Start From Emergency Doctor

Chapter 90

The family members seemed to have grasped the life-saving straw, their eyes focused on Zhou Yuan.

“Do you have a way?” Wei Lili asked after being silent for a while.

Zhou Yuan nodded and said: “The most critical situation for the patient now is heart failure and the heart cannot supply the life activities of both the mother and the fetus. Therefore, I recommend that you first install a pacemaker to restore heart function, and at the same time, perform a caesarean section and remove it. fetus.”

Wei Lili frowned: “But… mitral valve obstruction ~ how to solve the problem?”

“Patients with heart failure, once the mitral valve is opened again, it is extremely dangerous!” Zhou Yuan said in a deep voice.

This is still Zhou Yuan’s scruples about having family members, so he used more conservative words. The truth is that even the emotional changes of the patient at this time may cause breathing difficulties and fatigue. If he opens his chest and moves his weak heart, he will definitely die!

“But… even if a pacemaker is installed, it may cause the patient’s heart failure to worsen!” He Jing put forward her own views.

Zhou Yuan glanced at He Jing and said in a deep voice, “Place the pacemaker and leave it to me.”

“you……”

Everyone in the conference room looked at Zhou Yuan.

The patient’s husband, parents, and grandmother’s eyes brightened at this moment. At this time, the person who can stand up and propose a surgical plan is in their opinion the savior!

“Doctor, you must save my wife!” The patient’s husband stood up and said anxiously.

Then, he retracted back into the corner again, “Blame me! Blame me for not stopping you! I shouldn’t indulge your foolishness…”

The other relatives began to blame themselves at this moment.

Zhou Yuan sighed: “She doesn’t know her situation. Once she becomes pregnant, is she basically going through the door with the child in her belly?”

The patient’s mother lamented: “She knew she had a heart attack, but she didn’t expect it to be so serious! She liked children very much. At that time, I told her that we should adopt one. Mom brought you a child. She shook her head and said no, she said. If the adopted child is not kissed, he must be born by himself and want to leave offspring to the family!”

Zhou Yuan glanced at the patient’s data again.

Sun Lele, 23 years old, has grade 3 heart failure.

Heart failure is classified into grades one to four. Sun Lele’s condition is already at an advanced stage. Such patients can hardly work or walk around.

“Director Wei.” Zhou Yuan looked at Wei Lili again.

After a long time, Wei Lili frowned again and said: “The method you said is feasible, but… how do you judge the timing of the C-section?”

Zhou Yuan: “Leave this to me too!”

A different color flashed in the eyes of He Jing, who was thinking.

Isn’t this someone in the emergency department? Why did you take over the operation of thoracic surgery, and now you can even grasp the timing of caesarean section?

This is too scary!

“Director Wei, if you hesitate any more, let alone save someone, there will be no more people before going to the operating table!” Zhou Yuan can’t wait any longer.(Read more @ wuxiax.com)

“Okay! Do it!” Wei Lili gritted her teeth and said cruelly.

Waiting outside the meeting room were not only Sun Lele’s family, but also her husband’s family.

Zhou Yuan didn’t have time to pay attention to them, and quickly went to the intensive care unit.

Zhou Yuan glanced at the instrument and was startled.

On the instrument, the yellow pulmonary artery pressure and the red one are systemic artery pressure.

As we all know, there are two circulations in the human body. The large circulation is the systemic circulation, and the small circulation is the pulmonary circulation. Only when the pressure of the systemic circulation is greater than that of the pulmonary circulation, the blood from the heart can enter the lungs to support the normal operation of the lungs, thereby performing breathing activities and maintaining life.

When there is high pressure in the pulmonary circulation, that is, pulmonary hypertension, the blood obtained in the lungs will be reduced, the breathing function will slow down, and people will be in danger. Once the pulmonary arterial pressure is higher than the systemic arterial pressure, it means that no more blood will enter the lungs. At this time, the person is gone.

On the instrument, the pulmonary artery pressure is already very high, and there is not much difference from the systemic artery pressure!

“Quickly, push to the operating room! Be careful!”

Zhou Yuan greeted the nurse quickly.

Now, Sun Lele’s situation is critical.

“We have given 8L of high-concentration oxygen, but now her blood oxygen level has not reached 90% of normal people!” He Jing quickly reported as she walked to the operating room.

Zhou Yuan nodded: “Try to control the patient’s emotions and don’t let her have any mood swings!”

At this time, as long as it is a slightly larger mood swing, it is possible to put Sun Lele into a dangerous state!

“Understood! Director Wei has already arranged over there, she asked you if there is anything else you need to cooperate with?” He Jing said quickly.

“The anesthesiologist cooperates closely and needs a psychological counselor to guide the patient’s emotions throughout the operation and control her state! All the others leave the operating room!”

Patients with heart failure cannot be anesthetized directly.

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Their bodies will be overwhelmed by some small emotional changes. Naturally, anesthesia, a major project that directly changes hemodynamics, cannot be directly injected intravenously like ordinary people.

It is necessary to inject anesthetics drop by drop to allow the patient’s body to adapt to this process slowly, and other times also require precise operations by the anesthesiologist. At this time, the role of the anesthesiologist is particularly great.

“No problem!” He Jing said.

“Lu Chenxi, you must cooperate with me! Have you ever done pacemaker placement surgery?” Zhou Yuan asked, turning his head.

Lu Chenxi was taken aback for a moment and shook his head: “Pacemaker surgery is too difficult, and the requirements for precision are too strict. I haven’t tried it…”

Zhou Yuan said, “It’s okay. You have never done a double lung transplantation before. You didn’t have to cooperate with me. Although the pacemaker placement operation requires high precision, it is much less difficult than double lung transplantation. You can do it. of.”

…….. .. 0

He Jing, who was next to her, grew her mouth in surprise when she heard these words.

Double lung transplantation? !

This man who seems to be about the same age as himself can actually do a grade 4 major operation, and it is still a difficult grade 4 operation!

Zhou Yuan’s comforting effect was very good, and Lu Chenxi’s originally nervous mood slowly relaxed.

She believes…With Zhou Yuan, there will be no problems!

Several people hurried to the operating room.

Outside the operating room, a group of family members were already waiting outside. There were about seven or eight people, stomping their feet in a hurry and looking sad.

Seeing the arrival of Zhou Yuan and others, they became even more anxious.

“Doctor, we must save my daughter-in-law!” Grandmother Sun Lele said.

“You don’t need the child, but the daughter-in-law must keep it!” Sun Lele justified.

Zhou Yuan froze for a moment before entering the operating table.

“This is the first time I have heard of a man’s parents trying to keep his daughter-in-law…” Lu Chenxi was a little moved.

He Jing said: “She must be a very filial daughter-in-law. All three of them must have a very happy life!”

The two couldn’t help looking at Zhou Yuan.

This time the operation, to be honest-it may all depend on Zhou Yuan’s ability to place the pacemaker so that the heart beats strongly again…

Pulsating, the mother is safe, and the fetus may be successfully dissected.

And failure… means that two lives are gone! A.