The moment Zhao Yuan appeared in the hall wearing white clothes, everyone immediately made way.
Zhao Yuan has a tall and straight figure, handsome appearance and calm demeanor, which gives people a very imposing feeling, making people almost forget that he is actually only in his twenties.
A person's momentum will increase with the improvement of his position.
The doctor's momentum has a hidden increase.
Patients will trust doctors who are confident, steady and courageous.
Today, Zhao Yuan has become the top force in emergency surgery.
Even the two senior chief physicians, Xie Changtian and Tong Zheng, lacked something compared to Zhao Yuan.
This is a hospital.
The hospital is a place where strength can speak for itself.
When your strength is strong enough, you will be able to stand firm and gain the respect of others.
"The patient is 22 years old and works in Lingshan City. He suddenly developed abdominal pain last night and was sent to our hospital."
A middle-aged man had tears streaming down his face and looked around blankly.
The doctors around him were all wearing white uniforms, and he didn't know which doctor was more experienced.
He could only shout dejectedly, "Please save my son."
Seeing his helpless and praying father, his son lying on the hospital bed was heartbroken.
Zhao Yuan received the report from the initial doctor and carefully looked at the relevant data above.
Then the patient's physical examination began.
The resident doctors immediately craned their necks to study Zhao Yuan's techniques and techniques.
Five minutes later, Zhao Yuan said to the nurse beside him, "It should be abdominal pain caused by inferior vena cava thrombosis. Let's get checked quickly!"
The patient was sent for examination, and Zhao Yuan applied for department linkage.
The visitor was Li Xian. After meeting him, he joked, "Why, is there anything else you can't handle?"
Zhao Yuan said humbly, "This patient's situation is quite special. Please come over and help."
Li Xian studied the report and the results came out.
There is about three centimeters of occlusion in the inferior vena cava.
As an experienced thoracic surgeon, I know what this means. If such a large piece of embolus breaks off, it will block the pulmonary aorta and the patient will die suddenly.
Li Xian and Zhao Yuan called the patient's father and told him the actual situation.
When the patient's father heard that his son would be in danger of dying at any time, he quickly urged, "Doctor, please operate on my son as soon as possible!"
Li Xian patiently explained, "Inferior vena cava thrombosis is rare, and it is a huge thrombus that exceeds the renal vein. I have been clinical for many years and have never seen this kind of situation several times. The most correct method at the moment is to directly remove the thrombus through surgery."
After speaking, he glanced at Zhao Yuan.
Although thrombectomy surgery is risky, it is not a problem for him and Zhao Yuan.
Zhao Yuan was silent, "I don't think we can do thrombectomy for the time being. We need to do anticoagulation treatment first."
Li Xian was a little surprised, but he knew that Zhao Yuan was not the type to express different opinions casually.
"What's the point?"
Zhao Yuan explained patiently, "The patient is only twenty-two years old. Logically speaking, it is impossible for his body to suddenly develop a huge blood clot. The cause should be found out before making a decision."
Li Xian stared at Zhao Yuan with a complicated look on his face.
In fact, he also felt that the patient had some doubts.
"If surgery is not performed immediately, the patient's life may be in danger at any time."
Zhao Yuan said in a deep voice: "I recommend doing an immunological test for anti-phospholipid antibodies."
Li Xian's eyes lit up, "Do you suspect he has antiphospholipid antibody syndrome?"
Zhao Yuan explained the reason, “Although antiphospholipid antibody syndrome mostly affects women during pregnancy, it occasionally occurs in young men. During my physical examination, I found certain abnormalities in his nervous system, which should be the cause of the disease.
There was also damage to his neuropsychiatric system."
When Li Xian heard this, he nodded with admiration, "Your analysis is very reasonable!"
Although Li Xian is a well-known provincial expert in thoracic and cardiac surgery, he also has his own weaknesses.
In terms of diagnostics, his level is not outstanding.
But this is generally only compared with some diagnostic experts.
The main reason is that this patient's situation is too special.
It is rarely seen clinically in thoracic and cardiac surgery.
However, in emergency surgery, we occasionally see similar patients, most of whom are pregnant women.
Zhao Yuan's ability to connect this is enough to prove the value of studying multiple subjects.
While waiting for the test results, Zhao Yuan asked Qin Yi to give the patient anticoagulant treatment first.
The patient's father was a little anxious when he saw that the surgery had not been arranged yet, so he went directly to the office.
Zhao Yuan hasn't reacted yet.
The father was about to kneel down in front of Zhao Yuan, "Doctor Zhao, please, please operate on my son quickly!"
Zhao Yuan had a headache.
However, he still restrained his temper and helped the other person up.
"I can sympathize with your feelings, but the cause of your son's illness has not been determined yet, so he cannot be operated on immediately."
My father was puzzled, "Isn't it said that there is a blood clot? A blood clot is like solidified engine oil. Wouldn't it be enough to remove it?"
Zhao Yuan explained patiently, "Although I am a surgeon and often perform surgeries, I don't always go under the knife. Sometimes conservative treatment is more appropriate than surgery."
The father looked at the young doctor in front of him.
It was difficult for him to understand Zhao Yuan's behavior.
Zhao Yuan is a surgeon, and he definitely prefers surgery to solve problems.
However, from what he said, it seems that he doesn't want to use surgery to solve the problem now.
Zhao Yuan sighed secretly.
Surgeons are not bloodthirsty maniacs.
Once a knife is used, no matter how small the wound is, it will cause harm to the patient.
A dedicated surgeon will not let his patient undergo surgery easily.
The test results finally came out and the antibody reaction was positive.
Li Xian was also greatly surprised when he learned the result at the Department of Thoracic and Cardiac Surgery.
He knew that Zhao Yuan's diagnosis level was very high, but he didn't expect that his judgment on this condition had even surpassed his own.
Antiphospholipid antibody syndrome is an immune disease in which the immune system attacks blood vessels and continuously destroys the endothelium of blood vessels, thereby forming thrombus.
If surgery is performed at this time, it will not only treat the symptoms but not the root cause, it will even aggravate the formation of thrombosis.
In other words, if Zhao Yuan had not raised the question, a medical accident might have occurred.
Li Xian thought about it with lingering fear.
Li Xian came to the emergency surgery again.
Zhao Yuan is formulating a conservative treatment plan for the patient.
After Zhao Yuan gave the doctor's orders, he invited Li Xian to the office and made him a cup of hot tea.
Li Xian held the tea cup and said with emotion, "You have taught me a lesson today."
Zhao Yuan was shocked and said quickly, "Director Li, how could you say that?"
Li Xian waved his hand, "Eighty percent of surgeons would have given the patient a knife in the situation just now. But you were able to control the inertia. This is so rare and valuable."
What Li Xian said is not an exaggeration.
This patient is quite special, and the cause is really difficult to detect.
If Zhao Yuan hadn't been sharp enough, the consequences would have been disastrous.
