized blood vessel that was almost invisible in the image. In Qin Feng's view, this is the first blood vessel to get started. Only after overcoming this blood vessel can he continue to eliminate the thrombus.

The guide wire had reached the designated position, and suddenly Qin Feng found that there seemed to be another blood vessel behind this blood vessel, but this blood vessel was not blocked, so Qin Feng never cared about it.

"I'm at the top of my head. The circulation of the human body is divided into two, and the blood vessels are also divided into arteriovenous and capillary. Since this road can't be walked, I don't care about it. Just cross it through other roads. It's gone." Qin Feng patted his thigh suddenly, the most important thing was the blood vessel near the heart.

Although it may cause the catheter to take a big bend, it is better than hitting a wall here one after another. The goal of surgery is the result, which is to save the patient, not a wonderful process.

After Qin Feng figured this out, he continued his surgical training.

Outside the rescue room, the emergency doctor rushed out to call the family members of the myocardial infarction patient.

A group of people came here, it was the group of friends who were drinking with the patient, and they called the patient's wife over.

"Who are the family members of the patient?" the emergency doctor asked.

"I am." The patient's wife said.

"Then come and sign with me."

The emergency doctor took the patient's wife to his office for preoperative signature and preoperative explanation. The preoperative signature for myocardial infarction surgery is a must.

This is a rigid rule of the hospital, and the doctor will not perform the operation without signing it.

The mortality rate of this operation is too high. Few doctors dare to perform the operation without signing.

After a while, the patient's wife came out of the emergency doctor's office with red eyes.

The emergency doctor hurried into the emergency room, and a group of people pushed the flat car and ran towards the operating room.

Qin Feng also opened his eyes at this moment, and patted Wang An's shoulder.

"Let's go, let's go to the operating room too." Qin Feng said.

"Ah, aren't you going home to sleep?" Wang An asked suspiciously, "We can't enter the operating room either, we can only wait outside the operating room."

"If you don't go, then I will go alone." After Qin Feng finished speaking, he walked towards the operating room.

Wang An stayed where he was for a while, then quickly chased after him.

"You wait for me."

"You haven't told me why you went to the operating room? Is it because the patient's results haven't come out and you can't sleep?

Let me tell you, you can't have this kind of mentality. Although we doctors rarely encounter this kind of thing, we always do.

We have fulfilled our duty, and even if we did not rescue him, it has nothing to do with us.

Hey, are you listening to me at all? "

(End of this chapter)