Chapter 2375

"It's best to do coronary angiography. You need to be hospitalized, invasive." Zheng Ren frowned and said.

Not deliberately looking for trouble, this is indeed the best way to solve the problem.

"OK." Manager Hui didn't hesitate and responded directly.

This... Zheng Ren and Su Yun look at each other. It's weird.

Does it mean he's going to collect evidence afterwards and make trouble? Such an idea immediately appeared in Zheng Ren's mind.

Maybe he's recording.

Thinking of this, Zheng Ren put on his habitual fake smile and said gently, "the cost may be higher, but this is the best way to solve the problem. As for..."

"Boss Zheng, don't worry, just check." Manager Yi Bo Yuntian said, "do you go through the hospitalization procedures now? When will the examination be done?"

Zheng Ren really encountered a situation he didn't encounter this time.

He looked at manager Hui in surprise and carefully calculated what he had just said. There should be no problem. Even if it's recorded, it's okay. Moreover, if coronary angiography is performed, the patient's cardiac syndrome X can be diagnosed.

Can you diagnose it and toss around with wool?

However, although you say so, you should be careful.

Zheng Ren seemed to be stuck, explaining it one by one. Manager Hui took the initiative and took the female manager behind him to rush through the admission formalities for the patient.

According to Zheng Ren's requirements, he was admitted to the hospital in an emergency. The diagnosis was cardiac syndrome X, followed by a question mark.

Emergency admission, emergency examination, emergency surgery, everything is going on in an orderly manner.

"Manager Hui, let's do this..." the female manager asked suspiciously.

She thought all the way and didn't understand why manager Hui was so positive. But there was no chance to ask all the way. This time, the patient was sent to the operating room. Finally, he was free to ask his doubts.

"Do you know who that was just now?" Manager Hui also breathed a sigh. He looked at the words on the door of the operating room and said uneasily.

"An interventional doctor."

"You, I don't know who can offend 912 and who can't offend." Manager Hui said coldly, "that was airborne to 912 six months ago."

As soon as she said the word airborne, the female manager knew the importance.

912 this kind of place, let alone graduate students, can't stay even doctors and their own doctors. Dr. returnee, it depends on his life.

Those who can parachute are all powerful!

"Dean Yan replaced such a boss Zheng with a pile of inpatient managers."

"Change?"

"Well, those inpatients are now sent to Haicheng. Isn't it the same as supporting the frontier? Do you think such people can offend?"

In fact, manager Hui also doesn't understand the causes and consequences, but if others say so, he doesn't need to know why. He just needs to know that boss Zheng is powerful and powerful.

"People are lifelong professors in the United States... Just like our academicians." Manager Hui continued.

"So young..."

"Don't deceive the young man that he is poor. Besides, boss Zheng is not poor. Don't look down upon others. You did a good job today and know how to report." Manager Hui said, "boss Zheng can't offend me. A few days ago, people went to the imperial women's and children's hospital to save the stage. When they got off the stage, they didn't even go to the dean's dinner. Tell me, how capable it is!"

“……”

"Just wait." Manager Hui whispered.

But he didn't relax at all. He stared at the door of the circulation intervention operating room.

After 30 minutes, the door of the operating room opened. Zheng Ren appeared at the door in isolation clothes, hats and masks.

"Manager Hui?" Zheng Ren shouted.

Manager Hui had always stood beside Zheng Ren like a rabbit and said with a smile, "boss Zheng, is the operation smooth?"

"Well, I'll help push the patient back later. I'll tell you about the operation."

Another 20 minutes later, Zheng Ren changed his clothes and sat in the office of director Zhang Lin of the circulatory department to explain the images of the operation to the patient's family.

The time is still a little short. The CD is not engraved, but it's not in a hurry.

"Here, there's nothing wrong with coronary angiography." Zheng Ren, holding a tube of ballpoint pen in his hand, gently touched the screen and said.

"Uh huh, no problem, no problem." Manager Hui replied repeatedly that he would say what Zheng Ren said.

"That's the problem." Zheng Ren continued: "it seems that there is nothing wrong with the blood supply of the patient's heart, but manager Hui, you should pay attention to the beating of the heart."

"Oh, watch your heart beat."

"The black is the image of the contrast medium entering the coronary artery with the blood flow. Look at the heart jumping a few times before the blood flow reaches the last capillaries." Zheng Rendao.

"1, 2, 3..." manager Hui counted obediently.

"Eight." Finally, he gave Zheng Ren an accurate answer.

"Well, that's the problem." Zheng Rendao said, "under normal circumstances, the coronary blood flow of ordinary people will reach all capillary branches within 1.5 seconds. In short, it is two cardiac cycles... It is the time for the heart to jump twice."

This time, manager Hui understood.

Two and eight times, a difference of four times.

"The large blood vessels we can see only bear about 5% of the blood flow of the heart, and 95% are invisible microvessels." Zheng Ren felt that what he said was not detailed enough. After thinking about it, he said, "the coronary artery is like a highway. If it is blocked, the traffic will be paralyzed directly. However, if the highway is not blocked, you can't get home directly when you get off the highway."

Manager Hui nodded uncontrollably.

"To get home, you have to walk through the streets and alleys, that is, capillary oxygen supply." Zheng Ren continued: "because the blood can not be effectively transported to the location, the nutrients needed by the myocardium can not be obtained in time. As a result of vascular stenosis or vasospasm, it is also a kind of myocardial ischemia."

"Well, the previous inspection was useless." Manager Hui thought boss Zheng's operation was easy to understand, and he gradually listened to it.

"It can't be said that it's useless. It's rare for patients with cardiac syndrome X to be so heavy." "In order to determine this, we next use nicorandil for injection to improve the state of capillaries," Zheng said

With that, Zheng Ren opened the video and continued to play.

"Nicorandil is suitable for all types of angina pectoris, including exertional angina pectoris and spastic angina pectoris, and can significantly reduce the risk of cardiovascular events." Zheng Ren said: "now is the situation after intravenous injection of nicorandil."

"The patient's capillary spasm has been greatly relieved. Look how fast the black contrast medium goes down." Zheng Ren lit the screen.

It is indeed immediate. The contrast agent almost "brushes" into all levels of blood vessels that feed the myocardium.

On the screen, the tangled roots are like the roots of trees, and countless branches are rejuvenated to provide nutrients for the patient's heart.

"The diagnosis is very clear. It's cardiac syndrome X. The patient is not pretending to be ill." Zheng Ren finally smiled and said, "sometimes the invisible is the most dangerous. Many people who have nothing to check suddenly die. That's the case."