Chapter 417: Accidents During the Surgery

Remember [new] in one second! This type of patient is definitely at risk of potential doctor-patient conflict.

Then, Lu Chen couldn't let go of every doubt easily.

Because once something goes wrong, there will be endless troubles.

Even though the middle-aged man appears to be respectful on the surface, no one knows what he is doing behind the scenes.

"Junior sister, our clinical thinking must not be interfered by the outside world." Lu Chen said to Yao Jie who was standing aside, "Especially for someone who is told to have surgery right away, we need to check it carefully."

"Yes, I understand." Yao Jie nodded. She wrote down everything Lu Chen said to her today, word for word.

In the doctor's office.

Wu Lang's expression was a little ugly.

After all, Lu Chen was in the same year as him, and compared with his peers, he was defeated miserably after the first round.

In fact, he also agreed with what Lu Chen said in his heart.

But at that time, he was influenced by the patient and his family members, and he already acquiesced in having surgery, and did not read the patient's checklist carefully.

In retrospect, at least in cardiology, if the heart rate slows down, that's definitely a sign of a complete thyroid function test.

…

Lu Chen stayed in the third cardiac area for a while, and then went to see the patient in the fifth cardiac area who was undergoing atrial fibrillation ablation surgery.

There is nothing special about this second patient.

Lu Chen simply said, "The recurrence rate may be relatively high." This is a topic that all ablation surgeries cannot avoid.

During surgery, you may try to ablate the origin of the arrhythmia, but it is impossible to do it 100%!

Patients who already have these underlying arrhythmia abnormalities may relapse in the future.

After seeing the two surgical patients, Lu Chen returned to the cath lab.

At this time, Fang Ruzhang just walked out of the coronary interventional catheterization laboratory.

"Brother Fang, there is a patient in your group who needs a pacemaker..." Lu Chen immediately briefly described the patient's condition, "I see there is no thyroid function in the blood test, it's best to check it."

Hearing this, Fang Ruzhang was shocked and said: "This patient's family is an acquaintance of one of my classmates. Before I could see the patient, I mentioned that he might need surgery. I really didn't expect that the patient's thyroid function was not even checked in the hospital below. ah?"

"I didn't check." Lu Chen shook his head.

The level of diagnosis and treatment in primary hospitals is really uneven.

For patients with a slow heart rate like this, their thyroid function must be checked.

"Oh, thank you so much." Fang Ruzhang smiled helplessly, "I will go to the ward later and explain to these students. If we do the surgery without checking the thyroid function, something big will happen!"

Regardless of whether the patient has problems with thyroid function or not, this is a violation of medical principles.

Once something goes wrong while a patient is hospitalized, the hospital cannot escape the blame.

…

Lu Chen spent the whole morning in the cath lab.

Without surgery, he followed Xiao Shikang's footsteps.

Xiao Shikang is a senior deputy chief physician. He is first-class in both basic knowledge and interventional techniques.

During this period, there was an episode.

The patient whose coronary artery intervention was performed by Director Wan Jingshui himself had swollen hands after the operation!

Although this is a common complication of coronary intervention, it also makes Wan Jingshui look a little unhappy.

I finally had an interventional surgery, but something went wrong.

Fortunately, the stent surgery went relatively smoothly, and the patient didn't say much.

the next day.

At ten o'clock in the morning, Lu Chen saw Fang Ruzhang running to the cath lab out of breath.

"Brother Fang, what's wrong with you?" Lu Chen asked doubtfully. Even if there was an emergency coronary intervention, Fang Ruzhang might not be able to do it yet.

"I came down here to tell you..." Fang Ruzhang paused, "The thyroid function results of the patient with bradycardia you saw yesterday came out!"

Lu Chen was slightly startled. Brother Fang was serious. Halfway through his words, he could only ask: "Is there a problem with your thyroid function?"

"You were right, hypothyroidism!" Fang Ruzhang grinned, and then shook his head helplessly, "Fortunately, it was found out. If a permanent pacemaker was installed in such a muddle, it would most likely be a medical dispute."

The heart rate slows down due to hypothyroidism. As long as the hypothyroidism is cured, the heart rate will become faster. There is no need to install a pacemaker.

"Just check it out." Lu Chen said.

"Yes, his family members are very happy. The problem can be solved without surgery." Fang Ruzhang said with a smile, "He also said that he would come down and give you a banner."

"I don't want his banner, just cure the disease." Lu Chen shook his head slightly.

This kind of patient is two-faced. Lu Chen clearly remembers his previous attitude towards Yao Jie, but he cannot have anything to do with the families of these patients.

Fang Ruzhang said: "The next step is the endocrinology department."

…

This patient is a very lucky case.

The cause of the bradycardia was found in time, and the installation of a pacemaker was finally avoided.

Yao Jie also sent Lu Chen a WeChat message, naturally praising him.

After such an incident, Lu Chen's reputation in the third district was not small.

Especially in Wu Lang's mind, he seemed to have misjudged Lu Chen as being on the same level as Fang Ruzhang.

You know, Fang Ruzhang is about to be promoted to deputy chief physician!

Wu Lang has no thoughts about Yao Jie now.

Afternoon, two o'clock.

Lu Chen had his first surgery in the catheterization room, atrial fibrillation radiofrequency ablation.

This is also a relatively common surgery in ablation surgery.

Lu Chen followed Xiao Shikang into the electrophysiology catheterization room.

This time was not an assessment, but a real clinical treatment.

First, Lu Chen told the patient about the risks of the surgery again. (The consent form was signed before the operation, and the patient communicated again before the operation.)

After the patient expressed his understanding, Lu Chen began routine disinfection, draping, anesthesia and puncture.

The operation went smoothly.

Xiao Shikang watched from the side and nodded slightly.

In fact, with Lu Chen's current interventional technology, he can perform the operation independently.

However, Xiao Shikang suddenly found that Lu Chen's movements had stopped.

When the guidewire was about to enter the blood vessel, Lu Chen stopped moving!

"Why don't you continue?" Xiao Shikang asked in confusion.

At this time, Lu Chen stared at the screen in front of him, his eyes full of confusion and puzzlement.

The screen showed the position where the guidewire entered the blood vessel.

"Teacher Xiao, look at the image in the upper right corner!" Lu Chen whispered to Xiao Shikang.

Xiao Shikang looked at the place where Lu Chen pointed in confusion, looked at it for two seconds, and then his face changed.

In the image, there is a layer of black area around the heart.

"Is this pericardial effusion?!" Xiao Shikang frowned.

The amount is not much, but it is real!

A normal person would never have so much pericardial effusion.

Lu Chen's heart sank to the bottom of the valley. The complications of electrophysiological interventional surgery happened to be pericardial effusion.

Could it be that the guidewire he used during the operation pierced the heart?