Chapter 2610

"You may not know about ophthalmology. The gallbladder has always been cut." Su Yun stared at the ECG monitor, moved a footstool to the left of the patient, and talked with Yu zongyou without a word.

"Well, is the gallbladder heart reflex?" Mr. Yu asked.

"Yes, what do you fear most when cutting the gallbladder? Cutting off the common bile duct is very serious, but it is not as serious as the bile heart reflex. Like the eye heart reflex, the heart rate slows down and blood pressure drops due to the involvement of the gallbladder or exploration of the bile duct during biliary surgery. In severe cases, myocardial ischemia, arrhythmia and even cardiac arrest can be caused by reflex coronary artery spasm."

"In particular, the probability of rescuing patients with hemorrhagic shock increases upside down."

Mr. Yu is fine. After all, he is the chief inpatient of 912. But Gu Xiaoran's heart pounded as he listened.

He has already started the operation in his hometown hospital.

The hospital on the other side of the house is relatively small, and the division is not so detailed. The director has contact with Zhou Chunyong, so Gu Xiaoran grasps an opportunity that everyone is unwilling to come and rubs it to the imperial capital.

This time to study in the imperial capital, Gu Xiaoran's life has changed greatly. Every day he has a new change. For example... Today.

At the thought of what he usually told the patient's family before cholecystectomy, there was no gall heart reflex, and he didn't know what gall heart reflex was.

Not to mention Gu Xiaoran, even their director should not know. The probability of this situation is very low. There may not be one case in 1000 operations, let alone a rookie like Gu Xiaoran.

"Brother Yun, what will you do when you appear?" Gu Xiaoran asked in a low voice.

"Rescue, can you still watch the patient die." Su Yun said contemptuously, "if you're not sure, call the cattle in your hospital. Call whoever is the most powerful. Of course, as long as you don't cry on the operating table, it's all right. If you pollute the operating area, it's not enough to make trouble."

Su Yun finally laughed at Gu Xiaoran.

"Hey, hey." Gu Xiaoran smiled, but his smile was stiffer than Yu.

"Xiao ran, isn't it?" In the general road, "gallbladder reflex is rare. Bladder retention is a rare cause of vagus nerve. Otherwise, why is the boss always feeling something, but he can't remember what what it is." *

Gu Xiaoran glanced at boss Zheng and saw him sitting in the corner of the operating room. His eyes seemed to be staring at ECG monitoring like Brother Yun.

Boss Zheng is still worried about the patient. Gu Xiaoran has a slight difference in his heart. I always listen to boss Zheng's rich clinical experience... What is rich clinical experience? That's it.

Although boss Zheng didn't find out at the earliest time, he stepped forward at the first time and presided over the rescue successfully. The patient should have no problem.

Thinking of this, Gu Xiaoran took another look at the patient.

He opened his eyes vaguely, as if he had just slept and didn't know what had happened.

"The probability is different. The occurrence probability of cardio ocular reflex in ophthalmic surgery is 90%, but the probability of bladder induced cardiac reflex is too low." Su yundao.

"Er... I remember, I saw the patient's appendix after an operation." President Yu has finished the fistula. By the way, he told the itinerant nurse to discharge the urine in the bladder in 2-3 times, "as long as I pull the hook, the patient's heart rate will change. I felt fun at that time."

"It's caused by reflex. Vagal reflex in the gastrointestinal tract is also very rare, and I don't know what happened after it happened." Su Yun stood on the footstool, a little higher, said with a bird's-eye view.

"Almost. I had no experience at that time. Brother Yun, it should be all right this time."

"It should be all right." Su Yun glanced at his boss and saw him sitting steadily on the stool. Although he didn't say a word, even if he sat there, he gave people a feeling of peace of mind.

As long as the goods are there, there must be nothing wrong. Su Yun gradually accepted the reality in his heart.

Really rich clinical experience? Or is this product born with a keen sense of smell, like sunspots?

Su Yun glanced at his boss and thought.

He didn't seem to know what would happen before the accident. Just at the moment of cardiac arrest, he began to preside over the rescue. Alas, boss, why are you so willing to steal the limelight? Su Yun sighed deeply.

"Bladder filling, leading to cardiac arrest is not uncommon." Zheng Ren suddenly said.

"Huh?"

"But generally speaking, I don't think it's caused by bladder filling." Zheng Ren continued: "I hold my urine in the morning, suddenly empty, and the whole person falls into the bathroom. Such examples are often seen, but they are generally sent to the circulatory department for treatment."

"..." Mr. Yu was stunned.

"When the cavity organ receives expansion stimulation, it can pass through the celiac plexus or vagus nerve afferent center, and the excitation is transmitted to the parasympathetic lower center in the medulla oblongata, the dorsal nucleus of the vagus nerve, release the impulse, and then reach the heart through the parasympathetic fibers in the left vagus nerve." Zheng Rendao, "very clear reflection arc."

"Er..." Gu Xiaoran suddenly made a startled voice and immediately said, "boss Zheng, our old director once had an operation and had a sudden myocardial infarction! Now I think it may be holding urine."

"Well? Then?"

"Myocardial infarction."

"Did you get it back?" Zheng Ren asked.

"Oh, after all, it's in the operating room. I saved it." Gu Xiaoran said, "while thrombolysis, while contacting the municipal hospital, 120 ambulance sent the next stent."

"You can't even get off the support?" Su Yun asked.

"Yes." Gu Xiaoran nodded. "I went with you. The doctor in the city said it was almost. Fortunately, I fell ill in the operating room. I felt very lucky at that time. Now I think it may be holding my urine."

"Boss, do you think this is an industrial injury?"

"Have you heard of industrial injury in the hospital?" Zheng Ren asked in a rare way.

Gu Xiaoran saw that he didn't finish talking and turned the topic aside. He hurriedly asked, "boss Zheng, vagus nerve is excited, and then?"

"The result of vagus nerve excitation is coronary vasospasm, decreased sinus node excitability, slower conduction velocity of specific conduction system, weakened myocardial contractility, reduced cardiac output, decreased blood pressure, and even cardiac arrest." Zheng Rendao.

"That's great." Gu Xiaoran whispered.

"No, I didn't think about it before." Zheng Ren sighed and said, "if you have experience this time, you'll be fine in the future. Su Yun, you're right."

"What the hell am I right about?" Su Yun glanced at Zheng Ren and asked.

"Clinical experience is accumulated little by little. The Korean professor is playing hooligans." Zheng Ren said very seriously.