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I Can See Health Chapter 506

   Chapter 506 Ceiling of the Second Courtyard of Jinghua

   Back to the doctor's office.

   Before Lu Chen's buttocks were getting hot, Senior Sister Sun Guoguo came in suddenly.

   "Senior sister, why are you here?" Lu Chen immediately stood up.

  Sun Guoguo said solemnly: "A heavyweight patient will come later, Director Cao, Director Cheng, and even the Dean will come over."

  Lu Chen was taken aback, what kind of patient is this?

   Even the leaders of the hospital rushed over.

   "I heard that he is the leader of the hall, but I don't know the specifics." Sun Guoguo said, "I only know that an emergency coronary angiography may be required."

  There is such a rule in the hospital's regulation system.

   Surgery involving important foreign guests or important leaders, no matter the size of the operation, is a major-level operation!

   "Is the patient seriously ill?" Lu Chen asked.

  Sun Guoguo nodded slightly, "Anyway, it's not too bad. I have a history of coronary heart disease in the past, but this time I have chest pain again."

   Hearing that the provincial and ministerial leaders were coming to the hospital made everyone nervous.

  Lu Chen writes medical records and sees patients as usual.

   Less than ten minutes.

  CCU's door was opened again.

  Lu Chen saw a group of people crowded around a hospital bed and entered the CCU ward.

  CCU's doctors and nurses have long been prepared.

   Graduate students and regular trainees simply can't get involved.

  Lu Chen couldn't even squeeze in, and he couldn't even see the front of the patient.

  The hospital bed stayed at the gate of the CCU for a few minutes, and was quickly pushed to the catheterization room next door.

   It's come and gone!

  Liu Han glanced at the place where the hospital bed left.

   "Junior Brother, what kind of big man do you think he is?"

   "Who knows..." Lu Chen smiled, "No matter how old he is, it has nothing to do with us."

   "That's true." Liu Han curled his lips, "But the leaders of this kind of hospital are really active. Whenever there is trouble, they all come over. I just heard that Director Cao is going to perform surgery in person."

  Cao Zhiying, as the director of the Cardiology Department of Jinghua Second Hospital, under his leadership, Jinghua Second Cardiology Department has developed rapidly and has become the top ten cardiology specialists in the country.

   However, due to factors such as the geographical environment, the development of Jinghua Second Hospital has reached a bottleneck.

  Cao Zhiying also moved from the academic field to the official field early.

   Nowadays, Cao Zhiying is rarely seen in Jinghua Second Hospital.

   All his energy is now running for the election of an academician.

   "I remember Director Cao, it seems that he hasn't had surgery for many years." Lu Chen wondered.

   "That's right!" Liu Han nodded, "Most of the operations are now done by Mr. Ren Feng, and Director Cao mostly guides him, and rarely does it himself."

   But this time, in order to show the importance of leadership, Cao Zhiying had to do it herself!

   Jinghua Second Hospital, Cardiology Catheterization Laboratory.

  Cao Zhiying had already put on all the surgical gowns and lead gowns, and Ren Feng served as an assistant.

  As the leader of the younger generation of the Cardiology Department of the Second Hospital of Jinghua, Ren Feng's interventional surgery ability is within the scope of the Second Hospital, and almost no one can surpass him.

   "Director, I'll finish the puncture first, then you go?" Ren Feng said.

   "No, I'll start from scratch." Cao Zhiying shook her head slightly, "Give me the puncture needle."

   "This... okay." Ren Feng had no choice but to hand the puncture needle to Cao Zhiying.

   He also had some drumming in his heart. In his memory, Director Cao Zhiying hadn't done it himself for a long time.

   "Hey, maybe I'm overthinking, Director Cao's ability to intervene is beyond words!" Ren Feng thought.

   He can be regarded as Cao Zhiying's apprentice.

   The former Jinghua Second Hospital was developed under the intervention of Director Cao Zhiying.

  Cao Zhiying washed her hands and put on surgical gloves, and the operation officially started!

  Disinfection, anesthesia, puncture, the whole process, Cao Zhiying still did it in one go, and she didn't look a little strange.

   He really deserves to be an interventionist of the older generation. The entire operation process is extremely stable, so that Ren Feng on the side can't pick out any problems.

   "I started the operation inside the catheter." Cao Zhiying said solemnly.

  Ren Feng nodded and began to help Cao Zhiying prepare the catheter and guide wire.

  The guide wire passed through the lesion smoothly.

   However, when the coronary angiography was seen, the medical staff of the entire treatment group were frowning.

   encountered difficulties!

  Angiography showed that the patient had complete right coronary artery occlusion with severe calcification, 50% left main stenosis with severe calcification, 90% stenosis at the root of the anterior descending branch with severe calcification, and 95% stenosis at the root of the circumflex artery with severe calcification.

   The patient's coronary artery is very blocked, and the blood supply to the entire heart is insufficient or interrupted.

  Whether it is a complete occlusion lesion, a left main bifurcation lesion or a severe calcified lesion, whichever one is taken out alone is a difficult and high-risk operation!

   "ECMO Ready!"

   "Please consult the anesthesiology department for emergency consultation, and be ready to switch to general anesthesia at any time!"

  On the scene, only Cao Zhiying was calm and composed, and he issued various medical orders in an unstable manner.

   This high-risk patient may develop cardiogenic shock at any time. IABP alone is not enough, ECMO must be used!

   "Received!" Ren Feng immediately forwarded Cao Zhiying's doctor's order to the catheter room.

   Then, Cheng Guowen, who had been waiting outside, began to arrange these things.

   "Director, what should I do?" Ren Feng returned to Cao Zhiying's side.

   "Only wait for general anesthesia to go on ECMO." Cao Zhiying said, "The patient's current state, it is impossible to persist until all operations are completed."

   Ordinary coronary angiography may only take about half an hour, but such a difficult operation is different.

   The patient's own cardiac function is not very good, and long-term supine lying is more likely to induce the occurrence of heart failure.

  CCU Ward.

  Lu Chen was a little surprised when he saw the doctors who came in and out.

   Doctors from the Department of Anesthesiology and Ultrasound have all come, and even the IABP and ECMO machines have been moved to the catheterization room.

   "It seems that this is a major operation!" Liu Han exclaimed.

  Lu Chen is also a little itchy in his heart. If he can participate in this level of surgery, he will definitely gain a lot of experience!

   However, he is only a graduate student now, and he is not even qualified to visit!

  CCU Catheterization Lab.

   After the anesthesiologist arrived, he quickly gave the patient general anesthesia.

  Ren Feng put the ECMO machine on the patient directly.

   This time the ECMO machine debugging went very smoothly.

   "Continue the operation!" Cao Zhiying gave an order, and Ren Feng quickly cooperated and began to deal with the vascular disease of the coronary artery.

   Time passes in one minute and one second.

   Cao Zhiying's spirit is highly concentrated, and in such a difficult operation, there is simply no room for relaxation.

   "Director, the patient's heart rate is slow, I think it should be a third-degree atrioventricular block!"

  Cao Zhiying frowned, "This is not easy to handle. It may be necessary to put a pacemaker. Go and call Director Cheng in."

"it is good."

  Cao Zhiying, Cheng Guowen and Ren Feng are already the top intervention team in the heart of Jinghua Second Hospital.

   "Director Cheng, your opinion..." Cao Zhiying looked at Cheng Guowen on the side.

   "The pacemaker must be put on, but it depends on what type it is." Cheng Guowen said sternly.

   "Tell me about it."

   Cheng Guowen continued: "The patient's left and right ventricular systolic asynchrony also aggravates heart failure. Drugs alone cannot solve the problem, and surgery must be combined with an anti-heart failure pacemaker."

  The implantation of anti-heart failure pacemakers is different from ordinary pacemakers. In addition to implanting leads outside the right atrium and right ventricle, there is also a lead that needs to be connected to the left ventricle.

   Cheng Guowen looked back at Cao Zhiying and said slowly: "The patient is old, if the blood vessels are alienated during the operation, the consequences will be unimaginable."

  In the catheter room, the atmosphere was quiet for a moment.

   for a long time.

  Cao Zhiying said slowly, "Old Cheng, how sure are you?"

   Cheng Guowen looked solemn and shook his head slightly: "I haven't treated such an old patient yet, and this technology is still a new technology in our province."

  Cao Zhiying heard the words, her brows deepened, "Is it possible to give up the implantation of the pacemaker for the time being?"

  If the patient's heart rate and heart failure problems are not solved this time, even if coronary intervention is done beautifully, it will not help!

   At this moment, Cheng Guowen suddenly said: "Director Cao, although I'm not skilled, there should be someone in our hospital who can."

  Cao Zhiying was taken aback for a moment, "Who?"

   He was surprised and delighted.

   However, Cheng Guowen's electrophysiological technology is already the ceiling of the Jinghua Second Hospital, and he has never heard of anyone surpassing him!

  I saw Cheng Guowen raised his head, his eyes flickered, his voice was low, and he said the name.

   "Lu Chen!"

   (end of this chapter)

Chapter end

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Chapter 880
Chapter 879
Chapter 878
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Chapter 876
Chapter 875
Chapter 874
Chapter 873
Chapter 872
Chapter 871
Chapter 870
Chapter 869
Chapter 868
Chapter 867
Chapter 866
Chapter 865
Chapter 864
Chapter 863
Chapter 862
Chapter 861
Chapter 860
Chapter 859
Chapter 858
Chapter 857
Chapter 856
Chapter 855
Chapter 854
Chapter 853
Chapter 852
Chapter 851
Chapter 850
Chapter 849
Chapter 848
Chapter 847
Chapter 846
Chapter 845
Chapter 844
Chapter 843
Chapter 842
Chapter 841
Chapter 840
Chapter 839
Chapter 838
Chapter 837
Chapter 836
Chapter 835
Chapter 834
Chapter 833
Chapter 832
Chapter 831
Chapter 830
Chapter 829
Chapter 828
Chapter 827
Chapter 826
Chapter 825
Chapter 824
Chapter 823
Chapter 822
Chapter 821
Chapter 820
Chapter 819
Chapter 818
Chapter 817
Chapter 816
Chapter 815
Chapter 814
Chapter 813
Chapter 812
Chapter 811
Chapter 810
Chapter 809
Chapter 808
Chapter 807
Chapter 806
Chapter 805
Chapter 804
Chapter 803
Chapter 802
Chapter 801
Chapter 800
Chapter 799
Chapter 798
Chapter 797
Chapter 796
Chapter 795
Chapter 794
Chapter 793
Chapter 792
Chapter 791
Chapter 790
Chapter 789
Chapter 788
Chapter 787
Chapter 786
Chapter 785
Chapter 784
Chapter 783
Chapter 782
Chapter 781
Chapter 780
Chapter 779
Chapter 778
Chapter 777
Chapter 776
Chapter 775
Chapter 774
Chapter 773
Chapter 772
Chapter 771
Chapter 770
Chapter 769
Chapter 768
Chapter 767
Chapter 766
Chapter 765
Chapter 764
Chapter 763
Chapter 762
Chapter 761
Chapter 760
Chapter 759
Chapter 758
Chapter 757
Chapter 756
Chapter 755
Chapter 754
Chapter 753
Chapter 752
Chapter 751
Chapter 750
Chapter 749
Chapter 748
Chapter 747
Chapter 746
Chapter 745
Chapter 744
Chapter 743
Chapter 742
Chapter 741
Chapter 740
Chapter 739
Chapter 738
Chapter 737
Chapter 736
Chapter 735
Chapter 734
Chapter 733
Chapter 732
Chapter 731
Chapter 730
Chapter 729
Chapter 728
Chapter 727
Chapter 726
Chapter 725
Chapter 724
Chapter 723
Chapter 722
Chapter 721
Chapter 720
Chapter 719
Chapter 718
Chapter 717
Chapter 716
Chapter 715
Chapter 714
Chapter 713
Chapter 712
Chapter 711
Chapter 710
Chapter 709
Chapter 708
Chapter 707
Chapter 706
Chapter 705
Chapter 704
Chapter 703
Chapter 702
Chapter 701
Chapter 700
Chapter 699
Chapter 698
Chapter 697
Chapter 696
Chapter 695
Chapter 694
Chapter 693
Chapter 692
Chapter 691
Chapter 690
Chapter 689
Chapter 688
Chapter 687
Chapter 686
Chapter 685
Chapter 684
Chapter 683
Chapter 682
Chapter 681
Chapter 680
Chapter 679
Chapter 678
Chapter 677
Chapter 676
Chapter 675
Chapter 674
Chapter 673
Chapter 672
Chapter 671
Chapter 670
Chapter 669
Chapter 668
Chapter 667
Chapter 666
Chapter 665
Chapter 664
Chapter 663
Chapter 662
Chapter 661
Chapter 660
Chapter 659
Chapter 658
Chapter 657
Chapter 656
Chapter 655
Chapter 654
Chapter 653
Chapter 652
Chapter 651
Chapter 650
Chapter 649
Chapter 648
Chapter 647
Chapter 646
Chapter 645
Chapter 644
Chapter 643
Chapter 642
Chapter 641
Chapter 640
Chapter 639
Chapter 638
Chapter 637
Chapter 636
Chapter 635
Chapter 634
Chapter 633
Chapter 632
Chapter 631
Chapter 630
Chapter 629
Chapter 628
Chapter 627
Chapter 626
Chapter 625
Chapter 624
Chapter 623
Chapter 622
Chapter 621
Chapter 620
Chapter 619
Chapter 618
Chapter 617
Chapter 616
Chapter 615
Chapter 614
Chapter 613
Chapter 612
Chapter 611
Chapter 610
Chapter 609
Chapter 608
Chapter 607
Chapter 606
Chapter 605
Chapter 604
Chapter 603
Chapter 602
Chapter 601
Chapter 600
Chapter 599
Chapter 598
Chapter 597
Chapter 596
Chapter 595
Chapter 594
Chapter 593
Chapter 592
Chapter 591
Chapter 590
Chapter 589
Chapter 588
Chapter 587
Chapter 586
Chapter 585
Chapter 584
Chapter 583
Chapter 582
Chapter 581
Chapter 580
Chapter 579
Chapter 578
Chapter 577
Chapter 576
Chapter 575
Chapter 574
Chapter 573
Chapter 572
Chapter 571
Chapter 570
Chapter 569
Chapter 568
Chapter 567
Chapter 566
Chapter 565
Chapter 564
Chapter 563
Chapter 562
Chapter 561
Chapter 560
Chapter 559
Chapter 558
Chapter 557
Chapter 556
Chapter 555
Chapter 554
Chapter 553
Chapter 552
Chapter 551
Chapter 550
Chapter 549
Chapter 548
Chapter 547
Chapter 546
Chapter 545
Chapter 544
Chapter 543
Chapter 542
Chapter 541
Chapter 540
Chapter 539
Chapter 538
Chapter 537
Chapter 536
Chapter 535
Chapter 534
Chapter 533
Chapter 532
Chapter 531
Chapter 530
Chapter 529
Chapter 528
Chapter 527
Chapter 526
Chapter 525
Chapter 524
Chapter 523
Chapter 522
Chapter 521
Chapter 520
Chapter 519
Chapter 518
Chapter 517
Chapter 516
Chapter 515
Chapter 514
Chapter 513
Chapter 512
Chapter 511
Chapter 510
Chapter 509
Chapter 508
Chapter 507
Chapter 506
Chapter 505
Chapter 504
Chapter 503
Chapter 502
Chapter 501
Chapter 500
Chapter 499
Chapter 498
Chapter 497
Chapter 496
Chapter 495
Chapter 494
Chapter 493
Chapter 492
Chapter 491
Chapter 490
Chapter 489
Chapter 488
Chapter 487
Chapter 486
Chapter 485
Chapter 484
Chapter 483
Chapter 482
Chapter 481
Chapter 480
Chapter 479
Chapter 478
Chapter 477
Chapter 476
Chapter 475
Chapter 474
Chapter 473
Chapter 472
Chapter 471
Chapter 470
Chapter 469
Chapter 468
Chapter 467
Chapter 466
Chapter 465
Chapter 464
Chapter 463
Chapter 462
Chapter 461
Chapter 460
Chapter 459
Chapter 458
Chapter 457
Chapter 456
Chapter 455
Chapter 454
Chapter 453
Chapter 452
Chapter 451
Chapter 450
Chapter 449
Chapter 448
Chapter 447
Chapter 446
Chapter 445
Chapter 444
Chapter 443
Chapter 442
Chapter 441
Chapter 440
Chapter 439
Chapter 438
Chapter 437
Chapter 436
Chapter 435
Chapter 434
Chapter 433
Chapter 432
Chapter 431
Chapter 430
Chapter 429
Chapter 428
Chapter 427
Chapter 426
Chapter 425
Chapter 424
Chapter 423
Chapter 422
Chapter 421
Chapter 420
Chapter 419
Chapter 418
Chapter 417
Chapter 416
Chapter 415
Chapter 414
Chapter 413
Chapter 412
Chapter 411
Chapter 410
Chapter 409
Chapter 408
Chapter 407
Chapter 406
Chapter 405
Chapter 404
Chapter 403
Chapter 402
Chapter 401
Chapter 400
Chapter 399
Chapter 398
Chapter 397
Chapter 396
Chapter 395
Chapter 394
Chapter 393
Chapter 392
Chapter 391
Chapter 390
Chapter 389
Chapter 388
Chapter 387
Chapter 386
Chapter 385
Chapter 384
Chapter 383
Chapter 382
Chapter 381
Chapter 380
Chapter 379
Chapter 378
Chapter 377
Chapter 376
Chapter 375
Chapter 374
Chapter 373
Chapter 372
Chapter 371
Chapter 370
Chapter 369
Chapter 368
Chapter 367
Chapter 366
Chapter 365
Chapter 364
Chapter 363
Chapter 362
Chapter 361
Chapter 360
Chapter 359
Chapter 358
Chapter 357
Chapter 356
Chapter 355
Chapter 354
Chapter 353
Chapter 352
Chapter 351
Chapter 350
Chapter 349
Chapter 348
Chapter 347
Chapter 346
Chapter 345
Chapter 344
Chapter 343
Chapter 342
Chapter 341
Chapter 340
Chapter 339
Chapter 338
Chapter 337
Chapter 336
Chapter 335
Chapter 334
Chapter 333
Chapter 332
Chapter 331
Chapter 330
Chapter 329
Chapter 328
Chapter 327
Chapter 326
Chapter 325
Chapter 324
Chapter 323
Chapter 322
Chapter 321
Chapter 320
Chapter 319
Chapter 318
Chapter 317
Chapter 316
Chapter 315
Chapter 314
Chapter 313
Chapter 312
Chapter 311
Chapter 310
Chapter 309
Chapter 308
Chapter 307
Chapter 306
Chapter 305
Chapter 304
Chapter 303
Chapter 302
Chapter 301
Chapter 300
Chapter 299
Chapter 298
Chapter 297
Chapter 296
Chapter 295
Chapter 294
Chapter 293
Chapter 292
Chapter 291
Chapter 290
Chapter 289
Chapter 288
Chapter 287
Chapter 286
Chapter 285
Chapter 284
Chapter 283
Chapter 282
Chapter 281
Chapter 280
Chapter 279
Chapter 278
Chapter 277
Chapter 276
Chapter 275
Chapter 274
Chapter 273
Chapter 272
Chapter 271
Chapter 270
Chapter 269
Chapter 268
Chapter 267
Chapter 266
Chapter 265
Chapter 264
Chapter 263
Chapter 262
Chapter 261
Chapter 260
Chapter 259
Chapter 258
Chapter 257
Chapter 256
Chapter 255
Chapter 254
Chapter 253
Chapter 252
Chapter 251
Chapter 250
Chapter 249
Chapter 248
Chapter 247
Chapter 246
Chapter 245
Chapter 244
Chapter 243
Chapter 242
Chapter 241
Chapter 240
Chapter 239
Chapter 238
Chapter 237
Chapter 236
Chapter 235
Chapter 234
Chapter 233
Chapter 232
Chapter 231
Chapter 230
Chapter 229
Chapter 228
Chapter 227
Chapter 226
Chapter 225
Chapter 224
Chapter 223
Chapter 222
Chapter 221
Chapter 220
Chapter 219
Chapter 218
Chapter 217
Chapter 216
Chapter 215
Chapter 214
Chapter 213
Chapter 212
Chapter 211
Chapter 210
Chapter 209
Chapter 208
Chapter 206
Chapter 204
Chapter 203
Chapter 202
Chapter 201
Chapter 200
Chapter 199
Chapter 198
Chapter 197
Chapter 196
Chapter 195
Chapter 194
Chapter 193
Chapter 192
Chapter 191
Chapter 190
Chapter 189
Chapter 188
Chapter 187
Chapter 186
Chapter 185
Chapter 184
Chapter 183
Chapter 182
Chapter 181
Chapter 180
Chapter 179
Chapter 178
Chapter 177
Chapter 176
Chapter 175
Chapter 174
Chapter 173
Chapter 172
Chapter 171
Chapter 170
Chapter 169
Chapter 168
Chapter 167
Chapter 166
Chapter 165
Chapter 164
Chapter 163
Chapter 162
Chapter 161
Chapter 160
Chapter 159
Chapter 158
Chapter 157
Chapter 156
Chapter 155
Chapter 154
Chapter 153
Chapter 152
Chapter 151
Chapter 150
Chapter 149
Chapter 148
Chapter 147
Chapter 146
Chapter 145
Chapter 144
Chapter 143
Chapter 142
Chapter 141
Chapter 140
Chapter 139
Chapter 138
Chapter 137
Chapter 136
Chapter 135
Chapter 134
Chapter 133
Chapter 132
Chapter 130
Chapter 129
Chapter 128
Chapter 127
Chapter 126
Chapter 125
Chapter 124
Chapter 123
Chapter 122
Chapter 121
Chapter 120
Chapter 118
Chapter 117
Chapter 116
Chapter 115
Chapter 114
Chapter 113
Chapter 112
Chapter 111
Chapter 110
Chapter 109
Chapter 108
Chapter 107
Chapter 105
Chapter 104
Chapter 103
Chapter 102
Chapter 101
Chapter 100
Chapter 99
Chapter 98
Chapter 97
Chapter 96
Chapter 95
Chapter 94
Chapter 93
Chapter 92
Chapter 91
Chapter 90
Chapter 89
Chapter 88
Chapter 87
Chapter 86
Chapter 85
Chapter 84
Chapter 83
Chapter 82
Chapter 81
Chapter 80
Chapter 79
Chapter 78
Chapter 77
Chapter 76
Chapter 75
Chapter 74
Chapter 73
Chapter 72
Chapter 71
Chapter 70
Chapter 69
Chapter 68
Chapter 67
Chapter 66
Chapter 65
Chapter 64
Chapter 63
Chapter 62
Chapter 61
Chapter 60
Chapter 59
Chapter 58
Chapter 57
Chapter 56
Chapter 55
Chapter 54
Chapter 53
Chapter 52
Chapter 51
Chapter 50
Chapter 49
Chapter 48
Chapter 47
Chapter 46
Chapter 45
Chapter 44
Chapter 43
Chapter 42
Chapter 41
Chapter 40
Chapter 39
Chapter 38
Chapter 37
Chapter 36
Chapter 35
Chapter 34
Chapter 33
Chapter 32
Chapter 31
Chapter 30
Chapter 29
Chapter 28
Chapter 27
Chapter 26
Chapter 25
Chapter 24
Chapter 23
Chapter 22
Chapter 21
Chapter 20
Chapter 19
Chapter 18
Chapter 17
Chapter 16
Chapter 15
Chapter 14
Chapter 13
Chapter 12
Chapter 11
Chapter 10
Chapter 9
Chapter 8
Chapter 7
Chapter 6
Chapter 5
Chapter 4
Chapter 3
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