Rebirth begins in the operating room

Ye Li's head suddenly got big, and Hanyaxin behind him was like a female Tang monk, chattering non-stop.

Ye Li, who was annoyed to death, frowned slightly.

No matter what they say, the other party refuses to give up.

Like a dog skin plaster.

He even appeared indifferent.

And Hanya Xin is a completely optimistic girl. She is not only beautiful, but also proactive and motivated.

Although she looks like a little girl who doesn't know much about the world on the outside, once she encounters a question that she finds interesting, she will get to the bottom of it.

So easy to learn.

Ye Li told the other party again, "You are already very good. You can't learn what you want from me, so don't waste your time."

"It's impossible, I don't believe it... Look at the questions asked by the teacher at yesterday's consultation. So many people didn't know what dynamic indicators were, but you knew it and answered it in detail...

.This shows that you are above them."

"I think you are too talented to stay in this small city... I think you will be an expert within two years if you go to a tertiary hospital."

But Hanyaxin didn't believe it, and immediately rejected Ye Li, muttering a lot again.

Ye Li wanted to tell the other party that two years was too long, and now his level had caught up with the professor's.

Those people who don't know dynamic indicators do so because they have not experienced two lives.

Originally trying to persuade the other party to retreat, Ye Li realized that he had made a mistake.

This girl has a very stubborn character.

Talking too much brings tears to my eyes.

"I won't call you hello. You can call me by my first name, or you can call me handsome guy."

Ye Li stopped and stared at the other person's pretty face, "How old are you this year!"

"twenty three...."

My dear, you are a master of medicine at such a young age.

She has a loli face, I thought she was 20 years old.

Could it be the medical family in the novel?

At the beginning, Qin Tianshuo said that there are hidden warriors in this world, so it is not surprising that there are medical families.

If Ye Wanling had something to do with his life experience, then he gave up everything and went into seclusion.

It is not impossible to avoid a medical family.

After all, there are so many Chinese ethnic groups.

And Ye Li was indeed right.

Han Yaxin's family is a medical family with a history of hundreds of years in China and is highly respected.

Han Yaxin's generation is already the fifth generation.

Despite her young age, Hanyaxin is the most outstanding medical genius in the old Han family.

"Hey, you suddenly stopped talking. What do you want to do? Are you coveting my beauty?"

Next, Hanyaxin's actions made Ye Li dumbfounded, and she also made common movements for women.

He crossed his arms and took two steps back, keeping an eye on Ye Li.

This girl has so many dramas!

Ye Li rolled his eyes: "I'm not interested in your flat chest. I'm going to patrol the ward, so don't make trouble..."

After the words fell, he turned around and ignored the chatter.

"Is it really that small?"

Hanyaxin was not angry, but opened the collar of her flowered shirt and took a look. When she came back to her senses and saw Ye Li walking away, she hurriedly jogged to keep up, shouting: "Hey, I was kidding you.

....."

Even though the smile is pretty.

Ye Li didn't have time to appreciate it either. He focused on the medical records in his hand and sorted the pile of medical records in order.

Put patients with critical illnesses such as coronary heart disease first.

This coronary heart disease patient is a 65-year-old man who was admitted to the hospital for treatment yesterday.

Also because the beds in the cardiology department were full yesterday, the cardiology department did not receive any patients.

What we need to do now is to help get the cardiologist to see him for further examination and treatment.

leaf

Li took out his cell phone to contact the cardiology department, but he didn't have time to answer the chatter.

"I am Ye Li from the emergency department. There is a patient named Zhang Anyei who needs to be seen by Xin Nei..."

"I'm sorry, the wards of the cardiology department are all full right now, and we can't even accommodate them..."

"It's full! Then you should also check on the patient's condition!"

Ye Li obviously emphasized his tone. Understanding the patient's physical condition will help both the treatment and the condition. Is this the minimum?

But in fact, as a grassroots doctor, Ye Li was a low-profile person.

In addition, I had dinner with a few doctors in my heart last night, and when I heard the word "Ye Li", I immediately hung up the phone.

Behind her, Hanyaxin muttered, "The department in the Second Hospital is impersonal and does not consider the patient's condition."

Ye Li did not reply to the other party.

Instead, I came to the patient's ward and saw the patient lying on the bed, with his family members sitting beside him and looking after him.

Judging from the medical records of the emergency department, the patient had experienced common symptoms of coronary heart disease such as fatigue, chest discomfort, palpitations, shortness of breath, irritability, and precordial pain before the onset of the disease.

"Hello, I'm the doctor in charge of today's ward rounds..."

Ye Li introduced himself to the patient's family.

"Hello, doctor..."

The patient's grandson said hello to Ye Li.

However, Han Yaxin also looked at the patient carefully, "I had symptoms of coronary heart disease earlier. It may be that the coronary arteries are blocked and the blood supply is insufficient..."

Ye Li heard Hanyaxin whispering behind her.

He first came to the bedside, reached out to wake the patient, and asked: "Is your grandpa feeling uncomfortable in any way this morning?"

"No! He just kept lying..."

As soon as the family members finished speaking, Ye Li's facial expression changed.

It becomes serious.

He originally woke the patient up for a simple examination, but found that the patient's arms were cold and he was sweating.

In desperation, Ye Li had no choice but to activate his medical fluoroscopy, scan the patient's heart, and quickly learn about the patient's symptoms.

It was also seen that there was a small blockage in the right coronary artery of the heart, which was caused by atherosclerosis.

Critical myocardium begins to experience ischemia.

It is routine to confirm coronary atherosclerosis, which cannot be diagnosed without cardiac contrast agent.

However, Han Yaxin guessed coronary artery obstruction based on the symptoms.

Worthy of being a Master of Medicine.

The pathologies are quite diverse.

"The patient has low blood pressure and is in shock. Please notify the nurse immediately and ask the cardiology department to prepare for interventional treatment in the cardiac catheterization laboratory..."

"I'll go..."

Hanyaxin, who was standing behind him, immediately replied and ran out of the ward.

The patient's grandson noticed the situation and became nervous.

"Your grandfather has an emergency and needs rescue..."

"Doctor, you must save my grandpa."

"We will try our best..."

Ye Li first calmed the emotions of the patient's family members.

At the same time, be aware that acute myocardial infarction refers to an acute blockage of the coronary arteries, and the heart muscle will become necrotic due to lack of blood supply.

Moreover, some patients suffer from acute myocardial infarction but have no pain symptoms.

Now this old man is one of them.

...

Ten minutes later.

This elderly patient was sent to the cardiac catheterization laboratory.

Ye Li breathed a sigh of relief.

He hoped it wouldn't be too bad.

Thanks to myself for simply sorting out the medical records.

If he found out later, the old man would die.

The patient's grandson knew that his grandfather was critically ill and quickly contacted his parents.

As a visiting doctor, your responsibilities

Once you are done, you can leave at any time.

But Ye Li didn't leave, he was waiting outside.

Hanyaxin did the same and followed Ye Li to wait outside the cardiac catheterization room.

From his actions just now, Ye Li saw the shadow of Su Yiyi in Hanyaxin.

After a while, the female nurse brought a nurse uniform and handed it to Han Yaxin.

"This is for me!"

"If it's not for you, then who should I give it to?"

Ye Li rolled his eyes, thinking that a girl was following behind him.

I was misunderstood by the nurse as my girlfriend, so I made a request to the nurse.

Hanya Xin had no problem with it. She could stay and study and just wear a nurse uniform.

This lady is capable of bending and stretching.

After taking the nurse's uniform and putting it on, Hanyaxin asked Ye Li, "How did you diagnose the patient's hypotension and shock!"

Seeing the other party's curiosity, Ye Li said straightforwardly, "This is simple. The patient's limbs during the rounds just now were cold and there were signs of sweating. Coupled with the patient's clinical manifestations of coronary heart disease, there is a high possibility of coronary artery obstruction, so..."

The human heart is like the processor of a computer. Once a circuit failure occurs, other circuits may be short-circuited or burned out.

However, Ye Li gave a brief summary, but there was one thing he didn't say.

It can also be seen from medical perspective.

It was found that the blood supply of some branches of the coronary arteries is reduced, cardiac perfusion is reduced, and the blood supply to the myocardium is insufficient, thus causing an imbalance between the supply and demand of myocardial oxygen.

Of course, Hanya Xin listened very carefully and nodded from time to time.

She also thought about what Ye Li discovered.

Now, she thinks that Ye Li has rich experience in clinical diagnosis.

Can be diagnosed by body surface temperature.

I also feel that this guy is a bit unusual.

Although at first glance, I think this person has no abilities other than being good-looking.

Now it's time to redefine it.

Just when Ye Li and Hanyaxin were thinking about the patient's condition.

The door to the cardiac catheterization lab suddenly opened.

The patient's grandson thought it was the doctor who came out.

Finally, a nurse came out. She looked excited and acted in a hurry.

"Zhang Anyei's family!"

"I am...please ask how my grandfather is doing!"

"Notify your parents that your grandfather's condition is not optimistic and he is still being rescued. Your signature will be needed later..."

"My parents are already on their way."

The female nurse finished her explanation and left in a hurry, but was stopped by Ye Li.

"Nurse! The specific condition of the patient inside is..."

The female nurse glanced at Ye Li and said softly: "The patient's condition is not optimistic. His blood pressure has been dropping. Doctor Gu inside asked me to ask the director to come."

"Have you used vasopressors and antithrombotic drugs?"

The person who asked the question was not Ye Li, but Hanyaxin.

The female nurse looked surprised and looked at the other person, she was also a nurse.

"After using it, Dr. Gu inside tried everything, combined with the dynamic changes of ST-T in the electrocardiogram and the increase in cardiac enzymes..."

"That's an increase in cardiac troponin. Is it above the upper limit of normal?"

"right...."

The female nurse nodded. She wanted to ask the other party how she knew.

Han Yaxin frowned slightly, and it was determined that it was coronary atherosclerosis, causing myocardial ischemia symptoms.

It was undoubtedly acute myocardial infarction.

Rescue is necessary.

What is surprising is that the medical level in small cities is so low.

In this case, consider thrombolytic treatment or puncture and stent implantation surgery.

Also ask for the director!

When the director arrived, no one was there...