While thinking, I walked to the ward.

A stool was placed at the door of the ward. After dinner, Dr. Yu sat on it and held his chest with his hands in his arms, his head pecking at rice like a chicken, and his forehead was kowtowed on his crossed arms.

After a day of work, the young resident doctor was so tired that he didn't have to doze while working.

Anyway, there is another person in the ward.

In contrast to others, sleep first to nourish your energy. Geng Yongzhe guards the numbers and curves that are beating on the instrument, his eyes are bright and he is not tired.

Hearing the footsteps behind him, Geng Yongzhe turned around and saw her and asked, "Why are you back? I said I'll notify you if you have anything."

"Eat too much, check the patient's condition before going back to sleep." Xie Wanying said.

Indeed, eating too much and sleeping. Geng Yongzhe and she stood shoulder to shoulder and discussed: "The patient's vital signs are relatively stable now."

Hearing this, Xie Wanying asked: "How is the patient's blood coagulation?"

Coagulation condition?

Some of the issues involved in surgery are afraid that they are different from what laymen think. One of them is probably not something that the public can think of. Doctors are not only afraid of heavy bleeding in the patient after surgery, but also fear of hypercoagulation after surgery. Because the patient dies, there are

It is not about dying from excessive blood loss and shock, but about diffuse blood coagulation in the blood vessels of DIC, or thrombosis suddenly blocks important organs and causes death.

When the patient was discussed in the preoperative team, the doctor roughly thought that the patient was hypercoagulant, which caused the prosthetic valve thrombosis to appear. Therefore, a large amount of heparinized anticoagulant was used during the operation to try to offset the balance of anticoagulant and hypercoagulant. These anticoagulants were used to achieve the balance of anticoagulant and hypercoagulant.

The efficacy of the medicine, how long it lasts after the operation, is it enough? Whether anticoagulation is needed is all the key points to consider.

Geng Yongzhe had never taken the cardiac surgery department, had never seen open heart surgery, was not familiar with such surgery, and he heard the problem she pointed out and fell into thinking, saying: "I remember the book mentioned that extracorporeal circulation during heart surgery can make

The fibrinolytic system in the human blood becomes hyperactive, which can cause postoperative bleeding and thromboembolism."

Geng is also an excellent medical student. He can remember as much as he is studying hard on weekdays. He remembers a lot of medical knowledge and can quickly recall relevant knowledge points.

"Yeah." Xie Wanying nodded and said, "According to heart surgery, antifibrinolytic drugs will be used that day."

What Geng Yongzhe didn't quite understand is: "Yingying, do you say that taking antifibrinolytic drugs on the same day after external cardiac surgery is a routine strategy after cardiac surgery?" This knowledge point seems to have not been mentioned in the book.

I have been to the National Association's cardiac surgery department several times and have noticed such a situation. I have seen my cousin performing in Guozhi. Xie Wanying has some of her own speculations and ideas about this and said: "Is it a routine treatment plan for the entire department?"

I haven't communicated with Teacher Xinwai and didn't know it. I just saw that they were useful in their department."

Geng Yongzhe had never observed these scenes in the ward. He was surprised at how she was paying attention to discovering problems everywhere. Medical students usually arrived at the ward to study, and most of them were the teacher saying what they were guided to think. Medical students wanted to think independently and led to problems.

It is difficult because I don’t know where to focus on the key points if I don’t have clinical experience.
Chapter completed!