I Can See Health

As the chief resident of the cardiology department, Lu Chen is also responsible for all emergency consultation and rescue work in the cardiology department.

Therefore, although he knew that the island nation's medical team came to communicate, he did not go to join in the fun.

However, the island nation's medical team did not bother him.

The emergency consultation in the emergency department came to him again!

No. 1 hospital in Shanghai, CCU lounge.

At this time, Lu Chen was sleeping.

The rapid ringing of his cell phone alarm woke him up directly.

"Mr. Lu, emergency consultation in the emergency department!"

Wu Si now stopped calling the hospital chief's dedicated phone number and directly called Lu Chen's personal phone number.

"Okay, I'll be there soon!"

Lu Chen held his mobile phone in one hand and was busy putting on his white coat.

When he opened the door, there was a burst of noise coming from outside the cath lab. He didn't pay much attention to it and walked quickly towards the emergency department.

…

In about five minutes, Lu Chen arrived at the emergency department.

On the hospital bed, an old man who was sweating profusely and breathing rapidly was sitting on the hospital bed.

The head of the bed was shaken to a right angle of 90 degrees to the ground.

Wu Si, the attending physician in the emergency department. Nurses are being organized to rescue the patient.

Seeing Lu Chen arrive, he felt a little more at ease.

"Mr. Lu, this should be a patient with acute heart failure."

Lu Chen nodded, without any ink marks, picked up the stethoscope and began to conduct a simple physical examination on the patient.

Wu Si began to introduce Lu Chen's condition to the side.

More than a month ago, the patient developed dyspnea without obvious triggers, accompanied by chest tightness and shortness of breath, which worsened when lying down and was relieved after sitting up. The patient went to a local hospital and the symptoms improved after diuresis and improved circulation.

One day ago, the above symptoms worsened and she coughed up pink frothy sputum, so she went to the local hospital again.

Diagnosed as "heart failure", nitroglycerin and sodium nitroprusside were given, but the effect was not good. Later, 7 vials of "recombinant human brain natriuretic peptide for injection" were pumped in for 5 days, but the patient's condition still showed no significant improvement.

An hour ago, the patient was transferred to the emergency department of Modu No. 1 Hospital for continued treatment.

"Currently, heart failure is certain!" Lu Chen agreed with Wu Si's diagnosis.

After physical examination, the patient was sitting upright and breathing, with moist rales in the lungs and edema in both lower limbs, which were obviously symptoms of acute heart failure.

And his health value is 47 (---), he is in critical condition, and the risk of sudden death is extremely high!

"Use furosemide first," Lu Chen said. "After stabilizing the patient's vital signs a little, transfer to the CCU."

"Okay." Wu Si nodded, and at this time, he took out another case.

It seems that it should be the patient's case information at the local hospital.

"Mr. Lu, look at this. The patient had a cardiac ultrasound at the local hospital, which showed severe aortic valve stenosis - mild regurgitation!"

Lu Chen raised his brows slightly and immediately took the report in his hand.

Judging from this cardiac ultrasound report, the patient's condition can be completely determined.

Chronic heart failure caused by heart valve disease and acute attack!

Moreover, patients with severe aortic stenosis are absolute candidates for TAVR surgery!

After browsing for a while, Lu Chen asked Wu Si to bring over the emergency ultrasound machine just to be on the safe side.

He needs to review the patient's heart ultrasound.

Ultrasound is something related to the operator's technique.

Small differences in techniques are likely to cause huge errors!

…

Wu Si quickly asked the nurse to bring the ultrasound machine.

After Lu Chen performed a cardiac ultrasound examination on the patient, he was diagnosed with "severe aortic stenosis" again.

Moreover, he also measured the patient’s cardiac ejection fraction, which was only 38%!

Other data showed severe calcification of the aorta.

Aortic valve: vmax: 3.5m/s, pgmean: 26mmhg, valve orifice area: 0.6cm2.

The left atrium and left ventricle were enlarged, and the ascending aorta was widened. The basal segment of the ventricular septum is thickened and the ventricular wall pulses are diffusely weakened.

"What's the result?" Wu Si asked curiously from the side.

Cardiac ultrasound, unlike abdominal ultrasound, is difficult to understand if the anatomy is unclear.

"The local hospital did a very accurate job." Lu Chen said in a deep voice, "There is indeed severe aortic stenosis. It is best to perform emergency TAVR surgery immediately!"

Wu Si had no doubts about Lu Chen, "Should I communicate with the patient's family?"

Lu Chen nodded, "If the family agrees to the surgery, send it to the CCU immediately. I will help contact the surgeon."

"Okay!" Wu Si heard this and quickly called the patient's family aside and started talking about the emergency surgery.

Lu Chen, on the other hand, stayed in the emergency room and continued to watch the patient's condition changes.

…

Five minutes later, Wu Si’s communication ended.

"The patient's family agreed!" Wu Si walked into the emergency room, holding a hospitalization certificate in his hand, "Mr. Lu, are you going to the CCU now?"

In fact, he almost guessed the result. The patient's family went to multiple hospitals and sent the patient to the No. 1 Hospital in Shanghai. They would definitely not give up easily.

"Wait a minute, I'll call the CCU first." Lu Chen said.

He needs to ask the CCU doctor to prepare, and also confirms that there is a free operating room for the CCU catheter.

The call was connected immediately.

"Are you having trouble in your heart? I'm Lu Chen."

"Mr. Lu, what's wrong?" The person who answered the phone was CCU doctor Zhang Lulu.

Lu Chen heard it immediately and said quickly: "Sister Lulu, there is a patient with severe aortic stenosis in the emergency department. He has an acute heart failure and may need emergency TAVR surgery. I heard that the medical exchange group from the island country came to catheterize Room, where can we perform surgery now?”

"There is a free operating room now, and emergency surgery can be performed!" Zhang Lulu said immediately, "But Professor Zhang Shuqing and Professor Zhu Qingshan are both on the stage. If you want to perform emergency TAVR surgery, there may not be anyone."

Lu Chen frowned slightly, "Is there no one there?"

Currently, there are many people in the No. 1 Hospital in Shanghai who can perform TAVR surgery, but the only two doctors who can actually perform the surgery and undertake this kind of emergency surgery are Zhang Shuqing and Zhu Qingshan!

Lu Chen hesitated for a moment and said slowly: "How about I do it?"

Zhang Lulu was slightly startled, UU reading www.uukanshu.net She knew that Lu Chen could independently lead the TAVR surgery, and had done a lot.

"But you are the chief resident now..." Zhang Lulu whispered.

"Sister Lulu, I am a cardiologist first, and then the general resident." Lu Chen said, "The patient needs emergency surgery, so I am definitely responsible. As for the work of the general resident, Sister Lulu, are you busy now?"

Zhang Lulu smiled helplessly, "You're actually here to take advantage of my sister! I happen to not be on duty today, so I can help you with the work of the hospital manager for a while."

Seeing Zhang Lulu say this, Lu Chen showed a hint of joy on his face.

"That's great! Thank you, Sister Lulu! I'll have the emergency department bring the patient to the CCU right away."

After hanging up the phone, Lu Chen immediately told Wu Si to pack his things and prepare to transfer the patient to the CCU ward.

Lu Chen, on the other hand, took one step ahead and returned to the CCU ward to start preoperative preparations. ​16377/10459484