I Have Unlimited Magic Skills

Chapter 586: Young female patient with right heart failure and sudden death

   "Boy, our argument is meaningless. I will do intervention and thrombolysis for the patient first. When the time comes, the patient's cardiac ejection ability will naturally rise."

  Professor Song Bo's experience in diagnosis and treatment is extremely rich, and he speaks with strong self-confidence.

  Li Quan didn't say much.

  Professor Song Bo first gave the patient urokinase, which is a commonly used thrombolytic drug. Especially when treating patients with myocardial infarction, it is used more frequently.

  Through cardioangiography, it can be found that there is a white dead plaque near the left coronary artery of the heart.

  Thrombus is also happening here.

  A closer look, you can find that this artery is atherosclerotic.

  After thrombectomy, the situation is still not ideal.

  Professor Song Bo’s forehead is already sweating.

  “It seems that a percutaneous coronary intervention treatment must be done for the patient immediately.” In fact, in this case, it would be better to have a stent implanted directly for interventional treatment.

  Professor Song may be out of consideration for saving costs for the patient, so he first tried drug thrombosis.

  Interventional therapy is actually also considered surgery.

  And it is a high-precision, minimally invasive surgery.

  Its benefits are self-evident, efficient and fast, and its harm to patients is much weaker than major surgery. The patient's recovery will also be faster.

  But its cost is relatively high.

  ……

  Professor Song Bo’s medical skills are undoubtedly successful, and interventional therapy has been very successful.

  A stent was implanted in the patient's weakly hardened coronary artery to restore the flow of the nearly blocked artery.

  The ability to pass blood has been greatly improved.

  At this point, it stands to reason that the treatment is very successful, and the patient's condition will definitely improve quickly and wake up.

  It was just that the anesthesiologist stared at the monitor screen, frowning tightly.

   "The patient's pulse has not recovered, his blood pressure is low, and he is still in a deep coma."

  The anesthesiologist's words are equivalent to pouring a pot of cold water on Professor Song Bo's head.

  All the joy after he successfully completed the interventional treatment was poured out.

  Professor Song Bo frowned, his eyes concentrating on what to do next?

  After a short thought, he said to the nurse.

  "Give the patient a dopamine to raise blood pressure."

  Dopamine is the most abundant catecholamine neurotransmitter in the brain. When people feel happy, it will be produced in large quantities. It can make people excited.

  The dopamine hormone extracted by people is often used to boost the blood pressure of emergency patients with low blood pressure.

   "I don't recommend using a booster." Li Quan shouldn't have interfered because Professor Song Bo is now treating the patient. But for the safety of the patient, even if he offends Professor Song Bo, he must be the villain.

  "Please tell me your reason." Professor Song Bo's face showed a sullen color.

  The patient's situation is still not optimistic, and his mood must be a bit bad.

  Having finally figured out a way to treat the patient, and in theory, giving the patient a pressure booster without any risk at all.

  Now Li Quan has openly rejected his medical order, which makes Professor Song Bo very upset.

"First of all, even with the use of a blood pressure booster, the patient’s blood pressure is still unlikely to rise too much. The pulse is also not going up. Secondly, if you have to use it, it is likely to cause the patient to be poisoned. Because the patient is in a coma, during emergency Two epinephrines have already been pushed."

  Li Quan publicized the patient’s medical record.

   "Ah...Is this true?" Professor Song Bo couldn't help being startled in a cold sweat.

  "It's true! The doctor in the ambulance car at the time gave the patient two adrenaline to rescue the patient." It was a nurse who was about forty years old.

   may also be a nurse in charge, or even a head nurse.

  Those who can enter the operating room are all elites among the elite.

   "Dean Li, thank you for your reminder." Professor Song Bo has a feeling of aftermath.

The fame of   I was almost destroyed.

  After using adrenaline, it will stay in the body for a while, and it will be metabolized by the body after a long time.

  If a pressure booster is used at this time, the patient will suffer from drug poisoning.

  Adrenaline and blood pressure can not be used at the same time, this is the knowledge that doctors should master.

  Professor Song Bo naturally knew this taboo.

  After he gave the patient a drug thrombosis and interventional treatment, the patient’s condition still did not improve, which made him a little anxious.

  When people are in a hurry, they are prone to errors.

  He forgot to check which drugs the patient had used before, and blindly prescribed the patient's doctor's order for a booster, which almost caused a big mistake.

  Thinking of this, Professor Song Bo felt ashamed.

   "Dean Li Quan, please tell me your opinion on diagnosis and treatment."

  Professor Song Bo put aside his arrogance and face, and humbly asked Li Quan for advice.

   "I think the patient's weak pulse, lower heart rate, and low blood pressure are due to heart failure." Li Quan said with a serious face.

  "Are you saying that the patient has heart failure?"

  Professor Song Bo’s eyes lit up slightly.

Director Pi, who was standing not far away, also showed a thoughtful expression. When he looked at Li Quan, there was a hint of appreciation in his eyes.

  Nurses and anesthesiologists also looked highly at Li Quan’s diagnosis and treatment opinions.

  Even Professor Chi Zhiyin, who was the first to be eliminated from the Provincial People’s Hospital, also looked at Li Quan with admiration.

  Insufficient ejection of blood from the heart, it is easy for everyone to think of the cause of heart failure.

  It’s just because when the patient arrived, he was diagnosed with acute myocardial infarction after examination.

  So everyone fell into thinking myopia and did not think in other directions.

  It's like we are holding an item in our hands and searching for it all over the house.

  "If the patient is really accompanied by heart failure, the cause must be found and treated." After Professor Song Bo finished speaking, he looked at Li Quan.

  "The patient should have right heart failure! Look at the patient's neck veins, which are distended and filled. Then the patient's feet have slight edema. These symptoms are common phenomena of right heart failure."

  Li Quan gave his further diagnosis opinion with reason and evidence.

  From diagnosing the patient's heart failure, to further confirming that the patient is right heart failure, Li Quan did not use any equipment, only by cutting the patient's pulse and looking for a diagnosis, the diagnosis was made.

  This kind of ability is enough to make several experts present feel ashamed.

  Even though they have rich experience in diagnosis and treatment and are well-known all over the country, their eyesight is much worse than that of Li Quan.

  Before Li Quan said it, none of them thought that the patient had a low pulse caused by heart failure.

  "Do a cardiac catheterization for the patient immediately." Director Pi was the one who spoke this time.

  As an examiner, he must be responsible for the life of the patient.

  After carefully observing the patient, he found that the symptoms Li Quan said were more obvious. Basically, it can be determined that the patient is indeed right heart failure.

  However, medicine is a rigorous subject, and a series of examinations must be done before the diagnosis can be made.

  Only some signs cannot be diagnosed.

  Soon, the cardiac catheterization is completed.

Sure enough, as Li Quan said, the patient has right heart failure.

   "Young man, come and treat the patient!" Director Pi should have some friendship with Professor Song Bo. When he said this, he also deliberately glanced at Professor Song Bo.

  The two had brief eye contact.

  Proposed that Li Quan should be treated, which is tantamount to eliminating Professor Song Bo.

  Professor Song Bo’s face was a little bit unbearable.

   "Why don't you get the treatment by Professor Song! I am not as good as your old experts in terms of experience and skills." Li Quanqian gave in.

  Save some face for these two old experts so that they will meet each other in the future.

  The true king is able to win but not necessarily to win.

  Many martial arts masters can beat the opponent in the competition, but they often just stop at the end.

   This kind of demeanor that a master has, also applies to doctors.

   "Dean Li, Song seldom admires others in my life, you are one of the few." When Professor Song Bo looked at Li Quan, his expression and eyes were kind. "Our doctor's purpose is to heal patients. I think your medical skills are extremely high. Let's have a consultation together."

   "Yes, Lao Song's proposal is very good. It is right for everyone to consult together and cure the disease as soon as possible." Director Pi's name to Professor Song has changed.

   directly called him Lao Song.

  Sure enough, as Li Quan observed, the two people know each other and should have a certain friendship.

  In fact, they have reached their level, and there must be some medical exchanges in normal times.

   "That's OK, I listen to the two seniors. I suggest to check the patient for hyperthyroidism first." Li Quan said that for a reason.

  There are many reasons for patients with right heart failure, such as diabetes, hyperthyroidism and so on.

  In fact, these diseases can be cured or controlled as long as they are treated in time.

   will not cause serious harm to the body.

  The patient’s illness was completely dragged out.

  The coronary arteries have hardened into atheroma, and the patient must have palpitation, shortness of breath, and colic. If you can go to the hospital for a check-up in time, you won't almost lose your life.

  Acute myocardial infarction, if the rescue is not timely, the probability of death is very high.

   "Dean Li thinks that the patient's right heart failure is related to hyperthyroidism. How did you find out?" Professor Song asked.

   "I only saw that the patient's neck is a bit thick, so I made this proposal." Li Quan did not say that his inspection surgery had reached the master level, and he could see potential diseases and lesions that other doctors could not see.

  Professor Song Bo checked the patient for hyperthyroidism, and he magically found that Li Quan diagnosed correctly again.

  The patient’s hyperthyroidism is far above the level of normal people.

  If the cause is found out, it will be easy to treat.

  Only symptomatic treatment is enough.

  ……

  When Li Quan came out of the operating room and returned to the arena with Professor Song Bo and others, he once again enjoyed the much-anticipated treatment.

  This question, his credit is very big.

   "Dean Li, we will have more time to contact and exchange more medical issues in the future." Professor Song Bo, such a person, seldom takes the initiative to interact with others.

  At this moment, the two were about to return to their respective areas, and he took the initiative to ask Li Quan to communicate more.

   "As long as you are not afraid of being disturbed by me and can communicate with top experts like you, I am naturally very happy." Li Quan smiled and readily agreed.

   "Haha, then we can make it. You leave the phone to me." Professor Song Bo laughed.

  Li Quan left the call to the other party.

Jin Leiming, who was next to   , looked at him with warm eyes.

  He also wanted to have some friendship with Professor Song Bo. If he encounters incurable diseases in the future, he can also consult Professor Song.

  It’s just that Professor Song never even looked at him straight.

  Now that they have rushed to make friends, they may not agree to it.

  Jin Leiming was also clever, so he quickly turned to Li Quan for help. Blinking at Li Quan, a pitiful expression appeared on his face.

  Li Quan is slightly stunned.

  Is this Director Jin okay, why blinked at me?

   Immediately, he caught a glimpse of Jin Leiming looking at Professor Song Bo with pleasing eyes, and immediately understood something.

"Professor Song, when it comes to surgical techniques, I am only a late-learner. Director Jin Leiming is the chief physician of the General Surgery Department of Huier Hospital. His surgical skills are quite brilliant. Before coming, he just I want to get to know you..."

  Li Quan smiled and said good things to Jin Leiming.

  Create opportunities for climbing.

   "Oh, yes!" Professor Song looked directly at Jin Leiming.

  "Professor Song, I wonder if I will be lucky enough to meet you. If I have medical problems I don't understand in the future, I would like to ask you for advice?" Jin Leiming's shoulders collapsed and he bent slightly.

  A very humble posture.

   "No problem, you can call Dean Li to ask for it. There will be medical problems in the future. Let's discuss it together." Professor Song did not refuse, but readily agreed.

  This is probably because of Li Quan's face.

  Jin Lei was overjoyed and thanked him again and again.

  After they returned to their seats, the host announced the judges’ ratings of the three contestants.

  Professor Song Bo scored two points, Jin Leiming from Whale Hospital scored two points, and Professor Chi Zhiyin from the Provincial People's Hospital scored only one point.

  With Jin Leiming's performance, he definitely couldn't get two points.

  Half of the credit for this belongs to Li Quan.

  "Now, everyone, please answer the 12th question this morning." As soon as the host's voice fell, a patient appeared on the big screen.

  Looking like golden paper, it was very gloomy, lying on a temporary flat bed, motionless.

  The patient’s eyes were closed tightly, as if he were a dead person.

  This patient is very young, only twenty-seven or eighteen years old, and she is still a female.

   "I'll answer! The patient has fulminant myocarditis and must be first aided immediately."

  Jin Leiming was the first to answer.

  I have to say that Jin Leiming's skills and abilities are quite good. It's just that I'm a little arrogant sometimes.

  "I also support the diagnosis of fulminant myocarditis." The second person who rushed to answer was a doctor from Yuanyang Hospital.

  Looking at the Whale Hospital, which was once inferior to him, he made frequent efforts and made the limelight. Yuanyang Hospital is really anxious.

  Following this trend, the reputation of Yuanyang Hospital will plummet.

  This is not a good thing.

   Must seize the few remaining chances to answer questions and get more points.

  "I think the patient should die suddenly, and the possibility of fulminant myocarditis is not ruled out. In case of rescue, EC should be used immediately."

  This time, the one who stood up and rushed to answer was the chief physician of the Department of Critical Care Medicine of Beijing First Hospital.

  Undoubtedly, the Department of Critical Care Medicine of Beijing First Hospital has a strong medical team, advanced and well-organized high-tech treatment and examination equipment, they should treat the most patients of this kind of sudden death.

  Because the extremely critical patients nearby are usually sent to them for rescue.

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