Start From Emergency Doctor

Chapter 194

“No…Without a house, how can we make a home in this city, how can we live a good life!” Qian Wei shook his head resistingly.

This petite and lovely woman has been with herself for so many years, but she still has nothing to do with her. Today she finally bought a house, but she wanted to sell it because of her illness?

Without a house, there is no confidence to live in this city… He can’t let his wife lose face!

Qian Wei’s wife laughed and hugged Qian Wei, with a sobbing voice, and said, “Who said that there is a house only if there is a house…With you, me, and the baby, and the parents, we only have it. Home!”

Zhou Yuan and He Jianyi were silent and did not disturb the world of Qian Wei and his wife.

After a long time, as if making a certain decision, Qian Wei wiped away his tears, looked at Zhou Yuan and He Jianyi, and said, “I do! I have this operation!”

He Jianyi breathed a sigh of relief.

It was not that he had never seen patients who gave up treatment due to financial difficulties and finally waited for death in vain. The choice at this time is particularly difficult.

Especially for some high-risk operations, if you agree to do it, there may be a shortage of people and money. If you don’t agree to do it, you just lose people… In this case, both family members and patients will face great challenges.

In one sentence-a penny stumped countless heroes, Hao Han.

Fortunately, although the cost of heart bypass surgery is relatively high, the success rate is high.

“Since I agree to the operation, let’s do some pre-operation preparations. From today on, stop all activities, ensure absolute bed rest, and… refuse to visit.”

The last sentence was addressed to Qian Wei’s wife.

“Why!” Qian Wei’s wife was stunned.

In times of crisis, husbands and wives should help each other in the same boat. Why can’t she spend time with her husband?

“Mood fluctuations will affect the condition.”

He Jianyi couldn’t bear to separate the two, but he had to do so for Qian Wei’s safety.

If family members are allowed to visit, some family members may often cry in front of patients, such as sentimental parents.

This is bound to make patients with acute myocardial infarction emotionally excited or upset by infection. As a result, it often induces arrhythmia, heart failure, and even sudden cardiac arrest on the spot and sudden death.

In the acute phase of acute myocardial infarction, energy and oxygen consumption should be minimized to reduce the burden on the heart, reduce the infarct size, and promote the recovery of the disease. The consumption of energy and oxygen will not only increase physical activity, but also increase mental activity, which will increase the burden on the heart.

This is the reason why visits are declined.

Zhou Yuan saw that He Jianyi didn’t explain clearly, and explained in detail: “If someone visits, the patient must speak. If he thinks about the problem, emotional fluctuations will occur. This will increase his physical load, and also increase his mental load, which will lead to the brain. Circulating blood increases.”

“The increase in blood will promote the excitement of the sympathetic nerves, so as to increase the burden on the heart and aggravate the condition.”

Qian Wei’s wife understood this time, and nodded silently: “I understand…”(Read more @ wuxiax.com)

Zhou Yuan took the nurse and pushed Qian Wei into the single ward.

“You go back and find a way to prepare the cost, and then go to sign, as well as the past medical history, etc., and hand them to us as soon as possible. We need to evaluate Qian Wei’s general condition, and then choose the most suitable operation method and timing.” He Jianyi Stayed in the ward, exhorted.

Qian Wei’s wife sobbed and nodded: “The doctor…must save my husband! We have been together for so many years, we love each other so much, I would die without him!”

“We will do our best.” He Jianyi said solemnly.

Soon, Qian Wei’s wife rushed out of the hospital holding back tears, ready to go back and find a way.

On this side, Zhou Yuan also opened a few orders.

“Give the patient a large flow of oxygen to ensure that the patient’s blood oxygen saturation is above 95%.”

“Prepare 160~325mg of aspirin, chew. mg of nitroglycerin, sublingual. If sublingual is not effective, change to 5~20pg per minute intravenous drip.”

Aspirin has a certain resistance to platelet aggregation in the body and can prevent myocardial infarction.

Nitroglycerin can directly relax vascular smooth muscle, especially the smooth muscle of small blood vessels, so that peripheral blood vessels relax, peripheral resistance is reduced, return blood volume is reduced, cardiac output is reduced, and myocardial oxygen consumption is reduced, thereby reducing cardiac load. It can also prevent and alleviate acute myocardial infarction.

“If the patient’s chest pain is unbearable, give 2 to 4 mg of morphine intravenously. If the chest pain persists and cannot be relieved, the injection can be repeated several times.”

“Also, immediately open the large venous channel, and at the same time, monitor the ECG, blood pressure, pulse and respiration at any time.”

·········Ask for flowers···········

After hearing Zhou Yuan’s words, Qian Wei realized how serious he was.

Many patients with acute myocardial infarction do not feel much before the attack, but usually feel chest tightness and some can’t breathe, so they don’t take it seriously.

However, once they had the attack, they died before they had a chance to pay attention to it. This is one of the reasons for the danger of this disease.

When Zhou Yuan ordered, He Jianyi also walked in.

He Jian was consciously stunned when he heard Zhou Yuan’s methodical doctor’s advice.

“Wait, why would you treat myocardial infarction…”

He Jianyi knows Zhou Yuan’s character.

If Zhou Yuan is only half-knowledgeable, he will definitely not pretend to be a big head and give a doctor’s advice. Since Zhou Yuan dares to come, it means he is sure! It shows that he is proficient in this disease!

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But…Isn’t acute myocardial infarction the work of cardiovascular medicine?

Why does it seem to have robbed another department’s job?

Zhou Yuan smiled: “Teacher, I really have an epiphany…”

The system suddenly gave a heart bypass surgery. Naturally, Zhou Yuan also understands some diseases that require heart bypass surgery.

Left main disease and myocardial infarction are one of the reasons.

“Don’t tell me you will do heart bypass surgery…”

The doctor’s order given by Zhou Yuan is not like simply stabilizing Qian Wei’s condition…

Otherwise, why is it okay to build a large venous channel?

Do you have a needle?

Zhou Yuan pondered for a while. Although embarrassed, he still said, “I really just learned heart bypass surgery…”

He Jianyi was silent.

“What are you going to do?” He Jianyi ignored the shocking step and directly began to prepare to cooperate with Zhou Yuan.

“Before the heart bypass surgery, reperfusion therapy is performed to reduce the area of ​​cerebral infarction, which will help the patient’s recovery.”

Zhou Yuan didn’t say anything to improve the success rate of surgery.

He doesn’t care anymore-the success rate of the operation itself is 95.8%, Zhou Yuan is still a master heart bypass surgery, and the success rate of the operation has increased by 5% when the advanced treasure chest is opened…

In other words, as long as you don’t close your eyes and use your feet, the success rate of this Zhou Yuan surgeon’s surgery is infinitely close to 100%! A.