Doctor: start with the heart

Chapter 29
"Xiao Zhao, you can think about it."

Wei Wei couldn't help but tried to speak again.

It is really rare to see a doctor as young as Zhao Xu with such a high level of precision operation. If he works under him and trains him for a few years, he will be able to be on his own. There is a shortage of real talents everywhere.

"Director Wei, I'm fine in the emergency room."

Zhao Xu said modestly, but politely declined.

To be honest, if you really look at the salary and future, the emergency department is definitely not as good as other departments. Among other things, Xu Hui, the director of the Cardiac Surgery Department, also invited him.

You must know that cardiac surgery is specialized in heart surgery, and the equipment used for each operation ranges from tens of thousands or even hundreds of thousands. The income of performing an operation outside the heart is at least three times that of an emergency department.

But there is only one good thing about the emergency department. In the emergency department, Zhao Xu can meet all kinds of critically ill patients and get more chances to draw cards, so that he can become stronger faster.

"Old Wei, don't worry about Xiao Zhao."

Seeing that Zhao Xu had a firm stand and was unmoved by Wei Wei's invitation, Wang Ming was very pleased.

"The next step is to overcome difficulties, are you ready?"

Wei Wei looked at Wang Ming and smiled, then looked at several young doctors in the operating room, and said seriously.

"Ready!"

Several people replied in unison.

"Let's get started, old king."

Wei Wei nodded in satisfaction and said to Wang Ming.

Next, the most difficult part of the operation, the flap transplantation began.

Since the area of ​​the flap to be transplanted was too large, two directors, Wang Ming and Wei Wei, led the doctors to perform the operation at the same time.

Therefore, Zhao Xu and Sun Chang naturally followed Wang Ming in surgery.

The operation was going on minute by minute, but the operating room was very quiet at the moment, only the ticking sound from the life monitor.

Just as the operation was proceeding smoothly, suddenly a sharp siren sounded in the operating room.

drop!drop!drop!
Zhao Xu looked up and saw that the electronic screen of the life monitor was all red!
"The patient suffered a sudden drop in blood pressure!"

The anesthesiologist said anxiously.

what? !

Wang Ming and Wei Wei looked up at the same time.

How could there be a sudden drop in blood pressure? !

"Intravenous dopamine immediately."

Wang Ming immediately issued an order.

The anesthetist received Wang Ming's order, and immediately injected dopamine, which raises blood pressure intravenously. After a while, the patient's blood pressure rose.

But at this time, the people in the operating room all looked solemn. Now there are blood pressure-raising drugs to maintain blood pressure. Once the drugs are stopped, the patient's blood pressure will drop again. This is just a stopgap measure.

What went wrong?
Wang Ming and Wei Wei looked at each other, full of doubts in their hearts.

At this moment, Zhao Xu also looked up at the life monitor. Suddenly, he saw a very slight change in the electrocardiogram on the life monitor.

"Will it be cardiac tamponade caused by myocardial injury?"

Zhao Xu suddenly said.

"Myocardial injury?"

Wang Ming thought for a while and said in a deep voice.

"Yes, Director, the patient's whole body is sealed in cement, and he has a very serious crush injury. The endotoxin formed by the squeezed tissue and the disintegration of cells, although we did hemodialysis to purify the patient before But a lot of it has entered the blood circulation of the whole body, and the endotoxin entering the heart is likely to damage the heart."

Zhao Xu said very methodically.

There are two!

Director Wei Wei, who was standing aside, couldn't help but sigh in his heart when he heard Zhao Xu's words.

It is really rare to see a young doctor with such qualities as quick response, good observation, and strict logic.

"Very likely, contact the B-ultrasound room to come over and do a bedside cardiac ultrasound."

Wang Ming thought for a while, and soon made a decision, then turned his head and said to the anesthetist.

"it is good."

The anesthesiologist nodded.

10 minute later.

The doctor on duty in the B-ultrasound room quickly pushed the bedside color Doppler ultrasound machine to the operating room and performed a bedside heart color Doppler ultrasound.

"How about it?"

Wang Ming said to the female doctor on duty in the B-ultrasound room while sitting for blood vessel connection.

Although the patient's heart has a problem, the connection of the transplanted flap blood vessels cannot be stopped for a minute. Otherwise, after a certain period of time, the transplanted flap will be necrotic due to ischemia, and it will be transplanted at that time. It is also completely impossible to survive.

Therefore, the transplant operation cannot stop for a moment.

"Director, pericardial effusion was detected."

The female doctor on duty in the B-ultrasound room looked at the electronic screen and said.

Hearing what the female doctor said, Wang Ming and Wei Wei raised their heads at the same time and looked at each other.

They can't stop now, but there must be a doctor to deal with the pericardial effusion.

If pericardial effusion occurs, pericardiocentesis must be performed immediately. However, whether it is an emergency department or a doctor in the burn transplant department, pericardiocentesis is rarely performed. Generally speaking, this operation is performed by cardiac surgery. a lot of.

But now, if you want to invite a cardiologist to come for a consultation, this time will be delayed again, and now this patient can't wait for the cardiologist to come over, and the operation of transplanting skin flaps and connecting blood vessels cannot be stopped for a moment. of.

The two turned their heads and looked at the doctors standing in the operating room at this time. Suddenly, their eyes were on Zhao Xu at the same time.

Yes!

Before everyone could react, Zhao Xu discovered that the patient had pericardial effusion. This ability of observation is indeed very keen, and the level of precision that Zhao Xu showed just now also shows that he has a good understanding of human anatomy. The mastering is also very precise.

It's him!
The two directors looked at each other and nodded at the same time.

Wang Ming and Wei Wei have been good friends for many years, and they have performed many operations together. They have a perfect understanding, and they can understand each other's thoughts with just one look.

"Director, what should we do now?"

Seeing that the patient's blood pressure was on the decline again, the anesthesiologist couldn't help asking eagerly.

"Xiao Zhao, come and do pericardiocentesis!"

Wang Ming looked at Zhao Xu and said slowly.

what? !

As soon as Wang Ming said this, not only the people in the operating room, but also the people in the demonstration classroom watching the big screen were shocked!
As a resident doctor, can he do such a high level of operation and anatomy? !
Director Wang, do you trust him so much?
Zhao Xu was also taken aback when he heard this, but then he reacted immediately.

Since Wang Ming asked him to do such a difficult operation, he naturally did his part!

"Okay, Director."

Zhao Xu nodded.

"Pay attention to the anatomical position."

Wang Ming simply instructed Zhao Xu.

"Ah."

Zhao Xu nodded. He felt warm in his heart for the trust Wang Ming had given him.

However, he is absolutely sure about operations such as pericardial puncture.

In clinical practice, the most important thing for an operation such as pericardiocentesis is to find out the anatomical position of the heart, and there must be no slightest mistake.

And Zhao Xu, on this point, happened to be what he was best at now.

After getting Dr. Xiao En's vision-space conversion talent, Zhao Xu has integrated this talent very quickly in the past few days, and it has played its due powerful role well.

Regarding the spatial location and anatomy, Zhao Xu dared to say that there were not many people in the entire First Affiliated Hospital who could surpass him.

(End of this chapter)