In the emergency department, myocardial infarction is the highest priority and must be treated immediately.

Some patients are crying out for chest tightness, and it is very likely that they will encounter danger in the next second.

Zhao Yuan's diagnostic ability is well recognized.

Since he said it was a myocardial infarction, he would not be wrong.

Sun Liang, who was standing next to Zhao Yuan, secretly sighed that Zhao Yuan had won the respect of everyone in the emergency surgery.

Despite his youth, he speaks with strength.

Again and again, the amazing performance has won the trust of others.

In the battlefield of emergency surgery, whether a person has authority or not depends not on hearsay as an expert, but on one actual battle after another to justify oneself.

Zhao Yuan's physical examination is different from others, adding elements similar to those of traditional Chinese medicine.

He will look at the patient's breathing rate, look at the patient's nails and lips, and more importantly, the patient's muscle condition.

Zhao Yuan is also very good at using a stethoscope to distinguish possible situations through the murmur in the patient's body.

Most doctors do physical examinations, but only a handful of them do a thorough understanding.

It's a bit like solving a math problem.

The computational skills required for a difficult problem may be the most basic, but clever thinking is the key to a successful solution.

"Send it to the emergency room and ask the family to sign it. Are the family members there?" Deng Yunlun ordered.

A resident doctor reported, "The family also had food poisoning and was being treated."

Deng Yunlun sighed and walked over to the family.

The family itself was in great pain, hearing that her husband was critically ill, and the whole person's emotions were completely out of control, and they broke down and cried directly, Deng Yunlun calmed her emotions while reminding her to sign quickly.

It took a lot of effort for the family to sign.

There are many types of acute myocardial infarction, and thrombolysis is the first step in treatment.

The patient's blood vessels are blocked, causing a lack of oxygen to the heart, and the drug is pushed into it through interventional means to open up the blocked area, and then a stent is installed to avoid another blockage.

After the patient lay down, Sun Liang pushed the ECG monitor over.

Sun Liang looked at the data, and his expression sank, "The ST segment of leads V1-V6 is elevated, and the anterior wall is acute myocardial infarction."

Zhao Yuan knew in his heart that he didn't look at the ECG monitoring, "The thrombus exists in the proximal end of the left anterior descending artery, and in addition to the anterior wall involvement, the ventricular septum and lateral wall are also affected."

Sun Liang studied the band again, and couldn't figure out why Zhao Yuan had such a judgment.

However, at this moment, Sun Liang did not have any doubts about Zhao Yuan's judgment.

"Go straight to thrombectomy." Zhao Yuan glanced at the itinerant nurse, "Prepare the coronary thrombectomy catheter."

Although Zhao Yuan's voice was not loud, every order was very powerful, and it was impossible to question it.

Deng Yunlun looked at it next to him and secretly admired.

After becoming the leader of the third treatment team, many people said behind their backs that their level was not as good as the interns below.

At first, Deng Yunlun felt very uncomfortable, but after a long time, he treated each other calmly.

Zhao Yuan's level is obvious to all, even if he is a few deputy directors of the emergency surgery, he doesn't dare to say that he is much stronger than Zhao Yuan.

In particular, Zhao Yuan's strength in cardiac surgery has been highly recognized by thoracic and cardiac surgery, and he can independently perform aortic dissection surgery.

Therefore, the first aid of myocardial infarction was handed over to Zhao Yuan to deal with without any problems.

The patient lies on the operating table and suddenly becomes conscious.

"Doctor, am I going to die?"

Sun Liang smiled next to him and said, "No!"

The patient glanced at Zhao Yuan, "Why is he so young! Could it be that they are using me as a guinea pig and letting the interns practice their knives?"

Sun Liang smiled dumbly and teased Zhao Yuan, "Doctor Zhao, what should others do if they question you?"

Zhao Yuan said patiently to the patient, "Don't be nervous, if you are nervous, the blood vessels will constrict, and the condition will worsen. Old Sun, you can find a way to let him not think nonsense."

Sun Liangshen

After a few seconds of silence, he patted his forehead, took out his mobile phone, clicked on a page, and put it in front of the patient's eyes.

"Although Dr. Zhao is young, he can perform fourth-degree heart surgery, and although myocardial infarction is not easy, there is no obstacle for him. He can take a bullet from the heart, take an embolism, what is it."

The patient's mood was much better.

"I'm sorry, doctor, but I shouldn't judge people by their looks. In addition, today's incident happened suddenly, I didn't have any money with me, and I'll make up a big red envelope for you later. I have to give a red envelope to the anesthesiologist, alas, please take him seriously......

Sun Liang almost didn't laugh out loud when he saw the patient say this.

Zhao Yuan was as calm as ever, "The matter of red envelopes or not red envelopes is secondary. Please be sure to lose weight after recovery, otherwise, the doctor will add a lot of trouble when you perform the surgery. If you have a myocardial infarction, it is related to food poisoning on the one hand, and obesity on the other."

The patient hurriedly promised, "Okay, I'm going to lose weight in the future." I'm mainly greedy and have no resistance to food."

Zhao Yuan said: "The main thing is to exercise more! I also love food, but I keep running every day."

The patient said, "That's a good feeling, when you are discharged from the hospital, I will take you to eat all over Baiyun."

The dialogue between Zhao Yuan and the patient made the atmosphere in the operating room less tense.

Sun Liang knew that Zhao Yuan rarely spoke during surgery.

But today this patient is in a special situation.

He was nervous.

Obese patients are less friendly to surgeons.

In the case of laparotomy, for example, it takes a minute or two for a thin person to enter the abdominal cavity.

In the fat person, it may take more than ten minutes for the doctor to cut through the skin, thick subcutaneous fat, muscle, and a thick layer of extraperitoneal fat before entering the abdominal cavity.

In addition, fat patients are not very friendly to the resident doctor who is in charge of the retractor.

The belly of a thin person is thin and easier to pull apart, while the belly of a fat person is too thick, and the resident doctor in charge of the hook will be very hard and will need to exert a lot of strength. A five-hour operation can pull the resident doctor to the point of collapse.

Moreover, fat people not only have a fat belly, but also a large amount of visceral fat in the abdominal cavity, and the omentum and mesentery are all adipose tissue.

Adipose tissue occupies a lot of space in the abdominal cavity, resulting in less room for surgical operations.

The same is true for interventional procedures.

Many nurses can't find blood vessels when they hang water on obese patients because the fat is too thick to see the blood vessels.

In addition, after the catheter is inserted, due to the thick skin and thick flesh, it may not be clear to see the inside under ultrasound, and it is not possible to provide sufficient surgical field.

The anesthesiologist numbs the patient.

The operating room was instantly quiet!

Sun Liang is thinking about what to do if he is the main knife.

Zhao Yuan has completed the puncture, established the channel, and sent the catheter sheath into it, and the guidewire follows the sheath into the patient's body.

Sun Liang glanced at the image, and as he imagined, it was difficult to see the situation inside.

"Thrombectomy catheter." Zhao Yuan instructed the instrument nurse.

Bai Lu was wearing a lead suit and placed the catheter on Zhao Yuan's hand.

Sun Liang glanced up at the screen, a black thing, and began to walk out.

When the reaction comes, a 1C small embolism appears on the white gauze.

"The sick man has fallen asleep."

"Well, show it to the family."

When Sun Liang returned to the operating room.

Zhao Yuan has completed stent implantation.

Dr. Sun's heart trembled inexplicably.

Is that the end of it?