Start as an Emergency Physician

The feeling of being affirmed and trusted is very good, Zhang Ling, who was originally a little gloomy, suddenly became cheerful again, walked to Zhou Yuan's side with a smile on his face, and said: "Doctor Zhou is Zhao Qiang's doctor in charge, and Dr. Zhou's condition is also seen by Dr. Zhou." "

The eyes of the family were all on Zhou Yuan.

When they saw Zhou Yuan so young, the surprise in the hearts of Li Li and the others was beyond words.

Especially when they noticed that He Jianyi, the bald deputy chief physician, and other middle-aged doctors who looked very awesome, were standing behind Zhou Yuan, faintly headed by Zhou Yuan, they were even more shocked!

In fact, this position is often seen in the affiliated hospitals of the university, and it is generally a powerful senior doctor with some undergraduates, graduate students and even doctoral students, which is mixed with interns and advanced doctors to conduct major rounds, and the front is naturally the highest status.

They are not people in the industry, but even if they don't know this, they can see that Zhou Yuan is the core of this team!

"Doctor Zhou, when will my husband wake up?" Li Li paused for a while before saying in a worried tone.

Zhou Yuan glanced at the detector next to him and said, "Zhao Qiang's vital signs have recovered, and the data has stabilized, within the normal value..."

Hearing this, the family members in the operating room breathed a sigh of relief at the same time, and the atmosphere in the operating room was also a lot more relaxed.

Zhou Yuan did not continue, words such as "life is temporarily saved" are taboo in many cases, although from a medical point of view, stable data means that Zhao Qiang is not in danger for the time being, but acute heart failure will take his life at any time, if you tell your family that Zhao Qiang is fine, and suddenly dies, it will be the doctor who will be in trouble.

After the mood of the family members in the ward calmed down a little, Zhou Yuan continued: "The patient's heart condition is very bad, acute heart failure is a fatal disease, and aortic valve replacement must be performed immediately. "

Surgery is the outcome that Zhao Qiang's family has long guessed, so everyone is not too surprised.

"Doctor Zhou, may I ask, what is the success rate of the operation?" Li Li asked with a choked voice.

Zhou Yuan was silent for a moment, and finally decided to tell the truth, and said: "You have also seen Zhao Qiang's situation, on the way from home to the hospital, it was a total of forty minutes, and there were two cardiac arrests in a row!"

"Especially the second cardiac arrest, we had half an hour to rescue him..."

"Thank you, doctor, thank you, you are all good people!" Zhao Qiang's mother shook Zhou Yuan's hand excitedly, and her rather old face was a little happy and cried with joy at the moment.

Zhou Yuan said with some reluctance: "Don't thank us... What I want to say is that two cardiac arrests in forty minutes, which means that Zhao Qiang may have another cardiac arrest at any time, which is unpredictable, and we doctors can't do anything about it!"

Cardiac arrest is an extremely dangerous situation, and there is nothing the hospital can do to prevent it, at most, it is just like an earthquake to do a good job of early warning, and what should happen will still happen.

The most common method is to perform strict ventricular rhythm testing on the patient, if there is a short burst of ventricular tachycardia, frequent ventricular premature, multi-source ventricular premature, paired ventricular premature, or RonT ventricular premature, etc., it indicates that ventricular fibrillation may occur again, causing cardiac arrest, and you can prepare in advance.

However, it is unlikely that cardiac arrest will occur, and electrical cardioversion may not be effective.

Of course, there is actually a last option, which is to install a temporary artificial pacemaker, which can replace the heart function.

Zhou Yuan himself has mastered the pacemaker placement surgery, but the current situation is not applicable.

Zhao Qiang's main problem is aortic regurgitation, and pacemakers are mainly aimed at patients with heart failure, that is, they stimulate myocardial cells and cause myocardial contraction, thereby maintaining heart function.

However, after cardiac arrest, cardiac ischemia will cause necrosis of the heart, and then it will be necessary to have heart replacement surgery, which is obviously unrealistic, and Zhao Qiang's current body will definitely not be able to support a heart transplant.

In other words, now Zhao Qiang's life all depends on God's face...

Zhou Yuan sighed and said, "Now we can only pray that Zhao Qiang will stick to the operating table!"

He still didn't say a word, even if he got to the operating table safely and performed the operation properly, the danger of the operation was very great...

Zhou Yuan was unwilling to extinguish the last bit of hope for Li Li and the others, at least they felt that if they could perform surgery without cardiac arrest, they would have a chance to live.

And he is confident that as long as Zhao Qiang survives the preoperative preparation period, as long as Zhao Qiang goes to the operating table alive, then he will definitely survive!

After Zhou Yuan completed cardiopulmonary resuscitation, He Jianyi and the bald deputy director of the Department of Cardiac Surgery were given an intermediate treasure chest, and the number of Zhou Yuan's intermediate treasure chests reached three again, and there was no problem in exchanging for a master-level aortic valve replacement.

Although the deputy director of cardiac surgery and Lu Chenxi can do this operation, it is obviously insufficient compared to the master, Zhou Yuan can minimize the risk of the operation, and with a series of bonuses in the system, the success rate of the operation can be improved again!

Li Li and the others fell silent again, and the atmosphere became extremely solemn again.

Zhao Qiang's family sat in the ward one by one, their eyes a little glazed.

Zhao Qiang's mother closed her eyes at this moment, clasped her hands together and prayed in a low voice. What else could they do but pray?

Zhou Yuan and the others quietly exited the ward, leaving some space for the family members.

After closing the door of the ward, Zhou Yuan sighed and said, "After they finish talking, give Zhao Qiang an independent and clean space." Try to isolate yourself from visitation!"

If it were a normal situation, Zhou Yuan might have directly refused the family's visit and kept them out of the ward, but now the situation is different, maybe the last one...

Zhao Qiang should wake up within an hour, and he may pass out again after being awake for a while, and no one knows if this is the last time they will talk.

Zhang Ling nodded: "I will definitely be able to persevere!"

After all this, the time has reached ten o'clock.

There are many special preoperative preparations for aortic replacement, which are essential, such as aortogram, in which the patient needs to undergo an aortic contrast to determine the extent, location and pathological characteristics of the lesion, so as to determine the most suitable surgical method.