Start as an Emergency Physician

The family members seemed to grasp the life-saving straw, and their eyes were focused on Zhou Yuan.

"Do you have a way?" asked Wei Lili after a moment of silence.

Zhou Yuan nodded and said: "The most critical situation of the patient now is nothing more than heart failure and the heart cannot supply the life activities of the mother and fetus, therefore, I recommend that a pacemaker be placed first to restore heart function, and at the same time, a caesarean section is performed to remove the fetus." "

Wei Lili frowned: "But... How to solve the problem of mitral valve obstruction?"

"The patient has heart failure, and once the mitral valve is opened again, it is extremely dangerous!" Zhou Yuan said in a deep voice.

The truth is that even emotional changes in the patient at this time may cause dyspnea and fatigue, and if he opens his chest and moves his already weak heart, he will definitely die!

"But... Even if a pacemaker is placed, it may lead to the aggravation of heart failure in patients!" He Jing put forward his opinion.

Zhou Yuan glanced at He Jing and said in a deep voice: "Leave the pacemaker to me." "

"You..."

Everyone in the conference room looked at Zhou Yuan.

The patient's husband, parents, and grandmother's eyes lit up at this moment, and at this time, the person who was able to stand up and propose the surgical plan was the savior in their eyes!

"Doctor, you must save my wife!" said the patient's husband as he stood up and said anxiously.

Then, he retracted into the corner, "It's all my fault! It's all my fault that I didn't stop you! I shouldn't have indulged your nonsense..."

The rest of the relatives began to blame themselves at this moment.

Zhou Yuan sighed: "She doesn't know about her situation, once she is pregnant, is she basically breaking through the ghost gate with the child in her belly?"

The patient's mother lamented: "She knew she had a heart attack, but she didn't expect it to be so serious! She liked children very much, so I told her at that time that let's raise one, and my mother will bring you a child, she shook her head and said no, saying that the child she raised is not close, she must give birth to herself, and she wants to leave offspring for the family!"

Zhou Yuan glanced at the patient's profile again.

Sun Lele, 23 years old, has grade 3 heart failure.

Heart failure is divided into grades one to four, and Sun Lele's situation is already in the late stage, and this kind of patient is basically unable to work and walk around.

"Director Wei. Zhou Yuan once again set his eyes on Wei Lili.

After a long time, Wei Lili frowned again and said, "The method you said is feasible, but... How can I tell when I have a caesarean section?"

Zhou Yuan: "I'll give this too!"

He Jing, who was thinking on the side, had a different color in his eyes.

Isn't this a person from the emergency department, why did he take over the thoracic surgery and now even grasp the timing of the caesarean section?

It's terrifying, isn't it?

"Director Wei, if you hesitate any longer, who will live, there will be no one before you go to the operating table!" Zhou Yuan couldn't wait any longer.

"Okay! do it!" Wei Lili said fiercely.

Waiting outside the conference room were not only Sun Lele's family, but also her husband's family.

Zhou Yuan didn't have time to pay attention to them and went to the intensive care unit.

Zhou Yuan glanced at the instrument and was shocked.

On the instrument, the yellow pulmonary artery pressure, the red is the systemic arterial pressure.

As we all know, there are two cycles in the human body, the large circulation is the systemic circulation, and the small circulation is the pulmonary circulation, only when the pressure of the systemic circulation is greater than the pulmonary circulation, the blood of the heart can enter the lungs and feed the lungs for normal operation, so as to carry out respiratory activities and maintain life.

And when there is high pressure in the pulmonary circulation, that is, pulmonary hypertension, the lungs will receive less blood, the breathing will be slowed down, and the person will be in danger. Once the pulmonary artery pressure is higher than the systemic arterial pressure, it means that no more blood will enter the lungs, and the person is gone.

On the instrument, the pulmonary artery pressure is already very high, and there is not much difference between the arterial pressure and the body!

"Quick, push to the operating room!

Zhou Yuan quickly beckoned to the nurse.

Now, Sun Lele's situation is critical.

"We have already given 8L of high-concentration oxygen, but now the blood oxygen level in her body has not reached 90% of that of a normal person!" He Jing quickly reported as she walked to the operating room.

Zhou Yuan nodded: "Try to control the patient's emotions as much as possible, and don't let her have any mood swings!"

At this time, as long as it is a slightly larger mood swing, it may put Sun Lele in a dangerous state!

"Understood! Director Wei has already arranged it over there, and she asked if you still have anything else you need to cooperate?" He Jing said quickly.

"The anesthesiologist works closely and needs a psychological counselor to guide the patient's emotions throughout the operation and control her state!

Patients with heart failure cannot be anesthetized directly.

Their bodies will be overwhelmed by some small emotional changes, and naturally, anesthesia, a large project that directly changes hemodynamics, cannot be directly injected intravenously like ordinary people.

The anesthetic must be injected drop by drop to allow the patient's body to slowly adapt to the process, and other times it also requires the precise operation of the anesthesiologist, especially at this time.

"No problem!" He Jing said.

"Lu Chenxi, you must cooperate with me! Have you ever had pacemaker placement surgery?" Zhou Yuan turned his head and asked.

Lu Chenxi was stunned for a moment, shook his head and said: "Pacemaker surgery is too difficult, and the requirements for precision are too strict, I haven't tried it..."

Zhou Yuandao: "It's okay, you haven't done a double lung transplant, didn't you cooperate with me." Although pacemaker placement surgery requires high precision, it is much less difficult than double lung transplantation, and you can do it. "

Hearing this, He Jing next to him grew his mouth in surprise.

Double lung transplant?!

This man who looks about the same age as himself can actually do a fourth-level major surgery, and it is a difficult fourth-level surgery!

Zhou Yuan's comfort effect was very good, and Lu Chenxi's originally nervous mood slowly relaxed.

She believes... With Zhou Yuan here, there will be no problems!

Several people hurried to the operating room.

Outside the operating room, a group of family members were already waiting outside, about seven or eight people, all of them stamping their feet in a hurry, full of sadness.

Seeing Zhou Yuan and the others coming, they became even more anxious.

"Doctor, you must save my daughter-in-law!" said Sun Lele's mother-in-law.

"You can not have a child, but your daughter-in-law must be saved!" Sun Lele said fairly.

Zhou Yuan was stunned for a moment, and then entered the operating table.

"This is the first time I've heard that a man's parents want to keep their daughter-in-law..."Lu Chenxi was a little moved.

He Jing said: "She must be a very filial daughter-in-law. The three of them must be living happily!"

The two couldn't help but look at Zhou Yuan.

This operation, to be honest, may all depend on whether Zhou Yuan can place the pacemaker properly and make the heart beat strongly again...

Pulsation, the mother is safe, and the fetus may be successfully dissected.

And failure ... It means that two lives are gone!_

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