Chapter 1152 【1152】An Excellent Doctor Must Have a Strong Heart

In the operation, the most feared accident is not the gallbladder reflex. Why, because surgeons and anesthesiologists have experience in this, know that patients have this risk, and can prevent it early. Even if you find an accident, you still know how to deal with it quickly.

For such common surgical accidents as gallbladder-cardiac reflex, as long as the doctor makes a good plan, the success rate of rescue is very high.

"Brother Tao has made a plan. If necessary, the operation will be closed to freeze the vagus nerve here to avoid the gallbladder reflex." Xie Wanying said the arrangement of the chief surgeon is to let the anesthetized doctor Zhang feel at ease. some.

For a sub-senior like Tao Zhijie, how to avoid such predictable surgical risks is a small case, and it is too easy to solve.

Zhang Tinghai knew Tao Zhijie's plan, and besides, as an experienced anesthetist, he could handle such surgery with ease.

Before the operation, the patient needs to be routinely injected with atropine in the ward to calm the vagus nerve. In the operating room, the patient is given oxygen through the mask and general anesthesia is adopted to further stabilize the patient's vagus nerve.

If something happens during the operation, he will prepare the rescue medicine in advance before the surgeon moves to the special area, and he also knows what medicine will be needed at that time, so it is not scary.

All kinds of plans are clear, Zhang Tinghai is not worried about this, but: "Ms. Lu's heart is not very good, is it related to gallbladder syndrome?"

There is a big difference between gallbladder syndrome and gallbladder reflex. Although both affect the patient's heart, they may have different causes. The latter just said that it belongs to the vagal reflex caused by the operation of the surgeon. Gallbladder-cardiac syndrome is an inherent disease of the patient itself, and it is a heart problem caused by chronic cholecystitis and other diseases of the human body.

Here we will further talk about the anatomical relationship between the human heart and gallbladder. The human heart is innervated by T2-8 spinal nerves, and T is the abbreviation for thoracic vertebrae. The common bile duct of the gallbladder is innervated by the T4-9 spinal nerves. In this way, the innervated nerves of the two cross at T4-5.

Where there is intersection, a problem on one side is destined to affect the other.

The gallbladder is inflamed, and the pressure of the bile duct increases, which is transmitted to the heart through the crossed nerve reflex, causing the coronary arteries of the heart to constrict and reduce blood flow. Undoubtedly, typical heart disease symptoms appear, such as myocardial infarction.

Regarding these illnesses of Mr. Lu, there have been many discussions in the department. Xie Wanying said: "Yes, I have thought about this possibility. Therefore, it is estimated that the gallbladder will be removed during the operation, even if there is no cancer cell infiltration. Because Teacher Lu's gallstones are very serious."

At this point in the discussion, cutting off the patient's gallbladder is a radical cure for gallbladder-heart syndrome, so it doesn't seem to have anything to do with his nightmare.

Zhang Tinghai sighed, not knowing what was going on with his nightmare.

"Doctor Zhang." Xie Wanying could feel the anxiety in his heart. Before the operation, all the teachers and brothers were very anxious, because the patient was Teacher Lu, so it was understandable. She comforted Dr. Zhang just like she gave candy to Brother Cao last time, saying, "Drink some sweets, and you will feel better."

Zhang Tinghai wanted to roll his eyes at her. If it was a medical student, who wouldn't worry about the teacher's worries and be extremely nervous now, but she was so calm, so calm that people could drink sweet and spicy food.

Squinting his eyes, Zhang Tinghai remembered what many seniors had said to junior doctors: An excellent doctor must have an extremely strong heart.