Doctor: In The Beginning, He Dug Out His Heart With His Bare Hands, Frightening Fang Xiaoran
009: Violation Of Hospital Regulations
Lin Yi holds the CT scan given by his family
and listened with a stethoscope
I already have a judgment in my mind
According to experience, the probability of 80% is aortic dissection.
So the patient was immediately pushed to the emergency room.
"What do you think?"
Lin Yi looked at Shen Hao standing aside
Just now Shen Hao also conducted a preliminary examination on the patient.
Shen Hao nodded and said decisively
“Aortic dissection requires only a CTA, but it’s probably too late to do it.”
Fang Xiaoran pushed Xin Chaoyi over at this time
Shen Hao quickly used the echocardiograph on the patient
"You see the pericardial effusion is obvious! There is intimal fluttering in the ascending aorta!"
Lin Yi looked at the echocardiogram results
"That's the dissection! Get ready for surgery!"
"What kind of surgery did CTA do? This is a serious violation of hospital regulations!"
Fang Xiaoran reminded.
“It’s too late and I’m afraid the patient may not be saved by the time you do a CTA!”
At the same time, the life monitor began to alarm continuously.
"Director Lin! The vasopressors no longer work, and the patient's blood pressure continues to drop.
"Go quickly! Contact the operating room!"
Lin Yi shouted to our assistant Liu Dong who was on the side.
"But Director Lin, this patient did not undergo CTA, which is against the regulations!"
Liu Dong explained awkwardly
"Go quickly!"
Lin Yi yelled at Liu Dong again
At this time, Shen Hao on the side could only watch quietly.
Dean Cui just arranges for him to stay in the outpatient clinic these days
He was not given permission to operate.
But based on my observations over the past two days,
Shen Hao still has confidence in Lin Yi and believes that he can handle it well.
Seeing that Lin Yi wanted to push the patient directly into the operating room without CTA.
Fang Xiaoran had no choice but to find Zhou Xiaofeng, the team leader of the heart center.
After hearing the news, Zhou Xiaofeng ran all the way here.
At the same time, I started calling the imaging studio, hoping to get them to join the queue.
"Director Lin will definitely not be able to operate without CTA. What if the chest is opened and the result is not dissection?"
"I am 99% sure that the patient has dissection!"
"Director Lin, are you sure that the useless echocardiogram may be an artifact? CTA is the standard to prove that it is a dissection! You don't know!"
Zhou Xiaofeng persuaded him earnestly.
Seeing that he could not persuade Lin Yi alone, Zhou Xiaofeng looked at Shen Hao
"If it were me, I would choose to operate on the patient right away. In the patient's current condition, the dissection will be broken by the time the CTA is done, but Director Cui has not yet given me permission to operate! I am willing to perform this operation with Director Lin."
Lin Yi listened to Shen Hao's words,
Nod to him
It feels like meeting a soulmate.
"Stop trying to persuade me. I know what you're talking about very well, but I can't just watch the patient die while waiting!"
Then he didn't care about anything.
Push the patient directly to the operating room.
Zhou Xiaofeng is still following behind
"Okay, even if there is a dissection, how do you determine the location of the dissection and the extent of the blood vessel tear? Furthermore, how do you explain to the family members when they are still outside? The operating room requires their signatures!"
The door to the operating room.
The patient's wife paced back and forth anxiously.
Lin Yi walked forward and said
"We suspect that your husband has type A aortic dissection! Surgery needs to be performed immediately!"
After hearing this, the patient's wife nodded anxiously.
"Then do the surgery! As long as it can save my husband's life."
Zhou Xiaofeng on the side quickly added
"But to truly confirm that it is type A aortic dissection, you must first do CTA, which is non-invasive vascular imaging, to determine the location of the blood vessel tear. At the moment, it is too late to do this. I have to tell you in advance!"
After listening to Zhou Xiaofeng’s words,
The patient's wife suddenly lost her ability.
Doctor, I don’t understand what you’re saying. Isn’t it dangerous if I don’t do the CT you’re talking about?
"This is the consent form for surgery. The situation is very tight now and the dissection may rupture at any time."
Lin Yi handed the surgery consent form to the patient’s wife
"The time is very close, so hurry up and sign!"
The patient's wife suddenly didn't know whether to accept the surgery consent form and sign it.
"Sign it quickly!"
When Shen Hao saw this, he quickly stepped forward and said,
"Sister, let me explain it to you in the shortest possible way!"
The patient's wife looks at Shen Hao
Suddenly, I felt that the person in front of me was particularly trustworthy, and my panic was relieved a lot.
I saw Shen Hao draw a sketch on a piece of paper and explain the problem to her in the simplest words.
The whole process takes less than 2 minutes.
At this time, the patient's wife seemed to understand the problems her husband would face next.
After thinking for a few seconds, he signed the surgery notice.
After Lin Yi saw this result,
Immediately, Shen Hao gave me a thumbs up,
Turn around and walk to the operating room.
"You two are going to have big problems like this!"
Zhou Xiaofeng sighed deeply when he saw that he could no longer stop him.
Then everyone hurried to the observation room to wait for the operation to start.
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