Zhuang Xinhao's angiography quickly came out, and the angiography confirmed Sun Lien's guess that there were as many as six newly born tiny arteries on the left descending branch of his coronary artery, and two of these blood vessels were completely blocked.

The completely blocked small blood vessels caused the infarction again, but due to the small area and the long infarction period, such infarction has basically no symptoms. The only thing that can be called a symptom is that his heart is currently arrhythmia under the influence of hypoxemia.

The problem is now back to the doctor's side. Given that the patient has symptoms of hyperlipidemia, his intervention is very practical. But the question is the timing of intervention - should I start the intervention now, or should I wait for Zhuang Xinhao to recover?

When to perform surgery on a patient, this is something that needs to be carefully measured most of the time.

In the past, the patients Sun Lien faced often had no choice. As long as he could go to the operating table, he had to start the operation immediately - if he dragged on, the person would be gone.

But Zhuang Xinhao's situation is completely different. Of course, his heart is at risk, but this risk is not so urgent that it requires immediate surgery.

For doctors, they are now facing a two-choice situation.

Zhuang Xinhao is currently in the stage of transferring mild to severe cases. The reason for the transfer is the additional load brought by hypoxemia to the heart. His heart cannot bear the load of hypoxemia, and there is a high possibility of malignant arrhythmias or even direct suspension.

But if he is undergoing surgery immediately, then it is necessary to consider the burden on his body after the surgery and the impact of the surgical trauma itself. And the new coronavirus infection and reaction to the entire postoperative stage must also be considered.

To be honest, Sun Lien is very suspicious of the bypass surgery now... Can Zhuang Xinhao resist the past? His current symptoms are caused by the novel coronavirus infection. The core key to the heart rate imbalance caused by hypoxemia is still oxygen supply. If his blood oxygen level can be maintained, Zhuang Xinhao's heart should not have too big, and it is more urgent.

But this is the difficulty of choosing. No doctor - at least at this stage, no medical staff can guarantee that Zhuang Xinhao's situation will not continue to deteriorate.

This is why it becomes difficult to wait until he completely turns into a uterine nephrology before elective surgery. Zhuang Xinhao really may not be able to wait until that day comes.

Judging from the current situation, about 80% to 90% of patients infected with the novel coronavirus are mild symptoms. Patients with mild symptoms only need basic treatment and support to recover on their own. However, how to judge the direction of a patient's disease - determining whether he or she will change from mild symptoms to severe or even critical illness is still an unsolvable question.

Based on some current experience, it is more likely that patients with underlying diseases, men, middle-aged or older patients will be more likely to turn to severe and critical illness. But this is not an absolute situation.

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"Okay, so we're going to start playing Russian roulette next?" Bruen threw the report on the table and rubbed his legs hard. There was no way. After entering the red zone, all the chests should be considered relatively clean zones. He couldn't use his hands to habitually rub his beard. "Our next job is to open a plate and then take a bet to see if the patients currently on our hands died of the novel coronavirus or the malignant arrhythmia caused by hypoxemia?"

"Actually, there is no difference between these two." Zhou Ce muttered, "Anyway, based on the current statistical caliber, such patients have died of the novel coronavirus infection."

Xu Yourong explained some Chinese content to Bernard and asked, "So, what is the consultation plan for the cardiology department?"

"The patient's current condition is stable. After controlling blood lipids, elective surgery can be considered - the premise is that hypoxemia will not continue to worsen." Chen Xuerong sighed, "Patients with new coronavirus pneumonia have cardiovascular hyperplasia... No one has seen this before."

"What should I do with pneumonia?" Sun Lien asked, "Don't consider the novel coronavirus, just consider it as ordinary viral pneumonia?"

"It depends on the pneumonia situation. If there is severe insufficiency or the inability to tolerate surgical trauma, it is an absolute taboo." Wang Guonan spread his hands and said, "The original contraindications are something we can't use as a reference for. We are hesitant now because we cannot determine whether the patient can tolerate surgical trauma and recovery period."

"At the same time, we cannot be sure if the patient chooses elective surgery, if the patient has a heart problem with COVID-19, it will cause a fatal impact." Dr. Bernard Xu added, "I personally think that the surgical plan with less trauma should be considered first. Can PCI treat coronary stenosis?"

"I think it's OK," Yuan Ping'an agreed with Bernard's opinion. "Although it is traditionally not recommended to undergo PCI intervention in patients with three lesions, PCI has little trauma and fast recovery, and can also effectively improve myocardial hypoxia. If surgery is required, this should be the most suitable solution at present."

Almost all the treatment group joined the discussion, and only Dr. Ma Yongfang was still adjusting the patients' daily medication outside.

Sun Lien has no particularly good idea for the current situation, and the reason is very simple - although the prompt in the status bar is blue, this does not mean that the situation will not change.

The prompts in the status bar are not permanent. Since it can indicate changes in the situation by changing the prefix and adjusting the depth of the textual color, it can naturally change from blue to black when the situation allows. The blue status bar reminder cannot guarantee the safety of Zhuang Xinhao's situation. Now the only thing that doctors can make judgments is their current experience.

"If he made a bridge, how long does it take for him to recover?" Sun Lien decided to fundamentally analyze the problem, "How long has his new coronavirus pneumonia been so far?"

"The recovery period bypass will take at least two weeks. If the course of the disease... it will take five days to start with symptoms." Yuan Ping'an quickly gave the answer, "After he was found to have a heart arrhythmia in the temporary hospital, Zhuang Xinhao was immediately sent to our hospital."

The disease starts to worsen for five days, which is not a good phenomenon. The two-week recovery period is unacceptable for patients who are aggravating.

Sun Lien immediately patted the board, "Do it and I'll go and talk directly with the patient. Monitor blood oxygen closely. If necessary, go to the recovered plasma first."
Chapter completed!