There was a stool placed at the door of the ward. After finishing his meal, Dr. Yu sat on it with his arms folded, his head like a chicken pecking at rice, and he kowtowed his forehead on his crossed arms.
After a busy day, the young resident doctor was already exhausted and would doze off when he didn't have to work.
Anyway, there is another person in the ward.
Contrary to others, who sleeps first to replenish his energy, Geng Yongzhe guards the numbers and curves on the instrument with bright eyes and no signs of fatigue.
Hearing the footsteps behind him, Geng Yongzhe turned around to see her and asked, "Why are you back? I said I'll let you know if anything happens."
"If you are too full, check the patient's condition before going back to sleep." Xie Wanying said.
Indeed, it was difficult to sleep after eating too much. Geng Yongzhe and her discussed side by side: "Now the patient's vital signs are relatively stable."
Upon hearing this, Xie Wanying asked: "How is the patient's coagulation condition?"
Coagulation condition?
Some of the problems involved in surgery may be different from what laymen think. One of them is probably not something that the public would think of. Doctors are not only afraid of massive bleeding during and after surgery, but also fear of hypercoagulable thrombosis during and after surgery. Because there is a risk of death of a patient.
It is not death due to shock due to excessive blood loss, but death due to disseminated intravascular coagulation such as DIC, or thrombus suddenly blocking important organ parts.
During the preoperative team discussion of this patient, the doctors generally believed that he was in a hypercoagulable state, which would lead to the occurrence of artificial valve thrombosis. Therefore, a large amount of heparinized anticoagulant was used during the operation to try to offset the balance of anticoagulation and hypercoagulation. These anticoagulants
The effect of the medicine, how long it lasts after surgery, whether it is enough, and whether additional anticoagulation is needed are all important considerations.
Geng Yongzhe had never been in cardiac surgery. He had never seen open-heart surgery and was not familiar with this type of surgery. When he heard the problem she pointed out, he fell into thinking and said: "I remember it was mentioned in the book that extracorporeal circulation in cardiac surgery can
The fibrinolytic system in human blood becomes hyperactive, which can cause postoperative bleeding and thromboembolism."
Geng is also an excellent medical student. He studies hard and memorizes everything he can. He remembers a lot of medical knowledge and can quickly associate relevant knowledge points.
"Yeah." Xie Wanying nodded and said, "Generally speaking, after cardiac surgery, antifibrinolytic drugs will be given on the same day."
What Geng Yongzhe doesn't quite understand is: "Yingying, you said that taking antifibrinolytic drugs on the same day after cardiac surgery is a routine strategy after cardiac surgery?" This knowledge point seems not to have been mentioned in the books.
I have been to the Cardiac Surgery Department of Guoxie several times and noticed such a scene. I have seen my cousin perform surgery in Guozhi. Xie Wanying has her own speculations and thoughts about this, saying: "Is this a routine treatment plan for the entire department?
I haven’t communicated with Teacher Xinwai so I don’t know much about it. But I have seen it being useful in their department.”
Geng Yongzhe had never observed these scenes in the ward, and he was surprised at how she managed to pay attention to find problems everywhere. Medical students usually arrive in the ward to study, and most of them follow what the teacher says and are guided to think. Medical students want to think independently and lead to problems.
It’s difficult because I don’t know where to focus since I don’t have clinical experience.
Of course, Xie Wanying has a different way of thinking than other medical students because she was reborn. As long as it involves things like laboratory testing of blood indicators, this was her old profession before she was reborn, and it would be difficult for her not to pay attention.