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"No... Without a house, how can we settle down in this city and live a good life!" Qian Wei shook his head in resistance.

This petite and lovely woman has been with him for so many years, but he still has no future. Today he finally bought a house, but he has to sell it because of his illness?

Without a house, there is no confidence to live in this city... He can't let his wife lose face!

Qian Wei's wife smiled, hugged Qian Wei, and said with sobs in her voice:"Who said that you can only have a home if you have a house... With you, me, the baby, mom and dad, we have a home!"

Zhou Yuan and He Jianyi were silent, and did not disturb Qian Wei and his wife's world of two people.

After a long time, as if he had made a decision, Qian Wei wiped his tears, looked at Zhou Yuan and He Jianyi, and said:"I do it! I will do this operation!"

He Jianyi breathed a sigh of relief.

It's not like he hasn't seen patients who gave up treatment due to financial difficulties and finally waited for death in vain. The choice at this time is particularly difficult.

Especially for some high-risk operations, if you agree to do it, you may lose both money and life, and if you don't agree to do it, you will only lose life... In this case, both the family members and the patients will face a great test. In a word, a penny can make countless heroes fail.

Fortunately, although the cost of heart bypass surgery is relatively high, the success rate is high.

"Since you agree to the surgery, let's do some preoperative preparations first. Stop all activities from today, ensure absolute bed rest, and... refuse visitors."

The last sentence was said to Qian Wei's wife.

"Why!" Qian Wei's wife was stunned.

In times of crisis, husband and wife should stick together, why couldn't she accompany her husband?

"Emotional fluctuations can affect the condition."

He Jianyi was reluctant to separate the two, but he had to do so for Qian Wei's safety.

If family members are allowed to visit, some family members may often cry in front of the patient, such as sentimental parents.

This is bound to make patients with acute myocardial infarction emotionally excited or infected and also sad, which often results in arrhythmia, heart failure, and even sudden cardiac arrest and sudden death on the spot.

In the acute phase of acute myocardial infarction, energy and oxygen consumption should be reduced as much as possible to reduce the burden on the heart, reduce the area of infarction, and promote recovery. Energy and oxygen consumption will increase not only physical activity, but also mental activity, which will increase the burden on the heart.

This is the reason for refusing visits.

Seeing that He Jianyi did not explain clearly, Zhou Yuan explained in detail:"If someone visits, the patient must talk and think about problems, which will cause emotional fluctuations. This will increase his physical load and mental load, resulting in an increase in blood circulation in the brain."

"The increase in blood will promote the excitement of the sympathetic nerves, which will increase the burden on the heart and aggravate the condition."

Qian Wei's wife understood this time and nodded:"I understand……"

Zhou Yuan and the nurse pushed Qian Wei into the single room

"Go back and think of a way to prepare the fees, get the signatures, and give us all the medical history as soon as possible. We need to evaluate Qian Wei's overall condition and then choose the most appropriate surgical method and timing." He Jianyi stayed in the ward and gave instructions.

Qian Wei's wife sobbed a few times and nodded:"Doctor...you must save my husband! We have been together for so many years, we love each other so much, I will die without him!"

"We will try our best."He Jianyi said in a deep voice.

Soon, Qian Wei's wife rushed out of the hospital holding back her tears, ready to go back and find a solution.

On this side, Zhou Yuan also wrote a few prescriptions.

"Provide patients with high-flow oxygen inhalation to ensure that the patient's blood oxygen saturation is above 95%"

"Prepare 160~325mg of aspirin. Chew it orally. Take 0.5mg of nitroglycerin and dissolve it sublingually. If dissolving it sublingually has no effect, change it to intravenous drip of 5~20pg per minute."

Aspirin has a certain resistance to platelet aggregation in the body and can prevent myocardial infarction.

Nitroglycerin can directly relax vascular smooth muscle, especially the smooth muscle of small blood vessels, so that peripheral blood vessels can be dilated, peripheral resistance can be reduced, the amount of blood returning to the heart can be reduced, cardiac output can be reduced, myocardial oxygen consumption can be reduced, and thus the heart load can be reduced. It can also prevent and relieve acute myocardial infarction.

"If the patient has unbearable chest pain, 2-4 mg of morphine can be injected intravenously. If the chest pain persists and cannot be relieved, the injection can be repeated several times."

"Also, open the large vein channel immediately, and monitor the ECG, blood pressure, pulse and respiration at all times."

After hearing Zhou Yuan's words, Qian Wei realized how serious his condition was.

Many patients with acute myocardial infarction don't feel much before the attack, just feel chest tightness and some breathlessness, so they don't take it seriously.

However, once the attack occurs, they die before they have a chance to pay attention. This is one of the reasons why this disease is dangerous.

When Zhou Yuan was giving the order, He Jianyi also walked in.

Hearing Zhou Yuan's orderly medical advice, He Jianyi was stunned for a moment.

"Wait, why do you treat myocardial infarction?……"

He Jianyi knew Zhou Yuan's character very well.

If Zhou Yuan only had a superficial understanding, he would definitely not rashly pretend to be the boss and give medical advice. Since Zhou Yuan dared to come, it means he is sure! It means he is proficient in this disease!

But...isn't acute myocardial infarction the job of the cardiovascular department?

How come it seems like he has taken away another department's job?

Zhou Yuan smiled and said,"Teacher, I really had an epiphany.……"

The system suddenly gave him a heart bypass surgery. Naturally, Zhou Yuan also knew some of the diseases that required heart bypass surgery.

Left main coronary artery disease and myocardial infarction were one of the causes.

"Don't tell me you're going to have a heart bypass surgery.……"

Zhou Yuan's medical advice didn't seem to be just to stabilize Qian Wei's condition...

Otherwise, why would he establish a large venous access?

Just to give him a shot for fun?

Zhou Yuan pondered for a while, and although he was embarrassed, he still said,"I really just learned how to do heart bypass surgery.……"

He Jianyi was silent

"What are you going to do?"He Jianyi ignored the shock and started to prepare to cooperate with Zhou Yuan.

"Before performing a heart bypass surgery, reperfusion therapy should be performed first to reduce the area of cerebral infarction, which will help the patient's recovery."

Zhou Yuan did not say anything to improve the success rate of the surgery.

He no longer cared - the success rate of the surgery itself was 95.8%, Zhou Yuan was a master of heart bypass surgery, and the high-level treasure box opened a 5% increase in the success rate of the surgery...

In other words, as long as he did not close his eyes and did not use his feet, the success rate of this surgery performed by Zhou Yuan was infinitely close to 100%!_

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