Chapter 2449

Unfortunately, this power lasted only three days, and sun Yuenan began to have a fever. At first, she tried to hold back, thinking that she was young and in good health, and it passed.

But soon she couldn't get out of bed. She had no choice but to take some antibiotics at the nearby clinic.

She estimated that the area of her tattoo was too large. At that time, the tattooist also said that such a large area of tattoo may cause fever after operation.

Sun Yuenan had no choice but to catch up with all the unlucky things.

The illness was good and bad. It was almost a good day. Be a little more energetic. When she was ready to go to work, her temperature began to rise again.

Lying in bed, sun Yuenan could hear her heartbeat. Since the aortic valve was replaced last time, with the beating of the heart, the clicking sound of the mechanical valve like an alarm clock began to annoy her again.

Half asleep and half awake, the sound of clicking echoed in my ears. Hazy, sun Yuenan felt very cold, and she began to shiver. The body doesn't seem to belong to itself. It's out of control and can't stop shivering.

The quiet point these days has no effect at all, and there is no sign of improvement in the condition.

The people in the small clinic took her temperature, 40.5 degrees Celsius. They were frightened when they saw the temperature.

Such a high body temperature can't confuse people?

I want to ask sun Yuenan's relatives for their phone number, but she is half unconscious and knows nothing about what happened. Only the trembling body and the clicking sound of the aortic valve with the beating of the heart hovered in my ears.

The 120 ambulance sent sun Yuenan to the 912 emergency department.

Zhou Litao is reading the New England magazine, which contains the case report he wrote under the guidance of yunge'er.

Eating 5 kg nails can be published in New England magazine. Their own cases are more strange and rare, so they should be.

It's nice to have Brother Yun here. Zhou Litao thought of it happily. I don't know about boss Zheng's Nobel Prize. He thought while smelling the smell of ink floating in the magazine.

Maybe the results will come out in recent days, but Zhou Litao dare not ask. Yesterday, when boss Zheng went to Cui Lao's office to see the medical record, he asked. As a result, he met Su Yun's disgusted eyes.

It's nothing to be sprayed by Brother Yun. He has a knife mouth and a bean curd heart. But Zhou Litao can clearly realize that yunge'er cares about the Nobel Prize. But then again, who doesn't care?

There's no need to be annoying. Brother Yun is too nervous. Zhou Litao excused Su Yun in his heart. And with boss Zheng, may I not get the Nobel Prize? He has a blind trust in boss Zheng and the medical team.

"Mr. Zhou, there is a patient with high fever. Mr. Tang is busy. Let me take a look for you." The emergency physician knocked on the door and said outside.

"Oh, OK." Zhou Litao stood up and the small freckles on his face were flying.

Since Su Yun pointed out a bright way, Zhou Litao felt that life was full of running. As for the girlfriend you've been thinking about before, it's meaningless.

Everything will come naturally. You don't have to worry.

When he came to the emergency room, the physician began to report his condition. Not to mention anything else, a temperature of 40.5 degrees Celsius alone is enough to make people pay attention to it.

Zhou Litao began physical examination, took out a stethoscope and listened to the breathing sound of the patient's lungs.

The symptoms of pneumonia are, but not serious. When he listened to the patient's left lung breathing sound, he heard a click.

This is the standard heart sound after valve replacement. Zhou Litao was stunned. Has the patient had a history of valve replacement? How could it be so young. Perhaps it was a congenital heart disease. Zhou Litao made a prediction in an instant.

Uncovering sun Chaonan's coat, Zhou Litao saw a bright plum tree.

Today's young people can really play. Zhou Litao just glanced at it and didn't care about it. Instead, he noticed the surgical scars hidden under the plum tree. He should have had heart surgery. He had a preliminary judgment and then began to do physical examination for the patient.

There is no protrusion and depression in the precordial area, the cardiac boundary is roughly normal, the heart rate is 54 beats / min, the heart rhythm is uniform, and grade 3 / 6 diastolic blowing murmur can be heard in the mitral auscultation area.

Blowing noise, after aortic valve replacement... Zhou Litao's heart suddenly tightened. Is it the valve again?

First of all, Zhou Litao gave the patient routine blood collection and a cardiac echocardiography, lung CT and other examination items.

The inspection was carried out step by step, and Zhou Litao soon got the information.

There's nothing else to say. The problem appears on the echocardiography.

After mechanical aortic valve replacement, mechanical perivalvular leakage, aortic root dissection aneurysm formation, left ventricular outflow tract anterior mitral root fistula formation, anterior mitral root vegetation, aortic artificial mechanical valve vegetation, and moderate mitral insufficiency.

Surgery, valve vegetation, most likely caused by infection. This vegetation can induce infection and fever, and this is not the most terrible. Once it falls off and is tied in an important blood vessel, it may cause a series of complications such as cerebral infarction.

Zhou Litao made a judgment on the patient's condition, called Xinxin, and Zhao Yunlong came down for consultation. After taking a look at the patient, Zhao Yunlong took another look at echocardiography and other data and connected the patient.

912 emergency first aid, rigorous and accurate.

But the problem lies with Zhao Yunlong.

If the whole hospital is a machine, Zhao Yunlong thinks he is just a part. Very important, but insignificant.

He inquired about the medical history and learned that the patient had an aortic valve replacement in another place a few months ago, and this time the aortic valve had vegetations again.

Really special!

Zhao Yunlong knew how difficult the second valve operation was.

Since the heart separation operation of conjoined baby with boss Zheng, Zhao Yunlong's progress in operation is amazing.

Not only others, but even he looked back and felt incredible.

But it's not important. Zhao Yunlong took the patient up and made a new judgment on the condition. He felt that if he opened his chest rashly, he might not be able to take it down.

This is different from the previous coronary artery bypass grafting patients who did not dare to remove stents and had very poor basic conditions. The changes in the local anatomical structure of patients undergoing secondary valve surgery are quite huge. No one is sure to ensure the success of the operation

Can't anyone? Zhao Yunlong suddenly thought of boss Zheng.

He should be able, should... Maybe... Almost.

However, Zhao Yunlong did not directly find boss Zheng, but reported it layer by layer. This patient is not an emergency and has no right to operate directly. Unlike the patients in ICU last time, it was a pure emergency and there was no time to wait.

Zhao Yunlong is very clear about the difference.

Moreover, the last two days are the days when the Nobel Prize results are announced. If there is a chance, Zhao Yunlong doesn't want to disturb boss Zheng.

The patient was admitted to the hospital to improve the relevant examination, but the problem came immediately. There are only a few 20-year-old girls in the unit. They have collected a wave of money and only have a pitiful three or five thousand yuan.

No matter how much, they don't. And this money is not enough to plug your teeth. ICU is 10000 a day. Even if the operation is successfully completed, the girl can't live without money.

However, this is not a problem. In case of such a thing, just go to the medical office and carry the pot.

The patient is here. We want to treat. Whether the medical office gives virtual money or not is the business of the medical office. Although some of the money will eventually fall into the Department, the hospital will bear the most part after all.

Small hospitals may care about hundreds of thousands, millions or even millions of such expenses every year, but hospitals with a size of 912 don't care very much.

Cure it first. We'll talk about the rest later. In fact, I'm most afraid of this kind of problem in clinic. If the medical department turns black and throws the pot back directly, the biggest headache is the operator.

Report to the medical department and the professor on duty. Today's professor's surname is Chen and his level is quite good. But Zhao Yunlong thought his level should not be better than himself, but according to the diagnosis and treatment process, he still called Professor Chen to see the patient.

Professor Chen looked at the patient and then looked at the echocardiographic data. He was also worried.

"Xiao Zhao, what do you think?" Professor Chen asked.

"Surgery, I can't do it." Zhao Yunlong pointed a point on the echocardiography with a finger as thick as a carrot. "The vegetations on the biological valve are not a big problem, but here I think it is an abscess, which erodes deeply. There is at least 70% possibility of being unable to stand down after surgery."

"Even if it can come down, postoperative bleeding is troublesome." Zhao Yunlong added.

This is also what Professor Chen doubts. He knew Zhao Yunlong's level, so he didn't just treat him as the general manager of the hospital, but subconsciously discussed it.

"The left atrium is involved. It is estimated that part of it will be removed." Professor Chen said, "if you perform surgery under cardiopulmonary bypass, you are likely to fail."

What they said is the same meaning. It is unlikely that the operation will succeed.

There is no money, no immediate family, and the condition is serious. As long as there is a glimmer of possibility, no one is willing to go to the operating table for surgery.

Well done, the whole department will lose money together. I'm OK to say that the income of nurses is not high. If they work hard on night shifts, let alone deduct money if they don't earn money, they can't stand it.

But if you can't do it well, now there are no family members. At that time, all kinds of family members will come one after another and make noise every day. Think about it, it will make the doctor who took over have a sense of near death.

If the patient doesn't have such a high fever and doesn't want to, he won't be admitted. This kind of difficult operation, whose skull is not wrapped, how can you do a successful or failed operation.

But the patient is now burned and confused. This can't be pushed away. Emergency first aid, first diagnosis responsibility system, countless rules and regulations circle doctors.

But even a man like Zhao Yunlong, when faced with such a difficult patient, is also a lawsuit in the forehead.

They watched the film with wide eyes. The director was not at home. Second line Professor Chen had to make up his mind.

"Professor Chen, if you can't handle the anti-inflammatory and symptomatic treatment, you can find a consultation in the whole hospital tomorrow. If you can't... Go ahead and always try." Zhao Yunlong said, biting his back teeth.

"Xiao Zhao, why don't you try boss Zheng? He can operate on patients for free. Moreover, boss Zheng has a high level. At least he is better than us." Professor Chen finally had no good way, so he whispered.

"The operation is too difficult. I'm worried about boss Zheng..." Zhao Yunlong didn't finish.

Professor Chen sighed. Boss Zheng also pinned his head on his belt for live operation. It's really unfair to push patients with this difficulty directly.

This problem is almost unsolvable. After using indomethacin suppository, the patient sweats all over. But the temperature only dropped to 39 degrees Celsius and then rose again.

The abscess in the heart erodes the myocardium. Even if it is a surgical operation, it should be cut at least at the top of the left atrium. This inflammation, if you can casually lower your temperature, you will see the ghost.

The next morning, after everyone went to work, Professor Chen explained the situation of the patient. After seeing the film and the inspection report, everyone shook their heads.

The patient's parents can't be contacted. It is said that they work in other places and don't even have a signal on their mobile phone every day.

No money, no family members, and the condition is serious.

The whole hospital consultation, as expected, has only one way of operation. But the road is so steep that no one dares to go.

As time went by, Zhao Yunlong and Professor Chen looked at each other and were helpless. Finally, Zhao Yunlong sighed and said, "I'll send the image data to Su Yun and let him see if it's OK."

Helpless, Zhao Yunlong sent the information to Su Yun and asked for help again.

Soon, Su Yun replied with a surprised expression and then a series of exclamation marks. If Zhao Yunlong hadn't known the film well, he would have thought that there was a big problem with Su Yun's mobile phone.