Start as an Emergency Physician

If you really want to compare, I'm afraid Zhao Qiang is more serious and dangerous.

At least, the patient in Modu Xiehe did not suffer two cardiac arrests, and it was the kind that Zhou Yuan had only rescued with perfect-level cardiopulmonary resuscitation.

However, even so, the final result was not easy to accept - in the end, the patient died because of the failure of resuscitation.

Infective myocarditis combined with aortic regurgitation, both of which cause acute heart failure, the patient itself is already extremely dangerous, just like walking on the tip of a knife, acute heart failure that can erupt at any time and a knife under the foot can take the patient's life at any time.

All doctors can do is wait for the patient to walk through the tip of the knife on their own, and then they can respond.

It's a pity that all the doctors in the magic capital concord failed, and the patient did go to the operating table, but never came down...

And what about Zhou Yuan?

Zhao Qiang's condition is more serious than the patients encountered by Modu Concord, and a cardiac arrest is added to the aortic valve insufficiency, infective myocarditis, and acute heart failure...

Zhao Qiang not only walked on the tip of the knife, but also danced on the tip of the knife! In this way, Zhou Yuan rescued Zhao Qiang by force.

Therefore, at this moment, Zhou Yuan has a full sense of accomplishment in his heart!

"Be sure to take care of it after surgery. Zhou Yuan said again.

Although Zhao Qiang's surgery was successful, whether he survived in the end still depends on the postoperative recovery.

All Zhou Yuan could do was for Zhao Qiang to get on the operating table in the best condition, he had already done it, and there was nothing he could do about it.

On the one hand, there is blood volume. Zhao Qiang's preoperative blood volume load increased, coupled with the impairment of left heart systolic function, the early postoperative blood replenishment speed should not be too fast, but the patient himself was in a state of volume depletion.

Therefore, it is necessary to slowly replenish blood volume in strict accordance with the optimal pressure that the left atrium can withstand or the pulmonary incalculation pressure.

"Dopamine is given intravenously in combination with dobutamine. Zhou Yuan thought for a while and said.

Fortunately, the master-level aortic valve replacement surgery not only gave Zhou Yuan the relevant knowledge and technology of surgery, but also included some postoperative nursing knowledge.

Another point that needs special attention is the protection of important organs.

In patients with aortic regurgitation, due to the insufficient blood supply to the arterial system and the decrease of diastolic blood pressure, the liver, kidney and other important organs will be damaged and their function will be changed.

Moreover, aortic valve replacement surgery must be performed in the environment of cardiopulmonary bypass, after cardiopulmonary bypass, the patient's cardiopulmonary function is low, and the resistance of the surrounding blood vessels will increase a lot, which directly leads to the patient's pulmonary artery pressure increase and tissue blood perfusion is poor.

As a result, secondary damage may be caused to the organs. In the early postoperative care, it is necessary to use cardiac diuretic drugs, ventilator to assist respiration, and give adequate oxygen to protect the kidneys, lungs and other organs, and it is also necessary to use nitropusside, nitroglycerin and other vasodilators as soon as possible to reduce the front and rear load of the heart and the pressure of the pulmonary arteries.

Only in this way can blood perfusion of the main tissues be maintained, restoring their normal function.

There are a few other points that need to be paid special attention to after the post-operative care.

For example, in the treatment of heart rate disorders and hypokalemia, the postoperative heart rhythm disorders are mainly due to hypokalemia, and Zhao Qiang has already had heart rhythm disorders before surgery, so potassium must be actively supplemented after the operation.

and anticoagulation. Although mechanical valves have a long lifespan, there is a particularly troublesome point, that is, they need to take anticoagulants for life, and stopping for one day may cause life-threatening drugs.

There is no hard time to start taking anticoagulants after mechanical valve replacement, and oral warfarin can be started with adjuvant therapy with heparin as long as the chest drainage volume is significantly reduced. This time is generally 24 to 48 hours after surgery.

Heparin works by filling the gap between the incubation period between warfarin and its effect.

Zhang Ling said with a smile: "I know, I know, I promise to complete the task!"

Zhou Yuan nodded, and separated from He Jianyi, Lu Chenxi and the others, He Jianyi and the deputy director of cardiac surgery still had night shifts, so they stayed, preparing to go back to the office for a few minutes to start work again, while Zhou Yuan and Lu Chenxi packed up their things and prepared to go back.

Sun Meng and Haiyang became the general inpatient at the same time, and under normal circumstances, there is no need for two resident chief physicians in a department, but Haiyang recently went to study hand surgery, and there happened to be no suitable candidate there, so he pushed Haiyang up...

With the two of them guarding the hospital 24 hours a day, Lu Chenxi, who had already become the attending physician, was naturally much more relaxed, and the night shift was also changed to the day shift, and finally kept pace with Zhou Yuan.

After Zhou Yuan and the two returned home, they both went to sleep after washing.

After a day's surgery, Lu Chenxi really didn't have the strength to plan anything to overthrow Zhou Yuan, he had this heart, but his body couldn't keep up!

Lying on the bed a little tired, I don't know why, Lu Chenxi actually somewhat understood what it was like to say on the Internet that men were powerless...

Now she just really wants to meet Zhou Yuan, and it's okay to say a few words, but Lu Chenxi's personality is already cold, she can't take the initiative to find Zhou Yuan too much, and the most important thing is... She's completely out of strength right now!

"Forget it, we'll talk about it tomorrow. "

Lu Chenxi threw his phone aside and fell asleep with a pillow.

Zhou Yuan didn't have so many thought activities, and after taking a shower and drying his hair, he just lay on the bed and fell asleep.

The life of doctors is extremely boring, except for busy performing surgeries and seeing patients, their free time is basically spent catching up on sleep.

In mid-October, Duan Hongwei, who had caused a major car accident at the gate of Yanjing Primary School, finally recovered to a level where he could appear in court, and the court immediately summoned him, and the issue of Duan Hongwei's responsibility was brought to court for the first time.

On this day, many reporters flocked to the school, and the impact of this incident was so deep that three traffic police officers have been equipped around Yanjing Primary School, and two sentry posts have been set up for traffic police to rest and work.

Although more than a month has passed, there are still many people who are concerned about this matter, what will be the verdict of the perpetrator who caused such a serious and bad incident?

and what kind of reward Zhao Han can get in the end by sacrificing his life to save people, and how to solve the problem of compensation for the victim's family.

Everyone was paying attention to this trial, and similarly, Zhou Yuan was also paying attention to Duan Hongwei's trial.