1787 Hidden illness
“And you’re wrong.” Zheng Ren replied,”Bradley A. “Gross and the others systematically reviewed and combined the current research papers on vascular interventional therapy for smoke disease and smoke syndrome, and their research was published in neurosurus Rex.”
“He only summed up the cases of 28 patients who received vascular interventional therapy. Among them, 11 of them received end – to – end stent insertion, and 17 received vasculatoplasty. There have only been seven successful surgeries. “
“Twenty – five percent.” Su Yun said.
“First of all, Bradley A. Dr. Gross was biased against interventional surgeries, and this was an undeniable fact. At the end of the article, he said that the results clearly do not support the use of vascular interventional therapy to treat smoke disease and smoke syndrome. They will need to do more research in the future and collect more data to prove this point. “
Su Yun pouted and looked at her phone. The car was already very close.
“I think all research work, as long as it is not objective and fair, the conclusion is questionable.” Zheng Ren said.
“Whatever you say. As for the interventional surgery treatment for smoke disease … I’ll ask San Bo or Temple of Heaven to see if they have developed it before. Let me think, there aren’t many people I know about the neurosurgery department in Huashan. Is there anyone who knows about the neurosurgery department in Huashan?”
As Su Yun nagged, a car drove over with its two flashing lights.
In the car, Su Yun held her phone and contacted some people. Zheng Ren recalled the connection between the Moksha and the coronary artery surgery.
It was self-evident what kind of risks he would face if he were to receive surgery in the emergency department.
However, Zheng Ren was not afraid.
He had to make preparations first, and the rest was to go to the system’s operating room for surgery after seeing the patient to confirm his point of view.
Even though there was still some time left for surgery training, Zheng Ren did not want to’ waste’ it out of habit.
In the past two days, he had already used the surgery training time twice to think about his condition.
The first time was when he ate an animal’s thyroid gland, causing it to be in danger. The other time, it was a complete waste because he had peeled the garlic himself.
‘ I have to blame this on Chang Yue,’ Zheng Ren thought to himself.
Very soon, they arrived at 912. It was not far from here, so they could reach it by running. However, Su Yun called for a taxi out of habit, so it did not matter to her.
Since Zhao Yunlong was at eICU, the two of them headed to eICU without hesitation.
EICU in Room 912 was a U-shaped building, and each patient was isolated. There were small tables set up in the corridor for the medical staff to take a nap when they were tired.
The medical staff had no time to rest in the on-call room. EICU was such a strange existence.
It was almost ten O’ clock at night. The first thing they saw when they entered eICU was the busy work station.
The four in-service training staff on duty, including the one on the night shift last night, were still busy. The in-service training doctor did not look tired at all even after forty hours of non-stop work. He seemed to be in a state of abnormal excitement.
Zheng Ren shook his head. If the emergency department wasn’t welcomed, then intensive care departments like the ICU and eICU would definitely be even more unlikable.
The ICU in Haicheng city’s first People’s Hospital was still fine, as there were fewer critical cases there. On the other hand, 912 eticu was a completely different world. All 40 beds were operating at full capacity.
If there were no living beings like in-service training doctors, the operation of 912 would be on the verge of collapse.
It was not just this side, but also Zheng Ren’s Community Hospital. The nursing force in the community Hospital was still sufficient, but the doctors were basically in – Service training doctors.
Zheng Ren did not have time to think about these things. He quickly followed behind Su Yun and entered a quarantine room.
Zhao Yunlong stood in front of the hospital bed with a very serious expression. He stared at the patient’s electrocardiogram.
“Old Zhao, what’s the situation?” Su Yun asked.
“Post – surgery, rapid ventricular arrhythmia has occurred three times, and electric Tremor removal has been corrected. The situation isn’t optimistic, come and take a look. ” Zhao Yunlong did not turn his head as he spoke in a low, muffled voice.
“Tell me from the beginning.” Zheng Ren said.
Zhao Yunlong turned around and saw Zheng Ren walking in as well. He then turned around.”President Zheng, you’re here too.”
“President Zheng, President Zheng. Call me boss.” As Su Yun spoke, she squatted down to look at the chest vases on both sides.
There was not a lot of blood transfusion, so there should not be any problem with the surgery. It was estimated that the patient’s physical condition caused rapid ventricular arrhythmia after the bypass surgery.
“The patient concealed his illness before the operation.” Zhao Yunlong ignored Su Yun’s nagging. It seemed like he was already used to it. Instead, he directly reported the patient’s condition.
Zheng Ren’s brows furrowed.
Concealed illness? This … Zheng Ren found it interesting.
The so – called hidden illness was when the patient had no symptoms, but by chance, it was discovered that the illness was very serious and must be treated.
In general, the early stages of tumors were considered hidden illnesses. However, this was not accurate. The early stages of the tumor were not serious.
The truly troublesome ones were those who had extremely serious conditions but had no physical reaction. At least, the patient himself did not notice the condition.
This was a rare situation, and he didn’t expect to encounter it today.
The patient’s heart was blocked, and the attack was still hidden … Zheng Ren was 80% sure that the smog in the patient’s brain might be a key factor that caused the patient to not feel any pain in the anterior heart.
Of course, this was just a guess.
“The patient’s chest is stuffy for three months, and if it gets worse, come to our hospital’s respiratory department for treatment three days later. The chest CT scan showed that the aorta was severely calcified and the heart was large, so he was admitted to the cardiology department. The coronary angiography showed that there were three pathological changes. The anterior descending branch was blocked at 90%, the right crown was blocked at 95%, and the Rotary block was at 95%.”
It was a serious coronary heart disease. Zheng Ren could already guess what the patient had gone through.
As expected, Zhao Yunlong confirmed Zheng Ren’s guess.
“During his stay in the cardiology department, the patient’s family refused to receive interventional cardiac surgery. After the angiography, while the family members were still discussing, the illness suddenly acted up, and the cardiac arrest was caused by rapid ventricular arrhythmia. ” “Emergency CPR. Cardiac support,” Zhao Yunlong said.
Zheng Ren’s mind was filled with the emergency resuscitation that the cardiology department and the cardiothoracic Department had performed this afternoon, which caused a hormonal overdose.
He had a cardiac arrest, so he had to perform chest compressions while being sent to the circulatory duct room.
This process might sound simple, but the doctors in the cardiology department probably had not recovered yet.
“During the process of removing the stent, the patient suddenly experienced rapid ventricular arrhythmia twice.” Zhao Yunlong said,”when the balloon is opened, the heart will stop as soon as it’s stimulated. After that, he could only open up his chest in an emergency and undergo coronary artery bypass surgery. “
It was almost the same as what Zheng Ren had thought. That was basically the process.
“After the surgery, the patient’s chest wasn’t drained much, and the cardiac drainage wasn’t much either, but he suffered from rapid ventricular arrhythmia, and he has already been electrocuted three times.” Zhao Yunlong said,”I’m preparing to do an IAB, but the patient’s family has not replied.”
IAB, also known as the IAB slecking technique, was one of the mechanical methods to assist the circulation. Through physical action, it increased the aortic vasculatory pressure, increased the blood supply to the coronary arteries, and improved cardiac function.