Start as an Emergency Physician

"No... Without a house, how can we settle down in this city and live a good life!" Qian Wei shook his head in resistance.

This petite and lovely woman has been with her for so many years, but she still has no interest, and today she finally bought a house, but she had to sell it because of her illness?

If you don't have a house, you don't have the confidence to live in this city... He can't let his wife lose face!

Qian Wei's wife smiled, hugged Qian Wei, sobbed in her voice, and said, "Who said that only with a house can you have a home... With you, me, and the baby, and mom and dad, we have a home!"

Zhou Yuan and He Jianyi were silent and did not disturb the two-person world of Qian Wei and his wife.

After a long time, as if he had made a certain decision, Qian Wei wiped his tears, looked at Zhou Yuan and He Jianyi, and said, "I'll do it! I'll do this operation!"

He Jianyi breathed a sigh of relief.

It's not that he hasn't seen patients who have given up treatment due to financial difficulties and finally waited in vain for death to come. The choice is especially difficult at this time.

Especially for some high-risk surgeries, if you agree to do it, you may lose both people and money, and if you don't agree to do it, you will only lose people... In this case, both the family and the patient will face a great test.

In a word - a penny has stumped countless heroes.

Fortunately, although the cost of heart bypass surgery is relatively high, the success rate is high.

"Now that you agree to the surgery, let's do some pre-operative preparations. Stop all activity from today, guarantee absolute bed rest, and... Denial of visitation. "

The last sentence was addressed to Qian Wei's wife.

"Why!" Qian Wei's wife froze.

In times of crisis, husband and wife should be in the same boat, why can't she accompany her husband to spend it?

"Mood swings can affect the condition. "

He Jianyi couldn't bear to separate the two, but he had to do so for Qian Wei's safety.

If family members are allowed to visit, some family members may often cry in front of the patient, such as sentimental parents.

This is bound to make patients with acute myocardial infarction feel emotional or infected, and the result is often induced arrhythmia, heart failure, and even sudden cardiac arrest on the spot.

In the acute phase of acute myocardial infarction, energy and oxygen consumption should be minimized, the burden on the heart should be reduced, the infarct area should be reduced, and the recovery of the disease should be promoted. The consumption of energy and oxygen will not only increase physical activity, but also mental activity, which in turn will increase the burden on the heart.

This is the reason for the refusal of visits.

Zhou Yuan saw that He Jianyi did not explain, and explained specifically: "If someone visits, the patient must speak, and if he wants to ask questions, there will be emotional fluctuations, which will increase his physical load, and it will also increase his mental load, resulting in an increase in blood circulating in the brain." "

"The increase in blood promotes the excitation of the sympathetic nerves, so much so that it increases the burden on the heart and aggravates the condition. "

Qian Wei's wife understood this time and nodded: "I understand..."

Zhou Yuan took the nurse and pushed Qian Wei into the single room.

"You go back and find a way to get the expenses ready, to sign, and to give us the medical history as soon as possible. We need to evaluate Qian Wei's whole body condition, and then choose the most appropriate surgical method and timing. He Jianyi stayed in the ward and instructed.

Qian Wei's wife sobbed a few times and nodded: "Doctor... We have been together for so many years, we love each other so much, I would have died without him!"

"We'll do our best. He Jianyi said in a deep voice.

Soon, Qian Wei's wife rushed out of the hospital with tears in her eyes, ready to go back and find a way.

On this side, Zhou Yuan also opened a few orders.

"Give the patient a large flow of oxygen to ensure that the patient's blood oxygen saturation is above 95%. "

"Prepare aspirin 160~325mg. Nitroglycerin 0.5 mg, sublingual. If sublingual infusion has no effect, change to 5~20pg intravenous infusion per minute. "

Aspirin has a certain resistance to platelet aggregation in the body and can prevent myocardial infarction.

Nitroglycerin can directly relax the smooth muscle of blood vessels, especially the smooth muscle of small blood vessels, so that the peripheral blood vessels are dilated, the peripheral resistance is reduced, the amount of blood returning to the heart is reduced, the cardiac output is reduced, and the myocardial oxygen consumption is reduced, thereby reducing the load on the heart. It can also prevent and alleviate acute myocardial infarction.

"If the patient's chest pain is unbearable, intravenous injection of 2~4mg of morphine, if the persistent chest pain cannot be relieved, the injection can be repeated many times. "

"Also, the large venous access is now immediately opened, and at the same time, the ECG, blood pressure, pulse and breathing are monitored at any time. "

Hearing Zhou Yuan's words, Qian Wei realized how serious he was.

Many patients with acute myocardial infarction don't feel much before the attack, but they usually feel chest tightness and some breathlessness, so they don't take it seriously.

However, as soon as they had an attack, they died directly before they had a chance to pay attention. This is one of the reasons why this disease is dangerous.

When Zhou Yuan ordered, He Jianyi also walked in.

Hearing Zhou Yuan's methodical medical advice, He Jian was stunned consciously.

"Wait, why are you treating myocardial infarction..."

Zhou Yuan's character He Jianyi is clear.

If Zhou Yuan only knew a little bit about it, then he would definitely not be reckless to charge his head and give a doctor's order, since Zhou Yuan dared to come, it meant that he was sure! It showed that he was proficient in this disease!

But...... Isn't acute myocardial infarction the work of cardiovascular medicine?

Why does it seem like another department has been robbed?

Zhou Yuan smiled: "Teacher, I really had an epiphany..."

The system suddenly gave a heart bypass surgery, and naturally, Zhou Yuan also knew about some diseases that required heart bypass surgery.

Left main lesions and myocardial infarction are one of the causes.

"Don't tell me you're going to have heart bypass surgery..."

Zhou Yuan's medical order is not at all like simply stabilizing Qian Wei's condition...

Otherwise, why build a big venous channel if you have nothing to do?

Do you have fun with a needle?

Zhou Yuan pondered for a while, although he was embarrassed, he still said: "I really just learned heart bypass surgery..."

He Jianyi was silent.

"What are you going to do?" He Jianyi ignored the shock step and directly began to prepare to cooperate with Zhou Yuan.

"Reperfusion therapy is performed before heart bypass surgery to reduce the size of the cerebral infarction, which can help patients with their recovery. "

Zhou Yuan didn't say anything to improve the success rate of the operation.

He doesn't care anymore - the success rate of the operation itself is 95.8%, Zhou Yuan is still a master-level heart bypass surgery, and the success rate of the operation increased by five percent when the high-level treasure chest was opened...

In other words, as long as you don't close your eyes and don't use your feet, the success rate of this Zhou Yuan surgery is infinitely close to 100%!_

Feilu reminds you: there are three things to read - collection, recommendation, and points