Chapter 3646        【3646】Called

I raise my uncle to use it if I have something to do.

The phone rings.

"Hey." Ren Zhelun picked up his phone.

"You said you went to our hospital?" The voice of Boss Zhang was opposite him.

"What's the matter?" The second man talked to his teacher and didn't talk nonsense.

"Show me the people you bring," said Boss Zhang.

It seems that there is any opportunity above to let Ren Zhelun’s students show their medical skills.

"Don't you bring Wanwan?"

Ouch, Wanwan called out. Boss Zhang coughed twice on the opposite side, which was frightened.

After squeezing the cough, Zhang Huayao said, "Aren't she on duty?"

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

When asked by Senior Brother Ren, Xie Wanying replied: "It is the patient with silent hypoxemia we discussed at our meeting before."

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

"Considering that the patient had already used antibiotics yesterday, it might be a viral infection." Xie Wanying further added, "The patient may be given a ventilator and bronchoscopy to suction."

These are all internal medicine jobs. What did Boss Zhang asks them to go to the surgery department?

Xie Wanying continued to speculate: "The patient's heart is not very good, and there may be a heart problem."

Respiratory virus infection, one of the heart complications is not uncommon, it is famous for myocarditis. There are problems with the heart and lungs of patients. What people think of is that other life support methods besides ventilators, that is, ecmo that has just been mentioned. But since ecmo has been mentioned, we know that ecmo has many complications that are too harsh for elderly people, and it may easily cause death if used. Therefore, the examples of successful rescue that news reports often talk about occur in patients who are not very old. In clinical practice, doctors also prefer to use it for young people with great chance of success in rescue.

For the elderly, the rest of other rescue methods are pacemakers. Is this also a job in internal medicine?

As mentioned before, pacemaker installation can be done by interventional catheter technology to install electrodes in the endocardium, or by surgical operation to install electrodes in the epicardial membrane. Since vascular intervention, interventional surgery quickly occupied this market with its unique advantage of low trauma and ran the surgery. However, it cannot be said that surgical technology is not used in clinical practice at all.

This is the same as the treatment of myocardial infarction. Surgery provides a guarantee for internal medicine.

There is a failure rate for endocardial electrode installation. This probability is meaningless to talk about whether it is high or not. Once it fails on an individual, it will be 100% no matter what.

The reason why Boss 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 interventional room for this operation. The physician can only try to perform blind insertion on the patient, and does not rely on the instrument to fluoroscopy the transvascular system and put the wires and electrodes into the endocardium. In the end, it may fail repeatedly and fail. It is not clear what the reason is that it was not successful, anyway, it is not successful.

At this moment, a surgeon is urgently needed to make remedies.

Zhang Huayao, who was called back to the hospital, happened to hear that his most proud disciple brought someone back, and wanted to ask his disciple to come up to have a diagnosis. The disciple was young and his hands-on ability should be stronger than him. By the way, he could see how much his disciple's ability increased after leaving Guozhi.
Chapter completed!