Chapter 502: The Ceiling of Jinghua 2 Hospital

Remember [New] in one second!     Back to the doctor's office.

Before Lu Chen could sit down, Senior Sister Sun Guoguo suddenly came in.

"Senior Sister, why are you here?" Lu Chen stood up immediately.

Sun Guoguo said in a deep voice: "A heavyweight patient will come later. Director Cao, Director Cheng, and even the dean will come."

Lu Chen was stunned. What level of patient is this?

He actually asked the leaders of the hospital to come.

"I heard that it is a leader from the department. I don't know the details." Sun Guoguo said, "I only know that he may need emergency coronary angiography."

In the hospital's regular system, there is such a rule.

Surgeries involving important foreign guests or important leaders, regardless of the size of the operation, are all major operations!

"Is the patient's condition serious?" Lu Chen asked.

Sun Guoguo nodded slightly, "Anyway, it is not light. He has a history of coronary heart disease in the past, and this time he has chest pain again."

Hearing that the provincial department leaders are coming to the hospital, everyone is nervous.

...

Lu Chen writes medical records and sees patients as usual.

Less than ten minutes later.

The door of the CCU was opened again.

Lu Chen saw a group of people gathered around a bed and entered the CCU ward.

The doctors and nurses of the CCU had already prepared.

Graduate students and trainees could not help at all.

Lu Chen could not even squeeze in, and could not even see the front of the patient.

The bed stayed at the door of the CCU for a few minutes, and was quickly pushed to the catheter room next door.

It was really a hurry to come and go!

…

Liu Han glanced at the place where the bed left.

"Junior brother, who do you think this big shot is?"

"Who knows..." Lu Chen smiled, "No matter how big he is, it has nothing to do with us."

"That's right." Liu Han curled his lips, "But this kind of hospital leader is really active. As soon as there is a slight movement, they all rush over. I just heard that Director Cao is going to perform the operation himself."

Cao Zhiying, as the director of the Department of Cardiology of Jinghua Second Hospital, under his leadership, the Department of Cardiology of Jinghua Second Hospital has developed rapidly and has become one of the top ten cardiology specialists in the country.

However, due to factors such as the regional environment, the development of Jinghua Second Hospital has reached a bottleneck.

Cao Zhiying also moved from the academic field to the official career field early.

Nowadays, Cao Zhiying is rarely seen in Jinghua Second Hospital.

All his energy is now running for the election of academicians.

"I remember Director Cao, it seems that he hasn't touched the operation for many years." Lu Chen asked in confusion.

"Yes!" Liu Han nodded, "Now most of the operations are done by Teacher Ren Feng, and Director Cao is at most guiding on the side, and rarely does it himself."

However, this time, in order to show his respect for the leader, Cao Zhiying had to do it himself!

...

Jinghua Second Hospital, Cardiology Department Catheterization Room.

Cao Zhiying has put on all the surgical gowns and lead gowns, and Ren Feng is an assistant on the side.

As a leader of the young generation of cardiology in Jinghua Second Hospital, Ren Feng's interventional surgery ability is almost unmatched within the scope of the Second Hospital.

"Director, I will finish the puncture first, and then you will go up?" Ren Feng said.

"No, I'll start from the beginning." Cao Zhiying shook her head slightly, "Give me the puncture needle."

"This... okay." Ren Feng had no choice but to hand the puncture needle to Cao Zhiying.

He was a little nervous. In his memory, Director Cao Zhiying had not done it himself for a long time.

"Hey, maybe I'm too worried. Director Cao's interventional ability is beyond words!" Ren Feng thought.

He can be regarded as Cao Zhiying's apprentice.

The former Jinghua Second Hospital was developed under the interventional surgery of Director Cao Zhiying.

Cao Zhiying washed his hands, put on surgical gloves, and the operation officially began!

Disinfection, anesthesia, puncture, the whole process, Cao Zhiying still did it in one go, and there was no sign of unfamiliarity.

He really deserves to be an interventional expert of the older generation. The whole operation process was extremely stable, so that Ren Feng on the side could not find any problems.

"I will start the operation inside the catheter." Cao Zhiying said in a deep voice.

Ren Feng nodded and began to help Cao Zhiying prepare the catheter and guidewire.

The guidewire passed through the lesion smoothly.

However, after seeing the coronary angiography, the medical staff of the entire treatment team frowned.

Encountered a difficult situation!

The angiography results showed that the patient's right coronary artery was completely occluded with severe calcification, the left main trunk was 50% stenotic with severe calcification, the root of the anterior descending branch was 90% stenotic with severe calcification, and the root of the circumflex branch was 95% stenotic with severe calcification.

The patient's coronary artery was severely blocked, and the entire heart was insufficient or interrupted in blood supply to a large area.

Whether it is a completely occluded lesion, a left main trunk bifurcation lesion or a severely calcified lesion, any one of them alone is a difficult and risky operation!

"ECMO preparation!"

"Please consult the anesthesia department urgently and be ready to switch to general anesthesia at any time!"

At the scene, only Cao Zhiying was calm and composed, and he issued various medical orders in an unstable manner.

This kind of high-risk patient may suffer from cardiogenic shock at any time. It is not enough to just IABP, and ECMO must be used!

"Received!" Ren Feng immediately conveyed Cao Zhiying's medical order to the outside of the catheter room.

Afterwards, Cheng Guowen, who had been waiting outside, began to arrange these things.

"Director, what should we do?" Ren Feng returned to Cao Zhiying's side.

"We can only wait until general anesthesia to start ECMO." Cao Zhiying said, "The patient's current condition is impossible to last until all the operations are completed."

Ordinary coronary angiography may only take about half an hour, but this kind of difficult operation is different.

The patient's heart function is not very good, and lying flat for a long time is more likely to induce heart failure.

...

CCU ward.

Lu Chen was a little surprised when he saw the doctors coming in and out.

Doctors from the anesthesia department and the ultrasound department came, and even the IABP and ECMO machines were moved to the catheter room.

"It seems that this is a major operation!" Liu Han exclaimed.

Lu Chen was also a little itchy in his heart. If he could participate in this level of operation, he would definitely gain a lot of experience!

However, he is only a graduate student now, and he is not even qualified to visit!

...

CCU catheter room.

After the anesthesiologist arrived, he quickly gave the patient general anesthesia.

Ren Feng directly put the ECMO machine on the patient.

This time the ECMO machine debugging was very smooth.

"Continue the operation!" At Cao Zhiying's command, Ren Feng quickly cooperated and began to treat the vascular lesions of the coronary arteries.

Time passed by minute by minute.

Cao Zhiying's spirit was highly concentrated. In such a difficult operation, there was no room for slackness.

"Director, the patient's heart rate is slow. I think it should be a third-degree atrioventricular block!"

Cao Zhiying frowned, "This is not easy to deal with. A pacemaker may be needed. Go and call Director Cheng in."

"Okay."

...

Cao Zhiying, Cheng Guowen and Ren Feng, this is already the top interventional team in the heart of Jinghua Second Hospital.

"Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen on the side.

"The pacemaker must be placed, but now it depends on what type." Cheng Guowen said seriously.

"Tell me more about it."

Cheng Guowen continued: "The patient's left and right ventricular contraction is not synchronized, which also aggravates heart failure. Drugs alone can no longer solve the problem. It must be combined with anti-heart failure pacemakers for surgical treatment."

The implantation of anti-heart failure pacemakers is different from ordinary pacemakers. In addition to implanting the wires into the right atrium and right ventricle, there is also a wire that needs to be connected to the left ventricle.

Cheng Guowen looked back at Cao Zhiying and said slowly: "The patient is old. If the blood vessels are alienated during the operation, the consequences will be unimaginable."

In the catheter room, the atmosphere was quiet for a moment.

For a long while. UＵReading www.uukaｎshu.net

Cao Zhiying then slowly said: "Old Cheng, how sure are you?"

Cheng Guowen's face was solemn, and he shook his head slightly: "I haven't treated patients of this age, and this technology is still a new technology in our province."

Cao Zhiying heard this, and his brows deepened, "Do we have to give up the implantation of the pacemaker for the time being?"

If the patient's heart rate and heart failure problems are not solved this time, even if the coronary intervention surgery is done beautifully, it will be useless!

At this moment, Cheng Guowen suddenly said: "Director Cao, although I am not proficient, there should be someone in our hospital who can do it."

Cao Zhiying was stunned, "Who?"

He was surprised and happy.

However, Cheng Guowen's electrophysiological technology is already the ceiling of Jinghua Second Hospital, and he has never heard of anyone surpassing him!

Cheng Guowen raised his head, his eyes flickered, and his voice was low, saying that name.

"Lu Chen!"