Fang Le handed the ultrasound results in his hand to Zhou Qiwen: "Clinically, cardiac arrest caused by acute cardiac tamponade is particularly easy to misjudge, but generally speaking there are some minor signs, such as a slight drop in blood pressure before cardiac arrest.
Some unusual symptoms."
"On the way here, although I did not perform effective rescue on the patient, I did make some diagnoses, so I made some guesses."
Of course, in addition to this, the reason why Fang Le suggested that Zhou Qiwen do another cardiac ultrasound was more about the accumulation of clinical experience.
In terms of years of medical practice, even before his rebirth, Fang Le's years of medical practice are definitely not as good as Zhou Qiwen's. However, in the era of the information explosion, Fang Le's exposure to cases and illnesses, and the cases and illnesses he has heard of are definitely more
Much more than Zhou Qiwen.
There are also various reasons such as restrictions on medical level, which also lead to the clinical limitations of doctors in this era.
Before his rebirth, Fang Le was the deputy director of the emergency department of Jiangzhong Hospital. He was familiar with both Chinese and Western medicine. Although Western medicine mainly focused on surgery, in the emergency department, Fang Le presided over and participated in many rescue operations. He was rich in experience and performed various rescue operations.
Diseases and conditions have been encountered.
It is very difficult to identify cardiac arrest caused by acute cardiac tamponade in the early stage, and it is easy to cause misjudgment. In clinical practice, cardiac ultrasound examination is almost an indispensable item, but this is not necessarily the case at this time.
Because he noticed some abnormalities and out of caution, Fang Lecai suggested that Zhou Qiwen do an additional cardiac ultrasound. Sure enough, the patient had cardiac arrest caused by acute cardiac tamponade.
There is a large amount of fluid in the pericardium. In this case, if the fluid is not removed and any method is used, it will be difficult for the patient's heart to beat again.
"Asystole caused by acute cardiac tamponade!"
Zhou Qiwen hurriedly remembered this in his heart and said: "Fortunately, Dr. Fang is here, otherwise, we would really be at our wits' end today. If we encounter similar situations in the future, cardiac ultrasound examination should be followed at any time.
"
For doctors, any accumulated risk experience is valuable. This time, because of Fang Le’s reminder, the patient’s pericardial effusion was discovered. So next time, when encountering a similar situation, cardiac ultrasound examination is essential.
Regardless of whether there is pericardial effusion or not, it is the patient's responsibility to do an extra cardiac ultrasound examination.
"Director Zhou is too polite."
"Fang...Dr. Fang, thank you."
When Zhou Qiwen and Fang Le were talking, the patient's son, daughter, and wife were also listening. When Fang Le and Zhou Qiwen were talking, the patient's family members hurriedly came forward.
The first person to thank was the patient’s wife.
"Dr. Fang, thank you, thank you."
Then there are the patients’ children.
"We were in a hurry just now. We were a little...a little bit unclear about the situation. I'm sorry."
"There's no need to say thank you. The patient should not be out of danger yet."
Fang Le replied and said to Zhou Qiwen: "Director Zhou, go and do your work. If you have anything, you can tell me."
Looking at the patient's family, their attitude was indeed sincere, and Fang Le was not angry at all. The fact that the patient's family could say thank you at this time showed that they still have a conscience, and at least they care about the patient. If the patient's family still makes trouble at this moment, it would be really "filial piety".
"died.
Zhou Qiwen entered the emergency room. Inside the emergency room, the doctors were still busy. The patient's heart restarted, but it did not mean that he was out of danger. There was a possibility of stopping again.
However, being able to jump again is equivalent to saving another life. The doctors still have a chance to save him again, otherwise, he would have been declared dead just now.
"Director Zhou's myocardial contraction is becoming more and more obvious, and his breathing has recovered."
"Skin oxygen saturation 85%."
In the emergency room, doctors reported the patient's condition to Zhou Qiwen.
Because of his sensitive status, Fang Le never participated in the treatment, but Zhou Qiwen came out from time to time to explain the situation to Fang Le, and Fang Le also gave some suggestions.
"In this case, a thoracotomy and pericardial catheter drainage surgery are still required."
Zhou Qiwen hurriedly called a doctor: "Notify the heart..."
The level of cardiothoracic surgery at the Medical Affiliated Hospital is very good, and Fang Le knows this. Open thoracotomy and pericardial tube drainage surgery can be done here at the Medical Affiliated Hospital.
...
"Master."
In the special needs ward, Chen Jidong was sitting on the bed with his eyes closed and his tongue still hanging out.
Hearing Liu En speak, Chen Jidong opened his eyes. His eyes were full of red bloodshot eyes. He barely slept last night. He squinted for a while just now, but he couldn't sleep well at all. In addition to his tongue being outside, the most important thing was that his stomach and intestines were also
Uncomfortable.
He was unable to eat. Although he relied on infusions to maintain nutrition, Chen Jidong was awake and other aspects were normal. He still felt hungry.
"There was news from the emergency department just now that the patient has been rescued and is now undergoing a thoracotomy and pericardial catheter drainage operation."
Chen Jidong's eyes widened and he sat upright suddenly, his teeth almost biting his tongue. If he had pressed harder, he might have bitten his tongue and committed suicide.
Because of the pain and stimulation caused by biting his tongue, Chen Jidong became more awake.
Liu En said hurriedly: "It was Fang Le's suggestion. I did a heart ultrasound and found pericardial effusion..."
Chen Jidong looked at Liu En and lay back dejectedly for a long time.
His heart stopped beating, but he was rescued again.
Yes, it's "again".
At Xijing Hospital, Fang Le rescued him once. His heart had stopped and he was about to be sent to the morgue, but Fang Le rescued him.
Of course, Chen Jidong had been fired at that time and was not at the scene, but Chen Jidong knew about it.
Before this time, Chen Jidong had always felt that it might be a bit exaggerated, but...
Just now it was clear that the patient had not been rescued, but now he was rescued.
Not to mention that Chen Jidong is not a layman, even if he has been a doctor for several years, this kind of thing is very rare for Chen Jidong.
"Master, I just called the boss. What does the boss mean, how about we go back to Xijing City?"
Liu En said softly.
Chen Jidong looked at Liu En, who continued: "Here, the hospital has not figured out the situation yet, and we are not very familiar with it. When we return to Xijing, the boss can ask Mr. Sun..."
"Um."
After quite a while, Chen Jidong nodded slowly.
From last night to now, it's already past noon. The torture of not being able to eat or drink, and not being able to sleep has made Chen Jidong forget everything.
At this time, Chen Jidong's biggest concern was to heal himself first and then think about other things.
Chen Jidong probably knew something about the relationship between Sun Qingping and Chen Qinghai. Although Sun Qingping was Fang Le's master, Sun Qingping would not refuse if his father personally invited someone.
...
"What, Chen Jidong went to the airport?"
Tingjiang Villa.
When Jin Zhenghe heard the news from his secretary, his expression suddenly changed and his voice became louder.
"Yes, boss, Mr. Chen has already gone to the airport. There happens to be a flight to Xijing in the afternoon. He should be returning to Xijing City." The secretary said cautiously.
"grass!"
Jin Zhenghe couldn't help but uttered a curse word. At this time, Chen Jidong actually left, actually left?
Ever since he learned that Fang Le and Old Man Tan had arrived at the hospital together, Jin Zhenghe felt anxious.
In just a few hours, Jin Zhenghe's mood also went up and down.
First I heard that old man Tan was critically ill, then I heard that he was dead, then I heard that he was alive, and now Chen Jidong was planning to run away again.
Yes, in Jin Zhenghe's view, Chen Jidong just ran away.
Jin Zhenghe didn't know much about what was going on at the hospital. He was not a doctor.
So Old Man Tan died for a while and then came back to life. To Jin Zhenghe's ears, it was really scary. Jin Zhenghe didn't realize it was a rescue or misjudgment. He only thought it was Master Fang's.
means.
These days, some people's understanding of Qigong is very scary. It can cure diseases, hurt people, put out fires, and hurt people thousands of miles away. It doesn't seem too outrageous.
And Fang Le can injure Master Xie and make Master Xie die without anyone noticing. Who knows what other methods Fang Le has?
This time, Old Man Tan was alive and dead for a while. To Jin Zhenghe's ears, wasn't that just a master's trick?
Otherwise, how could he still die and live again?
Are doctors so awesome?
No, Chen Jidong was scared away.
This time, Jin Zhenghe took action secretly to please Chen Jidong, but now Mr. Chen has actually run away.
Jin Zhenghe sat down on the sofa, his face turned pale.
Chen Jidong ran away, what should he do?
Does Master Fang know that he is actually the one behind this?
If I don’t know now, will I know in the future?
If you knew, what should you do to him?
For a time, Kim Jong-he was in a state of panic.
...
"The operation went very well."
Ding Lei, Director of the Cardiothoracic Surgery Department of the Hospital Affiliated to the Hospital, walked out of the operating room. He first said something to the patient's family members waiting outside the operating room, and then walked out with Zhou Qiwen.
"Director Zhou is amazing. He was able to detect cardiac arrest caused by acute cardiac tamponade. In this case, the clinical recognition rate is very low and misjudgment is easy to occur."
"Director Ding was so complimentary. I really didn't notice this."
Zhou Qiwen smiled bitterly and said, "It's Dr. Fang Lefang from Xijing Hospital."
"Which Dr. Fang is involved in the Fang Tendon Suture Method?"
Ding Yan asked.
"yes."
Zhou Qiwen said: "The patient's heart stopped beating. I tried to resuscitate him for a long time but gave up. It was Dr. Fang who suggested that I do a cardiac ultrasound, and that's when I discovered that it was pericardial effusion."
"Isn't that Doctor Fang specializing in tendon suturing? How come he knows so much about this aspect?" Ding Lei asked.
Ding Lei also heard about Fang Le's name in the past two days: "Do you still understand Chinese medicine?"
"No."
Zhou Qiwen said: "Majoring in Chinese medicine, Sun Qingping is a disciple of Mr. Sun."
"I heard you are not very old?" Ding Lei asked again.
"Twenty-one or twelve years old." Zhou Qiwen said.
"Is there really such a genius in this world?" Ding Lei was a little unbelievable.