Chapter 1787

"And you're not right." Zheng Rendao: "Bradley A. gross et al. Systematically reviewed and combined the current literature on vascular interventional therapy of moyamoya disease and moyamoya syndrome, and the research was published in Neurosurg Rev."

"He only summarized 28 patients with vascular interventional therapy, including 11 cases of intravascular stents and 17 cases of angioplasty. Only 7 cases were successful."

"25 percent." Su yundao.

"First of all, there is no doubt that Dr. Bradley A. gross is biased against interventional surgery. At the end of the article, he said that the results obviously do not support the use of vascular interventional therapy for moyamoya disease and moyamoya syndrome. They need to do more research and collect more data to prove this view in the future."

Su Yun skimmed his mouth and looked at his mobile phone. Di's car was very close.

"I think all research work, as long as we can not uphold an objective and fair attitude, the conclusion is questionable." Zheng Rendao.

"Whatever you say, interventional treatment of moyamoya disease... I'll ask sanbo or the temple of heaven to see if they have carried out it. I think there are not many people who know neurosurgery. Does anyone know neurosurgery in Huashan?"

Su Yun nagged, and a car flashed over in pairs.

When he got on the bus, Su Yun was contacting things with his mobile phone, while Zheng Ren recalled the connection between moyamoya disease and coronary artery surgery.

It goes without saying what risks will be faced if emergency surgery is performed.

But Zheng Ren is not afraid.

Get ready first. Others will go to the system operating room for surgery after seeing the patient to confirm their views.

Although there is still some time for surgical training, Zheng Ren habitually doesn't want to "waste".

In the past two days, I have used surgical training time to think about my condition twice.

Once, he ate the animal's thyroid gland, resulting in hyperthyroidism and thyroid crisis. Another time, it was a complete waste, because I picked garlic myself.

It must be on Chang Yue's head. Zheng Ren thought to himself.

Soon he came to 912. It was not far away and he would arrive when he ran, but Su Yun habitually called a car. It doesn't matter.

Zhao Yunlong is in EICU. They don't hesitate to go directly to EICU.

The EICU of 912 is a U-shaped building. Each patient is isolated separately. There is a small table in the corridor, which is a place for medical staff to sleep on their stomach when they are tired.

Medical staff have no time to rest in the duty room. EICU is such a strange existence.

It was almost ten o'clock in the evening. After they entered the EICU, the first thing they saw was the busy workstation.

The four trainees on duty, including the one on the night shift last night, are still busy. For 40 hours without sleep, the trainee doctor could not see fatigue, and the whole person fell into a morbid state of excitement.

Zheng Ren shook his head. If the emergency department is unpopular, ICU and EICU are certainly even more unpopular.

The ICU of Haicheng first hospital is fairly easy to say, and there are few acute and critical diseases. The EICU of 912 is another world, with 40 beds always running at full capacity.

If there were no such creatures as advanced doctors, the operation of 912 would directly face collapse.

Not only this side, but also Zheng Ren's community hospital. At present, the nursing strength of community hospitals is enough, but doctors basically study medicine.

Zheng Ren had no time to feel these things. He quickly followed Su Yun and walked into an isolation room.

Zhao Yunlong stood in front of the hospital bed very seriously, staring at the patient's ECG monitoring.

"Lao Zhao, what's the situation?" Su Yun asked.

"There have been 3 times of rapid ventricular arrhythmia after operation, which has been corrected by electric defibrillation. The situation is not optimistic. Let's have a look." Zhao Yunlong didn't look back, but said in a muffled voice.

"Say it from the beginning." Zheng Rendao.

Zhao Yunlong looked back and saw Zheng Ren coming in. Then he turned around and said, "President Zheng, you're here too."

"Return Mr. Zheng. Call the boss." Su Yun said, squatting down to see the chest bottles on both sides.

The drainage volume is not much. The operation should be done without problem. It is estimated that the patient's own physical condition led to rapid ventricular arrhythmia after bypass surgery.

"The patient had occult disease before operation." Zhao Yunlong ignored Su Yun's nagging. It seems that he is used to it, but directly reports his condition.

Zheng Ren's eyebrows wrinkled all at once.

Occult disease? This... Zheng Ren finds it interesting.

The so-called occult disease is that the patient does not have any symptoms, but by chance, it is found that the condition is very serious and must be treated.

Generally speaking, all early tumors can be regarded as occult diseases. However, this is not accurate. The early onset of tumor is not serious.

The real trouble is that the disease is very serious, but the body does not respond, at least the patient is not aware of it.

This situation is rare. I didn't expect to encounter it today.

The patients had myocardial infarction, and the disease was occult... Zheng Ren was 80% sure this time that moyamoya disease in the patient's brain might be a key factor, leading to the patient's failure to perceive the pain in the precordial area.

Of course, this is just a guess.

"The patient had chest tightness and shortness of breath for three months, which worsened for three days. He came to the respiratory department of our hospital for treatment. Chest CT showed severe aortic calcification and enlarged heart, so he went to the circulatory department for hospitalization. Cardiogram showed three lesions, 90% of the anterior descending branch, 95% of the right crown and 95% of the gyrus."

What a serious coronary heart disease, Zheng Ren can already guess what the patient has experienced.

Sure enough, Zhao Yunlong then confirmed Zheng Ren's guess.

"During the hospitalization in the circulatory department, the patient's family refused to undergo cardiac intervention. After the angiography, when the family members were still discussing, they suddenly got sick and stopped after rapid ventricular arrhythmia." Zhao Yunlong said, "emergency cardiopulmonary resuscitation, cardiac stenting."

Zheng rennaohai outlined the emergency rescue of excessive hormone secretion carried out by circulatory medicine and cardiothoracic surgery this afternoon.

Cardiac arrest, a press, while sent to the circulation catheter room.

This process is simple to say. It's estimated that the doctors in the circulatory department haven't slowed down yet.

"During stent removal, the patient had two rapid ventricular arrhythmias." Zhao Yunlong said, "when the balloon is opened, the heart stops as soon as it is stimulated. Later, we can only open the chest in an emergency and perform coronary artery bypass grafting."

Similar to Zheng Renxiang, it is basically such a process.

"There was not much bilateral thoracic bottle drainage and pericardial drainage after operation, but rapid ventricular arrhythmia occurred frequently, and electric defibrillation had been performed three times." Zhao Yunlong said, "I'm ready to do IABP, but the patient's family hasn't replied yet."

IABP, also known as intra aortic balloon counterpulsation, is one of the mechanical auxiliary circulation methods. It is a means to increase intra aortic diastolic pressure, increase coronary blood supply and improve myocardial function through physical action.