Myocardial infarction is time-limited. Word Pavilion

After six hours, myocardial ischemia is too long, and myocardial cells may have already died.

Six and a half hours is already the time to press against the window.

Yun Tian couldn't help but speed up his pace.

"65 hours, the window period has passed, is it necessary to have surgery?"

Doctor Huayang Shu asked suspiciously as he followed behind Yun Tian.

After all, there is a strict window time for myocardial infarction, beyond which it is possible that the patient's myocardium has been necrotic, or it is possible that a new good collateral circulation has been established after the infarction, but in either case, hasty surgery is not the best choice

If the heart muscle is already necrotic, further interventional surgery is likely to cause the heart to rupture, and the patient is most likely to leave on the operating table.

If an effective collateral circulation is established, rash surgery to re-unblock the original blockage may also lead to a series of cardiac arrest problems.

Therefore, there is a strict six-hour window of time in clinical practice.

In most cases, extra-window time surgery is not recommended

That's why Dr. Huayang Shu asked such a question.

"What the patient's family says, has it been communicated?"

Such an operation requires the understanding of the patient's family.

Doctors should also fully consult with family members, so it is often said that when there is a real problem between husband and wife, your life is completely in the hands of the family

The more doctors they are, the more they have a deep understanding of such problems.

"The family's advice is to do their best if there is even a glimmer of hope. The doctor in the operating room obviously understands this problem, and the emergency department also emphasized this problem on the phone.

"Dr. Hua will go with me to check on the patient's condition in a while, and sign it within ten minutes, is it okay?" Yun Tian turned his head and asked the doctor in the operating room wearing big slippers.

"No problem. ”

In fact, it is difficult to communicate with the patient's family in 10 minutes.

After all, the doctor needs to explain the professional problem to someone who is not even completely ill with medical skills, and also let the family make a choice.

What's more, because of the current medical situation, doctors are still subject to various restrictions on speaking

Therefore, doctor-patient communication has always been a university question.

It is also the only knowledge that Yuntian has not painstakingly studied.

In the past, it was okay in Xihua Hospital, and Yuntian also tried the problem of doctor-patient communication, but after 913, Yuntian did not participate in such a problem at all.

Because most of the people who come to the imperial capital for medical treatment have been repeatedly explained by hospitals at all levels before contacting these doctors in the imperial capital.

Therefore, it is easier to contact these patients in the imperial capital.

As soon as they arrived at the catheterization laboratory, Dr. Yuntian and Dr. Huayang Shu entered the operating room and began to prepare for the operation.

When Yuntian's operation was almost completed, the patient was just sent up.

Yuntian quickly checked the patient's examination data, and conducted a physical examination for the patient as quickly as possible.

"If you are sure that the surgery will be done, the patient has little chance of surviving, probably more than 80% of them may leave on the operating table. "Because it's an emergency surgery, and strictly speaking, the patient is past the window period.

Therefore, Yun Tian only asked briefly.

"Do it, as long as there is a glimmer of hope, I will also save Lao Zeng. ”

The patient's family is an older sister in her forties.

Although he cried a lot, his attitude was extremely resolute.

After listening to Yuntian's questioning, he expressed his opinion unequivocally.

"Okay, follow Dr. Zhou to sign immediately. The speed at which we do surgery depends on the speed at which you sign it. ”

Yun Tian pointed to Dr. Zhou, who was wearing big slippers before, and said to the family.

"You come with me, the doctor will prepare your husband for the operation first, and after you sign it, we can start the operation immediately. Dr. Zhou helped the eldest sister and led her to the doctor's office to explain the patient's condition.

Dr. Yun Tian and Dr. Hua Yang Shu pushed the patient into the operating room and began to make preoperative preparations.

"Is it really going to be an operation, it's out of window. Dr. Huayang Shu couldn't help but ask again.

Before, Yuntian said that he wanted to see the patient's condition.

According to Huayangshu's experience, the success rate of the patient's surgery is only as Yuntian said, and it will not exceed 20.

Although the patient's family now seems to be very well communicative.

But once the patient leaves on the operating table, the probability of a medical dispute is not less than 80%.

Once a medical dispute is discovered, because the patient has exceeded the rescue window, the hospital is likely to be judged to be at fault.

So, most of the time, for such a situation, the patient has already exceeded the window period, so don't force it anymore.

Dr. Hua Yang Shu was worried that Yun Tian was too young and affected by the emotions of the patient's family, so he wanted to reluctantly try it.

In case of a lawsuit, it will be very detrimental to the development of Yuntian.

This is naturally what most doctors in the imperial capital do not want to see at the moment.

"Well, although the patient's family is in a hurry to have surgery now, it is very likely that there is a common patient's family who will turn their faces and deny the person immediately after an accident."

Dr. Huayang Shu thought about it for a few seconds, but decided to explain his worries

After all, although Yuntian is extremely talented in surgery, he is slightly inferior in emotional intelligence.

"It doesn't matter, the chances of the patient being saved are very high. You disinfect first, I'll brush my hands. ”

Yun Tianxiao explained.

"You're sure"

Although Dr. Huayang Shu has been completely conquered by Yuntian's technology, but at the moment, this patient, Dr. Huayang Shu is still worried and asked.

"Well, you set up the table to disinfect first, and I'll brush my hands. ”

After Yun Tian finished speaking, he turned around and left.

Dr. Huayang Shu looked at the patient, sighed heavily, and began to prepare the disinfection sheet

Hua Yang Shu subconsciously felt that it was impossible for Yuntian to rescue this patient.

But reason told him that although they didn't get along for a long time, Yuntian really never did anything that he was not sure of

Therefore, since Yun Tian said that he was sure to win this operation, it must be true

The longer I followed Yuntian and the more I learned about Yuntian, the more I found that the gap between myself and Yuntian seemed to be as insurmountable as a heavenly stream

"The reason why I came to 913 is to improve my skills, not to compete with Yuntian, there is never a shortage of geniuses in this world, there are geniuses before geniuses, I should learn to adapt"

Dr. Huayang Shu comforted himself, but his hands did not relax in the slightest

After all, the patient has already exceeded the window of time, and it is possible to get a glimpse of life if you can save every minute and second