I can see health

Chapter 506 The Ceiling of Jinghua Second Hospital
Go back to the doctor's office.

Before Lu Chen's butt was hot, Senior Sister Sun Guoguo came in suddenly.

"Senior sister, why are you here?" Lu Chen immediately stood up.

Sun Guoguo said in a deep voice, "A heavyweight patient will come later. Director Cao, Director Cheng, and even the dean will rush over."

Lu Chen was taken aback, what level of patient is this?

Actually let the leaders of the courtyard rush over.

"I heard that it is the leader of the hall, but I don't know the specifics." Sun Guoguo said, "I only know that there may be an emergency coronary angiography."

In the regular system of the hospital, there is such a clause.

Surgery involving important foreign guests or important leaders, regardless of the size of the operation, is a major-level operation!
"Is the patient seriously ill?" Lu Chen asked.

Sun Guoguo nodded slightly, "Anyway, it's not serious. I had a history of coronary heart disease in the past, but this time I had chest pain again."

Hearing that the leaders of the provinces and departments are coming to the hospital made everyone nervous.

……

Lu Chen wrote medical records and saw patients as usual.

Less than 10 minutes.

The doors of CCU have been opened again.

Lu Chen saw a group of people crowding a hospital bed and entering the CCU ward.

Doctors and nurses in the CCU have long been prepared.

Graduate students and regular trainees can't get involved at all.

Lu Chen couldn't even squeeze in, and couldn't even see the patient's front.

The hospital bed stayed at the gate of the CCU for a few minutes before being quickly pushed to the catheterization room next door.

What a rush!

……

Liu Han glanced at the place where the hospital bed left.

"Junior brother, what kind of big shot do you think this is?"

"Who knows..." Lu Chen smiled, "No matter how old he is, it has nothing to do with us."

"That's true." Liu Han curled his lips, "However, the leaders of this kind of hospital are really active, and they rush over whenever there is trouble. I just heard that Director Cao is going to perform the surgery himself."

Cao Zhiying, as the director of the Department of Cardiology of Jinghua Second Hospital, under his leadership, the Department of Cardiology of Jinghua Second Hospital has developed rapidly and has become one of the top ten cardiology specialties in the country.

However, due to factors such as the geographical environment, the development of Jinghua Second Hospital has reached a bottleneck.

Cao Zhiying also transferred from the academic field to the official career field early.

Nowadays, Cao Zhiying is rarely seen in Jinghua Second Hospital.

All his energy now is running for the academician election.

"I remember Director Cao, it seems like I haven't had surgery for many years." Lu Chen wondered.

"That's right!" Liu Han nodded, "Most of the surgeries are performed by Mr. Ren Feng, and Director Cao is at most guiding from the sidelines, and rarely does it himself."

But this time, in order to show that he values ​​the leadership, Cao Zhiying had to do it himself!

……

Jinghua Second Hospital, Cardiology Cath Lab.

Cao Zhiying has already put on all the surgical gowns and lead clothes, and Ren Feng is on the side as an assistant.

As the leading figure of the young generation in the Cardiology Department of Jinghua Second Hospital, Ren Feng's interventional surgery ability is within the scope of the Second Hospital, and almost no one can surpass him.

"Director, I'll finish the piercing first, and then you go on?" Ren Feng said.

"No, I'll start from the beginning." Cao Zhiying shook his head slightly, "Give me the puncture needle."

"This... alright." Ren Feng had no choice but to pass the puncture needle to Cao Zhiying.

He also had some drums in his heart. In his memory, Director Cao Zhiying hadn't done it himself for a long time.

"Hey, maybe I'm overthinking, Director Cao's ability to intervene is beyond words!" Ren Feng thought.

He can be regarded as Cao Zhiying's apprentice.

The former Jinghua Second Hospital was developed under the interventional surgery of Director Cao Zhiying.

After Cao Zhiying washed her hands and put on the surgical gloves, the operation officially began!
Disinfection, anesthesia, puncture, the whole process, Cao Zhiying still did it in one go, without any signs of unfamiliarity.

He really deserves to be an interventional expert of the older generation. The whole operation process was extremely stable, so that Ren Feng who was on the side couldn't pick out any problems.

"I started the operation in the catheter." Cao Zhiying said in a deep voice.

Ren Feng nodded and began to help Cao Zhiying prepare the catheter and guide wire.

The guidewire passed through the lesion smoothly.

However, after seeing the coronary angiography, the doctors and nurses in the entire treatment group frowned.

We're in trouble!
The results of angiography showed that the right coronary artery was completely occluded with severe calcification, the left main coronary artery was 50% stenotic with severe calcification, the root of the anterior descending artery was stenosis of 90% with severe calcification, and the root of the circumflex branch was stenosis of 95% with severe calcification.

The patient's coronary arteries are severely blocked, and blood supply to a large area of ​​the heart is insufficient or interrupted.

Whether it is a completely occluded lesion, a left main bifurcation lesion, or a severely calcified lesion, whichever one is taken out alone is a surgery with high difficulty and high risk!
"ECMO ready!"

"Please consult the anesthesiology department for emergency consultation, and be ready to switch to general anesthesia at any time!"

At the scene, only Cao Zhiying was calm and composed, and he gave various medical orders in an orderly and unstable manner.

Such high-risk patients may suffer from cardiogenic shock at any time. IABP alone is not enough, and ECMO must be used!

"Received!" Ren Feng immediately conveyed Cao Zhiying's doctor's order to the catheterization room.

Later, Cheng Guowen, who had been waiting outside, began to arrange these things.

"Director, what should we do?" Ren Feng returned to Cao Zhiying's side.

"The only option is to go to ECMO after general anesthesia." Cao Zhiying said, "The patient's current state cannot persist until all operations are completed."

Ordinary coronary angiography may only take about half an hour, but such a difficult operation is different.

The heart function of the patient itself is not very good, and lying on the back for a long time is more likely to induce heart failure.

……

CCU ward.

Lu Chen looked at the doctors coming in and out, and was a little startled.

Doctors from the Department of Anesthesiology and Ultrasound have come, and even IABP and ECMO machines have been moved to the cath lab.

"It seems that this is a major operation!" Liu Han exclaimed.

Lu Chen was also a little itchy in his heart. If he could participate in this level of surgery, he would definitely gain a lot of experience!

However, he is only a graduate student now, and he doesn't even have the qualifications to visit!
……

CCU cath lab.

After the anesthesiologist arrived, he quickly administered general anesthesia to the patient.

Ren Feng put the ECMO machine on the patient directly.

This time, the commissioning of the ECMO machine went very smoothly.

"Continue with the operation!" Cao Zhiying ordered, and Ren Feng quickly cooperated and began to treat the vascular disease of the coronary artery.

Time passed in a minute and a second.

Cao Zhiying's spirit is highly concentrated, and there is no room for slack in this difficult operation.

"Director, the patient's heart rate is slow, I think there should be third-degree atrioventricular block!"

Cao Zhiying frowned, "It's not easy to handle, maybe the pacemaker needs to be put in, go and call Director Cheng in."

"it is good."

……

Cao Zhiying, Cheng Guowen, and Ren Feng are already the top intervention team in Jinghua Second Hospital's heart.

"Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen who was standing aside.

"A pacemaker must be installed, but it depends on what type it is now." Cheng Guowen said seriously.

"Tell me about it specifically."

Cheng Guowen continued: "Asynchronous contraction of the left and right ventricles of the patient also exacerbates heart failure. Drugs alone cannot solve the problem. Surgery must be combined with an anti-heart failure pacemaker."

The implantation of an anti-heart failure pacemaker is different from an ordinary pacemaker. In addition to implanting a wire into the right atrium and the outside of the right ventricle, there is also a wire that needs to be connected to the left ventricle.

Cheng Guowen looked back at Cao Zhiying, and slowly said: "The patient is old, if the blood vessels are alienated during the operation, the consequences will be unimaginable."

In the catheterization room, the atmosphere was quiet for a moment.

half an hour.

Cao Zhiying said slowly: "Old Cheng, how sure are you?"

Cheng Guowen looked solemn, and shook his head slightly: "I haven't treated patients of such an age, and this technology is still a new technology in our province."

When Cao Zhiying heard this, her brows deepened, "Could it be possible to give up the implantation of the pacemaker for the time being?"

If the patient's heart rate and heart failure problems are not solved this time, no matter how beautiful the coronary intervention is, it will not help!
At this moment, Cheng Guowen suddenly said: "Director Cao, although I am not proficient, there should be someone in our hospital who can."

Cao Zhiying was taken aback suddenly, "Who?"

He was surprised and delighted.

However, Cheng Guowen's electrophysiological technology is already the ceiling of Jinghua Second Hospital, and he has never heard of anyone surpassing him!

Cheng Guowen raised his head, his eyes flickered, and he said the name in a low voice.

"Lu Chen!"

(End of this chapter)