Start with an emergency physician
Chapter 88
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"Do you have a solution?" Wei Lili was silent for a while and asked.
Zhou Yuan nodded and said:"The most critical condition of the patient now is heart failure and the heart cannot supply the vital activities of both the mother and the fetus. Therefore, I suggest that a pacemaker be installed first to restore heart function. At the same time, a caesarean section should be performed to remove the fetus."
Wei Lili frowned:"But...how to solve the problem of mitral valve obstruction?"
"The patient is in heart failure. If the chest is opened to stimulate the mitral valve, it will be extremely dangerous!"Zhou Yuan said in a deep voice.
Zhou Yuan used more conservative words because he was concerned about the family members. The real situation was that the patient's mood changes could cause breathing difficulties and fatigue. If the chest was opened to stimulate the already weak heart, he would die!
"But... even if a pacemaker is implanted, it may cause the patient's heart failure to worsen!" He Jing expressed his opinion.
Zhou Yuan glanced at He Jing and said in a deep voice:"Leave the implantation of 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. At this time, the person who could come forward to propose a surgical plan was the savior in their eyes!
"Doctor, you must save my wife!" The patient's husband stood up and said anxiously.
Then, he shrank back into the corner,"It's all my fault! It's all my fault that I didn't stop you! I shouldn't have let you do whatever you want!……"
The other relatives began to blame themselves at this moment.
Zhou Yuan sighed:"Doesn't she know her situation? Once she gets pregnant, she will basically go through the gates of hell with the baby in her belly?"
The patient's mother lamented:"She knows she has heart disease, but she didn't think it was so serious! She likes children very much. At that time, I told her that we should adopt one. Mom will give you a child. She shook her head and said no, saying that adopted children are not close to her. She must give birth to the child herself and want to leave offspring for the family!"
Zhou Yuan took another look at the patient's information.
Sun Lele, 23 years old, stage three heart failure.
Heart failure is divided into stages one to four. Sun Lele's condition is already in the late stage. Such patients can basically not work or walk around.
"Director Wei." Zhou Yuan once again cast his gaze towards Wei Lili.
After a long time, Wei Lili frowned and said,"The method you mentioned is feasible, but...how to determine the timing of caesarean section?"
Zhou Yuan:"Leave this to me too!"
He Jing, who was thinking on the side, had a strange look in her eyes.
Isn't this from the emergency department? Why did he take over all the operations of the thoracic surgery department? Now he can even determine the timing of caesarean section?
This is too scary!
"Director Wei, if you hesitate any longer, the patient will be dead before he even gets on 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 had no time to pay attention to them and went to the intensive care unit.
Zhou Yuan took a look at the instrument and was shocked.
On the instrument, the yellow one was the pulmonary artery pressure, and the red one was the systemic artery pressure.
As we all know, there are two circulations 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 that of the pulmonary circulation, can the blood from the heart enter the lungs to supply the normal functioning of the lungs, so as to carry out breathing activities and maintain life.
When high pressure appears in the pulmonary circulation, that is, pulmonary artery hypertension, the blood received by the lungs will be reduced, the breathing action will slow down, and the person will be in danger. Once the pulmonary artery pressure is higher than the systemic artery pressure, it means that no more blood will enter the lungs, and the person will die at this time.
On the instrument, the pulmonary artery pressure is already very high, not much different from the systemic artery pressure!
""Hurry, push him to the operating room! Be careful!"
Zhou Yuan quickly called the nurse.
Sun Lele's condition was very critical.
"We have given her 8L of high-concentration oxygen, but her blood oxygen level has not yet reached the normal 90.%!"He Jing reported quickly as she walked towards the operating room.
Zhou Yuan nodded:"Try to control the patient's emotions and don't let her have any emotional fluctuations!"
At this time, any slight emotional fluctuation could put Sun Lele in danger!
"Got it! Director Wei has already made the arrangements. She asked if you have anything else to cooperate with."He Jing said quickly.
"The anesthesiologist needs to work closely with a psychological counselor to guide the patient's emotions and control her condition throughout the operation! Everyone else, please leave the operating room!"
Patients with heart failure cannot be anesthetized directly.
Their bodies will be overwhelmed by some small emotional changes. Naturally, anesthesia, a major project that directly changes blood dynamics, cannot be directly injected intravenously like ordinary people.
Anesthetics must be injected drop by drop to allow the patient's body to slowly adapt to this process. At other times, the anesthesiologist's precise operation is also required. At this time, the anesthesiologist's role is particularly important.
"No problem!" He Jing said
"Lu Chenxi, you must cooperate with me! Have you ever performed a pacemaker surgery?" Zhou Yuan turned around and asked.
Lu Chenxi was stunned for a moment and shook her head:"Pacemaker surgery is too difficult and requires too much precision. I have never tried it.……"
Zhou Yuan said,"It's okay. You haven't done a double lung transplant before, but you cooperated with me anyway. Although the pacemaker placement surgery requires high precision, it is much easier than a double lung transplant. You can do it."
Hearing this, He Jing next to him opened her mouth in surprise.
Double lung transplant?!
This man who looks about the same age as herself can actually perform a level 4 major surgery, and a difficult level 4 surgery at that!
Zhou Yuan's comfort was very effective, and Lu Chenxi's originally nervous mood slowly relaxed.
She believed... as long as Zhou Yuan was there, nothing would go wrong!
Several people hurried to the operating room.
Outside the operating room, a group of family members were already waiting outside. There were about seven or eight of them, all stamping their feet anxiously, with worried faces.
Seeing Zhou Yuan and others coming, they became even more anxious.
"Doctor, please save my daughter-in-law!" said Grandma Sun Lele.
"You can give up the child, but you must keep your daughter-in-law!" Sun Lele said.
Zhou Yuan was stunned for a moment before he entered the operating table.
"This is the first time I heard that the man's parents want to keep their daughter-in-law.……"Lu Chenxi was somewhat moved.
He Jing said:"She must be a very filial daughter-in-law. The three families must be living happily!"
The two could not help but look at Zhou Yuan.
To be honest, this operation may all depend on whether Zhou Yuan can place the pacemaker properly and make the heart beat strongly again...
Beat, the mother is safe, and the fetus may be successfully delivered by cesarean section.
Failure... means two lives have been lost! _To read the ununderlined version of the novel, please download Fulu Novel AP
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