Start From Emergency Doctor

Chapter 392

The feeling of being affirmed and trusted by others is very good. Zhang Ling, who had a sad expression on her face, suddenly became cheerful again. She walked to the side of Zhou Yuan with a full smile and said, “Dr. Zhou is Zhao Qiang’s doctor in charge, and his condition is also Zhou Yuan. The doctor saw it.”

The family’s eyes all turned to Zhou Yuan.

When Zhou Yuan was so young, Li Li and others were surprised beyond words.

Especially when they noticed that the middle-aged doctors such as He Jianyi and the Deputy Chief Physician Bald are standing behind Zhou Yuan, who are faintly led by Zhou Yuan, they are even more shocked!

This station is actually a frequent occurrence in university hospitals. Generally, a powerful senior doctor brings some undergraduates, graduate students and even doctoral students. Among them, interns and training doctors are mixed to conduct large rounds. Naturally, the front is also The highest status.

They are not people in the industry, but even if they don’t know this, it can be seen that Zhou Yuan is the core of this team!

“Doctor Zhou, when will my husband wake up?” Li Li paused for a while before saying in a worried tone.

Zhou Yuan glanced at the tester next to him, and said: “Zhao Qiang’s vital signs have recovered, and the data has stabilized, within normal values…”

Hearing that, the family members in the operating room were relieved at the same time, and the atmosphere in the operating room suddenly became a lot easier.

Zhou Yuan did not go on, saying “life is temporarily saved” is often taboo. Although from a medical point of view, stable data means that Zhao Qiang is not in danger for the time being, but acute heart failure will be taken at any time. For his life, if he tells his family that Zhao Qiang is okay, he will die suddenly, and the doctor will be the trouble.

When the mood of the family members in the ward calmed down, Zhou Yuan continued: “The patient’s heart condition is very bad. Acute heart failure is a fatal disease. Aortic valve replacement must be performed immediately.”

The operation was the outcome that Zhao Qiang’s family had already guessed, so everyone was not too surprised.

“Doctor Zhou, what is the success rate of the operation?” Li Li asked choked up.

Zhou Yuan was silent for a moment, and finally decided to tell the truth, saying: “You have also seen Zhao Qiang’s situation. On the way from home to the hospital, it took a total of forty minutes and two cardiac arrests occurred in a row!”

“Especially the second cardiac arrest. It took us a full half an hour to rescue him…”

“Thank you doctor! Thank you, you are all great people!” Zhao Qiang’s mother shook Zhou Yuan’s hand excitedly, and her rather old face cried with joy at this moment.(Read more @ wuxiax.com)

Zhou Yuan said unbearably: “Don’t thank us… What I want to say is that two cardiac arrests in forty minutes means that Zhao Qiang may have cardiac arrest again at any time. This is unpredictable. We There is nothing these doctors can do!”

Cardiac arrest is a very dangerous situation, and hospitals have no way to prevent it. At most, it is just as early as an earthquake, and what should happen will still happen.

The most commonly used method is to perform rigorous ventricular rhythm detection on patients. If there is a short burst of ventricular tachycardia, frequent ventricular early, early multi-source ventricle, early paired ventricle, or early RonT ventricle, etc., it indicates that it may recur Ventricular fibrillation, causing cardiac arrest, can be prepared early at this time.

However, it is basically impossible to prevent cardiac arrest, and electrical cardioversion may not be effective.

Of course, there is actually one last way, which is to install a temporary artificial heart pacemaker, which can replace the heart function.

Zhou Yuan himself has mastered pacemaker placement surgery, but the current situation does not apply.

Zhao Qiang’s main problem lies in the aortic valve insufficiency, and the pacemaker is mainly aimed at patients with heart failure, that is, it stimulates myocardial cells and causes myocardial contraction to maintain heart function.

However, after cardiac arrest, cardiac ischemia will cause cardiac necrosis, and a heart replacement operation will be required at that time. This is obviously unrealistic. Zhao Qiang’s current body is absolutely unable to support a heart transplant.

In other words, now Zhao Qiang’s life depends on God’s face…

Zhou Yuan sighed and said, “Now we can only pray that Zhao Qiang will stick to the operating table!”

He still hid a word without saying that even if it is safely on the operating table and the operation is performed properly, the risk of the operation is very great…

Zhou Yuan is unwilling to extinguish the last hope of Li Li and others. At least they feel that if they can undergo surgery without a cardiac arrest, they will have a chance to survive.

And he is confident that as long as Zhao Qiang survives the preoperative preparation period, as long as Zhao Qiang lives on the operating table, he will definitely survive!

After Zhou Yuan completed cardiopulmonary resuscitation, He Jianyi and the Deputy Director of Cardiac Surgery Bald gave an intermediate treasure chest. Zhou Yuan’s intermediate treasure chests reached three again. There is no problem in redeeming a master aortic valve replacement surgery.

Although the Deputy Director of Cardiac Surgery and Lu Chenxi can perform this operation, it is obviously inadequate compared with the master level. Zhou Yuan can minimize the risk of the operation, plus a series of system bonuses. The success rate of surgery can be increased again!

Li Li and others fell silent again, and the atmosphere became extremely solemn again.

Zhao Qiang’s family members sat down in the ward one by one, their eyes a little dull.

Zhao Qiang’s mother closed her eyes and prayed in a low voice with her hands folded. What can they do besides praying?

Zhou Yuan and several people quietly exited the ward, leaving some space for the family members.

After closing the door of the ward, Zhou Yuan sighed and said, “¨ˇAfter they finish talking, give Zhao Qiang a separate and clean space. Try to isolate and visit!”

If it is normal, Zhou Yuan may directly refuse the visit of his family members and keep them out of the ward, but the situation is different now, maybe it is the last side…

Zhao Qiang should wake up within an hour, and may pass out again after being sober for a while. No one knows if this is the last time they talked.

Zhang Ling nodded: “I can definitely stick to it!”

After all this, the time has come to ten o’clock.

There are many special preoperative preparations for aortic replacement surgery, which are all essential, such as aortic angiography. Patients need aortic angiography to clarify the scope, location and pathological characteristics of the lesion, and determine the most suitable Surgical approach. .