Rebirth begins in the operating room

After the two talked for a while, a nurse sent Zhao Xinchen's father's color ultrasound examination report.

After Ye Li took over, he saw that the diagnosis conclusion above said that the possible diagnosis was acute myocardial infarction.

It was found on the cardiac color ultrasound that the myocardial pulse related to the infarction site was weakened.

But it's not clear.

It is suspected that part of the myocardium may suffer from ischemia, necrosis, and loss of contractile function.

The myocardium undergoes reverse motion.

...

Zhao Xinchen, who was sitting opposite Ye Li, noticed the serious look on his face.

Suddenly he became uneasy.

"Ye Li, if you have something to say, just say it!"

"Xinchen, please take me to see your father immediately..."

Ye Li put down the inspection report sheet.

"Oh~ okay..."

Zhao Xinchen was stunned, then nodded immediately after realizing it. His father, Zhao Zhang, was in the waiting area, being looked after by his mother.

The two of them left the emergency department and went straight to the waiting area.

"Ye Li, is my dad's illness serious..."

Ye Li didn't answer immediately, but thought about it. Before the other party's illness develops in the early stage, he may have symptoms of fatigue, chest discomfort, palpitations and other shortness of breath and irritability for a few days.

Occasionally accompanied by precordial pain.

If the attack occurs suddenly and lasts for more than 30 minutes, the squeezing pain or suffocation in the precordial area will make the patient feel as if he is on the verge of death.

"Since you ask, I won't hide it. It's serious. Your dad has acute myocardial infarction. The rest can't be confirmed until I diagnose and examine your dad."

Hearing this result, Zhao Xinchen felt like a bolt from the blue.

I can't accept it, and I can't forgive myself.

In the past few years, I have been in Haishi and have never returned home. I have always been in contact by phone and occasionally sent some money.

Ye Li has no relatives in this world and cannot understand this feeling. He comforted: "Don't be too sad. There is still hope before your father's illness attacks..."

"Thank you...then will he need surgery?"

"I need surgery..."

Judging from the current situation, no one in the first hospital or the second hospital can perform percutaneous coronary intervention, thrombolytic therapy, and bypass surgery.

The first and third cases are mainly myocardial ischemia and coronary artery lumen occlusion.

Set up a vascular frame at the proximal end to bypass the stenotic segment and solve the blood supply problem.

As for the second thrombolytic treatment, the earlier the best time for surgery, the better. Once a myocardial infarction occurs, immediate thrombolysis will have the best effect.

The problem is that if the patient's myocardium is almost completely necrotic, further thrombolysis may increase the risk of bleeding.

In that case, the patient's benefit will be very little.

Zhao Xinchen was silent on the side. He was in an extremely heavy mood. His family was not wealthy, and if it was a major surgery, he might not be able to afford it.

indeed so.

The above surgical treatments are not cheap.

Come to the waiting area.

Zhao Xinchen's hanging heart seemed to be sinking to the bottom of the sea.

He immediately moved his legs and ran forward.

He saw that Zhao Zhang was already covering his chest, his forehead was sweating, and his head was lowered.

The mother Zhulan on the side was calling for help: "Doctor! Someone come and help!"

Ye Li saw the medical staff nearby and chose to turn a blind eye.

This made him feel angry.

"Mom! Dad, what happened to him?"

"Son, hurry up...your dad suddenly said that his chest feels uncomfortable..."

"Dad, have you taken your medicine today?"

"Your dad was not feeling well just now. Feed him..."

The situation was urgent. As Zhu Lan, Zhao Xinchen's mother, he did not notice Ye Li walking towards him.

"What are you doing standing there...don't you see anyone feeling uncomfortable? Go get the medical gurney quickly!"

Ye Li angrily yelled at the nearby nurse, and then someone realized the problem.

.....

Ten minutes later.

First aid area.

Zhao Xinchen's father, Zhao Zhang, is currently lying on a medical gurney.

The oxygen tube is now inserted.

With the help of the doctor's eye, Ye Li measured Zhao Zhang's blood pressure, heart rate, respiration and other vital signs, and completed an electrocardiogram.

At the same time, the nurse collects blood and conducts laboratory tests including cardiac markers.

Process requirements, dynamic observation of cardiac biomarkers, mainly troponin, are also an important basis for excluding or diagnosing acute myocardial infarction.

certainly.

After acute myocardial infarction, blood pressure, heart rate, heart rhythm, etc. may also change to varying degrees.

In the early stage, myocardial perfusion is reduced and oxygen supply is insufficient. The heart attempts to improve hypoxia by increasing systemic blood supply, so patients have symptoms such as accelerated heartbeat and elevated blood pressure.

If the oxygen supply is insufficient and the oxygen supply cannot be improved, the myocardium will work ineffectively and cause oxygen consumption.

Directly leads to an increase in the amount of myocardial ischemia and necrosis.

Until then....

"Ye Li, our hospital doesn't have the urokinase you mentioned..."

Su Yiyi hurried back to the emergency area.

"No! What about reteplase and alteplase!"

When Ye Li saw Su Yiyi's reaction, he would never "be prepared", so he added: "Then call the person in the logistics department and ask the pharmaceutical company..."

Such a big hospital doesn't even have a single thrombolytic drug.

Moreover, the current time for myocardial infarction is the best time to treat with thrombolytic drugs.

If you miss it!

In fact, Ye Li himself couldn't remember whether these two thrombolytic drugs for myocardial infarction were available in 2007.

Even if there are, the thoracic surgery doctors in the hospital may not use thrombolytic drugs for myocardial infarction.

Just because of the high risk of bleeding.

"Forget it, I can't wait...Chen Ming, please contact Director Wang and ask to borrow the cardiac catheterization laboratory of their thoracic surgery department..."

"Okay, boss..."

Ye Li plans to use the cardiac catheterization laboratory for emergency percutaneous coronary intervention.

It can improve myocardial blood perfusion and prevent myocardial ischemia and necrosis.

Of course the operation is done in the form of puncture.

During this period, contrast agent is needed to show the areas of coronary artery stenosis.

Place the bracket according to the narrow part.

It can achieve the purpose of restoring blood supply to the lumen....

Soon, the phone rang in the office of the director of thoracic surgery.

Wang Hongbo was checking the medical records of other patients when he picked up the phone.

"Director Wang, there was a call from the emergency department just now, saying that they wanted to borrow the cardiac catheterization laboratory..."

Emergency Department!

When Wang Hongbo heard these three words, he raised his eyebrows and the muscles on his face twitched. He put down the medical records in his hands and took off his glasses with his hands.

You can see a chill flashing through his eyes.

"Tell them the cath lab is in use..."

After saying that, Wang Hongbo hung up the phone and narrowed his eyes slightly, looking at how to deal with this little bastard.

After Zheng Hefeng came to the hospital yesterday, he thought everything would go smoothly to convince Zheng Zhouguo.

Unexpectedly, Zheng Hefeng fainted Zhengzhou Guoqi.

I feel that if this matter drags on any longer, the little bastard will sit on top of me and poop and pee.

Wang Hongbo was not brainless. He was already bald and quickly thought that patients who needed to use the cardiac catheterization laboratory must have heart disease.

Then he called and asked.

Sure enough.

Wang Hongbo said angrily: "This little bastard is so courageous that he even dares to cut off the beard of a patient who is responsible for the thoracic surgery department."

If Ye Li knew about this, he would probably have to pee and poop, and he thought he could pour water and fertilizer on Wang Hongbo's bare head.

When will "Nostoc" grow again?

When Ye Li heard Wang Hongbo say that the cardiac catheterization laboratory was in use, he almost couldn't hold back his temper and rushed out of the emergency department.

I really want to hit Wang Hongbo’s bald head with a hammer.

Let the other person become a Buddha immediately.

"Boss, this thoracic surgery is clearly aimed at us! So now we..." After knowing the result, Chen Ming looked at the patient and whispered: "It would be great if I knew how to do bypass surgery, but it's a pity..."

..”

Bypass surgery!

Ye Li reacted.

First, bypass surgery requires a midline sternal split, opening

The pericardium is exposed so that the bridge can be constructed.

Moreover, the difficulty of this operation is similar to that of leaflet valve replacement surgery. It requires the assistance of extracorporeal circulation and cardiac arrest bypass.

It is also a major surgery.

In the next few years, with the development of technology, more and more people will not choose bypass surgery.

The operation is difficult, takes a long time, and causes great harm to the patient.

Now there is no other solution for Ye Li.

If someone else does the bypass surgery, the patient may benefit little.

Ye Li is different, he has systematic ability and incredible talent.

The operation time of several hours can be shortened and completed as quickly as possible.

In addition, Ye Li also thought of someone.

"Chen Ming, go and explain to the outside and the patient's family...Forget it, I'll go in person! Arrange the operating room as soon as possible."

Ye Li walked out of the emergency area, and Chen Ming received a call, so he immediately chased after him.

"Boss, the logistics department called and the other pharmaceutical company refused to refund the medicine..."

"No retreat!"

It's obvious that there is some conspiracy here.

Of course, Ye Li was not thinking about this problem now, and said to Chen Ming: "Don't worry about this first, let's save people first, and let Nurse Su go to the operating room..."

"okay...."

Walking out of the emergency department, I found Zhao Xinchen who was waiting for the results.

"Ye Li! How is my dad doing? Does he need surgery?"

Zhao Xinchen saw Ye Li coming out and approached him step by step.

Ye Li nodded, took off his mask, and responded: "Your father's life is not in danger for the time being. He does need surgery. I won't hide it from you. Your father's condition requires bypass surgery."

"Bypass surgery!"

Zhao Xinchen was stunned for a moment and repeated it. He knew in his heart that this was a major operation.

"We're almost certain!"

"I can't guarantee this. I believe you have heard of Professor Haifeng! He is in our hospital..."

"Haifeng! You mean Haifeng, a professor of thoracic surgery at the Provincial Hospital?"

"Yes...."

Even if the other party doesn't believe Ye Li, he will come to his rescue.

If there is a Haifeng town, the effect will be different.

"Son, can this professor your friend talk about really save your dad? Why don't we go to Haishi Hospital!"

Zhu Lan's words made Zhao Xinchen frown. Even if he didn't know a thoracic surgery expert in Haishi, the cost would still be high.

The journey also delayed the best treatment.

Isn't this nonsense?

"Auntie, your husband's current condition means he won't have time to go to Haishi. He may die on the way."

Ye Li was not angry and spoke very implicitly, and respected the other party's choice, but he also told the real situation.

"Son, what should I do? Your dad..."

Zhulan's face turned pale when she heard Ye Li's words.

Zhao Xinchen's parents are both simple and honest people. It's not that she doesn't believe in Ye Li's skills, but she thinks that big hospitals can provide peace of mind.

"Mom, don't worry first. He is my roommate in college. I believe him..."

Zhao Xinchen made a decision: "Ye Li! My dad will leave it to you. I will find a way to pay for the surgery..."

Ye Li didn't say too much: "Then sign it!"

After Zhao Xinchen signed the contract, he borrowed money from relatives and friends.

He also collected 30,000 yuan, plus his own savings from frugality in the past few years, the total added up to 70,000 yuan.

Of course, Zhao Xinchen also knew that the cost of a bypass surgery in a large hospital in Haishi was between 100,000 and 150,000.

Soon, word of heart bypass surgery spread in the hospital.

Even Wang Hongbo couldn't sit still when he heard the news.

I originally wanted this little bastard to hit a wall.

I didn't expect to have heart bypass surgery.

There's nothing else this little bastard can't do.

Even as the director of thoracic surgery, he does not know how to perform heart bypass surgery.

Isn’t it a joke if word spreads?

Wang Hongbo realized that it was obvious that he was standing on top of his head to defecate and pee.

I also want to slap him in the face.