Chapter 51 Difficult, Difficult, Difficult
Zhou Jun has a very bad temper these days. Even if Sun Lien is a blind man, he can guess after three anti-medical care scalper exercises in two days in the Zhou Jun Joint Security Department, he can still guess that his senior brother is in a very bad mood, and it is probably related to medical care or scalper. But now Zhou Jun is the largest in the emergency room. Liu Pingchuan, who is in charge of supervising, not only does not object to Zhou Jun's behavior, but also provides various support.
There is actually nothing to say about this kind of exercise without precedents and plans. The basic routine is that medical staff leave the conflict scene as soon as possible and let the staff of the security department intervene quickly. However, with too many exercises, Sun Lien gradually felt something was wrong. So when the third exercise ended and everyone was over, Sun Lien plucked up the courage to ask Zhou Jun what was going on. Then he got a shocking answer.
Director Liu was arrested? Sun Lien was shocked. He was so surprised that he didn't even notice that he almost shouted out this sentence.
It only took a night at the police station. Zhou Jun frowned and explained, are you afraid that others don’t know or what? Pay attention to the impact!
The things that the comrades in the capital were worried about actually happened. The five medical guards insisted that they had no intention of guiding others, and were just bragging and chatting. As for the actions later, it was four people who acted bravely. They insisted that they had no malice, and at the same time, these five people did not have any evidence of the case, so Liu Tangchun would not be able to leave for a while. The whole case could only be treated as a provocation. On this side, Liu Tangchun was left to record his confession all night, and on the other side, several police comrades took turns to go on the battle and tried the five medical guards over and over again. Finally, they found the surveillance video near the unlicensed clinic, which proved that the five people often took other people to the clinic together, and found two patients who had been cheated in the clinic, which was considered to have Liu Tangchun cut out of this trouble.
Criminals will try every means to crack down on the people who are brave. Only by making everyone worry about the consequences of their bravery can they cheat more unscrupulously without worrying about being discovered. Liu Tangchun insisted on his own opinion - these people's behavior is considered lenient according to fraud. Think about Xiao Yanran's example, fooling patients who need to see a doctor to go to such an unlicensed clinic for treatment, which should be treated as a murder theory.
Although the troubles in the capital finally came to an end, the incident that Liu Tangchun was detained by the police for a day still reached Zhou Jun's ears. The method Zhou Jun used to exert pressure was also very simple. He called the office of the president of the First Hospital of Peking University and told the president for a long time.
As mentioned earlier, Zhou Jun's greatest ability is that he doesn't even speak a dirty word, but he can scold people feel uncomfortable all over.
Although the director of Peking University First Hospital was innocent and was scolded for no reason, Zhou Jun could not care about this. His mentor was in their territory. In order to protect their patients, he was taken to the police station for a whole day. And your hospital didn't even go to the police station to express condolences. Just because he didn't have to leave now, Zhou Jun even wanted to fly to the capital to have a passionate collision between his fists and his body with the director.
Sun Lien sighed. Zhou Jun was in a bad mood, so the one who suffered was the emergency doctors. The practices back and forth made many doctors start to complain - Our Fourth Central Hospital is an emergency central hospital in the large emergency mode. When will the patients have to make an appointment to see a doctor? Even if they need to practice, they should go to the outpatient clinic for exercise? Even if the medical guards are clever, they may not be able to fool patients with broken arms and legs, internal bleeding and poisoning into small unlicensed clinics? Even if they dare to fool, which family member dares to believe it?
The Fourth Central Hospital can be said to have no conflict with the medical care providers and scalpers innately. Because it is impossible for them to get involved from here, not to mention that Lao Wu, who is on standby at the gate every day, is full of hope to catch a group of scalpers to relieve boredom.
Sun Lien finished checking today's room and looked at Yang Jianqiang's wife sitting quietly on the stool outside the ICU, sighed and did not go over to disturb her.
Yang Jianqiang's condition is still very dangerous. As Sun Lien worried and expected, after using sulfadiazine and pyrimethamine, abscesses gradually began to appear in many organs in his body. Fortunately, his immune system has been suppressed to a very low level, and the various life support measures in ICU are also quite in place. Yang Jianqiang's brain abscess has begun to show signs of reduction, and the heart edema and liver damage he has appeared is barely within the safe range, but the kidney performance is relatively poor. Fortunately, his renal function has not been completely lost and there is no need to use a continuous blood purification scheme. Just dialysis is done every two days.
If no other mistakes are made, Yang Jianqiang will have a great chance of survival. However, Yao Zhuangxian, who keeps his heart in his heart, will not be so optimistic.
The knife inserted on the chest penetrated Yang Jianqiang's chest wall cleanly. Although it did not directly hurt the lung lobe, it still caused very serious problems. After the doctor at the Fourth Central Hospital conducted emergency closure and chest drainage on Yang Jianqiang, he earned him a hospitalization area in the general surgery department. Logically speaking, this patient had nothing to do with Sun Lien. But for such a rare case, how could Sun Lien not have any curiosity?
However, this case is so rare that the heart doctors at the Fourth Central Hospital are not mentally prepared for Yao Zhuangxian's situation. The long-term compression of the heart and the long aortic vein connecting the heart caused Yao Zhuangxian's heart to be extremely burdened. The knife on the chest was like a finger pulling the trigger, which caused Yao Zhuangxian's condition to take a sharp turn.
According to the discussion between Sun Lien and Yuan Ping'an, this is probably the case.
Congenital heart ectopicity is not without any side effects for Yao Zhuangxian. In fact, because the aorta grows about 30 more than a normal person, Yao Zhuangxian himself should have the problem of increased ejaculation resistance during the left ventricular systolic period. In order to overcome this resistance, in most cases, the ventricular muscles will have modern compensatory hypertrophy, increasing muscle density to ensure the ejaculation volume of heart during contraction. However, because his heart is located in a different position than that of ordinary people, and the surroundings of the heart
There are many organs squeezed, so Yao Zhuangxian's myocardial hypertrophy actually did not show outward-expanding hypertrophy, but took another compensation path - his resting heartbeat frequency is nearly twice that of normal people. At the same time, Yao Zhuangxian's coronary artery experienced compensatory hyperplasia. According to the B-ultrasound results, Yao Zhuangxian's coronary artery was about 60 more long than that of normal people, which helped his myocardium get more blood and thus maintain high-frequency beating.
However, the normal metabolism of the human body is limited. No matter how much oxygen the myocardium obtains, it cannot become an electric small motor and jump continuously. A large number of hyperplasia coronary arteries are the same as the compensatory cerebrovascular vessels of smoke diseases, with complex shapes and small diameters, which means that they will easily be blocked.
Yao Zhuangxian, who was frightened by a knife, had his heartbeat frequency higher. The primary myocardial ischemia caused by the blockage of hyperplasia coronary artery became the last straw that broke the camel - although this straw itself could kill the camel - Yao Zhuangxian's heart quickly showed signs of expansion and failure. The most direct symptom of heart expansion that pressed on the stomach is Yao Zhuangxian's frequent vomiting and acute dyspnea.
In order to correct his vomiting and support his breathing, cardiac surgery and critical care medicine departments launched preventive treatment. Although it was not yet possible to require support from Emmyi, if his heart could not be put back to the right position as soon as possible, Yao Zhuangxian would have to gamble on a heart transplant.
The problem is that the cardiac surgery department of the Fourth Central Hospital is not very good at the surgery for cardiac ectopic correction. In fact, the hospital that is best at cardiac ectopic correction should be children's hospitals in various places. The reason is also very simple. Few children will not show obvious malformations after suffering from cardiac ectopic. This is also the problem that Sun Lien and Yuan Ping'an are the most confused. It is obviously a symptom that is easily discovered in infancy, so why has Yao Zhuangxian's cardiac ectopic not been discovered?
However, this question is destined to never be answered. Yao Zhuangxian has no relatives, at least according to the police investigation, he has no relatives. Fortunately, Yao Zhuangxian's company is quite kind, and the company bought supplementary commercial insurance for everyone. At the same time, because Yao Zhuangxian was injured during the company's team building period, his injury was classified as an industrial injury. This allowed the company leaders to become Yao Zhuangxian's medical agent and make some key medical decisions for him. Especially in order to correct his vomiting and struggle, the hospital must not use anesthetic to induce coma. This characterization is very important.
It is definitely unrealistic to transfer to the hospital in this situation. Sun Lien and Yuan Ping'an discussed it for a long time, and even attracted Xu Yourong and Zhou Ce to join. Or, you can consider asking the doctor of the Children's Hospital for consultation?
The heart ectopicity of infants and young children is actually that their organs are too small and the blood vessels are not easy to be assimilated. Xu Yourong thought about it and shook his head. It would be okay if it was just a common heart exposure. To sum it up, open the chest cavity and put the heart back to its normal position.
Sun Lien smiled bitterly, your summary is really concise.
Xu Yourong ignored Sun Lien and continued to analyze that abdominal heart ectopic is different. First, he should cut his heart out of the abdominal cavity, then ligate the aorta and vein connecting the heart, and maintain the signs through external circulation. Then open the chest cavity, trim the excess blood vessels, and then use the remaining blood vessels to recreate the arteries and pulmonary arteries. At the same time, he should also connect the left and right pulmonary veins and the superior and inferior vena cava. The six anastomosis mouths should be sewn.
Zhou Ce continued, from the workload, this is probably equivalent to a heart removal, an aortic replacement, and a heart transplant.
There was another PCR intervention. Don’t forget that he had myocardial infarction. Yuan Ping’an added that, roughly, this is basically equivalent to three level 4 surgeries and one special access third-level surgery.
The three men shook their heads together in Xu Yourong's calm eyes, it was difficult to do!
Chapter completed!