Chapter 632 Where Is Director Zhang?

The patient's surgery was scheduled for next week.

Because amiodarone was used for cardioversion, the drug's effect was long-lasting and effective. In order to avoid the inability to induce supraventricular tachycardia during the operation, the surgery was scheduled for next week to metabolize amiodarone out of the body as much as possible.

After this patient, Yu Bin's attitude towards Lu Chen was very different.

It turned out that Lu Chen was not only good at publishing papers, but also very proficient in various clinical skills.

Judging from Lu Chen's ECG interpretation skills and his ability to communicate with patients, he is not a rookie!

On the contrary, Yu Bin could vaguely feel that Lu Chen's clinical thinking had even surpassed him by a large margin.

The feeling when facing Lu Chen was like asking him to face Director Zhang Shuqing.

This feeling was strongest when Yu Bin made rounds every morning.

"Lu Chen, can you help me see a patient?"

"It's the patient with chest pain. He took coronary heart disease medicine and still felt pain!"

"Yes, it's bed 28!"

Lu Chen was like an omnipotent and answerable senior doctor.

"Okay, I'll go check on bed 28 later."

Then the other people in the second area of ​​cardiology will see a strange scene.

Lu Chen takes Yu Bin and other students to make rounds together.

This combination is quite strange!

In theory, Yu Bin has been independently managing beds in clinical practice for many years.

Lu Chen has just graduated and has never managed beds independently.

Why do the two people's roles seem to be reversed!

"I don't think this old lady's chest pain is caused by coronary heart disease." Lu Chen finished examining the patient in bed 28.

"It's not chest pain?" Yu Xin frowned, "But the coronary artery CT was done, and the blood vessels are narrowed."

"Coronary heart disease is definitely there." Lu Chen said, "But her chest pain is not necessarily caused by coronary heart disease or angina pectoris."

Lu Chen opened the patient's chest CT image.

"Take a look at this picture first."

"This... I've seen it." Yu Bin whispered.

"Take a closer look."

"Oh." Yu Bin nodded slightly, trying to find a different place.

But he looked through the patient's chest CT scan three or four times and found nothing abnormal.

"Are you sure there is nothing abnormal?" Lu Chen asked again.

"Really... really nothing..." Yu Bin had already retreated at this time.

Lu Chen smiled and put the patient's CT image results back in front of Yu Bin.

"Brother, look at this part of the patient..."

Lu Chen pointed to a part in the CT scan.

"Is this... the spine?" Yu Bin was stunned.

He is a cardiologist, why would he go to see the spine when he has nothing to do?

Suddenly, when he looked at the CT scan image magnified by Lu Chen again, he was stunned.

"Is the spine deformed?" Yu Bin asked in surprise.

"Yes!" Lu Chen smiled, "The patient is an elderly woman with osteoporosis, and it is easy to fracture or spinal deformity."

This kind of mild spinal deformity cannot be seen on the surface and is easily overlooked by everyone.

Even the patient himself is not aware of it. They may think it is heart pain or stomach pain.

Yu Bin really didn't think of this.

"Spinal deformity can also cause chest pain?" Yu Bin asked in confusion.

"That's for sure!" Lu Chen nodded, "I have managed several patients, all of whom were caused by spinal deformity..."

Yu Bin's expression moved, and he immediately prescribed the corresponding treatment drugs to the patient.

...

There are quite a few similar patients.

Yu Bin slowly discovered that many difficult or undiagnosed medical records were magically solved once they came to Lu Chen's hands!

This made everyone in the second area of ​​cardiology realize Lu Chen's clinical strength.

Such a new doctoral student completely attracted everyone's attention.

"Lu Chen, when is the surgery?"

"If nothing goes wrong, it should be tomorrow." Lu Chen said.

The surgery they were talking about was the supraventricular tachycardia that was misdiagnosed as ventricular tachycardia before.

"Okay, I'll go with you as an assistant then." Yu Bin said with a smile, "Is it okay?"

"Of course, as long as my senior brother has time to go to the catheter room, it's okay!" Lu Chen did not refuse.

These electrophysiological surgeries are still relatively elementary, and there is not much technical content in them.

"Well, Lu Chen, thank you!"

The next day.

After Lu Chen finished his rounds in the morning and finished his work, he pushed the patient downstairs.

The patient's quality of life in the past week has been better than in the past three or four years!

No more panic symptoms!

"Doctor Lu, do I have to have surgery?"

At this point, the patient began to waver again.

"Yes!"

Lu Chen knew what the patient was thinking and said immediately.

"Well, then okay." The patient could only accept it silently.

...

Catheterization room.

The patient's husband was waiting outside, and Lu Chen pushed the patient into it.

Not long after, Yu Bin also came down.

He had changed into surgical clothes and seemed ready to go on stage as an assistant.

"Lu Chen, where is Director Zhang?"

Yu Bin asked curiously.

The operation is about to start, why is there no surgeon?

"What is Teacher Zhang doing here?" Lu Chen asked puzzledly.

This kind of ablation surgery is the most basic procedure. Director Zhang doesn't need to come, right?

"Director Zhang is not coming? Is he busy?" Yu Bin was shocked, "Then, who will do the surgery?"

He looked around to see if there were any teachers from other groups to help with the surgery.

However, he did not see any surgeons from other groups.

"I will do it!" Lu Chen smiled slightly.

"What? What did you say?"

Yu Bin was stunned.

"You, aren't you an assistant?"

"Who said I'm an assistant?" Lu Chen shrugged, "I'm the surgeon!"

Yu Bin swallowed his saliva, "Lu Chen, this joke is not funny, this is not practice!"

Lu Chen did not explain much and went straight into the catheter room.

"Ah, you..."

Yu Bin stared blankly at Lu Chen walking into the catheter room, his mind still in a mess.

He was originally going to be an assistant, but now...

Yu Bin stayed outside the catheter room, watching every step of Lu Chen's operation in shock!

...

The patient went up to the operating table with mixed emotions of expectation and fear.

Due to the shadow caused by cardioversion, the patient instinctively shouted "Don't shock me" when Lu Chen put in the electrode catheter.

However, after Lu Chen's explanation, the patient calmed down.

The subsequent operation went very smoothly.

Electrophysiological examination showed that the atrioventricular node had a dual pathway, and it was very easy to induce a typical slow-fast atrioventricular node reentrant tachycardia.

When Lu Chen stimulated the atrium quickly, the atrioventricular 1:1 conduction and the QRS wave widened (differential conduction), and the widened morphology was consistent with the clinical tachycardia.

It can be inferred that the patient's wide QRS tachycardia should be atrioventricular node reentrant tachycardia combined with differential conduction.

The subsequent ablation process was very simple.

After the improvement of the atrioventricular node slow pathway, tachycardia would no longer be induced.

The whole process lasted 40 minutes.

After 4 years, the patient can be said to have cleared the fog and the willows are bright.

.