Chapter 152

Chapter 152 cardiac surgery

"Heart rate 34, the patient begins to coma, intravenous push 10 mg morphine, ready to drip nitroglycerin, and then prepare 4 atropine!"

Chen Qun, Qi Hong and other "transferred students" never dreamed that on the first day when they worked as temporary internship assistants and onlookers for Mr. Yang Xiaoquan, they met a case of heart patient rescue.

With the calm voice of Gu Ning, academician Yang's favorite student, all kinds of alarms on the monitor gradually return to normal with the instant injection of drugs.

Mr. Yang looked at the young people of Qi Hong, who were huddled behind the two rows of people. He saw that they were not the same as the other guipeisheng and the refresher doctors. They were afraid that they would not hear his diagnosis. They crowded around him, almost like the eight King Kong, and surrounded him in a tight circle. Heart more and more to a few young people look up a point, gently sigh.

"The students in our school know the rules!"

As for a little doctor surnamed Chen, he is not a student of our university at all and has long been out of his consideration. Anyway, Huang Haitao's old style is full of prickly guys. Many of them are polished by other professors. He never lacks talents. He doesn't compete with other 30-40-year-old doctors for positions. That's his pride.

As for those who come to other places for further study, as long as they have a certain skill, they can recruit doctoral students at random. It's just a matter of a word from their group professors and national project doctoral tutors.

The old man glanced at the crowd slowly, then asked softly, "who can tell me what is the situation of the patient now? Give me a minute to look at the EMR you have, and then answer the questions. "

It was just a question of giving away points. Qi Hong's eyes flashed and did not answer. On the contrary, a group of training doctors in front of him answered the correct answer at almost the same time.

"Myocardial infarction!"

"Severe bradycardia!"

……

A series of answers rang out in the corridor, because there were a lot of students led by academician Yang. They had to wait outside the ward and didn't go in to increase the congestion. Only Mr. Yang and his two disciples stood in front of the ward for teaching consultation.

Qi Hong couldn't help but turn a white eye again, and glared at the big iron army behind him, "I don't want to add the most critical answer."

Tiejun immediately blurted out, "his pacemaker is broken."

Yang Koizumi took a look at the young man who was more than half of his height. He had a feeling of tears when he saw the fellow townsman. It was fluent Mandarin in the north. Most of the young people came from their hometown. Nodded slowly, raised his hand and said, "who, tell me, what are we going to do next?"

Who gave a natural answer, "fix the pacemaker!"

As soon as he finished, he was knocked heavily by a medical record folder, and a clear voice rang out in the back, "more stupid than a pig! Shame

When Yang Xiaoquan saw that it was Miss Qi, a smile appeared at the corner of her mouth. He knew that this problem was not difficult for her. He intended to make the gloomy learning team a little angry. In front of these young deputy chief doctors, they all followed the book and tried not to make mistakes, but they forgot the essence of saving people and curing diseases.

"Well, what do you think you should do? A new pacemaker? "

Old academician Yang looked at the girl with a smile in his eyes.

The female Xueba has long been blind to the molestation of these elderly people, and said lightly, "we should dredge the patient's coronary artery, and it is better to do a three vessel coronary artery bypass surgery which is the best for the elderly."

Iron see Qihong will grab the limelight in the past, where will give up the opportunity to fight with the beloved girl, quickly staring at the electronic screen, say opposition.

"Quantitative markers of rise and fall are too high, I..."

Before he finished, he put out another hand and pressed down his tablet. He stared at him with a pair of clear eyes and told him to shut up.

The Iron Army sees that Chen Qun is the one who keeps him from going on. Although he is a little vigilant, he knows that the most powerful competitor has almost no interest in a flower of the five person group. Moreover, it is said that he has already had a girlfriend, and he is not even a rival in love. Of course, he won't be punished. He certainly won't let himself lose face. As soon as my eyes turned, I stopped talking.

"Look at the B-ultrasound screen in front of you. What do you see?"

Yang Xiaoquan once again issued a loud inquiry, not to continue to pay attention to those who are the five new comers. As soon as an expert opens his mouth, he will know if he has one.In a word or two, academician Yang, who has a good eye, commented that Huang Shiren's theoretical level is no worse than those of the chief doctors who are studying for advanced studies, or even higher than one or several. Since there is no need to continue to study, we should continue to study and teach those normal students.

Without waiting for others to answer, Mr. Yang said the answer first.

"The ventricular part of the patient can hardly pump blood, and there are two records of myocardial infarction. The patient is at the end of heart failure. In other words, it is almost impossible for the patient's heart to be repaired. What should we do next? "

"The patient is 77 years old. As an elderly patient, heart transplantation is almost impossible. There is nothing we can do! Only conservative treatment can relieve his pain in the following days. "

A capable man in his thirties answered this question with great experience, which made Yang Xiaoquan's brow wrinkle. To be honest, since reading yesterday's bold and unconstrained medical cases, academician Yang's ambition, which had been buried in his heart for a long time, has been burning up again. Some bold ideas of his youth have been revived in his mind.

He doesn't look down on these old-fashioned training doctors at all. He can make sure that the vast majority of training doctors pay high training fees. The purpose is to work hard and learn heart surgery well when they are young. No matter they go back to grab the position of the chief director of the hospital, or they are job hoppers, they can sell for a better price.

A group of quack doctors and mediocre people, Yang Xiaoquan heard this answer, more and more despised.

"We can take cardiac resynchronization therapy, so that the healthy parts of both ventricles can operate synchronously and normally. We can take biventricular pacemakers to make him feel better in the remaining months."

The capable man gave the best plan that most doctors could adopt, but Yang Xiaoquan didn't mean to blame too much, because this is the best medical method that ordinary doctors can do, and it can't be miscalculated.

"We should also immediately open the jugular vein of the patient to protect the temporary pacemaker, so that the patient can survive, instead of discussing the medical plan too much. Once the effect of atropine is over, the patient's heart rate will drop again. Chen Qun, you and Zhou Lin go to the catheter room and prepare the biventricular pacemaker as soon as possible. "

Qi Hong's clear and beautiful voice came again. It was a calm and non catchy arrangement. It was quite noisy. This is what Mr. Huang specially told us. Mr. Yang likes young people who are bold and careful, but they are very sharp. In the past, it would be better to contradict him.

Of course, the poor girl Xueba didn't know that it was Huang Shiren's plan to bring disaster to the East. Of course, she was too stupid and naive to believe it, and immediately showed it.

As soon as the words came out, everyone's eyes immediately turned to scan the new young people.

This is the Dragon crossing the river!