The diagnosis of coronary artery stenosis or occlusion in Kawasaki disease relies on coronary angiography, and the information obtained by cardiac auscultation is very limited, but the physical examination must be present and cannot be missing in any case.

Because only by asking for medical history and physical examination is the doctor's direct contact with the patient, directly obtaining information from the patient, it has an irreplaceable position, and sometimes it can find information that cannot be found by various instruments and equipment examinations.

The child was a little noisy just now, and the mother had been holding it in her arms to coax, and now the doctor came to check the body, she reluctantly put the child on the bed, and then untied the child's clothes and auscultated Yang Ping's heart.

The little guy immediately stopped crying, looked at Yang Ping with a wink, and then smiled at Yang Ping, and the child's father, who wanted to say something, immediately dispelled his thoughts and was infected by this invisible atmosphere.

Yang Ping not only auscultated the heart, but also carried out some other aspects of the detailed examination, the process of the examination inevitably had to turn the baby over, put on a variety of convenient postures, the onlookers of the doctor were silent, has been staring at every detail of Yang Ping's physical examination.

Maybe the great god's physical examination is different from others, everyone thinks so.

Sure enough, the great god's physical examination was different, and several doctors present had examined the little guy, and when they examined the body, the little guy cried every time, and his limbs kicked everywhere.

When a doctor was examined, in order to express a strong protest, the little guy directly filled the diaper with stool, and a foul smell came to his face, causing the doctor to give up the physical examination.

And no matter how Professor Yang fiddles with this little guy now, he lies motionless on the bed, extremely cooperative, not only does not cry, but also keeps smiling at Professor Yang, and the smile is so sweet.

The baby's parents were also surprised next to them, today is really a strange thing, don't talk about these interns, it is Professor Wen who came to listen to the heart, this little guy is also crying and crying, there is no meaning of cooperation, today is so well-behaved, what kind of magic did this intern do.

The parents of the baby can't help but feel a little more fond of this "fake professor".

"Thank you for your cooperation!"

Yang Ping made a grimace at the baby after the examination, the little guy giggled with laughter, Yang Ping put away the stethoscope, neatly put on the little guy's clothes, and then picked it up and handed it to his mother.

Then Yang Ping asked about some medical history, and after asking, Yang Ping said to Dr. Chu:

"Let's go to the doctor's office."

The baby's parents were still immersed in the joy of the child, and suddenly the physical examination ended, they were still a little uncomfortable, the doctors had all evacuated the ward, the child was still giggling in his arms, they were a little confused, the professor had just had a physical examination, they were observing on the side, the professor pretended to be decent, compared to the real professor's aura, the couple unconsciously laughed, the current students, pretending to be first-class.

But I also understand that doctors, there is always a process of growth, if everyone is not willing to cooperate with the teaching, how can these young doctors go from novice to proficient.

The baby's mother said: "The first few times Professor Wen or the intern came to check the body, my son cried and made trouble, but today the intern came to listen to the heart, and he didn't cry or make trouble, and he smiled at the doctor." ”

"This intern doctor is interesting, this wave of forced pretense is quite like that, if it weren't for the flaws in his appearance, I really thought it was a big professor, and I didn't know what kind of world-class professor I didn't know when I looked at this aura." The baby's father smiled and said that just now under the aura of the "fake professor", he was silent and did not dare to express any dissatisfaction, indicating that he was also infected.

The baby's mother held the child in her arms: "Look, the son is still smiling, interesting, this doctor has magic powers, whatever he does, the little guy has no opinion at all, and he actually smirks." ”

Back at the doctor's office, Dr. Chu called up the child's coronary angiography pictures, everyone gathered around the computer and began to study the child's condition, Song Yun handed Yang Ping a pencil, he knew that it would be better for the professor to have a pencil in his hand.

The opening of the left anterior descending coronary artery has been completely occluded, relying on the collateral vessels of the other two coronary arteries to maintain the blood supply to the heart, and the caliber of the collateral circulation is also very narrow, which is extremely dangerous, and sudden death may occur at any time due to cardiac ischemic arrest.

Therefore, coronary artery bypass is the only option.

This is now the development of medicine, if you put it in the past, this kind of case is hopeless, and it will not be long before the child dies suddenly due to acute myocardial infarction.

"The best pediatric coronary artery bypass in China is the Modu Children's Medical Center, but they only have more than ten cases of experience now, the youngest age record is 14 months, and they are also inexperienced when they are one month old, the caliber of the coronary artery is too thin, and the technical requirements for non-stop beating vascular anastomosis are too high, and the difficulty is not in the theory but in the operation."

This is Dr. Chu's patient, and Dr. Chu is naturally very familiar with it.

"The biggest difference between a child's heart bypass and an adult is that the diameter of the blood vessel is too small, and this one-month-old baby is about 1 millimeter."

Song Yun said on the side.

Then the surrounding doctors also became active, and everyone actively participated in the discussion.

''If you are too young, you should use the non-stop beating technique, which will make it more difficult to anastomoses such thin blood vessels on a beating heart. ”

That's why Director Wen asked Yang Ping to operate together, and he knew that Professor Yang's microsurgery skills were very profound. ”

"What are the blood vessels used for bypassing?"

"Internal mammary artery, huh?"

"The heart is beating all the time, how do you anastomosis when the blood vessels are anastomized?"

"This requires professional training, and it is the same as shooting at a moving target, your muzzle must follow the moving target, and you must be able to accurately predict the amount of advance."

The operation of any surgery is composed of countless basic skills, and the single technique vascular anastomosis can be used in many surgeries, such as organ transplantation, coronary artery bypass, etc., which require vascular anastomosis technology.

While everyone was still discussing the case, Director Wen hurriedly came back from the operating room, his hand washing clothes had not been changed, he was wearing a white coat and a pair of slippers.

His operation had been scheduled until more than ten o'clock in the evening, and when he heard that Yang Ping had come to the department to see the 12-bed patient, he took advantage of the time between the two operations to hurry down and say hello.

"Professor Yang, I had a lot of surgeries today, and I didn't have a companion, I'm sorry." Director Wen shook hands with Yang Ping.

Everyone is a doctor, how can they care about this, Yang Ping said: "Director Wen, why do you come down in person, hurry up and get busy with you, don't worry about me, I'll just come and take a look myself." ”

"Xiao Chu, I have tea in my office, make tea for Professor Yang to drink."

Director Wen took out the key and handed it to Dr. Chu, then sat down and pointed to the picture on the electronic reader.

"You see, the left anterior descending artery opening has been completely occluded, can only rely on the other two coronary collateral vessels to barely maintain the blood supply to the heart, do not hurry up the operation, may die suddenly at any time, originally asked the magic capital colleagues to help, they also have no experience in this area, the child is still premature, I don't know if the blood vessels have 1 mm, a few days ago I met Professor Liang, speaking of this case, Professor Liang said, you look for our orthopedic distinguished professor Yang Ping, his anastomosis vascular technology is super-first-class, no matter what coronary artery you are not coronary, you look for him is, Director Zuo said that Academician Wang from Fuwai is very familiar with you, and you have also done a lot of coronary artery bypass in 301, which has greatly increased my confidence. ”

"Professor Yang, I really believe in medical fate."

Director Wen is very talkative, quite able to speak.

"Yes, the sooner the operation, the better, arrange the operation as soon as possible, I can help me at any time in the next few days." Yang Ping said.

Director Wen turned his head to look for Dr. Chu, who had just gotten the tea leaves and was making tea.

"Xiao Chu, the preoperative examination must be completed today and tomorrow, and the operation the day after tomorrow is no problem, right?"

Dr. Chu said while making tea, "No problem. ”

Director Wen didn't know about Yang Ping's surgery arrangements in the past few days, and inviting him to operate so suddenly was likely to disrupt the operation arrangements in their department.

"You don't have a lot of surgeries the day after tomorrow, do you?" Director Wen asked with concern.

Song Yun took over: "More than a dozen." ”

A dozen? So how do you have time to help with our surgery? Director Wen immediately frowned, thinking that this had completely disrupted Professor Yang's plan, and there were more than a dozen surgeries.

"Oh, what should I do, should this surgery be delayed at night?" Director Wen said helplessly.

Yang Ping knew Director Wen's worries and reassured him: "It's okay, your surgery won't take much time up for me, just build a few bridges, and you don't have to wait until the evening for a few minutes." ”

I'll go! This kind of bridging can be said for a few minutes, and it is as easy as a child's house.

Director Wen took a cup of tea handed over by Dr. Chu, and just took a sip, when he heard Yang Ping's words, he almost squirted out: "Xiao Chu, why is your tea so hot, is it boiling water?" ”

Dr. Chu was confused, didn't he use warm water instead of boiling water to make tea? Director Wen reached out and flicked a few tiny droplets of water on his pants, and handed the cup to Dr. Chu.

The other doctors were also frightened by Yang Ping's words, and looked at each other, hoping that someone would be able to give an explanation, whether it was braggart or true.

Even if an adult's coronary artery bypass, several bridges can't be a few minutes, this kind of baby's non-stop jumping coronary artery bypass, you actually say a few minutes.

"Professor Yang? How many minutes can you do this kind of bridging? Director Wen asked with the principle of seeking truth from facts.

Yang Ping replied matter-of-factly: "Yes, I can't delay any time, just a matter of a few minutes." ”

Yang Ping replied this way to reassure Director Wen that the operation could be arranged casually and there was no need to consider the time limit, but after listening to it, Director Wen swallowed a mouthful of saliva, the young man is so domineering? He wanted to see how the operation was done in a few minutes, a few minutes, it was too exaggerated.

Originally, I wanted to talk to Yang Ping more, but the operating room called Director Wen to urge him that the operation had already started, and he was waiting for the chief surgeon to come on stage.

"That Xiao Chu, you put this 12-bed row as the first one the day after tomorrow, communicate with the anesthesiology department in advance, and let them try to come to see the patient today."

Director Wen hurriedly explained a few words, and then shook hands with Yang Ping to say goodbye.

A few minutes?

This question is still buzzing in the minds of the doctors, is this Concord, God, are you true these few minutes? Do you have the same timekeeping standards as we do?

Men's announcements of some figures have always been extremely exaggerated, but they are all reported from a high place, and this kind of reporting is obviously not in line with the mainstream.

By the time the crowd dispersed, everyone was still thinking about this simple and complex problem.

In the evening, in order to test how well he learned the technique of peeling lobster with chopsticks, Song Yun took Yang Ping and everyone to eat lobster.

Of course, it was Lu Xiaobao who invited him, because the owner of the store had become Lu Xiaobao's quasi-father-in-law.

The owner of the lobster shop saw that it was Xiehe's doctor again, and his eyebrows fluttered with joy, especially Dr. Lu Xiaobao in the team, who had not learned the technique of peeling lobsters, and actually fell in love with the boss's daughter.

The boss has always wanted to find a son-in-law of Xiehe, it seems that this matter has been skimmed, the boss's daughter is a graduate student of Capital Medical University, currently in the second year of study, and will come to the store to help when he is free, so these doctors in Xiehe know each other.

Lu Xiaobao had already told the shopkeeper in advance, and the shopkeeper had already reserved the best table.

"Lu Xiaobao, you still don't want to help, your father-in-law and mother-in-law are so busy."

Everyone just sat down, and Song Yun joked with Lu Xiaobao.

Lu Xiaobao really rolled up his sleeves and was about to help, but the "father-in-law" stopped him: "Go and accompany the matter to eat, remember to bring something back before leaving for a while." ”

My father-in-law prepared good things to replenish my body, and my father-in-law was still very considerate of the hard work of being a doctor.

Lin asked several waiters in the store, and his father-in-law just walked around, if the waiter was too busy, he would personally help, and his mother-in-law stood at the service desk and was responsible for paying the bill.

I heard that Yang Shen arrived, Lu Xiaobao's girlfriend, the daughter of the store owner, must rush over from school to meet the legendary CNS emperor.

Lu Xiaobao patted his chest and said, that's not simple, Yang Shen is my brother, my good buddy, I took him directly to the store to eat lobster.

My girlfriend thought Lu Xiaobao was joking, but I didn't expect it to be true.

She came over to order food as a waiter, Lu Xiaobao shrank his head shyly, and Song Yun said: "Where is this going, I'm afraid of being like this, so what will I do in the future." ”

"Yes, my Lu family's ancestors are afraid of their wives." Lu Xiaobao defended, but as a result, the face of the eldest girl turned red instantly.

After the girl left, Kong Weiquan said: "Lu Xiaobao, I suspect that you want to eat lobster for free to chase others?" ”

Soon, lobster and various side dishes were served, and everyone found that the waiters serving the dishes were all girls, and except for Lu Xiaobao's girlfriend, the others were all unskilled, and it was the first day of work.

"These waiters are all my classmates, which one is Yang Shen?"

The girlfriend pulled Lu Xiaobao aside.

No, I don't know which one the idol is? Lu Xiaobao secretly pointed at Yang Ping, and his girlfriend nodded: "I guess so, wait a minute and tell him, we are going to take a photo with him and send it to Moments." ”

No way? Are all girls like that?

(End of chapter)