Chapter 3646 【3646】Called

The purpose of raising the uncle is to use it for something.

Ring, ring, the phone rings.

"Hello." Zhelun Ren picked up his phone.

"You said you came to our hospital?" came the voice of Mr. Zhang from the opposite side.

"What's the matter?" The second poisonous tongue didn't talk nonsense when talking to his teacher.

"The person you bring, show me." Mr. Zhang said.

It seems that there is an opportunity for Ren Zhelun's students to show off their medical skills.

"Without Wanwan?"

Whoops, Wanwan called. Brother Zhang coughed twice on the opposite side, choking with fright.

Putting away the coughing, Zhang Huayao said, "Isn't she on duty?"

"You know what kind of patient it is." Ren Zhelun simply turned around and asked her.

Asked by Senior Brother Ren, Xie Wanying replied, "It's the patient with silent hypoxemia that we discussed in our meeting before."

Ren Zhelun remembered, and remembered the further inspection she said to do. It seemed that she had predicted it.

"Considering that the patient has already used antibiotics yesterday, it may be a viral infection." Xie Wanying further added, "The patient may be put on a ventilator and bronchoscope to suction sputum."

These are all internal medicine. Brother Zhang asked them to do surgery.

Xie Wanying continued to speculate: "The patient's heart is not very good, maybe there is something wrong with the heart."

Respiratory tract virus infection, one of the heart complications is not uncommon, it is the famous myocarditis. The patient's heart and lungs have problems. What people can think of is that in addition to the ventilator, other life support methods may be used, that is, the ecmo just mentioned not long ago. But now that I have talked about ecmo, I know that ecmo has many complications, which are too harsh for the elderly, and it may be easy to die if used. Therefore, the successful rescue cases often mentioned in news reports occurred in patients who were not very old. Clinically, doctors also prefer to use it on young people who have a high chance of successful rescue.

For the elderly, the remaining means of rescue are cardiac pacemakers. Is this also the job of internal medicine?

As mentioned before, the pacemaker can be installed by interventional catheter technology to install electrodes on the endocardium, or by surgically installing electrodes on the epicardium. Since the introduction of vascular intervention, interventional surgery has quickly occupied this market with its unique advantage of less trauma, and has squeezed out surgery. However, it cannot be said that surgical techniques are completely useless clinically.

This is the same as heart attack treatment. Surgery is for internal medicine.

Interventional surgery to install electrodes on the endocardium has a failure rate. It is meaningless to talk about whether the probability is high or not. Once it fails on an individual, it is 100% no matter what.

The reason why Mr. Zhang must run back is clear.

The patient's condition requires a temporary pacemaker, but in the case of rescue, the patient cannot go to the intervention room for this operation. Physicians can only try to do blind insertion for patients, instead of relying on instrumental fluoroscopy to insert wires and electrodes through blood vessels with the intention of installing them on the endocardium. In the end, they may fail after repeated attempts. success.

At this moment, a surgeon is urgently needed to rescue.

Zhang Huayao, who was called back to the hospital, happened to hear that his most proud disciple had brought someone back, so he thought about asking his disciple to come up for a consultation. The disciple is young, and his hands-on ability should be stronger than him. By the way, he can see to what extent the disciple's ability has increased after leaving Guozhi.

Thank you for your support! ! ! good night dears~