Medical road Qingyun

From the instinct of a doctor.

Zhao Yuan and Jiang Qiang looked at each other, got up, and quickly came to the box next door.

A twenty-five or sixteen-year-old man fell to the ground, closed his eyes tightly, and clutched his chest, "It hurts!"

Tian Wei, Chen Shuai, and Liu Sha also came to the second floor at this time.

Tian Wei saw Jiang Qiang beside Zhao Yuan, and his eyes almost didn't fall out.

Why is Jiang Qiang, the head of his own department, here?

Then, he misunderstood!

Thinking that Director Jiang helped Zhao Yuan pay the bill.

How could Zhao Yuan know Jiang Qiang.

What is the relationship between the two!

Jiang Qiang is the director of the Department of Cardiothoracic Surgery, and it is a matter of one sentence to be able to hug his thigh and want to stay in the hospital.

Tian Wei was annoyed that he had underestimated Zhao Yuan.

This kid has a background.

No wonder Liu Sha treats him differently.

"Director Jiang, hello!" Tian Wei took the initiative to greet him.

"Hmm!"

Jiang Qiang's attention was on Zhao Yuan's body.

Just glanced at Tian Wei lightly.

Zhao Yuan was examining the patient, and Jiang Qiang knew Zhao Yuan's strength.

A physical examination can be used to determine that the patient has a ruptured heart.

Examining the patient in front of him was not a difficult task for him.

Tian Wei has been in cardiothoracic surgery for three years, and Jiang Qiang's attitude towards him is usually lukewarm.

Tian Wei knows that this moment is a once-in-a-lifetime opportunity for him to perform.

Tian Wei walked to Zhao Yuan's side and urged impatiently: "Let go."

Zhao Yuan glanced at Tian Wei and vacated his position.

When Tian Wei began to examine the patient's chest, Zhao Yuan's behavior was surprising.

He's checking his thighs.

Tian Wei was secretly amused.

This kid is really good at pretending to be a ghost! About

ten minutes, Tian Wei finished the examination and took the lead in reporting to Jiang Qiang, "Director, the patient should have an acute myocardial infarction!" Jiang Qiang

turned his gaze to Zhao Yuan, "What do you think?"

Tian Wei was shocked.

Jiang Qiang was looking forward to Zhao Yuan's answer.

Zhao Yuan said solemnly, "It's not myocardial infarction, it's a pulmonary embolism caused by venous thrombosis!" Tian

Wei retorted, "Venous thrombosis is due to sitting for a long time and being inactive or standing for a long time." The patient is strong, I just asked the patient's family, his profession is a football coach, how can he get venous thrombosis

" Jiang Qiang ignored Tian Wei and groaned slightly, "The ambulance should have arrived."

Jiang Qiang ignored Tian Wei again, because Zhao Yuan's conclusion was consistent with his own guess.

Tian Wei's mentality collapsed.

In the eyes of the director, he is a little transparent!

Tian Wei's embarrassment was seen by several interns.

Director Jiang looked at Senior Brother Tian as if he was looking at a stranger. Liu Sha said softly.

"There are so many young doctors in cardiothoracic surgery, and it is impossible for Director Jiang to know everyone very well. Chen Shuai sighed, it seems that even if he stays in the hospital and becomes a resident doctor, life is not so good.

"Zhao Yuan seems to be very familiar with Director Jiang. Lyusa felt strange.

Chen Shuai patted his head!

Why is there such a big forgetfulness?"

I remembered. Yesterday, Zhao Yuan, as a helper, did cardiac interventional surgery with Director Jiang.

During the operation in the emergency surgical treatment room, Chen Shuai listened to the nurses talk about it.

The hotel is not far from the hospital and the ambulance arrives quickly.

The patient enters the hospital, walks through the green channel, and undergoes a full examination.

About a quarter of an hour, Jiang Qiang got the results of the report and said calmly, "Sure enough, it was a pulmonary embolism."

Tian Wei was stunned as if he had been struck by lightning.

It's hard to accept this result.

Jiang Qiang didn't bother to look at Tian Wei again.

The three-year residency in his department was crushed by the interns in emergency surgery.

"Clinically, the misdiagnosis rate of pulmonary embolism has reached 80 percent, and it is easy to confuse it with myocardial infarction. Zhao Yuan, can you explain the pathology to everyone!" Jiang Qiang's eyes narrowed slightly.

Chen Shuai, Liu Sha and others set their eyes on Zhao Yuan.

Tian Wei was unwilling, and couldn't help but prick up his ears at this moment.

Zhao Yuan said calmly, "The patient is a football youth coach who usually exercises regularly, and it stands to reason that he is very healthy. However, because of his occupation, he has maintained high-intensity exercise for a long time, and in the process of muscle stretching, the lining of the venous blood vessel wall of the lower limbs is damaged, which evolves into deep vein thrombosis.

Deep vein thrombosis, on the other hand, can lead to pulmonary embolism, which has a high mortality rate.

Therefore, excessive exercise and long-term immobility are not advisable and can cause venous thrombosis.

Tian Wei suddenly realized.

No wonder when examining the location of the patient's chest pain yourself.

Zhao Yuan was examining the patient's lower limbs.

At that time, Tian Wei still felt inexplicable.

Now it seems that the clown is himself.

At this time, Chen Shuai's eyes lit up suddenly, "I remember, not long ago, a forward in the NBA was reimbursed for the whole season because of deep vein thrombosis!"

Chen Shuai is a veteran basketball fan.

Jiang Qiang smiled at Zhao Yuan, "I said hello to Lao Tong, the operation is done in the emergency operating room, you are my help." Zhao

Yuan had no reason to refuse.

......

The patient was already lying on the operating table, Zhao Yuan communicated patiently with the family, and the family signed the operation confirmation letter nervously.

The family did not expect that the usually healthy patient would have such a high mortality rate.

They are at a loss and can only put their hopes on the doctor.

Zhao Yuan felt the responsibility!

The lead door slowly closed.

Zhao Yuan asked Bai Lu to hang dopamine on the patient to maintain blood pressure.

This is followed by intravenous injection of low molecular weight heparin sodium to calm and relieve pain.

Judging from the instrument display, the patient's vital signs are gradually normal.

Jiang Qiang didn't interfere too much and quietly observed Zhao Yuan.

It must be admitted that Zhao Yuan has reached the level of attending physician or above.

For patients with acute pulmonary embolism, the most important thing is first aid at the onset of the disease.

The time from the onset of the disease to the hospital was very short, and Zhao Yuan's diagnosis was rapid, which shortened the time, and the patient's condition was quickly controlled.

"Thrombolysis – injection of urokinase.

Zhao Yuan and Bai Lu gave orders.

Jiang Qiang nodded slightly.

A good surgeon not only does the surgery with clear steps, but also pays attention to each process and synchronizes with the actual condition of the patient.

As far as injectable drugs are concerned.

Too late, the patient misses the opportunity for treatment.

Too early, the patient's body function has not yet returned to the ideal state, and the drug will not only fail to achieve the effect, but may also cause negative effects.

"Prepare the inferior vena cava filter. Zhao Yuan said in a deep voice.

Bai Lu was surprised, "Do you know how to implant?"

Zhao Yuan nodded affirmatively, "Yes!"

Jiang Qiang still didn't speak.

That's tacit consent.

Although inferior vena cava filter implantation is not complicated, Zhao Yuan is only an intern.

There are no clinical trials, and based on the knowledge obtained in school, filter implantation is beyond the curriculum.

Jiang Qiang was not surprised.

Heart rupture repair, Zhao Yuan can be completed very freely.

Filter placement is not difficult for him.

Jiang Qiang has seen many geniuses.

Zhao Yuan is undoubtedly the best of geniuses.

When the equipment was in place, Zhao Yuan immediately began the operation.

Time flies exceptionally.

Zhao Yuan smoothly fed the filter from the femoral vein into the lower cavity.

Wait for the filter to reach the renal vein and then activate the device.

About two minutes before and after!

So, no one reacted, and the implantation was done.

Jiang Qiang took a deep breath and whispered, "It's time for pulmonary angiography!" The

imaging is the last step in the process, in order to see the effect of pulmonary embolism after treatment.

No surprises!

The embolism was successfully dissolved! The

pulmonary embolism operation was over!

Eyes were focused on Zhao Yuan's body under the shadowless lamp.

There is no doubt that from the physical examination to the rescue and implantation, he led the first aid.

The entire procedure takes only one hour, including half an hour waiting for thrombolysis.

"It's amazing!" Bai Lu sighed from the bottom of her heart.

As an instrument nurse, the pleasure of being dominated wells up in her heart.

That's right, there is also a pleasure in being dominated

! It is similar to lying down to win

! This feeling can only be found from the chief physician!

Trust and fluency.

You don't need to use any brains, you just need to follow the doctor's instructions.

"It's a pity!" Jiang Qiang's

heart ached again.

Why didn't such a newcomer appear outside the heart?

In the corner stood a lonely figure.

Tian Wei witnessed the entire operation.

Recall the condescending words spoken at the dinner table.

In an instant, there is no place to be ashamed.

......