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Remember [new] in one second! CCU ward, doctor-patient communication room.

Standing in front of Zhou Bin was a middle-aged woman in her forties.

Her eyes were very red and swollen from crying, and they were bloodshot, and even her voice was hoarse.

She gently pulled on the sleeves of Zhou Bin's white coat, as if holding on to the last glimmer of hope.

"Doctor, how is my daughter?"

Zhou Bin said softly: "We are temporarily out of danger, but the situation is still very critical."

After hearing the first sentence, the middle-aged woman breathed a sigh of relief, but when she heard the word "critical" again, her heart was in her throat again, "Doctor, you must save my daughter! Please!" !”

"Auntie, please don't get excited." Zhou Bin comforted, "We are doing our best to treat him now. Next, we may need to use a machine. I don't know if you have heard of it, it is ecmo."

The middle-aged woman shook her head, "I have no education and don't understand anything. Doctor, just tell me how much more money will be needed."

Lu Chen stood behind Zhou Bin and felt uncomfortable after hearing the middle-aged woman's words.

"Auntie, let me briefly tell you about the patient's condition." Zhou Bin said, "Our current diagnosis is fulminant myocarditis. It may be caused by your occasional cold some time ago, which caused continuous damage to the myocardium."

"Cold?" the middle-aged woman asked doubtfully.

"Yes!" Zhou Bin nodded, "It is just a common viral cold. If it is not cured, it is likely to cause damage to myocardial tissue and cause critical diseases such as malignant arrhythmia and acute heart failure."

"It's all my fault. I thought the cold was just a minor illness before and didn't pay much attention to it." The middle-aged woman looked downcast, with regret in her eyes. "Today she said she had some chest tightness, so I sent her to the hospital. It's all my fault. It's all mine." ”

"Don't talk about this yet." Zhou Bin stopped the middle-aged woman from feeling sorry for herself, "Because your daughter is now suffering from severe heart failure, which means that the heart has almost no function. So the next treatment requires the use of ecmo. To put it bluntly, this machine It is an artificial heart that replaces the heart and maintains body functions. "

The middle-aged woman's face darkened, "How much does it cost?"

"As long as the ecmo machine is started, it will cost at least 20,000 yuan." Zhou Bin said, "This is not the most important thing. As long as the machine starts running, the daily cost will be tens of thousands of yuan. This does not include other treatment costs in the CCU."

"How many days will this machine be used?" asked the middle-aged woman.

"This depends on the patient's condition. Only when the condition improves can we try to remove the machine."

“If it’s not good all the time, shouldn’t I keep using it?”

"Yeah." Zhou Bin nodded.

The atmosphere in the doctor-patient communication room was a bit heavy.

For an ordinary family, this is undoubtedly a huge amount of money.

However, children represent the hope of a family.

After a while, the middle-aged woman slowly raised her head.

"Doctor, I agree to get on the machine, and you will treat it first. I will pay part of the money right away. I will also pay the rest in batches."

Lu Chen knew that her silence and hesitation were not about whether to cure the disease, but about how to raise funds.

"Okay, then you sign the informed consent form and the operation consent form." Zhou Bin said, "Then we will start using ECMO."

The middle-aged woman picked up the pen and signed her name on the consent form without hesitation.

…

Ward A of CCU Ward, No. 8 rescue room.

The ecmo implant team is already in place.

The leader of the team is none other than Ren Feng, the deputy chief physician who is one of the young representatives of interventional treatment at Jinghua Second Hospital.

Zhou Bin is also a member of the team, along with doctors such as Li Qinghua and Li Hui.

"Does the family agree?" Ren Feng was already fully armed.

"Yes, I agree to get on the plane." Zhou Bin nodded.

"Okay, let's get started." Ren Feng gave the order, and all the doctors in the team were ready to go.

The ecmo machine has also been pushed over.

"The patient has been sedated and the operation can begin." said the nurse in charge of the bed.

ECMO treatment requires the patient's blood to be withdrawn from the femoral vein, undergo membrane oxygenation, and then be infused through another tube through the internal jugular vein and returned to the human body.

When the heart no longer has the power to pump blood, ecmo takes over its role and pumps blood throughout the body.

After the heart damage caused by fulminant myocarditis has recovered, ecmo can be removed step by step.

In short, ecmo is to give the heart a chance to breathe together.

This time does not need to be long, but it is often very important!

…

Since the ecmo boarding process is complicated, medical staff must carefully prepare drugs, machinery and equipment, and surgical equipment.

More than an hour later, these preparations were completed.

"Start the puncture of the passage." Ren Feng's eyes narrowed.

This is the most important part of the entire ecmo implantation.

"Brother Feng, the patient's blood pressure is not high, and the blood vessels may be difficult to find." Zhou Bin said.

"I'll try it first." Ren Feng said solemnly.

If the blood pressure is not high, it is like there is no water in the water pipe. At this time, the blood vessels will become deflated and it will be difficult for the puncture to be successful.

Ren Feng put on his gloves, took the puncture needle, and started looking for the girl's femoral vein.

The femoral vein in the thigh runs together with the femoral artery.

Normally, arterial pulses can be easily felt.

But for the girl at this time, her arterial pulse was too weak.

"It's really hard to find blood vessels." Ren Feng frowned and said, "Let the ultrasound department take a look."

Vascular ultrasound and cardiac ultrasound are different.

The CCU doctor may do cardiac ultrasound, but may not be very good at ultrasound involving blood vessels.

"I have notified the sonographer." Zhou Bin said, "They are dressing and positioning a patient with pericardial effusion upstairs. It may take ten minutes to come down."

"Okay, then wait ten minutes." Ren Feng said.

Zhou Bin, however, seemed hesitant to speak.

"Is there any problem?" Ren Feng asked doubtfully.

"Lu Chen seems to know how to do vascular ultrasound. How about letting him have a try?"

Zhou Bin's words made everyone stunned.

"Lu Chen?" Ren Feng raised his eyebrows, "Is it the Lu Chen from District 8 in your heart?"

"Yes." Zhou Bin nodded, "He just happened to be transferred to our CCU."

If it were other students, everyone might ignore it or laugh it off.

However, UU Reading www.uukanshu.net This person is Lu Chen!

"Are you sure he knows how to do ultrasound?" Ren Feng glanced at Zhou Bin standing aside.

"Brother Feng, I only found out yesterday." Zhou Bin said, "He successfully diagnosed a case of aortic dissection using ultrasound."

Ren Feng was startled. Ultrasound diagnosis of aortic dissection?

Doctors in the ultrasound department may be able to do it, but doctors in the cardiology department are not professionals after all. It is really not easy to do cardiac ultrasound to this extent.

"Okay, let him start."

…

ccu ward, doctor's office.

Lu Chen really wanted to see the ECMO implantation process.

But there was already a circle of doctors surrounding the entire emergency room No. 8. It was rare for him to see the puncture process, so he had no choice but to give up.

"Lu Chen, Teacher Zhou called you over!"

Suddenly, Fatty Cheng walked into the office quickly.