(Thanks to friends running against the light, Wang Jingxian, book friend 160720031728935, waiting in place, Seven Evil Angels DDQCX, Zhen Jia Zhen, and Light Life Plain Elegance Monthly Pass Encouragement)

Because of Liu Banxia's unexpected discovery, Wang Huan and the others came over again. It's not enough to find a tooth that has been broken by a wisdom tooth, it's just one possibility that it can cause endocarditis.

You can't say that because they suspect endocarditis and then they can open their chest, no matter what surgery you do, you have to have a clear indication.

Now the big guys come together and take a closer look at the patient's heart ultrasound.

"Have you noticed?" Su Hongbo rubbed his eyes.

"I didn't find any vegetations, but it stands to reason that it was infective endocarditis. Wang Huan said.

After the two finished speaking, including Xu Guosheng, they all looked at Liu Banxia.

Liu Banxia grinned, "I didn't see it just now, let's call out all the previous inspections, one person to see one, even if it is put frame by frame, we have to find it." ”

"Why can't we delay the best rescue time because of this, now it's just heart failure and slight liver failure, and if it continues to develop, it will be even more dangerous. ”

"Okay, let's do it, I'll go downstairs, I'll go to the duty room on the second floor, there are not enough computers here. After Wang Huan finished speaking, he ran out.

When the war was fought, people often used the term "military situation" to describe the rapid change of the military situation, and the same is true of this patient's current situation.

Another test that can be done is blood culture, but it takes too long, and the patient can't wait.

If they can't see the growths for the rest of the day, then the patient can't be surgically resuscitated, and the patient becomes multi-organ failure.

Just like a snowball, it was originally just heart failure, but with the increase of time, the speed of failure of the rest of the organs will accelerate a lot, and no one can predict the specific time.

And what about this growth? It is an infectious vegetation on the surface of the heart valve that is composed of platelets, fibrin, red blood cells, white blood cells, and infectious pathogens.

This is the best indication for surgery, as long as you find this, you can directly push it to the operating room.

As time passed, Liu Banxia felt a little astringent when he looked at the images on the screen. But I still didn't find it, so I had to read up another ultrasound diagram.

Look, look, Liu Banxia frowned, hurriedly poured the image on the monitor back a little, and then knocked the space hard.

"Mr. Liu, have you found it?" Hearing the vigorous tapping of the space, Xu Guosheng hurriedly asked.

Liu Banxia nodded, "Make an appointment in the operating room, there is a trace of vegetation on the tip of the mitral valve." It's so fine that at first I thought I was dazzled. ”

Ding! Patient reception is done

Gain 400 XP, 500 Diagnostics Skill Proficiency, and 5 Glory

"Because the patient is short of breath, the images are not very clear. Fortunately, I found it, is there still a doctor outside the heart of our emergency center?"

"Mr. Liu? That's choking. What is Chen Xuehai doing to remove the lung tumor of that patient? I don't know when it'll be over. Xu Guosheng said.

"Brother Xu, can you call Wang Huan when you are tired? I'll get in touch with Dr. Chan. Liu Banxia said.

Xu Guosheng nodded? Two major surgeries came out of the heart in one go, which is also rare for emergency centers.

"Mr. Liu? I'm Li Tong, a visiting nurse, and Dr. Chen is still undergoing surgery. After the phone was connected, Li Tong said.

"Affected help me ask how long it will be? I also have a mitral valve replacement here? At present, he has heart failure and liver failure. Liu Banxia said.

"Can you wait for thirty minutes?" asked Li Tong after waiting for a while.

"No problem, I'll arrange the operating room now and prepare the patient for the operation. Liu Banxia hurriedly said.

Although the patient's condition is critical, the symptoms have now been identified? Thirty minutes is still too late. Let Chen Xuehai's main knife be safer after all? Otherwise, you have to find another chief physician in the inpatient department.

After booking the operating room, Liu Banxia stretched his waist.

"I'm finally in a relaxed mood, and I'll treat you to a four-happiness pill during dinner. Wang Huan said.

"Brother, can you save up first? I've been resting at home for the past two days and eating too greasy, and I'm still a person who is injured. Liu Banxia said helplessly.

"Haha? I forgot about you getting hurt. Thanks to you today, otherwise it wouldn't have been possible? You have discovered the deep cavities that have been hidden. Wang Huan said with emotion.

"I'm just lucky, after all, there are still many cases of endocarditis infection due to tooth decay in our country. This is also a major difference between our country and European and American countries, right? The dentist over there is very popular. Liu Banxia said.

Wang Huan nodded, "Look at the introduction, the proportion of people over there who see dentists is very high?" And it's still from a young age. Basically, it's not that we don't have a toothache and we don't go to see it. ”

"When I explained to the patient's family? His wife still didn't understand. Why do my teeth have tooth decay? Is there a heart infection?"

But fortunately, she was also worried about her husband's safety, so she signed the consent form directly. Family conditions are also available, and bioprosthetic valves are directly selected. ”

"Explain to her the advantages and disadvantages of biological valves and mechanical valves?" Liu Banxia hurriedly asked.

This matter is indeed to be determined, biological valves have a service life, and they will need to be replaced in the future, and they are expensive. Mechanical valves are inexpensive and permanent, but require long-term anticoagulant medication.

Some patients often choose the expensive one directly if their family conditions are good, but in fact, these two valves also have their own benefits. After all, biological valves also need to be operated on again in the future, and mechanical valves require long-term medication.

Wang Huan smiled and nodded, "Of course I explained, and the patient's family is also very understanding." Otherwise, at first, she thought that the machine was good, and when she thought of taking anticoagulants for a long time, she chose the biological one. ”

"Don't blame me for believing that you're not in a hurry, I'm afraid that you will forget about this matter as soon as you are happy, and now you will be complained about at every turn, which is really too dangerous. Liu Banxia said.

"When I saw this patient, I wanted to have my teeth extracted. I also have a wisdom tooth, so I'll take care of it when I rest. Su Hongbo came over.

"In fact, in the past, the damage of dental caries to the human body was really underestimated, even if not every caries patient will be infected with endocarditis, but now the prevalence is very high. Liu Banxia said.

"Although many people brush their teeth every morning and evening, the incorrect brushing method can also cause damage to the gums. This is what we as doctors say, and when we go outside to publicize it, we must think that we are fooling people again. ”

"But now people also pay some attention to this area, now there are so many dentist clinics on the street, dry mouth can earn more than us, not so tired. Wang Huan said with a smile.

"Alright, I'll have to leave, but I'm not going to stay here. Dr. Su, come on. The allocation of personnel will definitely increase in the future, you can rest assured. Liu Banxia said.

"Mr. Liu, you give me a real idea, when is it?" Su Hongbo grabbed Liu Banxia.

"Hold on, it's almost after the Spring Festival. At that time, there will be a certain flow of personnel, so people will be in place. Liu Banxia ran away after speaking.

Su Hongbo shook his head helplessly, don't look at what Liu Banxia said was after the Spring Festival, this "after" is almost in April and May.

He has also worked in the Second Hospital for a long time, and he is still very clear about the efficiency of the hospital. Hold on, it's been so long anyway, and if you keep boiling, you still have a thought.

"Mr. Liu, I found out, and it is right to find you if you have an incurable disease in the future. Wang Huan said with a smile.

"Don't praise me so much, I'm sweating so much today, and now it's still cold on my back. Liu Banxia said.

"Let's stick to the internal medicine here, although what I heard is gossip, but it is also a sure thing that our emergency center will enrich the departments and increase the number of doctors. ”

"The dean has a big mind, anyway, the goal for the future is a national trauma emergency center. So you can come on, and at that time, our salaries can at least go up a little more. ”

"Hopefully, you can prepare well then, don't be careless. If you take the exam directly, your contract will definitely change. Wang Huan reminded.

"Judging from the current situation, I think the hospital may give you a deputy director. You have to come on, and then our brothers will rely on you. ”

"Brother Wang, did you guess this by yourself or did you hear any wind?" Liu Banxia's heart moved slightly.

"Hehe, I thought you kid really didn't care about anything after he had Qiaoqiao. Wang Huan said with a smile.

"It's not that I guessed or heard anything, I analyzed it. In fact, there is no problem with your current business ability, and what you are doing now is also the main business. ”

"In addition, you have been in the limelight for a while, as long as you don't make other things up, what can you do if the hospital gives you a deputy director when the time comes?

"But, wasn't my flying knife dealt with once last time?" Liu Banxia said.

"What's that? It's not on file. And the big guys know it, it's just that you're more unlucky. Wang Huan said.

"I'm not worried about anything else, I'm just afraid that you won't be able to sink it. But it's not a big deal, Lao Wang has been taken away. Although the personnel changes have not yet been decided, I think it is no problem for the director to become the vice president. ”

"The Trauma Emergency Center is headed by a deputy director, which is also able to show a high profile. Anyway, it's all my imagination, you can just ask around. ”

Liu Banxia nodded, "I really asked the director, but he didn't tell me." ”

Wang Huan glanced at him helplessly, this product is really bold, it is estimated that even Shi Lei would not dare to ask so clearly.

But there's no way, this product has tsundere capital, and it's really hand.