Start with the emergency physician

As if the family members had grasped the life-saving straw, their eyes were focused on Zhou Yuan.

“Do you have a way?” Wei Lili was silent for a while and asked.

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, so I recommend first placing a pacemaker to restore heart function, and at the same time, performing a cesarean section to remove the fetus.” ”

Wei Lili frowned: “But… How to solve the problem of mitral valve obstruction? ”

“Patients with heart failure, once the chest is opened again to move the mitral valve, the risk is extremely high!” Zhou Yuan said in a deep voice.

This is still Zhou Yuan’s scruples about having family members, so he used more conservative words, the real situation is that even emotional changes at this time may cause dyspnea and fatigue, 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 increased heart failure! He Jing put forward his opinion.

Zhou Yuan glanced at He Jing and said in a deep voice, “Place the pacemaker and hand it over to me.” ”

“You…”

Everyone in the conference room looked at Zhou Yuan.

The patient’s husband, parents, and grandmother brightened their eyes at this moment, and at this time, the person who could stand up and propose the 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 retracted into the corner, “It’s all to blame on me!” All blame me for not stopping you! I shouldn’t indulge you in fooling around…”

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

Zhou Yuan sighed: “She doesn’t know her situation, once she is pregnant, is it basically to break into the ghost door 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 especially likes children, at that time I told her let’s hold one, mother to bring you a child, she shook her head and said no, said that the child she raised is not close, must be born by herself, want to leave offspring to the family! ”

Zhou Yuan glanced at the patient information again.

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

Heart failure is divided into one to four grades, Sun Lele’s situation is already in the evening period, such patients are usually unable to work, can not walk around.

“Director Wei.” Zhou Yuan once again set his sights 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 a caesarean section will occur? ”

Zhou Yuan: “Leave this to me too!” ”

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

Isn’t this person in the emergency department, why did he take the operation of thoracic surgery and now even grasp the timing of caesarean section?

That’s terrifying!

“Director Wei, if you hesitate again, who will live, the people will already be gone before they go to the operating table!” Zhou Yuan couldn’t wait any longer.

“Good! Do! 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 in his heart.

On the instrument, the yellow pulmonary artery pressure and the red body artery pressure.

As we all know, there are two circulations in the human body, the large circulation is the systemic circulation, 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 supply the lungs to function normally, 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 blood obtained by the lungs will be reduced, the respiration will be slowed down, and the person will be put into danger. Once the pulmonary artery pressure is higher than the body artery 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, not much different from the body artery pressure!

“Quick, push to the operating room! Be careful! ”

Zhou Yuan quickly greeted the nurse.

Now, Sun Lele’s situation is critical.

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

Zhou Yuan nodded: “Try to control the patient’s emotions, 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 you if there is anything else you need to cooperate with? 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! The rest all left the operating room! ”

Patients with heart failure cannot be directly anesthetized.

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

The anesthesia must be injected drop by drop, so that the patient’s body slowly adapts to this process, and other times also require the precision operation of the anesthesiologist, and the role of the anesthesiologist is especially great at this time.

“No problem!” He Jingdao.

“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 and shook his head: “Pacemaker surgery is too difficult, the requirements for precision are too strict, I haven’t tried it…”

Zhou Yuan said, “It’s okay, you haven’t done a double lung transplant, so you still 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 transplantation?!

This man who looks about the same age as himself can actually perform a fourth-level major operation, and it is also 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 problem!

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 were stomping their feet in a hurry, and their faces were full of sadness.

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

“Doctor, you must save my daughter-in-law!” Mother-in-law Sun Lele said.

“The child can be dispensed with, but the daughter-in-law must be saved!” Sun Lele is fair.

Zhou Yuan was stunned for a moment before entering the operating table.

“This is the first time I’ve heard of a man’s parents trying to keep his 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 have lived happily! ”

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

This time the operation, to be honest – it may all depend on whether Zhou Yuan can place the pacemaker well and make the heart beat strongly again…

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

And fail… It means that two lives are lost! _

To see the ununderlined version of the novel, please download the Feilu Novel AP