I Can See Health

Remember [New] in one second! A month later, the National Natural Science Foundation officially issued the order.

The "National Natural Science Project Group" with Li Yao as the main person in charge was officially launched.

Other project group leaders include the directors of the cardiology departments of each sub-center, and the project group members are mainly Lu Chen, Ke Yue, and members of the sub-centers.

Yao Jie, a junior sister who is studying for a master's degree in Kyoto, was also fortunate to participate in it.

Lu Chen, Ke Yue and others have completed part of the preliminary work of the project, including the complete test method of small samples.

The next most important work is to expand the sample size, recruit experimental patients in each sub-center, and unify the data standards of each center.

Clinical experiments are different from basic scientific research. Patients need to be followed up repeatedly to record changes in various indicators of patients.

The entire research process lasted for a year and a half, and it was completed just before Lu Chen graduated. .

The National Natural Science Project Group has some requirements for the completion of the project, including how many SCI papers and Huaxia core papers have been published, how many provincial and national conferences have been held nationwide, or whether any guidelines have been issued.

For Lu Chen's project, the successful completion requires the publication of two papers with scores of more than five points and five core papers of China.

However, for Lu Chen, his pursuit is far more than that.

After all, the preliminary work of the project has published an SCI paper with a score of more than 5 points.

Next, Lu Chen's goal is to move towards a journal with a score of 8 or more!

If possible, Lu Chen also wants to impact a SCI journal with a score of more than 10 points.

...

Jinghua Second Hospital.

While Lu Chen is conducting clinical research experiments, he also continues to rotate in the CCU ward.

Compared with basic research, the advantage of clinical research is here. You don't need to stay in the laboratory every day, and you can also take care of clinical work.

For the operation of the entire project team, Li Yao also specially vacated a small room in the eighth area of ​​the heart, dedicated to Lu Chen, Ke Yue and other project participants, to collect and organize data on a daily basis.

"Lu Chen, I'm rotating in the hematology department now. I'm not busy with clinical work on a daily basis. I come to the office to organize data when I have time."

Lu Chen received a WeChat message from Ke Yue.

Ke Yue now trusts Lu Chen very much.

With such a strong support, Ke Yue really wanted to do her best to complete the "National Natural Science Project".

If you miss this opportunity, you will miss it!

"Okay." Lu Chen replied, "But don't delay your usual department work, and focus on your own work first."

They are all professional masters, and their main task is to conduct regular training in clinical practice.

As for other scientific research work, it is icing on the cake after completing clinical work.

Because if you don't complete the regular training rotation work, no matter how good you are in scientific research, you will not be able to get a graduate degree in the end.

"Don't worry, I will be sensible." Ke Yue replied.

...

Lu Chen continued to rotate in the CCU ward.

I don't know if it was because of Lu Chen's influence, Gu Xinyue and Cheng Pangzi and others also made rapid progress.

Now, Lu Chen, Gu Xinyue, and Cheng Pangzi have become the three "generals" in Zhou Bin's group, and each of them can be independent.

The most powerful one is Lu Chen, who can basically be used as a senior attending physician.

The senior doctors in other groups of the CCU ward envied Zhou Bin very much. With these three students, his daily work would be much easier!

In the CCU ward, Zhou Bin would intentionally or unintentionally train Lu Chen and let him start to take charge of patients independently.

It is different to take care of patients independently in the CCU.

The patients here are in critical condition and even have the risk of sudden death at any time. If you are not careful, it is very likely to delay the patient's condition.

Gu Xinyue and Cheng Pangzi envy Lu Chen's independence, but it is only at the level of "envy".

If they are asked to manage patients independently, they dare not take over.

The reason is that they are not capable enough to manage such critically ill patients. Once there is a mistake, it means a huge risk.

...

"Lu Chen, a patient with severe heart failure will be transferred from the general ward later. You go to take him in later." Zhou Bin walked into the doctor's office and said to Lu Chen with a smile, "Please give the doctor's order first, and I will review it."

"Okay." Lu Chen nodded slightly.

Now basically Lu Chen issues medical orders, Zhou Bin reviews them, and then the nurses execute them.

Others in the doctor's office are no longer surprised by this situation.

It only took five minutes.

The door of the CCU ward was pushed open.

The doctor on duty and the nurse in the third area of ​​cardiology pushed a bed.

On the bed, there was a 70-year-old man lying.

His mind was a little fuzzy, his eyes were hazy, and he was half leaning on the bed.

His life value was 42 (---).

The trend of three minus signs was within Lu Chen's expectations.

The life value of patients who can be transferred from ordinary wards to intensive care units basically has a trend of three minus signs.

"What's the patient's condition?" Lu Chen said hurriedly.

The doctor in charge of the third area of ​​cardiology continued: "When the patient was admitted to the hospital, he was mainly suffering from chest tightness and dyspnea. We considered it heart failure. After three days of diuresis, the patient's consciousness was a little unclear, and he couldn't answer questions. I just checked the ions urgently, showing hyponatremia and hypochloremia."

When Lu Chen heard this, he felt awe-inspiring.

Hyponatremia is the most common clinical disease of water and salt imbalance in the body. It refers to the sodium in the serum.

A pathological state when the ion concentration is lower than the normal level and the blood sodium concentration is less than 135mmol/l.

When hyponatremia occurs, a series of symptoms such as headache, nausea, vomiting, sleepiness, fatigue, restlessness, muscle weakness or spasm, epileptic seizures and even coma will occur.

Patients with heart failure usually require diuretic treatment.

Especially some patients with severe heart failure may need to use large doses of diuretics.

Patients with heart failure have gastrointestinal edema and generally have poor appetite.

While not eating much, the patient must be given diuresis. This back and forth can easily cause the patient's internal environment to become disordered.

"How much can the patient eat every day now?" Lu Chen asked.

"Very few." The doctor from the third district in the heart frowned. "The patient's immediate family members are not around. His nephew hired a nurse to take care of the patient every day."

Lu Chen frowned deeply.

Once the patient cannot eat and becomes tired of the ventilator, the respiratory function will become worse, which, coupled with diuresis, will lead to hyponatremia and hypochloremia.

The person fell into a coma!

"Don't you have any family members?" Lu Chen looked behind the hospital bed.

"No." Doctor Xin Nei San District Mo shook his head slightly, "His son is out of town and will come back in the afternoon. He is usually his nephew."

"Okay." Lu Chen nodded, "Then let's push the patient's bed in first."