medical road high rise

Chapter 291 Meeting with Acquaintances
Chapter 292 Meeting acquaintances
"The patient died?" Qin Feng stood outside the emergency room panting, and was notified of the news by the nurse.

"Well, during the rescue process, the patient's blood pressure suddenly rose, causing cerebral blood vessels to rupture, and he died after ineffective treatment." The doctor in the vascular department sighed.

The patient was a 70-year-old elderly patient with hypoglycemia and acute renal dysfunction who was taken to the hospital after coma.

Today, the hospital admitted two extremes of blood sugar, the blood sugar over there was 130, and the blood sugar here couldn’t even reach 1.

"Show me the patient's medical record report." Qin Feng frowned.

It was so sudden that Qin Feng felt a little panicked in his heart.

"I can't get in now, the family members are making trouble inside." The angiologist said with a wry smile.

This is the daily life in the hospital. You saved people, and their families are grateful to you.

If you can't be saved, then I'm sorry, the family first called, and then a group of people made trouble in the hospital.

The doctor who was blocked in the emergency room should be the doctor in the emergency department, that is, the first doctor to admit the patient.

Vascular doctors come here for consultation and participate in the treatment. The family members also have a purpose when looking for someone, that is, the one who takes the lead.

"If the patient has hypoglycemia, shouldn't it be enough to correct the blood sugar?" Qin Feng said.

The vascular doctor explained: "Before you came, the patient suddenly entered the shock decompensation period. I suggested rapid fluid replacement to replenish blood volume and increase blood pressure, trying to control the patient's blood pressure."

"The blood pressure was not under control, but the blood sugar was so high that it reached 13mmol/L. The patient immediately lost consciousness, dilated pupils, and finally died of brain."

Qin Feng fell into a doubt. If the angiologist did not make mistakes, a series of operations would be normal, but why did the patient die?

Is it because of old age?Qin Feng thinks it should not be.

"Does the patient have heart failure?" Qin Feng asked.

"Well, the patient's BNP value is as high as 3770 units." The angiologist said.

BNP is a quantitative marker of heart failure, which can reflect left ventricular systolic dysfunction, as well as left ventricular diastolic dysfunction, valve dysfunction and right ventricular dysfunction. It is the strongest indicator for the death of patients with acute coronary syndrome. big predictor.

Basically, if there are more than 400 units, there is a 90.00% probability of confirming that the patient is heart failure, and 3770 units, needless to say, is almost 100%.

"Vascular capacity! And blood potassium!" Qin Feng's eyes suddenly widened.

He realized where the problem was. The patient was old, plus heart failure, and the blood vessels spasmed. The volume of the blood vessels is so large. A large amount of fluid and blood are fighting to occupy the space of the blood vessels. Although it seems that the blood pressure has dropped, but actually made it worse.

Elevated blood sugar in patients is due to abnormal blood potassium, which is a condition of electrolyte imbalance.

Then a series of factors accumulated together, which directly made the internal environment of the patient's body further unbalanced, resulting in blood volume shock, the rise in blood sugar and the entry of the medicinal solution, which directly burst the patient's blood vessels, causing the patient to burst and die on the spot.

This is a typical case of ignoring abnormal data. Every doctor who comes to the consultation only pays attention to the part he is responsible for, and only wants to complete the task of his own part, directly ignoring the cooperation with other people.

This is also the reason why the hospital implements reforms and promotes multi-department joint surgery. The idea is to form a whole between the departments. Whether it is surgery or diagnosis, it can be concerned about other departments instead of single-handedly. Get things done, leave a mess for others, and do a surface job.

Qin Feng's operation yesterday, why has he always been willing to be an assistant, Qin Feng can occupy a dominant position, he knows how far he has done in the previous step, and what level he needs to do in the next step.

That operation seemed to be performed by three professors, but in fact, Qin Feng's contribution is quite large, otherwise, it was said that it took more than ten hours, and it might not be able to finish it in a day.

Qin Feng left the door of the emergency room, thought for a while, and wandered to the interventional department. Today, Qin Feng's outpatient clinic is resting, and he doesn't need to receive patients, so Qin Feng is also free.

I happened to go to the interventional department to visit Mr. He. Since coming to Ruijin Hospital, the communication between Qin Feng and Mr. He was limited to the mobile phone. They were obviously in a hospital, but the number of times they met was only a handful.

Entering the interventional department, Qin Feng talked to the nurse at the nurse station, and the nurse called Mr. He.

Luckily, Mr. He didn't have an operation today. He was negotiating with a surgical equipment supplier and asked Qin Feng to go directly.

Qin Feng knocked on the door, He Lao stood up enthusiastically.

"Xiao Qin, you have been in the hospital for so long, and you don't know how to come and see me, an old man."

"Mr. He, I'm sorry, the main reason is that the emergency department is too busy. Sometimes it's late at night after the operation is done. I want to visit you and I'm off work!" Qin Feng explained.

He Lao smiled and motioned Qin Feng to sit down.

When Qin Feng looked at the equipment supplier sitting on the other side, he was stunned. This person was so familiar.

"Dr. Qin, it's been almost half a year since we met again." Zhang Hui straightened his clothes and reached out to shake Qin Feng's hand.

"Aren't you the equipment supplier in Taoshi?" Qin Feng asked suspiciously.

"It is true that they made their fortune in Taoshi, but now their business covers the whole country. Basically, one-fifth of the hospitals in the whole country use his medical equipment." He Laodao, "When I was in Xiehe, They have been dealing with me, and when they learned of my comeback, they came over and contacted me."

He didn't shy away from Zhang Hui's presence at all, and Mr. He told Qin Feng the truth directly, which can be regarded as telling Qin Feng an inside story.

That is, as long as you are strong, someone will take the initiative to give you money.

"Mr. He, I agree with the prices you mentioned on behalf of the company." Zhang Hui said.

"Hmm." Old He hummed lightly.

"Mr. He and Dr. Qin, why don't we go out to eat together now?" Zhang Hui suggested.

He Lao looked at Qin Feng, and then asked, "Xiao Qin, are you okay this afternoon?"

"It's okay for now. If anything happens, they will call me." Qin Feng said.

"Okay, let's go out to have a meal together." Mr. He agreed.

Zhang Hui drove Qin Feng and Mr. He to a relatively high-end restaurant in his own Benz. Qin Feng silently followed them until they entered the private room and took a seat.

There are only three people sitting at a table in Nuoda, which seems a bit too wasteful.

"Mr. He, would you like some drink today?" Zhang Hui opened a bottle of Moutai.

Mr. He nodded slightly, and Zhang Hui served Qin Feng and Mr. He respectively.

Qin Feng originally wanted to shake his head, but was stopped by He Lao's eyes.

(End of this chapter)