Start as an Emergency Physician

"Teacher, I can try. "

He also has four mid-level treasure chests that can be redeemed for any surgery.

Compared with He Jing and others, who were surprised because of Zhou Yuan's youth, everyone in the emergency department was much more plain, but there were some different colors in their eyes.

He Jing glanced at Zhou Yuan a few more times, and felt a little incredible.

The first obstetrics and emergency department quickly reached an impasse on their side, and no one answered.

After all, Zhou Yuan's age is really unconvincing.

He Jian smiled and said, "I didn't expect your kid to be secretly proficient in obstetrics?...... Take Zhou Yuan over, I believe him. "

The director spoke, and even if the first obstetrics department was suspicious, he could only hold back.

"Thank you, Director He!"

As he spoke, He Jing winked at Zhou Yuan, "Quick, Doctor Zhou, you come with me!"

As he spoke, the group was about to take Zhou Yuan to the obstetrics and gynecology department.

"Wait... I'll go too!"

At this time, Lu Chenxi also walked out.

Zhou Yuan's eyes lit up.

Lu Chenxi is a good hand in thoracic surgery, and the level of surgery is not to say, just right, the current situation of pregnant women is a familiar field of thoracic surgery.

"Okay, you come with me. Zhou Yuan said.

Lu Chenxi quickly caught up with Zhou Yuan.

The group left in a hurry.

The ocean in the crowd moved his throat to say that he was also participating.

He didn't want to let go of the opportunity to operate with Zhou Yuan.

But, after thinking about it, I finally held back my words.

The injury on his hand has not healed yet, with Zhou Yuan's sutures, Haiyang is not worried about the healing situation, but he can't use his left hand excessively now, otherwise it will still leave sequelae.

At the same time, he also held back some things about Brother Sharp back into his throat.

Yesterday night, Zhou Yuan was in a hurry to save his hand, and he didn't care about Brother Sharp, and in the end, it was the people from the security department who arrested Brother Sharp and sent him to the police station.

Haiyang didn't mention this matter in the end, he was worried that it would affect Zhou Yuan's mood, which would inevitably affect the operation.

"There are some people who, on the surface, are masters of surgery, but in fact they are secretly proficient in obstetrics..."After thinking for a while, Ocean said in a low tone.

Everyone in the nervous emergency department was stunned for a moment, and then involuntarily smiled, and their mood suddenly relaxed.

He Jianyi patted the ocean on the shoulder, and scolded with a smile: "You kid talks a lot!"

Then, he said to everyone in the emergency department: "Okay, this excitement is over, everyone go back to their posts and go to work!"

......

On the other side, Zhou Yuan and the others quickly got on the elevator.

"Show me the cardiac ultrasound report!" said Su.

Heart failure patients are generally treated by things, basically to strengthen the heart diuretic and dilate blood vessels, plus pregnant women have had mitral valve replacement before, need to take anticoagulation, stop all the drugs at a time, no problem!

He Jing directly reported the results of the cardiac color ultrasound report, and said: "The left ventricle, left atrium, and right atrium are large, and the ejection fraction of the heart is lower than normal! Her heart failure has been treated before and has improved, but forced pregnancy has caused heart failure to recur!"

Zhou Yuan nodded, his face becoming serious.

This is a combined surgery.

After the timing of the caesarean section is determined, the valve must also be replaced to solve the problem of the flap.

On the other hand, it is also necessary to alleviate the heart failure condition of pregnant women.

Although it is said that patients with heart failure should be treated with drugs in the mainstream perception of society and academia, there are still three types of surgery that can play a better role.

First, three-chamber pacemaker therapy. CRT can be used to reduce asynchronous contractions in the left and right ventricles, improve the overall function of the left ventricle, increase the filling time of the left ventricle, reduce the paradoxical motion of the ventricular septum, and the regurgitation of the mitral valve, and finally improve hemodynamics.

Second, it is also the most direct and crude method. Since the heart is not powered enough and the heart muscle is not strong enough to pump blood, cardioplasty is used to wrap the powerful muscles of the back or abdomen around the heart.

At the same time, a pacemaker is installed at the same rate as the heart to assist in blood supply to the heart.

The third method is rare and is suitable for patients with severe heart failure. That is, an auxiliary artificial heart.

An assisted heart is a mechanical pacing pumping device that is embedded in the chest to help the heart pump more blood, which can partially or directly replace the heart's function.

Soon, it was time to arrive at the conference room of the first obstetric department.

Everyone was waiting for the emergency department doctor to come and discuss the surgical plan.

When He Jing walked in with Zhou Yuan and Lu Chenxi, the faces of everyone in the conference room changed.

"What's the situation, so young?"

"Anatomy?"

"Are you Zhou Yuan?" Wei Lili, deputy director of the Department of Obstetrics and Gynecology, stood up and said suspiciously.

Zhou Yuan nodded.

"Sit down. Wei Lili's eyes lit up and suppressed everyone's discussion.

"Let me tell you about the current situation of motherhood. "

Wei Lili stood up, motioned for everyone to look at the information at hand, and said: "The mother is 29 weeks pregnant, but our examination results show that the fetus is only 25 weeks in size, and the actual development level of the fetus is one month less.

"In other words, heart failure not only affects the health of the mother, but also, because the oxygen supply is insufficient, it cannot bring sufficient nutrients to the fetus, and the development of the fetus has now completely stopped!"

"Now the mother's situation is very critical, dilemma, if the pregnancy is terminated immediately, then it is likely to lead to a large increase in blood, the mother will die, but if you don't care about the child in the womb, the valve that has been stuck may be completely blocked at any time, and the life of the mother and child will be seriously threatened!"

Zhou Yuan looked at the pregnant woman's diagnosis results, CT, abdominal color ultrasound, etc., and his expression gradually became solemn.

A pregnant woman suffers from congenital heart disease, which leads to the lack of a diaphragm between the left and right ventricles in her heart, resulting in pulmonary hypertension, heart failure, perennial hypoxia and inability to work, and so on.

At this time, the fetus in the womb is still increasing the pressure on the heart, and the life of the mother and child is tied together.

Everyone in the room fell silent.

Soon, the nurse invited the family members in to discuss.

The first to rush in was a middle-aged woman, who saw that the doctors in the operating room stopped talking, her face turned white, and she cried: "Doctor, you must save my daughter! She has been very fond of children since she was a child, and told us that we must have a child in death, and we couldn't persuade them at all, who knew that this kind of thing really happened... Doctor, save my daughter!"

Also walking in were the patient's father, husband, and grandmother.

The patient's husband was silent at this time, and a strong man of more than one meter and eight meters shrank in the corner of the conference room, his eyes were red, and he didn't say a word.

Deputy Director Wei Lili and others were extremely embarrassed.

In this situation, it is really difficult to choose a surgical plan!

Don't say anything to keep the big and the small, the big one has now been jammed, the pulmonary artery continues to be high, and the small one is a premature baby once the caesarean section is performed, and it is less than seven months, and the probability of survival is very small.

Now it's hard to keep the big and the small!

The family also seemed to realize the seriousness of the problem, and the patient's mother and grandmother had begun to cry, regretting that they had not tried to stop the pregnancy at the time.

There was only crying and sighing in the operating room, and at that moment, suddenly a voice rang out.

"Deputy Director, I have a surgical plan, maybe I can try it. "

Zhou Yuan stared at the patient's film and said slowly. _

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