No one told Dean Cheng, he definitely didn't know that Boss Zhu was hospitalized in the emergency center.
The person who informed the whistleblower was Director Tian.
It turned out that Dean Cheng heard from Director Tian last night that Boss Zhu had a car accident. He felt a little sorry, so he came over early this morning to take a look.
Zhou Shengsheng did not know that Dean Cheng and Boss Zhu were old acquaintances.
He immediately stepped forward to greet Dean Cheng and said, "Dean Cheng, the situation was too urgent yesterday, so I didn't have time to ask colleagues outside the hospital for consultation, so I made the decision to take over the operation..."
Dean Cheng waved his hand with a smile and said: "I'm not here today for this matter. Boss Zhu is an old friend of mine. I came here to see him."
"Oh, I thought you, Director Cheng, were going to criticize me for not asking for instructions and performing this kind of surgery without authorization."
"Why are you criticizing you? Director Tian also told me on the phone yesterday that your surgery was very beautiful. Xiao Zhou, it seems that you are hiding it. You still have many talents that you haven't shown yet."
Zhou Sheng was a little embarrassed to be told by Dean Cheng.
He thought to himself that he had nothing to hide, he was just making progress. However, his progress was like mushrooms after a spring rain, reaching new heights every day.
"Dean Cheng, I didn't hide it, I just got some training from going abroad before. When the situation is urgent, I am a little bolder."
"If you do what you want, do it! This is also an essential quality for an emergency doctor. You have done a good job. You are not a team leader in vain. If you can do it, just do it! Director Jiang and I will support you."
Dean Cheng said happily at this time.
As someone who comes from an emergency center, he is certainly a bit selfish. He hopes that the emergency center will not simply do some triage work.
Making it bigger and stronger is the purpose of upgrading the emergency department to a center.
Of course, the scene is getting bigger and the hardware is getting better. Talents also need to keep up.
The emergence of Zhou Sheng just made up for some shortcomings in talent.
"Thank you! Dean Cheng!" Zhou Sheng was naturally happy to receive Dean Cheng's approval.
The two were talking.
Cao Xin ran in panting.
"Hello, Zhou... Dean Cheng!"
Cao Xin originally came to see Zhou Sheng. When he saw Dean Cheng there, he immediately said hello.
Dean Cheng saw that Cao Xin was in a hurry, "You don't have to worry about me, I will leave in a moment."
Cao Xin quickly said to Zhou Sheng: "Team Leader Zhou, Dr. Su asked me to call you, another one with a heart problem."
If you have a heart problem, it is not a minor illness.
Zhou Sheng said goodbye to Dean Cheng and immediately followed Cao Xin out of the ward.
…
In the emergency room, a male patient in his twenties was lying on the bed in pain.
Su Quan was exhausted in front of the hospital bed.
Next to him, there was Bai Mingming who was helpless.
The patient in this hospital bed was first treated by Su Quan. Later, when he found out that his condition was serious, he asked Cao Xin to find Bai Mingming.
When Bai Mingming saw it, he couldn't figure it out, so he immediately asked Cao Xin to find Zhou Sheng.
Monday comes.
Su Quan immediately reported the current situation to Zhou Sheng.
The patient, a 25-year-old male, came to the emergency department because he had chest tightness and sweating profusely for about an hour.
Su Quan asked the patient to check the electrocardiogram, which showed that the st segment of the inferior wall was elevated.
Su Quan asked: "Could it be acute myocardial infarction?"
Chest tightness and profuse sweating are indeed symptoms of acute myocardial infarction.
Zhou Sheng nodded.
Bai Mingming added: "The patient's blood pressure in both upper limbs is 86/46mmhg."
Zhou Sheng frowned. Normally, there will be a slight difference in the blood pressure of both upper limbs. But it should be within 15mmhg. This difference of 40mmhg is most likely a symptom of heart failure caused by heart disease.
Su Quan was introducing the situation to Zhou Sheng.
Over there, Cao Xin suddenly shouted, "The patient has fainted."
Zhou Sheng, Su Quan, and Bai Mingming immediately surrounded him.
Myocardial infarction has caused heart failure, and now it has progressed to unconsciousness.
This is a fatal matter, and the situation is urgent.
Zhou Shengsheng turned on the system for scanning and ordered: "Prepare the operating room and do coronary artery imaging."
Although coronary artery imaging is also a type of imaging, it is much more complicated than ordinary imaging. The specific method is to insert a catheter into the femoral artery or other arteries into the coronary artery ostium, and inject contrast medium to develop the coronary arteries.
.
Coronary angiography is currently the only diagnostic method that can directly observe the shape of coronary arteries, and the medical community calls it the "gold standard."
Why should coronary arteries be checked for myocardial infarction?
This is because acute myocardial infarction is myocardial necrosis caused by acute and sustained ischemia and hypoxia of the coronary arteries.
Bai Mingming reminded at this time: "The condition is so serious, do we need to find someone outside the heart for consultation?"
At this time, Zhou Yisheng's system test had already given the results.
Patient's condition: right coronary artery occlusion, causing acute myocardial infarction!
Cause: Aortic dissection type A.
Treatment: thoracotomy.
Disease prediction...
Aortic dissection!
It turned out that this was the cause of myocardial infarction. Zhou Yisheng was stunned. He was still type A.
This disease is all too familiar to Zhou Yi.
In last night's dungeon, the second person he came into contact with was Type B of this disease. In subsequent dungeon cases, he also came into contact with many cases of this disease.
He knows this disease very well.
Without looking at the system's disease prediction, Zhou Shengsheng also knew that type A's disease was much more dangerous than type B's. Type B's disease could be relieved for a while and could be treated conservatively with a minimally invasive stent. Type A's disease could not be delayed for a moment, only
Open your mind and find a way.
When type A dissection occurs, the mortality rate can generally reach 50% within 48 hours; if treatment is delayed, the mortality rate can be as high as 90% within a month, which is almost a narrow escape.
The current condition prediction given by the system is: the probability of death within 6 hours is 30%, the probability of death within 12 hours is 60%, and the probability of death within 24 hours is 90%.
Zhou Sheng took a deep breath.
This disease does not become any less severe just because the patient is young.
If we had waited until the consultation was over to study the surgical plan, the patient would probably have been hopeless.
Do an emergency coronal x-ray first.
The next step is surgery immediately. Surgery for type A aortic dissection was not possible yesterday.
But today, he is already an expert in this field.
When it’s time to break, it’s time to break!
Zhou Sheng remembered Dean Cheng's words.
He said categorically: "It's too late! Make arrangements immediately!"
Bai Mingming didn't object anymore at this time.
Later, he also heard about the heart rescue operation performed by Zhou Sheng.
Secondly, he is a big fan of Zhou Sheng, and he has confidence in Zhou Sheng.
Emergency operating room ready.
Zhou Shengsheng did the operation himself, Bai Mingming, Su Quan, and Cao Xin were all there.
Coronary imaging is also a type of arterial puncture.
For Zhou Shengsheng, who had done a lot of arterial puncture and minimally invasive surgeries in the dungeon, this was simply a piece of cake.
Local anesthesia with licadoin.
Sterilize and puncture the femoral artery.
After puncture, enter the guidewire catheter through the needle tip until it reaches the left coronary sinus of the heart, and inject contrast agent into the three coronary arteries of the heart through the left coronary sinus.
After the three blood vessels are filled with contrast agent, X-rays are taken continuously. At this time, you can see the contrast agent filling the three coronary arteries...