Chapter 538: If humans can’t cure it, let’s cure the dog with blood clots.
"Good words can't persuade a damn ghost..."
Gretel stood on the steps of the hospital, watching the patient walk away. He finally shrugged and returned helplessly. What can be done? The hospital has no law enforcement power and cannot detain the patient and force him to be treated!
In the previous life, the doctor could still drag the patient and persuade him hard. In this world, a new problem has arisen:
The patient's force value is too high and he cannot be defeated.
I don’t know whether this patient is a level 3 or level 4 warrior. In short, if Gretel doesn’t use magic, he can’t beat Gretel with his mere skills as a level 1 warrior, and he can’t stay...
He had no choice but to return to the hospital, call all the healers on duty who had no work to do, and began to popularize science:
"For the patient just now, the cause of toothache is not a tooth problem, but a heart problem. The blood vessels that supply blood around the heart are blocked, causing myocardial necrosis, which will be implicated in other parts, above the navel, below the teeth, including the teeth.
Referred pain from myocardial infarction may occur!”
"If several teeth are hurting and you can't determine which one it is; for example, treatment and pain relief still can't relieve the toothache; if you find that there are no lesions in the teeth after examination, and there are myocardial ischemia changes in electrocardiogram, etc., you should be alert to myocardial infarction.
!”
"Anyway, memorize that electrocardiogram magic! Don't just wait for the automatic alarm. When you see an abnormal waveform, you need to know what's going on!"
The healers nodded vigorously with grimaces. How could I memorize so many messy electrocardiograms if I was going to die?
Ever since I arrived at Oak Grove Hospital, I have had to carry a lot of things every day. The old ones have not been finished yet, and new ones have come down. In the past, it was such a simple matter of throwing away healing skills, but now...
"Then, how to treat it?"
A young priest from the Order of the God of Nature raised his hands tremblingly. Gretel was stunned and sighed.
The treatment of myocardial infarction has already had a mature plan in the past life. Intravenous drip thrombolysis, catheter thrombolysis, thrombus aspiration, if not possible, stent removal, or coronary artery bypass grafting...
Of course, a series of treatments such as pain relief, anti-platelet, anti-coagulation and anti-arrhythmia, anti-shock, and anti-heart failure must be supplemented. But the problem is that most of them cannot be done.
Thrombolysis? Urokinase, streptokinase, tenecteplase, alteplase and leteplase, which ones are the same?
Coronary artery bypass grafting? He said it as if the patient was willing to let him open his chest;
DC cardioversion? Sorry, although he is a disciple of the Lord of Thunder and can generate electricity with his bare hands to perform DC cardioversion, he still cannot do it;
Thrombus aspiration... He launched a whirlwind at the entrance of the vine to aspirate the saline solution in the abdominal cavity, and aspirate the thrombus in the blood vessels... He was afraid of rupturing the blood vessels together...
I miss the negative pressure suction device from my previous life...
His face became darker and darker, and the therapists in front of him became more and more uneasy. The priest of the God of Nature, who was the first to speak, shrank his neck and said first:
"I'm going to carry it!"
"Yes, I'm going to carry it!"
"I'm going to carry it!"
The healers dispersed in a panic. Facing a group of students who fled in a hurry, Gretel was stunned:
"..."
Actually, what I want to say is that I have some ideas, but I need to try them...
He turned around silently and returned to the research building deep inside the hospital. The Necromancer and the Necromancer apprentices were busy, each performing their duties: those who took dog saliva, those who cut up rabbits, and those who injected rabbits with injections.
of injecting rabbits...
The research and development of rabies vaccine is proceeding in an orderly manner, but no decisive results have been achieved yet.
Gretel turned around and completed the inspection and guidance. Then, he dragged out a hound that was raised alone and started his experiment today.
This experimental dog with patent ductus arteriosus has been alive for a week without any abnormality. Gretel skillfully fixed it, used tranquilization techniques to restrain and relieve pain, and prepared skin on the right lower limb and chest...
It is impossible to heparinize the whole body. First, hold a dry leech in your hand, activate the anticoagulation spell, and sweep the dog from head to toe. Then, the little snake jumps out and disappears into the dog's body.
Right heart catheterization cannot be performed, and echocardiography can be used instead.
Anteroposterior and lateral angiography of the descending part of the aortic arch, look at it with the eyes of the contract spirit.
After making sure everything is correct, he cuts the right femoral vein and inserts the vine. It follows the direction of blood return and grows all the way to the heart.
The little snakes swam side by side inside the limbs of the experimental dog. The spirit of the contract provided another pair of eyes, guiding the vines up, up, up.
Through the femoral vein, inferior vena cava, right atrium, right ventricle, main pulmonary artery, and the catheter between the aorta and pulmonary artery, probe into the descending aorta. When the head pops up, it immediately retracts, turns sideways, and touches the catheter and descending aorta.
The junction of the aorta...
Misty white light emits from the silver wires at the tips of the vines, guiding the blood vessels to grow inwards and close into circles little by little. In the little snake's illusory field of vision, the blood that originally flowed from the aorta to the pulmonary artery with every heartbeat,
Less and less, until there is no leakage.
very good!
Pull back the vine, pull back the silver wire, and fall on the connection between the catheter and the pulmonary artery, guiding the blood vessel growth again!
The operation was considered a success up to this point. Gretel exhaled, slightly pulled out the silver wire, put his fingertips on the dog's chest, and turned on the B-ultrasound spell.
Under echocardiography, the blood ejected from the left atrium surged out, and not a drop entered the pulmonary artery.
Perfect!
Pull out the vines, pull out the silver thread that guides energy!
After a treatment operation, the femoral vein incision was healed, and the experimental dog was returned to the cage. Then he checked the dogs that had been operated on before one by one. Sure enough, the one that had been operated on seven days ago was lying on its stomach, looking energetic.
Very bad look.
Gretel took a deep breath, threw himself a [Mechanized Mind], and turned on the communication technique. In an instant, intense fear and pain rushed over his face like a sea wave:
"It hurts, it hurts!"
"My chest hurts so much!"
"I can't breathe anymore..."
Grete's face was expressionless. Fortunately, he had the protection of [Mechanized Mind], which allowed him to receive the information without being overwhelmed by the crazy feelings. He disconnected and summoned the little snake again:
【Go in and have a look】
Rub, blood clot!
Okay, vines and silver threads enter the blood vessels, stimulate the coagulation mechanism, and the possibility of causing thrombus is indeed not small. Grete turned around and brushed up the records: It is necessary to increase the intensity of [systemic heparinization] released by leeches to avoid the occurrence of thrombus.
…
So, what should we do if a blood clot has already occurred?
Before entering the laboratory, the idea of treating patients with myocardial infarction flashed through Grete's mind. Very good, myocardial infarction also requires thrombolysis and thrombectomy. There happened to be an experimental dog with blood clots here. Let's try it first.
Try it?
His fingertips were covered with white light and he pressed silently:
【Remove disease】!
****
It’s so difficult, so difficult. Interventional closure of patent ductus arteriosus has four major categories and N minor categories of complications... Little Grete has to sort out all of these before she can go back to treat her sister...
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