Medical road Qingyun

Comes from doctor's instinct.

Zhao Yuan and Jiang Qiang looked at each other, stood up, and quickly went to the next box.

A 25-year-old man fell to the ground, closed his eyes tightly, and clutched his chest, "It hurts so much!"

Tian Wei, Chen Shuai, and Liu Sha also came to the second floor at this time.

Tian Wei's eyes almost fell out when he saw Jiang Qiang next to Zhao Yuan.

Why is my department director, Jiang Qiang, here!

Then, he misunderstood!

I thought Director Jiang paid for Zhao Yuan.

How could Zhao Yuan know Jiang Qiang?

What is the relationship between the two of them?
Jiang Qiang is the director of cardiothoracic surgery. If you can hold him on his lap, it is only a matter of words to stay in the hospital.

Tian Wei was upset that he underestimated Zhao Yuan.

This guy has a background.

No wonder Liu Sha treated him differently.

"Hello, Director Jiang!" Tian Wei greeted him proactively.

"Ok!"

Jiang Qiang's attention was on Zhao Yuan.

He just glanced at Tian Wei lightly.

Zhao Yuan was examining the patient, and Jiang Qiang knew Zhao Yuan's strength.

The patient's heart rupture can be determined by physical examination.

It is not difficult for him to examine the patient in front of him.

Tian Wei has been in cardiothoracic surgery for three years, and Jiang Qiang usually treats him with a lukewarm attitude.

Tian Wei knew that this moment was his once-in-a-lifetime opportunity to perform.

Tian Wei walked to Zhao Yuan and urged impatiently: "Give way."

Zhao Yuan glanced at Tian Wei and vacated his position.

When Tian Wei began to examine the patient's chest, Zhao Yuan's behavior was surprising.

He was checking his thighs.

Tian Wei was secretly amused.

This kid really knows how to play tricks!

In about 10 minutes, Tian Wei completed the examination and reported to Jiang Qiang first, "Director, the patient should have acute myocardial infarction!"

Jiang Qiang turned to Zhao Yuan, "What do you think?"

Tian Wei was shocked.

Jiang Qiang is even more looking forward to Zhao Yuan's answer.

Zhao Yuan said solemnly, "It's not myocardial infarction, but pulmonary embolism caused by venous thrombosis!"

Tian Wei retorted, "Venous thrombosis is caused by sitting for a long time and standing for a long time. The patient is strong. I just asked the patient's family. He is a football coach. How could he get venous thrombosis?"

Jiang Qiang ignored Tian Wei and muttered slightly, "The ambulance should be here."

Jiang Qiang ignored Tian Wei again because Zhao Yuan's conclusion was consistent with his guess.

Tian Wei's mentality collapsed.

In the eyes of the director, he is just a little transparent!

Tian Wei's embarrassment was noticed by several junior interns.

"Director Jiang looks at Senior Brother Tian as if he were looking at a stranger." Liu Sha said softly.

"There are so many young doctors in the cardiothoracic surgery department, and it is impossible for Director Jiang to know everyone well." Chen Shuai sighed. It seemed that even if he stayed in the hospital and became a resident doctor, his life would not be that easy.

"Zhao Yuan seems to be very familiar with Director Jiang." Liu Sha felt strange.

Chen Shuai patted his forehead!

Why is forgetfulness so great?
"I remembered. Yesterday, Zhao Yuan, as the first assistant, performed a cardiac interventional surgery with Director Jiang."

During the operation in the emergency surgery room, Chen Shuai heard the nurses talk about this matter.

The hotel is not far from the hospital and the ambulance arrived quickly.

The patient enters the hospital, takes the green channel, and undergoes a comprehensive examination.

About a quarter of an hour later, Jiang Qiang got the report results and said calmly, "It is indeed a pulmonary embolism."

Tian Wei was stunned on the spot as if he had been struck by lightning.

It's hard to accept this result.

Jiang Qiang was too lazy to look at Tian Wei again.

Disappointed!

A three-year resident in his own department was crushed by an intern in the emergency surgery department.

a shame!

"Clinically, the misdiagnosis rate of pulmonary embolism reaches 80.00%, and it is easily confused with myocardial infarction. Zhao Yuan, please explain the pathology to everyone!" Jiang Qiang narrowed his eyes slightly.

Chen Shuai, Liu Sha and others turned their attention to Zhao Yuan.

Tian Wei felt unwilling and couldn't help but pricked up his ears at this moment.

Zhao Yuan said calmly, "The patient is a football youth training coach. He exercises regularly and is in good health. But because of his occupation, he maintains high-intensity exercise for a long time. During the stretching of the muscles, the veins of the lower limbs The intima of the blood vessel wall is damaged and develops into deep vein thrombosis.

However, deep vein thrombosis can lead to pulmonary embolism with a high mortality rate.

Therefore, excessive exercise and long-term immobility are not advisable, as they will cause venous embolism. "

Tian Wei suddenly realized this.

No wonder you check the location of your patient's chest pain yourself.

Zhao Yuan was examining the patient's lower limbs.

Tian Wei still felt baffled at that time.Now it seems that the clown is himself.

At this time, Chen Shuai's eyes suddenly lit up, "I remembered that not long ago, an NBA forward was reimbursed for the entire season due to deep vein thrombosis!"

Chen Shuai is a senior basketball fan.

Jiang Qiang smiled at Zhao Yuan, "I said hello to Lao Tong. The operation will be performed in the emergency operating room. You will be my first assistant."

Zhao Yuan had no reason to refuse.

……

The patient was already lying on the operating table. Zhao Yuan patiently communicated with his family members, who anxiously signed the surgery confirmation form.

The family members did not expect that the normally healthy patient would contract a disease with such a high mortality rate.

They were at a loss and could only put their hope in the doctor.

Zhao Yuan felt responsible!

The lead door closed slowly.

Zhao Yuan asked Bai Lu to put dopamine on the patient to maintain blood pressure.

Low molecular weight heparin sodium was then injected intravenously to provide sedation and analgesia.

Judging from the instrument display, the patient's vital signs gradually became normal.

Jiang Qiang did not interfere too much and quietly observed Zhao Yuan.

It must be admitted that Zhao Yuan has reached the level above that of an attending doctor.

For patients with acute pulmonary embolism, the most important thing is first aid during the onset of the disease.

The patient's time from the onset of illness to the hospital was very short, and Zhao Yuan's rapid diagnosis shortened the time, and the patient's condition was quickly under control.

"Thrombolysis - Injection of Urokinase."

Zhao Yuan and Bai Lu gave orders.

Jiang Qiang nodded slightly.

The rhythm is very good!

An excellent surgeon not only has clear steps in performing surgery, but also pays attention to every process and is in sync with the patient's actual condition.

As far as injectable drugs are concerned.

Too late and the patient misses the opportunity for treatment.

If it is too early, the patient's body functions have not returned to the ideal state, and the drug will not only fail to achieve the effect, but may also cause negative effects.

"Prepare the inferior vena cava filter." Zhao Yuan said solemnly.

Bai Lu was surprised, "You know how to implant?"

Zhao Yuan nodded firmly, "Yes!"

Jiang Qiang still didn't speak.

That is tacit consent.

Although inferior vena cava filter implantation is not complicated, Zhao Yuan is just an intern.

There are no clinical trials, and only based on the knowledge obtained in school, filter implantation is beyond the scope of the program.

Jiang Qiang was not surprised.

Zhao Yuan can complete heart rupture repair surgery with ease.

Filter implantation is not difficult for him.

Jiang Qiang has seen many geniuses.

Zhao Yuan is undoubtedly the best among geniuses.

After the equipment was in place, Zhao Yuan immediately started the operation.

Time flies very fast.

Zhao Yuan successfully transferred the filter from the femoral vein into the inferior cavity.

Wait for the filter to reach the renal vein site and then start the device.

About 2 minutes before and after!
So, before anyone could react, the implantation was completed.

Jiang Qiang took a deep breath and said softly, "Pulmonary angiography is ready!"

Angiography is the last step in the process to see the effects of treatment for pulmonary embolism.

No surprises!
The embolism was successfully dissolved!
Pulmonary embolism surgery ended perfectly!
Hey!
Everyone breathed a sigh of relief.

All eyes were focused on Zhao Yuan under the shadowless lamp.

There is no doubt that he took the lead in this first aid, from physical examination and diagnosis to rescue and implantation.

The entire operation took just one hour, including half an hour waiting for thrombolysis.

"That's awesome!" Bai Lu sighed from the bottom of his heart.

As a device nurse, she felt the pleasure of being dominated.

Yes, there is pleasure in being dominated!
Similar to lying down to win!
This feeling can only come from the chief physician!

Trust and flow.

There is no need to use any brains, as long as the movements follow the doctor's instructions.

"Pity!"

Jiang Qiang felt sore in his heart again.

Why didn't such a new person appear outside the heart?

A lonely figure stood in the corner.

Tian Wei witnessed the entire operation process.

Think back to those condescending remarks made at the dinner table.

In an instant, I feel ashamed.

……