Chapter 867 Something Better than Instant Noodles
Cardiology catheterization room.
Lu Chen's operation is still going on.
"Close the cold saline!"
"Try ablation with 15 W, 55℃ first!"
One second later, ventricular tachycardia stopped.
"Gradually titrate the power to 30W and the temperature to 55℃."
Then, Lu Chen's operation lasted for a total of 90s.
During this period, no atrioventricular block or left bundle branch block occurred, and the AH interval and HV interval were normal.
After the discharge was terminated, pacing was performed at the frequency of tachycardia at the target site of successful ablation, and the resulting 12-lead QRS wave pattern was exactly the same as ventricular tachycardia.
And the interval from the stimulation signal to the starting point of the QRS wave is equal to the interval from PP to the starting point of the QRS wave during ventricular tachycardia.
"It's over."
Lu Chen took off his gloves in the astonished look of Xiao Shikang.
He threw all the disposable gloves and hats into the yellow medical waste bin.
"Teacher Xiao, observe for 30 minutes." Lu Chen said slowly to Xiao Shikang.
"Oh." Xiao Shikang was stunned at first, then reacted.
The end of ablation does not mean the end of the operation.
After the operation, it is necessary to observe for 30 minutes, and then after intravenous infusion of isoproterenol, ventricular and atrial S1S1 stimulation is performed to see if ventricular tachycardia can be induced.
Once ventricular tachycardia is induced, it means the failure of the entire ablation operation.
...
Half an hour passed.
The audience in the live broadcast room waited with Xiao Shikang.
When the nurse hung up isoproterenol on the patient, everyone stared at the ECG monitor next to the operation.
On the monitor.
The patient's heart rate suddenly increased!
Isoproterenol is one of the drugs that can increase heart rate clinically.
Its side effect is that it can induce malignant arrhythmias.
The audience in the live broadcast room also felt nervous.
The increase in heart rate is very likely a precursor to malignant arrhythmias.
The patient's heart rate quickly increased from 70 beats/minute to 120 beats/minute within one minute.
The defibrillator and the rescue vehicle were also prepared on the side.
Slowly, as the isoproterenol was pumped, the patient's heart rate gradually slowed down.
And the ventricular tachycardia that always visited this patient before did not happen again this time!
"Okay, the operation is over!"
When Lu Chen finished speaking, everyone in the entire live broadcast room was completely relieved.
Someone accidentally glanced at the number of viewers and was shocked!
The number of viewers has more than doubled compared to the beginning of the operation.
Moreover, more and more viewers began to enter the live broadcast room.
They were all introduced by other doctor friends and wanted to see this exciting operation.
"The operation was successful!"
When Lu Chen said this to the patient on the stage, the corners of the young patient's eyes were a little wet.
For so many years, others could not empathize with the pain of long-term electric shock.
However, he could not remove the ICD.
This is a life-saving thing!
He is still so young, he doesn't want to die just like that.
For this reason, he inquired from many sources and found many connections, and finally got this quota for the Mayo cardiologist to perform the operation.
"Thank you, Professor Lu!"
The patient held Lu Chen's hand and kept saying words of gratitude.
"The operation still needs a period of recovery, pay attention to rest, and don't be tired." Lu Chen reminded him a few times. Although this is a minimally invasive operation, there are also some delayed complications, such as myocardial damage and heart perforation.
"Well, I listen to you." The patient looked at Lu Chen and sighed, "Professor Lu, it would be great if you were in China. We still have many patients here, like me, who suffer a lot of pain every day..."
After saying this, the patient himself also felt that what he said was inappropriate, and hurriedly said: "I'm sorry, Professor Lu, I don't mean anything else, I just think it would be great if China could have such a great doctor like you."
Lu Chen smiled, "There will definitely be, there will be many in the future."
"Really?" The patient also smiled, "Then I look forward to that day."
Just then,
Lu Chen noticed the prompt that popped up on his system panel.
"Congratulations, received a thank you value +5 from Xiao Shikang!"
"Congratulations, received a thank you value from...!"
"Congratulations..."
A series of thank you value prompts surprised Lu Chen.
The number of viewers this time was at least tens of thousands.
Even if each person provided a little thank you value, the thank you value would be considerable!
It won't be long before Lu Chen can redeem the second advanced skill card!
...
The patient was pushed to the CCU observation room.
The operation was officially over.
Lu Chen slowly walked out of the catheter room and took a gulp of mineral water.
The total time of this operation was about two hours.
Standing for a long time made Lu Chen's waist a little sore.
At this time.
Shen Wenguang and Yang Feng walked towards him.
"Director Yang, let me introduce you to this surgeon today. He is one of the best attending physicians in the Department of Cardiology at Mayo."
Before Yang Feng could reply, Lu Chen smiled, shrugged, and said to Shen Wenguang: "Director Shen, I have known Director Yang Feng of the Department of Cardiology at the First Affiliated Hospital of Kyoto University for a long time."
When Lu Chen spoke, there was a faint smile on his face.
But there was a hint of coldness in his words.
"Oh? Really? That's even better." Shen Wenguang smiled, "I hope we can communicate and cooperate in many fields of cardiology in the future."
Yang Feng looked at Lu Chen without a smile on his face, but when he turned to look at Shen Wenguang, he also showed a smile, "Okay, I will have a good communication with Dr. Lu in the future."
Lu Chen smiled and didn't pay much attention to Yang Feng's words.
Some things, once missed, may be irreversible.
Lu Chen didn't want to say anything more to these leaders, so he said: "Director Shen, I have another surgery next, so I'll prepare for it first."
"Okay, go ahead." Shen Wenguang nodded and patted Lu Chen on the shoulder, "Don't run away tonight, come and have dinner with me."
"Yeah." Lu Chen nodded slightly. He really had no reason not to participate in the group dinner.
…
Second electrophysiology surgery.
Xiao Shikang is the chief surgeon and Lu Chen is the assistant.
The difficulty of this surgery is one level less difficult than the previous ones. It is just a leadless pacemaker implantation.
Lu Chen had performed this type of surgery five years ago.
For him now, it is not difficult at all.
Under the guidance of Lu Chen, Xiao Shikang began the operation.
Once he encounters a more difficult place, Lu Chen will take the initiative to help. More often, Xiao Shikang completes the operation independently.
Because this live broadcast of the surgery is also an opportunity for Chinese doctors to showcase themselves.
It would be better for Lu Chen not to overshadow the others.
…
After an hour of operation, the operation was completed smoothly.
Lu Chen was the assistant during this surgery, and he didn't receive much gratitude.
But today’s harvest is enough.
night.
Lu Chen was dragged by kebed to the hotel where they had a group dinner. UU Reading www.uukanshu.net
The hospital leaders of Huaxia Hospital and Shen Wenguang sat at the same table.
The other doctors sat freely.
Kebed pulled Lu Chen's sleeve, "Hey, Lu, you forgot your promise to me!"
Lu Chen was about to take a bite of steamed pork with rice noodles. He was startled and looked back at kebed, "What promise?"
"Take me to eat something better than instant noodles." Kebed blinked and looked at Lu Chen expectantly.
Lu Chen was startled. He had really forgotten about this, so he smiled and said, "Okay, I'll take you for a midnight snack tonight."
"What to eat?" Kebed asked confused.
"Lu skewers..."
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