Chapter 2172 【2172】Balance

While thinking, he walked to the ward.

A stool was placed at the door of the ward. After eating, Dr. Yu sat on it with his hands folded, his head like a chicken pecking at rice, and his forehead resting on his crossed arms.

After a busy day, the young resident doctor was already too tired to doze off when he didn't have to work.

There was another person in the ward anyway.

Contrary to others, sleep first to replenish energy, Geng Yongzhe guards the numbers and graphs beating on the instrument, his eyes are bright, and he does not feel tired.

Hearing footsteps behind him, Geng Yongzhe turned around to see her and asked, "Why are you back? As I said, I will let you know if there is anything to do."

"If you are too full, check the patient's condition before going back to sleep," Xie Wanying said.

Indeed, eating too much makes it hard to sleep. Geng Yongzhe and her shoulder to shoulder, discussed: "Now the patient's vital signs are relatively stable."

Hearing this, Xie Wanying asked, "How is the patient's blood coagulation?"

Coagulation?

Some problems involved in surgery may not be the same as what laymen think. One of the points is probably not something that the public can think of. Doctors are not only afraid of massive bleeding during and after surgery, but also fear of high blood clots during and after surgery. Because sometimes the death of the patient is not death due to excessive blood loss and shock, but death due to disseminated intravascular coagulation such as DIC, or sudden thrombus that gets stuck in an important organ.

When this patient was discussed by the preoperative team, the doctors generally knew that it was a hypercoagulable state, which led to the occurrence of artificial valve thrombus. Therefore, a large amount of heparinized anticoagulant was used during the operation to try to offset the balance of anticoagulant hypercoagulability. How long the efficacy of these anticoagulants lasts after surgery is not enough. Do you need to add anticoagulation? All points of consideration.

Geng Yongzhe had never been in cardiac surgery, had never seen open-heart surgery, and was not familiar with this kind of surgery. Hearing the problems she pointed out, he fell into thought, and said: "I remember it was mentioned in the book that extracorporeal circulation in heart surgery can make people feel better. The fibrinolytic system in the human blood becomes hyperactive, which can cause postoperative bleeding and thromboembolism.”

Geng is also an excellent medical student. He remembers as much as he can when he studies hard on weekdays. He remembers a lot of medical knowledge and can quickly associate relevant knowledge points.

"Yeah." Xie Wanying nodded and said, "Generally speaking, antifibrinolytic drugs will be given on the same day after heart surgery."

What Geng Yongzhe didn't understand was: "Yingying, you said that taking antifibrinolytic drugs on the day after cardiac surgery is a routine strategy after cardiac surgery?" This knowledge point seems to have not been mentioned in the book.

The cardiac surgery department who has been to the National Association for several times has noticed such a situation. She has seen her cousin undergo surgery in Guozhi. Xie Wanying has her own speculations and thoughts on this, and said: "Is it a routine treatment plan for the entire department? I haven't communicated with Xinwai teacher so I don't know very well. But I have seen them useful in the department."

Geng Yongzhe had never observed these scenes in the ward, and was surprised at how she managed to find problems everywhere. Medical students usually arrive at the ward to study, and most of them follow what the teacher says and are guided to think. It is difficult for medical students to think independently and ask questions, because they do not know where to focus without clinical experience.

She has a different way of thinking from other medical students, of course because she, Xie Wanying, was born again. As long as things like laboratory testing of blood indicators are involved, this is her old profession before her rebirth, and it is difficult for her not to pay attention.