world famous doctor

Chapter 57 Surgical success rate

Excessive radiation exposure can lead to fetal malformation in the abdomen, which is medical common sense that even a layman understands.

Zhou Chen knew about Yuan Lili's allergy to the contrast agent, and these professional doctors would naturally not ignore it.

Previously, doctors also included contrast agent allergy events as a major consideration.

They finally negotiated and came up with a suggestion - PCI with zero contrast agent.

PCI with zero contrast agent, in other words, is coronary intervention under the guidance of intravascular ultrasound.

This kind of technique is a bold idea, and it requires very high surgical experience of the interventional doctor involved.

One, to understand coronary arteries.

Second, understand IVUS.

"Young man, don't delay our treatment here. The best window period for patients with acute myocardial infarction is only 12 hours, and irreversible myocardial infarction may occur 6 hours after acute myocardial infarction. The infarcted coronary artery must be opened as soon as possible. Arterial blood vessels, improve myocardial blood perfusion..."

A male doctor in the cardiovascular department was already a little impatient. He sternly explained the stakes to Zhou Chen.

The other doctors didn't pay too much attention to Zhou Chen's side, they were making other preparations before the PCI operation.

"Increase the dosage, use the combination of aspirin and clopidogrel, 250 mg of ticlide..."

A doctor in the Department of Cardiology is instructing the nurses to give Yuan Lili routine preoperative drug treatment.

"Okay." The nurse nodded.

The combination of aspirin and clopidogrel can effectively reduce cardiovascular events by 20%. It is also the most widely used drug and plays a crucial role in non-ST-segment elevation acute myocardial infarction.

Doctor Zhang Jian seemed more amiable.

He came to Zhou Chen's side and persuaded in a low voice: "Doctor Zhou, we are all doctors, and we put the patient's life first. We have given the patient a timi risk score, and the risk score is high, so , In addition to using the best medical treatment, patients should also be admitted to invasive treatment as soon as possible."

Zhou Chen still shook his head stubbornly.

"No, you're going to perform PCI on this patient at such a young age? And she's still pregnant. Have you considered her body tolerance?"

Another doctor also stepped forward to persuade Zhou Chen: "This is not a matter of age. Since you are sick, you must receive corresponding treatment. Treatment will inevitably have risks and side effects. We will do our best to reduce the risks and side effects." drop to lowest."

"Dr. Zhou, you really don't have to think too much. After one year, just a little low-dose aspirin can be used as a single anticoagulant treatment. It will not have much inconvenient impact on the patient's life. Moreover, the patient's family members have already Signed to agree to the operation." Zhang Jianyu said earnestly, speaking with respect to Zhou Chen.

However, some doctors felt that Zhou Chen was messing around and making trouble for no reason.

Several doctors from the cardiovascular department went out to the intervention room, and at the same time gave instructions to the nurse.

"Take 2600U of heparin for backup, and give it an intravenous infusion later."

A doctor found Yuan Lili's husband and had a preoperative talk with him.

He emphatically explained the various risks and complications of interventional treatment, and also explained the treatment cost to him.

Treatment costs are a concern for many patients' families.

Because of the high cost of surgical treatment, some family members of patients give up PCI and take conservative drug treatment in consideration of their family's economic affordability.

For high-risk patients like Yuan Lili, the doctor repeatedly explained, trying to make the other party hear clearly and understand.

The more Zhou Chen thought about it, the more something was wrong, and his heart was full of worries.

Some kind of intuition told him that it would be best not to do this operation.

Percutaneous coronary intervention PCI has been widely carried out in many qualified hospitals for many years, but it does not mean that this operation is without any risks.

Once the treatment fails, it will cause extremely serious consequences.

A small number of patients will get worse.

During the treatment process, some accidents often occur due to adverse stimuli such as interventional operations, catheters, and injection of contrast agents.

For example: ventricular fibrillation, acute left heart failure, acute cardiac tamponade, coronary artery rupture, arrhythmia, hypotensive shock, cardiac arrest, coronary artery spasm...

Yuan Lili was pushed out of the emergency room, ready to go to the interventional room for PCI interventional surgery.

Zhou Chen opened the system mall in Zhihai, spent another 2000 likes, and performed a pre-PCI risk assessment for Yuan Lili.

Any kind of surgery is risky, but the size of the risk is different.

No matter how skilled the doctor is, he cannot guarantee the success rate of the operation 100%.

This is also a recognized objective problem that cannot be solved and exists forever in the medical field.

The famous doctor system owned by Zhou Chen has great advantages.

The famous doctor system can comprehensively take various tissues of the patient's body group into consideration, perform the most difficult calculations in the form of big data, and finally obtain an accurate probability.

Last time, the famous medical system accurately estimated that the old lady Qian suffered a post-cerebral infarct bleeding transformation.

Zhou Chen didn't dare to hesitate, and immediately ordered the calculation.

"The system is collecting patient Yuan Lili's body data... The collection is complete, and it is being integrated and calculated..."

The human body is like a high-precision instrument.

No, strictly speaking, it is more like a huge system organization, and the complexity of its structure is comparable to that of the universe.

The human brain alone has hundreds of millions of cells and neurons.

We always look at the vast starry sky and imagine where the universe is and what its shape is.

Perhaps, the real universe is inside our heads.

The human genome alone has 30 billion bases and 30 billion nucleotides, encoding 25000 genes.

The most basic and smallest unit that makes up the human body is the cell, and there are 40 trillion to 60 trillion cells needed to make up the human body.

What is even more peculiar is that so many cells ultimately come from the continuous division of that one cell of the fertilized egg.

Human birth, old age, sickness and death are all rooted in cells.

Therefore, the famous doctor system has to calculate and process so much and such complicated information to obtain the final accurate probability. The difficulty of its calculation is comparable to that of Papa Ma's Alibaba Cloud.

Computing for this takes a certain amount of time.

"The system is calculating, and the current progress has been completed by 5%..."

Everyone in the emergency room has left.

Now only Zhou Chen was left standing there thoughtfully.

Zhang Jian also just took a step forward and didn't go far.

Zhou Chen hurriedly chased him out and shouted, "Doctor Zhang, can you take me into the intervention room?"

Zhang Jian was a little embarrassed by Zhou Chen's request.

After all, he is only an emergency doctor, and he rarely goes to the intervention room, which is mostly used by the cardiovascular department.

"Dr. Zhou, if you are really worried, why don't you wait outside the interventional room later... If there is anything wrong with the patient, I will come out and notify you as soon as possible."

After thinking about it, Zhang Jian could only say so.

Zhou Chen also knew that his request was a bit abrupt.

However, Yuan Lili's life can be guaranteed only if she is present and can use the famous doctor system to obtain the most accurate treatment guidelines at any time.

After speaking, Zhang Jian turned around and entered the elevator.

Zhou Chen also followed in.

(End of this chapter)