I Can See Health

Chapter 504: The transposed and deformed heart!

Remember [new] in one second! CCU cath lab.

Cao Zhiying saw Lu Chen in front of him.

He looked up and down, and the boy in front of him looked young and still had a hint of the bookish air of a student.

It’s hard to believe that such a young man could actually get a “graduation certificate” from Kyoto Institute of Electrophysiology? !

"Director, Lu Chen is here." Ren Feng stepped forward.

"Okay." Cao Zhiying nodded slightly, then looked at Cheng Guowen and Lu Chen aside, "Then the patient's pacemaker will be handed over to you two."

"No problem..." Cheng Guowen nodded slightly.

At this time, Lu Chen was stunned. Are you asking him to help make a pacemaker?

But most people in Jinghua Second Hospital can perform a simple pacemaker implantation surgery!

Why do you want him to come?

At this time, Cheng Guowen walked to Lu Chen's side.

Lu Chen said softly: "Hello, Director Cheng."

"Well, Lu Chen, long time no see." Cheng Guowen nodded slightly, "I asked you to help me this time, mainly because this patient is too difficult, with severe heart failure, and the heart rhythm is still a third-degree atrioventricular block..."

Cheng Guowen briefly introduced the patient's condition.

"To put it simply, the function of installing this pacemaker is not only to increase the heart rate, but also to have an anti-heart failure effect. However, the patient is old, has many underlying diseases, and the operation is difficult, so I am not too sure."

Lu Chen immediately understood what Cheng Guowen meant.

Let him come to the rescue!

These director-level figures actually think highly of him. It is really not easy for him, a graduate student who has not graduated, to be recognized by so many professors and directors!

"Lu Chen, have you ever encountered this surgery when you were at the Kyoto Institute of Electrophysiology?" Cheng Guowen looked at Lu Chen slightly nervously.

Lu Chen nodded slowly: "I did it independently."

"That's great!" Cheng Guowen looked happy.

In fact, Cheng Guowen did not mention the most important point.

That’s because this patient’s identity is so special!

It is said that he is an important member of the Provincial Department of Health and their immediate boss!

"Then let's put a pacemaker on the patient first." Cheng Guowen said, "After we increase the patient's heart rate, Director Cao will do the coronary surgery. This may be relatively simpler."

"Okay." Lu Chen nodded.

As the first person in the field of electrophysiology in Jinghua, this is the first time that Cheng Guowen can treat a young man like this!

CCU catheter outdoor.

Everyone looked at Lu Chen who was talking to Cheng Guowen in surprise.

"Lu Chen is so awesome. Director Cheng almost always asks Lu Chen for his opinion."

"Although this Lu Chen has won some awards, Director Cheng doesn't need to be like this."

"Yes, I feel it's a bit much too! Why should a student participate in such an important operation?"

At the scene, only Lei Cui remained silent.

She had a gloomy face and stared closely at Lu Chen in the catheterization room.

The assessment back then was just one place away, and she lost the qualification to go to the national assessment.

If she had the opportunity to enter the Kyoto electrophysiology training class, the person standing in it now might be her!

It’s really hateful!

Sun Guoguo looked at Lu Chen in the catheterization room in surprise.

Junior brother is very powerful, she knows it.

But what I didn't expect was that the junior brother could actually discuss his condition with these director-level figures!

This was something she never expected.

It seems that Junior Brother Lu Chen's development has far exceeded most people's imagination!

Lu Chen put on surgical gloves, with Cheng Guowen standing by as his assistant.

"Director, let me start!"

"good!"

Cheng Guowen nodded slightly, and Lu Chen immediately took action!

Scenes from previous electrophysiology surgeries immediately came to his mind.

Whether in actual surgery or in systematic training, the process of implanting an anti-heart failure pacemaker quickly replayed in his mind.

The piercing begins!

The first step in all interventional surgeries is puncture.

Lu Chen's piercing process was extremely smooth.

From selecting the puncture point to inserting the puncture needle, it is like installing a locator.

Cheng Guowen on the side was also amazed.

This skillful technique can actually be seen in a student. He is indeed a person who has received the "Completion Certificate" of Kyoto Electrophysiology Training!

Cao Xinxin and Ren Feng looked at each other and could see the surprise in each other's eyes.

However, this is just the beginning!

The technical difficulty of anti-heart failure pacemaker implantation lies in overcoming the anatomical variation caused by the large heart and the risk of heart failure.

Complete the implantation of three pacing electrodes, especially the special site implantation of the left ventricular electrode through the coronary vein, which requires extremely high quality for the surgeon!

At the end of the puncture, the guide wire and electrode enter.

Only when the electrode is placed in the designated position can the implantation be completed.

However, the position of this electrode will change depending on the size of the heart and the shape of the blood vessels.

As the electrodes entered, Lu Chen began to run into trouble.

"It's not good. The patient's heart is too big." Lu Chen frowned.

A normal human heart is as big as a pear.

But if heart failure occurs, the heart will slowly expand in order to compensate for the work, and eventually decompensate, and it may even become as big as two fists.

The heart becomes enlarged, transposition and deformation are obvious, and the implantation of ventricular electrodes is particularly difficult!

Cheng Guowen on the side also looked very serious.

Although he had already thought that the patient's heart was large and it would be difficult to implant electrodes, he still underestimated the difficulty!

CCU catheter outdoor.

Some of the electrophysiology doctors immediately saw Lu Chen's current predicament.

"Let me just say, this patient's heart is so big! It's hard to implant the electrodes in the right place!"

"Aren't you talking nonsense? If this pacemaker is easy to insert, Director Cheng Guowen won't let anyone else do it!"

"Hey, guess what, can Lu Chen put it in?"

"I bet you can't have breakfast tomorrow morning!"

"I'll bet you a week's worth of dinners, yes!"

"What should I do?" Cheng Guowen frowned deeply and glanced at Lu Chen. UU reading www.uukans.net

"Director Cheng, I'll try my best."

"Do what you can. If it doesn't work, just quit and we'll find other ways."

Lu Chen began to slowly insert the electrode.

Each step requires continuous imaging of the blood vessels to prevent the electrodes from going off track.

"Take a photo!"

"Take another photo!"

"Take another photo at the back..."

Lu Chen controlled the entry of the electrodes throughout the entire process, taking every step with extreme caution.

Both Cheng Guowen and Cao Zhiying inside the stadium, as well as everyone watching outside the stadium, were all relieved.

The electrode pad slowly probed towards the left ventricle, and the dawn of victory seemed to be right in front of me.

Finally, after receiving a lot of X-rays, the electrode position of the left ventricular electrode was finally perfect!

However, this step alone took nearly an hour.

Tap the screen to use advanced tools Tip: You can use left and right keyboard keys to browse between chapters.

You'll Also Like