I Can See Health

The patient's surgery was scheduled for next week.

Because amiodarone was used for cardioversion, the drug has a long-lasting effect and is very effective. In order to avoid being unable to induce supraventricular tachycardia during the operation, the operation was scheduled for next week to metabolize the amiodarone out of the body as much as possible.

After experiencing this patient, Yu Bin's attitude towards Lu Chen was completely different.

It turned out that Lu Chen was not only good at publishing papers, but was also extremely skilled in various clinical skills.

Judging from Lu Chen's electrocardiogram interpretation skills and ability to communicate with patients, he is no rookie!

On the contrary, Yu Bin could vaguely feel that Lu Chen's clinical thinking had even surpassed him by a large margin.

The feeling when facing Lu Chen was like having him face Director Zhang Shuqing.

This feeling was strongest every morning when Yu Bin was doing ward rounds.

"Lu Chen, please help me see a patient."

"That's the patient with chest pain. He took medication for coronary heart disease and still has pain!"

"Yes, that's 28 beds!"

Lu Chen was like a superior doctor who was omnipotent and answered all questions.

"Okay, I'll go check out bed 28 later."

Then other people in the second zone of the heart will see a strange scene.

Lu Chen took Yu Bin and other students to check the ward.

This combination is quite weird!

Logically speaking, Yu Bin has been independently managing the bed for many years.

Lu Chen had just graduated and had never managed a bed independently.

Why do the two people seem to have their roles reversed!

"This old lady's chest pain doesn't feel like coronary heart disease." Lu Chen saw 28 patient beds.

"Isn't it chest pain?" Yu Xin frowned, "But after a coronary CTA, the blood vessels were narrowed."

"There must be coronary heart disease," Lu Chen said, "But her chest pain is not necessarily caused by coronary heart disease or angina pectoris."

Lu Chen opened the patient's chest CT image.

"Look at this picture first."

"This...I've seen it." Yu Bin whispered.

"Take a closer look."

"Oh." Yu Bin nodded slightly, trying to find a different place.

However, he read through it three or four times and found nothing abnormal in the patient's chest CT scan.

"Are you sure there's nothing abnormal?" Lu Chen asked again.

"Really... really not..." Yu Bin was already shrinking a little at this time.

Lu Chen smiled and placed the patient's CT image results before Yu Bin's eyes again.

"Brother, look at this place of the patient..."

Lu Chen pointed to a part of the CT scan.

"Is this... the spine?" Yu Bin was stunned.

He is a cardiologist, so what is he doing to see the spine when he has nothing to do?

Suddenly, when he looked at the CT image enlarged by Lu Chen again, he was stunned.

"Is the spine deformed?" Yu Bin asked in surprise.

"Yes!" Lu Chen said with a smile, "The patient is an elderly woman with osteoporosis and is prone to fractures or spinal deformities."

This mild spinal deformity is not visible on the surface and is easily overlooked by everyone.

Even the patients themselves may not know it. They may feel that it is heart pain or stomach pain.

Yu Bin really had never thought of this.

"Can spinal deformity also cause chest pain?" Yu Bin asked doubtfully.

"Of course it will!" Lu Chen nodded, "I have managed several patients, all of which were caused by spinal deformities..."

Yu Bin's expression moved and he immediately prescribed corresponding treatment drugs to the patient.

…

There are many similar patients.

Yu Bin gradually discovered that many medical records that had previously been difficult to diagnose or had not yet been diagnosed were miraculously solved once they were in Lu Chen's hands!

This made everyone in District 2 realize Lu Chen's clinical prowess.

Such a new doctoral student completely attracted everyone's attention.

"Lu Chen, when is the surgery?"

"If nothing else, it should be tomorrow." Lu Chen said.

The surgery they were talking about was supraventricular tachycardia, which was previously misdiagnosed as ventricular tachycardia.

"Okay, then I will go with you as an assistant." Yu Bin said with a smile, "Okay?"

"Of course, as long as senior brother has time to go to the cath lab, that's fine!" Lu Chen did not refuse.

These electrophysiological surgeries are still relatively rudimentary and do not contain much technical content.

"Well, Lu Chen, thank you!"

The next day.

Lu Chen finished checking the room in the morning. After finishing the work, he pushed the patient downstairs.

The patient's quality of life in the past week has been better than in the previous three or four years!

No more panic symptoms!

"Dr. Lu, do I have to have surgery?"

At this point, the patient began to waver again.

"Do it!"

How could Lu Chen not understand what the patient was thinking, he immediately said.

"Well, okay then." The patient could only accept it silently.

…

Cath lab.

The patient's husband was waiting outside, and Lu Chen pushed the patient inside.

Not long after, Yu Bin also came down.

He has changed into surgical clothes and seems to be ready to go on stage as an assistant.

"Lu Chen, where is Director Zhang?"

Yu Bin asked curiously.

The operation is about to begin, why can’t we see the surgeon?

"What are you doing here, Teacher Zhang?" Lu Chen asked confused.

This kind of ablation surgery is the most basic one. There is no need for Director Zhang to come, right?

"Director Zhang won't come? Is there something wrong with him?" Yu Bin was shocked, "Then, who will do the surgery?"

He looked around to see if teachers from other groups were coming to help with the surgery.

However, he did not see the surgeons from other groups.

"I'll do it!" Lu Chen smiled slightly.

"What? What did you say?"

Yu Bin was shocked.

"You, aren't you an assistant?"

"Who said I'm an assistant?" Lu Chen shrugged, "I'm a magician!"

Yu Bin swallowed and said, "Lu Chen, this joke is not very funny. This is not a practice!"

Lu Chen entered the catheterization room without further explanation.

"Ah, you..."

Yu Bin stared blankly as Lu Chen walked into the catheterization room, his mind still in chaos.

He was originally going to be an assistant, but now...

Yu Bin stayed outside the catheter room, watching every step of Lu Chen's next operation in great shock!

…

The patient went to the operating table with mixed emotions of anticipation and fear.

Due to the shadow caused by electrical cardioversion, the patient instinctively shouted "Don't shock me" when Lu Chen put in the electrode catheter.

However, UU Reading www.uukanshu.net After Lu Chen’s explanation, the patient calmed down.

The surgery afterwards went very smoothly.

Electrophysiological examination shows that the atrioventricular node has dual paths, and it is very easy to induce typical slow-fast atrioventricular nodal reentrant tachycardia.

When Lu Chen rapidly stimulated the atrium, the atrioventricular conduction was 1:1 and the qrs wave widened (differential conduction). The widened shape was consistent with clinical tachycardia.

It is inferred from this that the patient's wide qrs tachycardia should be atrioventricular nodal reentrant tachycardia combined with differential conduction.

The next ablation process is very simple.

After modification through the atrioventricular node slow path, tachycardia can no longer be induced.

The whole process lasted 40 minutes.

After 4 years, this patient can be said to have cleared up the clouds and revealed the bright future.

.