Start as an Emergency Physician

The results of Zhao Qiang's heart report are very clear, and Zhou Yuan also felt it when he performed chest compressions before, and a normal person's heart is only about fifty millimeters, which is similar to a person's fist.

But Zhao Qiang reached seventy centimeters.

There are two main types of cardiac hypertrophy, which are enlarged heart and cardiomegaly.

The enlargement of the heart is relatively mild, and the heart muscle does not thicken, and sometimes it may even become thin. Enlargement is usually caused by the heart muscle losing its original elasticity, resulting in an increase in capacity and pressure, resulting in an enlarged heart.

The latter is more severe, and cardiac hypertrophy generally refers to the thickening of muscles, so it may compress the heart chambers, resulting in narrowing of the heart's exit, entrance, etc. In severe cases, it may even lead to a significant reduction in the amount of blood transfused to the heart.

There are many causes of this disease, such as hypertension, myocardial infarction, mitral regurgitation, aortic stenosis, etc., and Zhou Yuan and others have not had time to conduct further examinations, so it is temporarily impossible to determine the cause and type of cardiac hypertrophy.

However, according to the recommendations of the imaging department and the examining doctor, the patient should have a relatively severe myocardial thickening cardiac hypertrophy, and the predisposing factor is heart failure.

And this time the cause of sudden fainting is precisely acute heart failure, and as for the cause of acute heart failure, this is exactly the problem that needs to be solved in this meeting.

After Jiang Xiaoqi finished speaking, the conference room fell silent for a while.

"Has the patient undergone surgery during this time?" Zhou Yuan asked.

He was only busy rescuing at that time, so he didn't know Zhao Qiang's specific medical history.

He Jianyi shook his head: "No." Injections, skin scratches, and allergies can all be ruled out, and acute heart failure is not caused by them. "

There were also doctors from cardiac surgery present, Zhao Qiang's acute heart failure had already been handed over to the cardiac surgery department according to the previous practice, but since Zhou Yuan came, this routine has been broken.

At this moment, a cardiac surgeon's face was a little serious, and he said, "I think we should think about how to deal with this patient..."

The deputy chief physician of cardiac surgery is forty-five years old, and when he reaches the age of seeking stability, he has experienced more things, so he looks at the problem from a different angle than Zhou Yuan and others.

Young and powerful doctors like Zhou Yuan and Jiang Xiaoqi only think about how to save people, and he, He Jianyi and others actually consider some more complex issues...

The deputy chief physician of the Department of Cardiac Surgery said in a low voice: "Everyone has also seen the age of the patient Zhao Qiang, he is in his thirties, just in the prime of life, and the man at this time is the pillar of the three families, I have transferred Zhao Qiang's file, he is an only child, and Zhao Qiang's wife is also an only daughter." "

"That is, this is a family of two only children... If Zhao Qiang falls, I'm afraid all three families will be hit. The current environment is also clear to everyone, the miasma is smoky, it is good to be able to protect oneself with wisdom, if Zhao Qiang is not rescued, the consequences will be very clear as a doctor..."

The words of the deputy chief of cardiac surgery were hard to hear, but they were practical.

In recent years, this kind of thing has happened a lot, and many doctors are trembling at their posts, and they dare not accept too difficult surgeries unless they are immediate family members!

It is difficult and the success rate of the operation is low, but the families of these patients can't see it, they only know whether they have been rescued or not, and it is the doctor's job to come back.

Zhao Qiang's cardiac examination report shows that he is extremely dangerous at the moment, although he has been rescued, he has had a cardiac arrest, and his body must have been damaged.

If the man who is the head of the family falls, there is a high probability of medical disputes.

Hearing this, Zhou Yuan was silent for a moment and looked at He Jianyi.

Seeing that He Jianyi didn't speak, Zhou Yuan stood up and said: "If even our Yanjing Traditional Chinese Medicine doesn't dare to accept it, other hospitals will definitely not accept Zhao Qiang, which is basically equivalent to sentencing Zhao Qiang to death..."

He Jianyi thought for a while, nodded and said: "There is no need to mention this matter, our task is to find the cause of acute heart failure, and then treat Zhao Qiang, we will do our best, how will the result be handed over to God!"

After experiencing cardiopulmonary resuscitation, he advised Zhou Yuan to give up the rescue, and now He Jianyi has undergone some changes.

What is most needed in the hospital is the kind of doctor who has the courage of twenty or thirty years old, and the technical and theoretical experience of fifty or sixty years old, He Jianyi has reached the latter, but he has lost the courage and sharpness of his youth, and fortunately Zhou Yuan woke himself up today, otherwise he would have been entangled in this issue for a long time.

The cardiac surgeon wanted to say something, but his eyes flickered and glanced at Zhou Yuan, and he suddenly relaxed, sat down, and said, "Yes, you are here..."

The question of whether to save or not is finalized, Zhou Yuan sat down and continued: "Now, the only clue is diarrhea. The patient did not develop any other abnormalities prior to the onset of acute heart failure, and diarrhea requires a high level of suspicion. "

Also involved in the discussion were Sun Meng and Liu Kai, both of whom looked confused.

What is the relationship between acute heart failure and diarrhea? Can diarrhea still dislocate the heart?!

However, in such a serious meeting, the two of them will definitely not make uninteresting remarks, after all, Zhou Yuan's words came out, and several deputy chief physicians present fell into deep thought, obviously Zhou Yuan's guess is reasonable, but the medical skills of the two of them have not yet reached this level, so they can't understand.

A few minutes later, Zhang Ling returned.

As the nurse directly in charge of Zhao Qiang, she went through various procedures during the beginning of the meeting, and learned about Zhao Qiang's situation by the way.

Every trivial thing may hide a cause, and the cause is the key to saving Zhao Qiang, so Zhang Ling didn't dare to be sloppy.

It wasn't until Zhang Ling sat down that the meeting could be regarded as a complete start...

Zhang Ling picked the key point and said: "Patient Zhao Qiang had a heart surgery when he was ten years old, and he had a re-examination three years ago, and it was found that the aortic valve was insufficient.

Zhou Yuan's eyes lit up when he heard this.

"That's what went wrong here, no wonder I couldn't figure out why the patient suddenly developed acute heart failure!

Zhou Yuan said excitedly: "Because Zhao Qiang's fundamental illness is not heart failure, but infective endocarditis!"