Start From Emergency Doctor

Chapter 391

The meeting room was silent.

The deputy director of cardiac surgery, He Jianyi, Jiang Xiaoqi and others all looked at Zhou Yuan with puzzled eyes.

“What does this have to do with infective endocarditis… Wait…” Jiang Xiaoqi was stunned.

Zhou Yuan saw Jiang Xiaoqi’s expression and knew that the latter was also aware of it. He explained: “The patient has aortic insufficiency. The diarrhea in the past few days is an opportunity. Severe diarrhea allows microorganisms and germs to enter the patient’s The heart, which caused infective endocarditis….”

It is not uncommon for severe diarrhea to cause infective endocarditis.

The so-called infective endocarditis is fundamentally different from the viral myocarditis that is often misjudged as a common fever and cold in the emergency department.

Infective endocarditis is mainly caused by bacterial infection. It is characterized by the formation of neoplasms, such as small rashes, small pustules, etc. This type is more common in patients with basic structural heart disease. Zhao Qiang suffered from a heart when he was a teenager. In recent years, aortic valve insufficiency has been discovered, which is a common patient of infective endocarditis.

The main lesion of viral myocarditis is in myocardial cells, and the onset also has seasonal factors. It has nothing to do with whether the patient has heart disease. The clinical manifestation is no different from a common cold.

Zhou Yuan said: “Zhao Qiang himself has aortic valve insufficiency. Under the influence of infective endocarditis, the heart blood regurgitates severely, leading to acute heart failure.”

Of course, all of this is only Zhou Yuan’s inference at the moment, but the words have already reached this point, and they are basically facts, and only a final check is needed to confirm.

He Jianyi stood up, feeling that Zhou Yuan was more incredible, and said: “Zhang Ling, you go to arrange the work of the patient’s family, it is best to let the patient’s parents come, this is not a minor illness…”

All the doctors present here are very clear about the meaning contained in these words.

Why must you call your parents over? Because after pushing on the operating table, you may not be able to go down again…

Perhaps this is the last part of Zhao Qiang and his parents!

The deputy director of cardiac surgery and Lu Chenxi both lowered their heads.

After a while, the deputy director stood up and said: “The patient’s condition cannot wait. An operation must be performed to replace the aorta within tomorrow, otherwise the heart failure will kill the patient at any time!”

Lu Chenxi, who has been silent, said her first sentence at this time: “I agree.”

Zhou Yuan nodded, “I will complete the inspection, Zhang Ling, the work of the family will be left to you.”

After the meeting, Zhou Yuan hurriedly ran to the imaging department. He Jianyi, Lu Chenxi and others followed. They also needed to confirm whether Zhao Qiang was infective endocarditis.

The report from the laboratory was also sent by Lin Wen.(Read more @ wuxiax.com)

“Progressive anemia…”

Zhou Yuan said in a deep voice, “Blood test found that Zhao Qiang had progressive anemia, positive cell anemia in his body, the white blood cell count increased significantly, and the neutrophils also increased abnormally!”

“Rapid erythrocyte sedimentation rate, C-reactive protein words and deeds, increased serum globulin…”

A series of abnormal indicators were reported by Zhou Yuan.

Looking at the inspection list is actually an important indicator to test a doctor’s professional level. Some doctors may not know what some values ​​on the inspection list represent for a lifetime.

In the hospital, those who can read the inspection sheet and directly judge the condition based on the inspection sheet are basically the big brothers…

The faces of He Jianyi and the others became serious.

The doctors Zhou Yuan reported just now are almost the same as infective endocarditis!

Finally, Zhou Yuan found a fatal ventricular arrhythmia in Zhao Qiang’s electrocardiogram, and the property indicated atrial fibrillation regurgitation!

Zhou Yuan and others grasped a word tightly-reflux!

“It is confirmed that acute heart failure caused by infective endocarditis needs to be relieved immediately and the operation can be completed as quickly as possible!”

For this type of patient, the earlier the surgery is done, the better, and there is no question of the right time, because the best time is always the last second!

The patient has acute heart failure caused by blood reflux carrying microorganisms and germs, so the danger can be eliminated by solving the problem of backflow.

If you want to block the regurgitant channel, you must replace the incomplete aortic valve, that is, perform aortic valve replacement!

“Let’s go and discuss with the patients.” He Jianyi broke the silence and said.

…

Inside the ward.

In fact, when Zhang Ling returned to the ward, she hadn’t waited for her to remind Li Li to invite Zhao Qiang’s parents, but as soon as she walked in, she saw that both parents were standing in front of Zhao Qiang’s bed at the moment, with a look of distress and regret.

It hurts because Zhao Qiang was so tortured. As for regret… Zhao Qiang had a heart problem before, but Zhao Qiang always said that it was all right, so they believed it. After all, they have never had an accident for so many years, perhaps just the doctor’s alarmist talk. Up?

To be honest, Zhang Ling is a little envious of Zhao Qiang. The hospital has seen more true love than the church and the train station. Too many couples are in disaster and fly separately, and too many relatives become enemies because of the expensive medical expenses.

For family members like Zhao Qiang, the doctors and nurses would be very happy just seeing it.

“Nurse, when will my son wake up?”

Zhao Qiang’s mother had a hoarse voice, apparently she had just cried.

“Yes, when will my son get better, is he okay?” Li Li’s mother said.

The two families have already become a family because of their affectionate Li Li and Zhao Qiang. Li Li is the daughter of both parents, and Zhao Qiang is naturally the son of both parents.

Zhang Ling shook her head and explained Zhao Qiang’s current situation to everyone. This was also the task given to her by Zhou Yuan and others.

Soon, Zhou Yuan returned with He Jianyi and others.

“He used to say it’s okay, it’s definitely not really okay. The heart is from 50mm to 70mm, and it can be seen that it can’t be formed in a day or two. It may take several months, maybe even a year or two!”

As soon as he stepped in, Zhou Yuan heard Zhang Ling telling about Zhao Qiang’s condition in detail.

Seeing that several doctors came in, and there was also a bald head. It is said that bald head is the strongest in the doctor group, so Zhao Qiang’s family’s eyes all stopped on the deputy director of the bald heart surgery… .

Zhang Ling was a little embarrassed at once, as she spoke well, Zhao Qiang’s family suddenly passed her and looked behind, as if she didn’t exist…

But she didn’t complain too much. There is naturally a difference between doctors and nurses.

Just as Zhang Ling was about to retreat, Zhou Yuan took a step forward and said in a low voice: “Nurse Zhang Ling who should be speaking has finished explaining. Infective endocarditis is caused by aortic valve insufficiency. Acute heart failure, this is the final diagnosis.”

Hearing these words, Zhang Ling’s eyes lit up immediately and she looked at Zhou Yuan gratefully. .