Hearsay is never as true as seeing it with your own eyes.
Many people have learned about the situation before, but they have only heard about it. As for the specific patient's condition and how serious it is, many people really can't imagine it.
Acute heart failure combined with ventricular fibrillation also depends on the situation. It is indeed dangerous when the attack occurs, but once it subsides, the patient recovers relatively quickly. Recovery is naturally impossible, but it is still no problem to take care of himself soon.
Heart disease is a disease that many people can live with for many years.
But now looking at the patient's photos and listening to Yang Xiaohui's story, everyone has a more intuitive understanding of the patient's condition at that time.
In particular, some experts in traditional Chinese medicine and doctors in cardiothoracic surgery and other related fields understand better what this situation means.
Han Jiangong sat next to Sun Qingping, and the expression on his face changed as he listened.
Before, Han Jiangong really didn't expect that the patient's condition would be so serious.
It would not be an exaggeration to say that a person in such a situation is terminally ill and dying. In layman's terms, he only has half a breath left and may die at any time.
When Han Shengxue told Han Jiangong the situation the day before yesterday, the reason why Han Jiangong readily agreed was actually due to two or three factors.
The first factor is acute heart failure combined with ventricular fibrillation. This situation is indeed quite critical. It is indeed a breakthrough that the emergency department can rescue such a patient and quickly get out of danger.
Second, the person in charge was Fang Le, a student of Sun Qingping.
Third, the patient is Liu Jianmin, the manager of the Second Construction Company. The Second Construction Company is a state-owned enterprise directly under the provincial government and a deputy department-level enterprise. Liu Jianmin, the manager, is also the manager with real power in the Second Construction Company and is at the bureau level.
From all aspects, this is the reason why Han Jiangong feels it is necessary to hold such an academic exchange and analysis conference.
Sun Qingping was also invited by Han Jiangong.
But Han Jiangong really didn't expect that Liu Jianmin would be so seriously ill at that time.
While listening, Han Jiangong glanced at Sun Qingping beside him. Sun Qingping's face was calm, but Han Jiangong could tell that Sun Qingping was listening very seriously.
After Yang Xiaohui explained the situation, Han Jiangong asked Sun Qingping softly: "Mr. Sun, what do you think of this medical record?"
"Judging from the symptoms, the patient's condition is quite critical. The third terminal illness of the five internal organs has appeared. Yuanyang is dying. There is a possibility of ventricular fibrillation again at any time. It can be said that his life is at stake."
Sun Qingping said slowly: "Even I don't dare to say how sure I am in this situation. I can only try my best and be out of danger in twenty minutes?"
Sun Qingping was a bit unbelievable when he said this.
"Mr. Sun, you are not present, but there is still a difference between the meeting and the presence."
Han Jiangong flattered him.
"No."
Sun Qingping was more serious and shook his head gently: "Although I didn't feel the pulse or check nearby, judging from the various symptoms of the patient, the crisis is already very obvious. In this case, the only way to save the situation is to quickly restore Yang.
, only then can there be a glimmer of hope.”
Han Jiangong knew Sun Qingping well. Sun Qingping had already said so, and Han Jiangong would say no more.
"The people involved in the treatment at that time were Dr. Fang Lefang from our emergency department, Director Cheng Zaiming from the Department of Traditional Chinese Medicine, Director Wang Pengfei from the Department of Cardiology, and Dr. Guo Baohua from the cardiothoracic surgery department. Now, I would like to ask Director Wang to tell you about the situation and the combination of acute heart failure.
Risks and treatment of ventricular fibrillation in the clinic."
After Yang Xiaohui finished speaking, he handed the microphone to Wang Pengfei.
"Hey! Hey!"
Wang Pengfei took the microphone, still subconsciously tried it, and then said with some reluctance: "Acute heart failure clinically refers to the acute attack or worsening of left ventricular dysfunction leading to reduced myocardial contractility and increased cardiac load.
, causing an acute sudden drop in cardiac output, an increase in pulmonary circulation pressure, and an increase in peripheral circulation resistance, thereby causing pulmonary circulation congestion and acute pulmonary congestion, pulmonary edema, and clinical syndromes that may be accompanied by tissue and organ hypoperfusion and cardiogenic shock.
.....”
"Left heart failure is the most common acute heart failure. Acute heart failure can be acutely exacerbated or start suddenly on the basis of the original chronic heart failure. Most patients have organic cardiovascular disease before the onset, which can manifest as systolic heart failure.
It can also present as diastolic heart failure..."
Wang Pengfei first talked about the clinical manifestations of acute heart failure from a professional perspective, and then continued: "Clinically, once rheumatic heart disease develops into the heart failure stage, the survival time is very short. Once acute heart failure occurs,
Heart failure is more serious and troublesome than other conditions of heart failure..."
"Acute heart failure caused by rheumatic heart disease is usually accompanied by severe lung infection. The patient mentioned by Director Yang just now was not only accompanied by severe lung infection, but also emphysema...
."
I have to say that Director Wang is quite qualified as a flatterer.
Although Director Wang was not willing to be this flattering person, when he got to the stage, Director Wang still did not miss anything that should be said.
After Wang Pengfei finished speaking, Cheng Zaiming also talked about some views and understanding of patients' conditions in traditional Chinese medicine.
"At that time, the patient's whole body was cold, with only a slight fever in the chest area, and a strong pulse in the mouth. This is a sign that Yuan Yang is in danger."
"In traditional Chinese medicine, Yuanyang refers to kidney yang, also known as true yang, true fire, Mingmen fire, and innate fire. It is the driving force for the physiological functions of the kidneys."
Han Shengxue said slowly: "Everyone who knows Chinese medicine knows that Qi, blood, essence, and spirit are the foundation of human life activities, and the essence in Qi, blood, essence, and spirit originates from the innate, nourishes the acquired, and the innate
The essence is received from the parents, and the acquired essence, fluid, blood, sweat, and tears all belong to the essence, and the essence is stored in the kidneys."
"At that time, the patient's primordial yang was exhausted, so his head was sweating like oil and his whole body was cold. It was because the essence could not transform into qi and the righteousness was not strong..."
"It is recorded in "Lingshu Benshen" that the five internal organs, which store essence, should not be injured. If injured, they will lose their control and cause yin deficiency. If yin is deficient, there will be no qi, and if there is no qi, you will die."
Although the clinical academic analysis conference is mainly about academic exchanges, it is inevitable to show off, which can also be regarded as an incentive for doctors.
As a doctor, who wouldn’t want to sit on the stage, talk endlessly, and watch a large group of people in Wuyang Wuyang below listen to his lectures and analysis?
If you want to sit on it, then work hard, come on, and study.
Since it's inevitable to show off, it's natural to make the situation as serious and complicated as possible, so that you can show off your abilities better.
Cheng Zaiming's praise was also very impressive. He admired Fang Le, so he said a lot of terrible things.
Of course, speaking from a practical perspective, Cheng Zaiming was not exaggerating. Liu Jianmin's situation at that time was indeed critical.
The mortality rate of acute heart failure combined with ventricular fibrillation is quite high. Even twenty or thirty years later, the mortality rate is still very high, let alone 1995, when medical treatment was not very developed.
"At that time, the patient's life was in critical condition and his yang was exhausted. Only by quickly restoring yang and rescuing the yang could the patient have a chance of survival. But if he could restore the yang and save the yang, what method should be used was a very troublesome problem..."
When Cheng Zaiming said this, there were some people who didn't understand, especially some experts in the Department of Traditional Chinese Medicine and Sun Qingping, who were all looking forward to what Cheng Zaiming would say next.
Before coming, Sun Qingping didn't know the situation.
Han Jiangong only told Sun Qingping that the emergency department treated a patient with acute heart failure and ventricular fibrillation. The attending doctor was Fang Le, who was explaining the analysis in the demonstration classroom this afternoon.
His own disciple, Sun Qingping, naturally came to support him.
Although he was said to be a disciple, Sun Qingping actually knew very little about his disciple. Fang Le could shock Sun Qingping every time, so Sun Qingping was also very concerned about Fang Le's affairs.
But after arriving, Sun Qingping realized that it was such a difficult disease and such a difficult patient.
Just now Sun Qingping told Han Jiangong that even he did not dare to say that he was too sure. This was not modesty, but the truth.
This does not mean that Fang Le's current level is higher than that of Sun Qingping. Fang Le's level is not low, but there is still a slight gap compared with Sun Qingping. This is a fact and cannot be denied.
For Liu Jianmin's disease, Fang Le directly used Mr. Li's Poge Jiuxin Decoction. This is because Fang Le knew the efficacy of Poge Jiuxin Decoction and Fang Le was familiar with this prescription.
But in this time and space, there is no such person as Mr. Li, and there is no special heart-saving soup. Relatively speaking, Fang Le also has the advantage of being a prophet.
The same applies to prescriptions. If a certain prescription has been used by predecessors and used by future generations, there will be evidence to follow. If not, you have to explore it yourself. The difficulty of the two is completely different.
At this moment, Sun Qingping was really curious. What kind of prescription did Fang Le use that had such a good effect, and the patient's crisis was gone in twenty minutes.
"That's all I'll say."
When Cheng Zaiming said this, he stopped talking and changed the subject: "The specific treatment at that time was the responsibility of Dr. Fang Lefang in the emergency department. The treatment plan was also proposed by Dr. Fang Lefang. Director Han and Director Wang and I
It was just for reference, and I finally agreed to Dr. Fang’s treatment plan. The patient’s sweating stopped 20 minutes after taking the medicine, his breathing became stable, his heart rate dropped to 99/min, and the crisis was over.”
After speaking, Cheng Zaiming put down the microphone.
Han Shengxue always had a microphone in his hand. When Cheng Zaiming put down the microphone, Han Shengxue blew twice again and said: "Fang Le is a young doctor who has just joined our emergency department. Although he is not old, he is very good in both internal medicine and surgery of traditional Chinese medicine."
It’s quite high. Let’s let Fang Le tell you his own treatment ideas in detail.”
"With acute heart failure and ventricular fibrillation, the patient's life is in critical condition and there is a possibility of ventricular fibrillation again at any time. In this case, why does Fangle's treatment plan have such good results and allow the patient to survive in his twenties?
Out of danger within minutes."
"It is worth mentioning that this case is one of the few cases in which Chinese medicine practitioners actually participated in emergency rescue. It is very representative and I personally think it is worthy of reference and promotion."