Chapter 483 The Busy Little Doctor

Remember [New] in one second! To be honest, although Zhou Bin had made all the necessary preparations before the operation, everyone was a little nervous.

If something really happened to a patient without family members, it would be hard to say.

While Lu Chen was writing the patient's medical history, he was refreshing the interventional surgery record, wanting to know the real-time dynamics of the operation.

At this moment, the WeChat notification sound on his mobile phone suddenly rang.

Lu Chen picked it up and saw that it was a message to add a friend.

The nickname of the other party was Xiaohan, and the image was a very cute cartoon cat.

The note was that Aunt Li Xuan introduced it.

Lu Chen thought it was a little girl selling tea, and was about to close WeChat, but suddenly thought, "Li Xuan" is the name of the head nurse of the CCU?

Could it be that this Xiaohan is really a blind date?

So he clicked "Approve".

The friend was added successfully, and the other party immediately sent a WeChat message.

"Hello, I was introduced by Aunt Li."

It was really the head nurse who introduced him. Lu Chen was thinking about replying when suddenly a nurse shouted from the rescue room.

"Rescue room 8, rescue! Rescue!"

Lu Chen was shocked and ran out of the office.

The patient in rescue room 8 was the girl on ecmo.

Everyone spent so much energy to save her, but they didn't want to see her die.

As soon as the nurse's voice came out, all the doctors who were free ran towards the 8th rescue room.

...

Zhou Bin took the lead and ran in front.

"What's wrong with the patient?!"

The nurse in the rescue room immediately stepped forward and said hurriedly: "The blood oxygen suddenly dropped! It was 95% in the morning, and it just dropped to 85%."

Zhou Bin frowned and stepped forward to check the pipeline and parameters of the ecmo machine.

Lu Chen followed Zhou Bin nervously and watched.

Because of the ecmo, the patient needs long-term heparinization to prevent blood clotting in the pipeline.

At this time, it is easy to have various complications, the most common of which is bleeding, such as skin and mucous membrane bleeding, intracranial bleeding, and internal bleeding.

Skin and mucous membrane bleeding is easy to see.

However, the patient is in a sedated state, and there are no external symptoms of intracranial bleeding, internal bleeding, etc.

In addition, the joints and side branches of the pipeline may fall off, leak blood or enter the air.

"First check the coagulation items!" Zhou Bin said immediately.

By monitoring the activated partial thromboplastin time, the coagulation status of the patient can be known, so as to prevent the occurrence of cerebral hemorrhage.

"In addition, some should be closely tested in each channel! Pay attention to the patient's body temperature is not too high or too low, generally keep the ear temperature at 36~37c. If the body temperature drops, a warming blanket or a constant temperature water tank can be used."

"Okay, got it!" The nurse said immediately.

After issuing these medical orders, Zhou Bin still frowned.

These problems she thought of seemed not enough to cause the patient's blood oxygen to drop!

At this time, Zhou Bin saw Lu Chen lying in front of the ECMO machine, as if he was about to say something but stopped.

"Lu Chen, what's wrong with you?"

Lu Chen pointed to the liquid infused in the tube, "Teacher Zhou, can fat emulsion be given to the extracorporeal circulation tube? I remember that the book seemed to remind me that fat emulsion may affect the oxygenation effect of ECMO patients!"

Zhou Bin looked down.

Indeed, fat emulsion seemed to be infused in the extracorporeal circulation tube.

However, will this nutrient solution affect the patient's oxygenation?

There are not many patients who need to use ECMO, and the CCU doctors do not have much experience in this area.

Zhou Bin was also a little unsure.

"Wait, I'll call Brother Feng and confirm it with him."

Zhou Bin quickly took out his mobile phone and called Ren Feng.

...

Interventional operating room.

Ren Feng was performing an interventional operation on the old lady just now, and the assistant outside the catheter room handed the phone to his ear.

"Zhou Bin, what's the matter?"

"Brother Feng, the patient who was on ECMO just now suddenly had a drop in blood oxygen. I want to ask if she can use fat emulsion for extracorporeal circulation?"

"Fat emulsion? Of course this kind of medicine cannot be used!" Ren Feng said in a deep voice, "Also, I remember I didn't ask to use fat emulsion, right?"

"This... seems to be the doctor's order from Brother Hui." Zhou Bin said, "He may not pay much attention to this."

"Stop it quickly, and then observe the patient's blood oxygen situation again. There shouldn't be any big problems." Ren Feng said, "I'll come over right after I finish this intervention."

"Okay." Zhou Bin hung up the phone.

...

CCU ward, emergency room 8.

Zhou Bin immediately ordered the nurse: "Stop the fat emulsion immediately!"

She also glanced at Lu Chen next to her. This kid was also in contact with ECMO for the first time. How did he find so many?

Back to the doctor's office.

Lu Chen thought of the friend he had just added, and it seemed that he hadn't replied to her yet!

So he quickly took out his phone and edited the message: "Sorry, I was just rescuing a patient."

Zhou Xiaohan held the phone and frowned slightly.

She added this person as a friend to complete the task.

Aunt Li was so enthusiastic that she felt embarrassed to offend her.

But she didn't expect that the other party would just say that he was rescuing a patient!

According to Aunt Li, the other party was only a graduate student. How could he be in charge of the rescue work?

Is this pretending to be cool and get my attention? Or is it a tactful refusal?

"However, this is also good, so that both sides will not be embarrassed." Zhou Xiaohan thought about it.

So, she also replied: "Oh, let's get straight to the point, don't be so long-winded, and go straight to the procedure."

...

Lu Chen was stunned. Go through the procedure?

What does this mean?

He was about to reply when the nurse ran into the doctor's office again.

"Lu Chen, the family of the patient who just had the interventional surgery called. Dr. Zhou is seeing other patients. She asked you to pick up and communicate with the patient's family."

"Oh, okay." Lu Chen put away his mobile phone and went to the nurse station.

On the other end of the phone was the patient's son.

He was out of town. After finding out about his mother's condition, he immediately handed over his work and rushed back.

However, UU Reading www.uｕkanshu.net the earliest would be tomorrow morning.

Lu Chen then told the family about the patient's condition in detail.

"The patient is in surgery. We will communicate with you as soon as the surgery is over!"

"Sorry to bother you, doctor. I will come back as soon as possible. Please contact us if you have any questions!"

...

Lu Chen also understood the feelings of the patient's family, so he explained it many times without getting tired.

More than ten minutes later, he returned to the doctor's office.

"I don't think I replied to her again?"

Lu Chen thought about it and decided to wait until he got off work to talk about it.

So, he replied directly: "I'm very busy now. What procedures are you talking about? Let's talk about it after I get off work."

At this time, Zhou Xiaohan on the other end of the phone was already a little speechless.

"How can this young doctor be busier than other company bosses?"