I Can See Health

Lu Chen was a little confused, but he still followed Dai Wansong.

The young doctor was slightly surprised, but said nothing and continued to lead the way.

"Is this the direction to the CCU?"

Walking out of the classroom, Lu Chen found that the young doctor was walking towards the CCU.

Sure enough, after going around a few turns, the three of them stopped at the door of the CCU medical channel.

The young doctor swiped his card.

The three of them entered one after another.

Dai Wansong and the young doctor both put on their own Crocs.

"Lu Chen, please put on shoe covers."

"good."

Lu Chen nodded, took a pair of shoe covers from the locker nearby, and then followed Dai Wansong to the CCU ward.

This time, instead of going to the cath lab, I came to the bedside.

…

Before he even got closer, Lu Chen saw the busy doctors and nurses beside the hospital bed, as well as the ticking alarm sound of the monitor.

"Intubation!"

"Ice brain protection!"

"Open a few more intravenous lines!"

"..."

The situation of the patient on the hospital bed is not optimistic.

In Lu Chen's eyes, the patient's health value was only 35(---)!

And the health value decreases rapidly, reaching 1.26/min.

"Dean, come here."

The person in charge of the rescue was a middle-aged doctor. When he saw Dai Wansong coming, he nodded slightly in greeting.

"What's going on?" Dai Wansong frowned tightly and stared at the patient on the bed.

The middle-aged doctor quickly said: "This patient was scheduled to undergo TAVR surgery three days later. He just suffered a sudden attack of acute heart failure and cardiogenic shock. His blood pressure was only 70/40mmhg. He lost consciousness and was in a very bad condition!"

Upon hearing this, Dai Wansong stepped forward to check on the patient's condition.

The patient has undergone bronchial intubation and central venous catheterization. After active rescue by medical staff and the application of a large amount of vasoactive drugs, the blood pressure finally stabilized.

"Bring over the medical records." Dai Wansong said.

The young doctor quickly ran to the doctor's office and took all the patient's information.

Dai Wansong glanced at it for a moment, then handed it to Lu Chen who was standing aside.

Only then did the other doctors in the CCU notice the unfamiliar face of Lu Chen.

Lu Chen didn't care what others thought. He picked up the medical record folder and began to compare and check the patient's condition.

He was vaguely aware of the reason why Dai Wansong asked him to follow him.

…

The patient, male, is 86 years old.

He was admitted to the hospital with "recurrent palpitations for more than 6 years and chest pain accompanied by shortness of breath for more than 1 month."

The patient had palpitations for no apparent reason 6 years ago. The local hospital diagnosed him with "coronary heart disease" and did not provide standardized treatment.

More than one month ago, he developed chest pain, palpitations, and shortness of breath, accompanied by paroxysmal dyspnea at night. During his hospitalization in a local hospital, he developed sudden chest pain, dyspnea, and loss of consciousness.

The diagnosis was "acute left heart failure, calcific aortic valve stenosis (severe) and insufficiency (mild), pulmonary infection, and stress ulcer."

After being given antiplatelet, lipid-lowering, anti-infection, and anti-heart failure treatments, the shortness of breath improved, and he was transferred to Modu Central Hospital.

…

Lu Chen turned over and saw the patient's cardiac ultrasound report.

"lvef: 28%; bileaflet active valve leaflets are thickened, calcified, and open limited, vmax=4.24m/s, pg=72mmhg, mg=49mmhg, ava=0.3cm2."

A normal person's cardiac ejection fraction should be above 50%, but this patient's cardiac ejection fraction was only 28%, and his myocardial contractility was severely damaged!

"Lu Chen, what do you think?" Dai Wansong looked at Lu Chen.

This surprised the doctors around him.

Dean Dai actually asked this little doctor for his opinion?

Everyone looked at Lu Chen and felt unfamiliar.

Where is this student from?

Lu Chen thought for a while, and without too much nonsense, he said directly: "I will perform emergency TAVR surgery tonight, and it is possible to save the patient. If it continues, I don't know what will happen."

The other doctors were a little frightened when they heard this.

This little doctor spoke so decisively? !

The middle-aged doctor in charge of the rescue looked at the young doctor who had just led the way and asked in a low voice: "Who is this young man?"

The young doctor said slowly: "The students that Dean Dai brought out from the TAVR class should be this group of students."

A member of the tavr class?

The middle-aged doctor frowned deeply and couldn't figure out what Dean Dai Wansong meant by bringing Lu Chen here.

At this time, Dai Wansong heard Lu Chen's words and nodded slightly: "Not bad, just as I thought."

Then, he turned to look at the middle-aged doctor aside, "Huayuan, go and communicate with the family about the emergency TAVR surgery. Everyone else comes to the office, and we will discuss it first."

"Okay." Hua Yuan nodded and went to the CCU doctor-patient communication room as soon as possible without any ink.

Other doctors, in addition to taking care of patients, put down their work and came to the doctor's office.

…

This was the first time for Lu Chen to come to the CCU office of Shanghai Municipal Central Hospital.

The overall layout of the office is similar to that of the first hospital in Shanghai.

Everyone took their seats one by one.

Dai Wansong began to speak first.

"The patient suffered a sudden acute left heart failure and cardiogenic shock. His vital signs are currently stable, but he may deteriorate at any time. We are preparing to perform emergency TAVR surgery."

"Now we are discussing the risks of surgery and the precautions after surgery."

As soon as he finished speaking, everyone was whispering.

An older doctor stood up and said slowly: "Dean Dai, you are an expert in TAVR. I know you are eager to operate on the patient. But the patient's current condition is very unstable. I'm afraid. I can’t get off the operating table.”

"Then what do you mean, don't do it?" Dai Wansong looked at the old doctor, "Just wait like this? It depends on God's will?"

"This..." the old doctor paused, "the operation is too risky, and to be honest, this operation has just begun in China, and we may not have enough experience."

"Okay, I know what you mean." Dai Wansong stared at the old doctor closely, "Don't worry, you won't be allowed to undergo this operation."

Afterwards, Dai Wansong ignored the old doctor and looked at the other doctors present.

"Does anyone have any other opinions?"

After a while, a young doctor raised his hand.

"Speak directly without raising your hands." Dai Wansong said solemnly.

"Oh." The young doctor stood up quickly, "The cause of the patient's illness should be cardiogenic shock caused by severe aortic valve stenosis. If we don't solve the cause, the patient's vital signs will definitely not be maintained."

"As soon as the vasopressor is withdrawn, the blood pressure will definitely collapse."

"So TAVR surgery must be done! But the risk is extremely high. UU Reading www.uukanshu.net Before the operation, we have to ask the patient's family to sign an informed consent form, or a life and death certificate. Otherwise, the patient cannot move!"

The young doctor talked a lot, and his mouth became dry.

Dai Wansong nodded slightly, "Young people are still motivated!"

However, he immediately frowned, "But what you said, except for the surgery, is all nonsense! What did I just ask? The risks, precautions and postoperative care of the surgery! Everything you said is What nonsense?”

The young doctor looked embarrassed and immediately lowered his head.

At this time, Lu Chen finally spoke.

"Dean Dai, may I say a few words?"

When Dai Wansong heard Lu Chen's words, a smile immediately appeared on his gloomy face, "Well, you tell me."

Everyone's eyelids jumped.

Dean Dai's change of face is really fast! 16377/10369578