955 Is the heart really broken? (Mr. Park, the leader of the alliance, wants to start over 1)
"Director Fuji, come out." Zhou Congwen pressed the intercom button.
Fujifei was staring at the radiography image in a daze. She had never seen this blood flow in angiography before.
There seems to be a switch in the patient's coronary artery, which makes the blood flow not stable, but it can be said to be smooth.
But it is not possible to say that the blockage is not possible. After all, there is still blood flowing through the coronary artery, and there is no obvious stenosis, but the blood flow is not clear, and it seems that it is not smooth... it doesn't seem to make sense.
I knew something was wrong, but Tengfei didn't know what the problem was.
When he heard Zhou Congwen call him, Tengfei immediately left the operating room.
"Xiao Zhou, you are back." Teng Fei greeted him, and she couldn't even gossip and asked with a frown, "What's going on with this image? I didn't understand, you can see it."
This was in 2003. Circulating interventional surgery nationwide had just been launched on a large scale, and there was a lack of patient numbers and clinical experience.
Especially the director of a hospital like Tengfei, who is between the grassroots and the high-end, is in the period of accumulation of experience, and it is normal to squeeze out the blood flow of nai.
What is clinical experience?
That's it.
Tengfei met once, and after a clear diagnosis and treatment process, she was scared and sweated in a cold time just by just taking a glance next time.
"Director Teng, I highly suspect that the patient's heart rupture." Zhou Congwen didn't say nonsense. What he had to do at this time was to race against time, not to be polite.
"..." Tengfei's heart seemed to stop beating instantly, and she also had a heart rupture like the patient.
"I have told the patient's family before the operation," Zhou Congwen asked.
"Sayed..."
"Turn the Dawei Operating Room and prepare for external circulation to bridge the coronary artery." After Zhou Congwen finished speaking, he saw Tengfei's face was confused and said in a stressed tone, "Emergency, hurry up!"
Fuji hesitated slightly, but then nodded.
Zhou Congwen has already proved himself with his strength. Since he could speak in such a certain tone, he almost patted his chest to ensure that the patient had a heart rupture.
In addition to the images I had never seen before, the blood flow during the imaging appeared one after another, and Tengfei did not dare to question or delay it. She immediately turned around and said to her assistant, "Remove the management and prepare to go to the operating room of Dawai with Professor Zhou."
"Professor Zhou, I will explain the condition to the patient's family, so I'll ask you to send the patient over."
Zhou Congwen nodded, "You're welcome."
After a minimally invasive surgery was agreed, the patient's family's psychological expectation was that they would be like a normal person 8 hours after the operation.
However, if the operation fails, you have to go to the Dawai Operating Room for thoracic surgery. How to make the patient's family accept this fact, it is indeed necessary to communicate with a doctor who knows the truth.
Doctor-patient communication is a technical job, no less difficult than surgery.
Everyone is busy.
Zhou Congwen contacted the operating room and contacted Zhang You.
The patient on the operating table had a radial artery catheter removed, and was simply pressurized and bandaged and carried onto the flat car.
Zhou Congwen pulled the flat car and took the patient to the Dawai Operating Room.
When passing by Teng Fei and the patient's family, a patient's family followed him and ran a few steps and said a few words to the patient.
"Director Fuji." Seeing that the patient's words were normal and there was no problem, the patient's family returned to Fuji with a strange expression, "You are just scaring us."
"Yes, Lao Li is fine, it's quite normal. Why do you say that your heart is ruptured?"
"Although we don't know what a heart rupture is, we just think about it. People should be unconscious. What you said is so scary, it almost scared me to tears."
Tengfei frowned and looked at the patients' families seriously.
In fact, she didn't know if the patient's heart rupture was diagnosed, but since she had already explained it to the patient's family, she should not be timid at this time.
As a doctor and as a director, if the patient's family says what it is, the majesty will disappear, and then the patient will disappear, and the trust of the patient's family will disappear.
"This is early to discover it." Fujifei said seriously in a deep voice, "The patient is in the early stage of heart rupture and will not be able to do it at any time. If it is really here..."
As he said that, Tengfei glanced at the interventional catheter chamber.
"The heart is broken and it's too late to rescue."
"Really?" The patient's family hesitated.
"Now I have encountered a special situation. I'm talking so much about it for the time being. I'll go to the Dawai Operating Room later. I'll go in to see the situation and communicate at any time." Fuji Fei said.
Seeing Director Tengfei Teng's face was serious, the patients' families were half-believing and half-doubted.
Some people looked worried, some whispered, and followed Tengfei to the Dawai operating room like a rush.
Tengfei changed her clothes. When she arrived at the corridor of the operating room, Tengfei heard the sound of Zhou Congwen talking from the operating room.
"In emergency rescue, run!"
"Tell the blood bank to prepare blood, a lot of it!"
"Extracorporeal circulation machine is in a hurry."
Tengfei was so confident that she was very confused.
Although I was quite sure of the patient's family, Tengfei also had some doubts about Zhou Congwen's diagnosis.
She quickly followed the sound to the operating room and saw that Zhou Congwen had changed his clothes and was disinfecting.
The patient's anesthesia has been completed, and the sounds of various instruments are spread in the surgery room, exuding a tense and anxious atmosphere.
"Professor Zhou, are ready to go?"
"Well, Yuan Qingyao is here immediately. He comes with the operation informed consent form. At that time, you can fill in your name and information and ask the patient's family to sign." Zhou Congwen reminded him while disinfecting.
"Professor Zhou, how did you... diagnose it?" Tengfei asked.
"Director Fuji, have you ever encountered a patient who had a heart ruptured during or after the operation?" Zhou Congwen asked strangely.
“…”
Fujifei sweated.
There are patients who suspect that the heart rupture is present, but the PI operation at the Second Hospital of Medical University has just been prescribed, and the clinical experience is extremely lacking. I really don’t know what’s going on.
"You are not lucky." Zhou Congwen continued to say that Tengfei was silent, "If you encounter acute heart rupture, the entire myocardium from the endocardial to the pericardial layer ruptures in a very short time, resulting in acute heart occlusion, and many patients have lost the opportunity to rescue even before they get an accurate diagnosis."
“…”
Although Zhou Congwen's words were simple and only described an objective fact, they still made Tengfei sweat.
The patient was fine the previous second, but suddenly his condition was wrong and he didn't give him time to think and died within just one minute.
No other savant wants to encounter a similar situation.
"Where is him." Tengfei asked softly as she looked at the patient.
"It's good to say good luck, but it's bad to say bad." Zhou Congwen finished disinfecting the poison, clamped the pills with the playpan wall, made a cracking sound, put it on the flat car aside, and then used his hands to remove it and put it on the clothes.
"Generally speaking, female patients are more likely to experience heart rupture, and only females have 14 chances of occurrence."
Chapter completed!