Chapter 663: How Fast the Face Changes

Lu Chen was a little confused, but he still followed Dai Wansong.

The young doctor was a little surprised, but he didn't say much and continued to lead the way.

"Is this the direction to the CCU?"

After walking out of the demonstration room, Lu Chen found that the young doctor was walking towards the CCU.

Sure enough, after turning a few corners, the three of them stopped at the door of the CCU medical passage.

The young doctor swiped his card.

The three of them entered one by one.

Dai Wansong and the young doctor both put on their own Crocs.

"Lu Chen, put on a pair of shoe covers."

"Okay."

Lu Chen nodded, took a pair of shoe covers from the utility cabinet next to him, and then followed Dai Wansong to the CCU ward.

This time, he didn't go to the catheter room, but to the bedside.

...

Before he got close, Lu Chen saw the busy doctors and nurses beside the bed, and the beeping alarm of the monitor.

"Intubation!"

"Ice pack for brain protection!"

"Open a few more intravenous access!"

"..."

The patient on the bed was in a very grim situation.

In Lu Chen's eyes, the patient's life value was only 35 (---)!

And the life value was decreasing rapidly, reaching 1.26/min.

"Dean, you come."

The rescue was led by a middle-aged doctor. Seeing Dai Wansong coming, he nodded slightly.

"What's the situation?" Dai Wansong frowned tightly and stared at the patient on the bed.

The middle-aged doctor quickly said: "This patient was originally scheduled to have a TAVR surgery three days later. He just had acute heart failure and cardiogenic shock. His blood pressure was only 70/40mmhg. He lost consciousness and was in a very bad state!"

Hearing this, Dai Wansong went forward to check on the patient.

The patient had undergone bronchial intubation and central venous catheterization. After active rescue by medical staff and the use of a large amount of vasoactive drugs, his blood pressure finally stabilized.

"Bring the medical records here." Dai Wansong said.

The young doctor quickly ran to the doctor's office and took all the patient's information.

Dai Wansong took a quick look and handed it to Lu Chen beside him.

The other doctors in the CCU only noticed Lu Chen's unfamiliar face at this time.

Lu Chen didn't care about other people's opinions. He picked up the medical record folder and began to compare and check the patient's condition.

He vaguely realized why Dai Wansong asked him to follow.

...

The patient, male, is 86 years old this year.

He was admitted to the hospital with "recurrent palpitations for more than 6 years, chest pain and shortness of breath for more than 1 month".

The patient had palpitations for no obvious reason 6 years ago. The local hospital diagnosed "coronary heart disease" and did not give standardized treatment.

More than 1 month ago, chest pain, palpitations, and shortness of breath occurred, accompanied by paroxysmal dyspnea at night. During hospitalization in the local hospital, he had sudden chest pain, dyspnea, and loss of consciousness.

Diagnosis of "acute left heart failure, calcific stenosis of aortic valve (severe) and insufficiency (mild), lung infection, and stress ulcer".

After antiplatelet, lipid-lowering, anti-infection, and anti-heart failure treatment, the shortness of breath improved, and he was later transferred to the Magic City Central Hospital.

…

Lu Chen flipped through the patient's cardiac ultrasound report.

"LVEF: 28%; bicuspid aortic valve leaflet thickening, calcification, and limited opening, Vmax=4.24m/s, PG=72mmHg, MG=49mmHg, AVA=0.3cm2."

The normal heart ejection fraction should be above 50%, but this patient only has 28%, and the myocardial contractility is seriously damaged!

"Lu Chen, what do you think?" Dai Wansong looked at Lu Chen.

This surprised the doctors around.

Dean Dai actually asked this young doctor for his opinion?

Everyone looked at Lu Chen and felt unfamiliar.

Where did this student come from?

Lu Chen thought for a while, without too much nonsense, and said directly: "If we perform emergency TAVR surgery tonight, we may be able to save the patient. If we delay it, I don't know what will happen."

The other doctors were a little shocked when they heard this.

This young doctor spoke so decisively? !

The middle-aged doctor who led the rescue looked at the young doctor who had just led the way and asked in a low voice: "Who is this young man?"

The young doctor said slowly: "He was brought out by Dean Dai from the TAVR training class. He should be one of the students in this batch."

A member of the TAVR training class?

The middle-aged doctor frowned, wondering why Dean Dai Wansong brought Lu Chen here.

At this time, Dai Wansong heard Lu Chen's words and nodded slightly: "Yes, just as I thought."

Then, he turned to look at the middle-aged doctor next to him, "Huayuan, you go and communicate with the family about the emergency TAVR surgery. Everyone else come to the office, let's discuss it first."

"Okay." Huayuan nodded, and without hesitation, he went to the CCU doctor-patient communication room as soon as possible.

Other doctors, except for taking care of patients, put down their work and came to the doctor's office.

...

This is the first time Lu Chen has come to the CCU office of the Magic City Central Hospital.

The overall layout of the office is similar to that of the Magic City First Hospital.

Everyone sat down one by one.

Dai Wansong began to speak first.

"The patient suddenly suffered from acute left heart failure and cardiogenic shock. His vital signs are temporarily stable, but they may deteriorate at any time. We are preparing to perform emergency tavr surgery."

"Now we are discussing the risks of surgery and the precautions after surgery."

As soon as he finished speaking, everyone was whispering.

An older doctor stood up and said slowly: "Dean Dai, you are an expert in TAVR. I know you are eager to operate on the patient. But the patient's current condition is very unstable. I'm afraid. I can’t get off the operating table.”

"Then what do you mean, don't do it?" Dai Wansong looked at the old doctor, "Just wait like this? It depends on God's will?"

"This..." the old doctor paused, "the operation is too risky, and to be honest, this operation has just begun in China, and we may not have enough experience."

"Okay, I know what you mean." Dai Wansong stared at the old doctor closely, "Don't worry, you won't be allowed to undergo this operation."

Afterwards, Dai Wansong ignored the old doctor and looked at the other doctors present.

"Does anyone have any other opinions?"

After a while, a young doctor raised his hand.

"Speak directly without raising your hands." Dai Wansong said solemnly.

"Oh." The young doctor stood up quickly, "The cause of the patient's illness should be cardiogenic shock caused by severe aortic valve stenosis. If we don't solve the cause, the patient's vital signs will definitely not be maintained."

"As soon as the vasopressor is withdrawn, the blood pressure will definitely collapse."

"So TAVR surgery must be done! But the risk is extremely high. UU Reading www.uukanshu.net Before the operation, we have to ask the patient's family to sign an informed consent form, or a life and death certificate. Otherwise, the patient cannot move!"

The young doctor talked a lot, and his mouth became dry.

Dai Wansong nodded slightly, "Young people are still motivated!"

However, he immediately frowned, "But what you said, except for the surgery, is all nonsense! What did I just ask? The risks, precautions and postoperative care of the surgery! Everything you said is What nonsense?”

The young doctor looked embarrassed and immediately lowered his head.

At this time, Lu Chen finally spoke.

"Dean Dai, may I say a few words?"

When Dai Wansong heard Lu Chen's words, a smile immediately appeared on his gloomy face, "Well, you tell me."

Everyone's eyelids jumped.

Dean Dai's change of face is really fast! 16377/10369578