Chapter 49 Myocardial Infarction Caused by Diabetes
The family has surplus food and is not panicking, more than 10 million meters are lying in the bank card, even if he is expelled, Tang Yi can still sleep soundly.
Capable people want to be idle, but they can't be idle. I don't have the ability to want to be idle, and I don't have that qualification.
Tang Yi belongs to the former, and not long after he fell asleep, he was woken up by Zhan Youcheng's phone.
"Grandpa Zhan, what are you looking for me?" In private, Tang Yi's address to the elders usually does not carry any position.
Zhan Youcheng on the other end of the phone heard a slightly nasal voice, and couldn't help frowning, "You kid, what time is it and you're still sleeping?" Hospital, hospital doesn't come, school infirmary doesn't go, what do you want to do? ”
"Why should I go to the school infirmary, at noon today, Vice Dean Qi asked Director Yang of Human Resources to call me and inform me that I was fired." Tang Yi is not a person who likes to make small reports, if he is that kind of person, he will contact Zhan Youcheng when he receives a call from Yang Qian.
It's okay not to make a small report, but it's not Tang Yi's character to have revenge and not revenge.
"Okay, I know about this, I'll go back and tell Director Yang. Now hurry up to the hospital, I'll be waiting for you in the office! ”
Liu Zheng, who had been sitting next to him, was displeased, but he didn't show it on his face, and took a sip from his teacup, "Dean Zhan, did you call the cardiologist just now?" How doesn't it feel like it? ”
"Haha~" Zhan Youcheng patted his thigh and said, "It's a cardiology expert, this expert is a visiting professor at the Mayo Clinic, and his ability can also be ranked among the top in China." ”
Although Liu Zhengxiong is not in the medical system, he has heard a little about the Mayo Clinic, a visiting professor who works as a school doctor at the school, how to listen to it, how to be fantastic.
Zhan Youcheng shouldn't lie to himself, Liu Zhengxiong had more expectations in his heart, "Old Zhan, how did you let a visiting professor be a school doctor in the school, isn't this a waste of talent?" ”
Shaking his head, Zhan Youcheng smiled wryly, "Don't mention him, I'll be angry when I mention him." ”
More than half an hour later, Tang Yi came to Zhan Youcheng's office with pancakes and fruit in one hand and milk tea in the other.
Zhan Youcheng pointed his finger at Tang Yi, who was sitting on the sofa without any uprightness, "You kid, you don't know how to say hello when you see someone!" ”
"Hello!" After taking a bite of the pancake fruit, Tang Yi turned his head and nodded at Director Liu, "Grandpa Zhan, what are you looking for me to come over today?" ”
Patting away the crumbs of the pancake fruit on his body, Zhan Youcheng glared at Tang Yi, "This is Director Liu Zhengxiong of the Public Procuratorate Bureau, his mother suffers from heart valve stenosis, and I want to ask you a few questions!" ”
From Tang Yi coming in, Liu Zhengxiong looked at this young man, who looked only twenty-three or four years old, and thought that he was Zhan Youcheng's junior, but he didn't care much.
But this will mention his mother's condition, Liu Zhengxiong couldn't help frowning, this is the visiting professor in Zhan Youcheng's mouth?
What can you do at such a young age, Liu Zhengxiong, who was silent, had a little anger on his face, "Okay, you Zhan Youcheng, I treat you as a friend, are you humiliating me by letting a little guy come over?" ’
Putting down the milk tea in his hand, Tang Yi turned his head to face Liu Zhengxiong, "How old is the patient?" How is your physical condition? ”
Liu Zhengxiong glanced at Zhan Youcheng, took a deep breath, and suppressed the anger in his heart, "Seventy-six, my body has not been very good!" ”
Hearing the answer, Tang Yi frowned slightly, "Is there a case belt?" Show me. ”
Hmph, at your age, at most, you can understand what you can understand after graduating from college. Turning his head to look at Zhan Youcheng with a smile on his face, Liu Zhengxiong was even more annoyed, "I didn't bring it!" ”
"Heart valve stenosis is often seen in mitral stenosis, aortic stenosis, and pulmonary stenosis, and is mainly treated with valve replacement, repair, and minimally invasive intervention." Tang Yi's fingers tapped lightly on his knee, "If it's just an ordinary patient, surgery is the best choice." However, listening to your explanation, I personally recommend conservative treatment. ”
I didn't look at the cases, so I gave advice, and sure enough, there was no hair on my mouth, and I couldn't handle things well. Liu Zhengxiong sneered in his heart, and looked down on Tang Yi a little more.
Zhan Youcheng put down the teacup, "Lao Liu, if you are free, bring the case over for Tang Yi to see." ”
Liu Zhengxiong felt that instead of wasting time here, it would be better to go to the Military General Hospital to have a look, maybe there would be a better way, "Okay, then I'll bring the case over to Xiao Tang another day!" ”
Glancing at the time, Liu Zhengxiong got up from the sofa, "It's not too early, there is something else at home, so I'll leave first." ”
Seeing Liu Zhengxiong away, Zhan Youcheng returned to the sofa and looked at Tang Yi, who picked up the pancakes and ate them again, "Didn't eat at noon?" ”
"Hmm!" Tang Yi didn't raise his head, "There was something wrong last night, and I didn't sleep all night!" ”
"Stay up late less, it's not good for your health!" Pouring a cup of tea and putting it in front of Tang Yi, Zhan Youcheng continued, "What do you think of Director Liu's mother's condition?" ”
Just swallowed the food in his mouth, wiped his mouth, and burped, Tang Yi leaned comfortably on the sofa, "He doesn't even show cases, what can I see?" ”
Zhan Youcheng shook his head, "That guy Lao Liu just sees that you are young and doesn't trust you!" ”
"Cut, it's good not to trust me, save worry." Tang Yi stood up disappreciatively, "If you're okay, I'll go back." ”
Picking up the teacup and taking a sip, Zhan Youcheng raised his eyelids, "Do you have any holiday with Vice President Qi?" ”
Thinking of Vice President Qi's flattery in front of Si Jinxiu yesterday, Tang Yi looked disdainful, "Cut!" Yesterday at noon, I had a few verbal arguments with him at the door of the intensive care unit! ”
Zhan Youcheng nodded noncommittally and put the teacup down, "Okay, I see." Go back and have a good rest, if you want to go to work there tomorrow, I will say hello to Yang Qian. ”
Leaving the office, Tang Yi was about to go back to sleep when he happened to meet Chen Zhou who had just gotten off the operating table on the way.
Seeing Tang Yi, Chen Zhou stretched out his hand from afar, "Oh, Doctor Tang, I finally saw you in the hospital today." ”
Holding Chen Zhou's hand, Tang Yi smiled, "What a busy person, he stays in the school infirmary every day, and he can't see a few patients a day." ”
Holding Tang Yi's hand, Chen Zhou laughed, "That's right, I have a few questions to ask you, come to my office and sit down?" ”
It's nothing to do when you go back, Tang Yi simply agreed, "Okay, let's talk in advance, if I solve the problem, you can take care of my food." ”
Chen Zhou, who had long guessed that Tang Yi's identity was not ordinary, naturally would not refuse the opportunity to get close to Tang Yi, "No problem." ”
The two came to the office of the cardiology department together, and the doctor who was packing up his things and preparing to get off work saw Tang Yi coming over and said hello one after another.
"Papapa" Chen Zhou clapped his hands, attracting everyone's attention, "Let's put down the work in hand first, I happened to meet Tang Yi on the way, and specially invited him over, if you have any questions, you can take this opportunity to ask for advice." ”
Hearing Chen Zhou's words, Tang Yi couldn't help but look at him sideways, "Why don't I feel good about this meal?" ”
Chen Zhou pulled a stool, "The rice must be delicious, there is no need to question this, the premise is that you can solve everyone's problems!" ”
Tang Yi has not been in the cardiology department for a long time, but he has already completed two difficult surgeries, and everyone present has heard of it.
One of the surgeries was recorded in the hospital for repeated observation by the doctors of the cardiology department.
Ask a young man for a question, and everyone will not resist in their hearts, who will let the family have real talent and real learning.
A doctor who had just turned regular took out a medical record, "Dr. Tang, please take a look at this patient, the patient is 67 years old and has been suffering from diabetes for a long time in addition to myocardial infarction. The risk factor of surgery is too high, and I can't pay attention to it for a while. ”
As a result, Tang Yi glanced at the case a few times, "You first tell me about the treatment plan you envisioned." ”
The young doctor thought for a moment, "Insulin controls blood sugar, wait until blood sugar is effectively controlled, and stent from the femoral artery." ”
Tang Yi stretched out his hand to interrupt the other party and continued, "What are the chances of a successful operation?" ”
The young doctor frowned and thought for a moment, "About sixty percent!" ”
Tang Yi smiled noncommittally and put the case on the table, "No, the chance of success of your plan is less than two percent." The patient suffers from severe diabetes, coupled with the patient's age and lack of meridian toughness, the closer to the heart, the stent may fall off before it reaches the coronary artery due to thick blood lipids and other reasons. ”
When a group of doctors heard Tang Yi's words, they hurriedly turned around and called out the patient's case, but after just a few glances, they had a judgment in their hearts.
Putting down the case in his hand, Tang Yi found a computer and analyzed the patient's condition, saying, "The patient had a myocardial infarction caused by diabetes. If you see that the patient's electrocardiogram shows the typical hypoxia in the heart with the arch back upward, you can choose streptokinase, urokinase and other thrombolytic drugs for intravenous infusion in time, which can effectively dredge the blood clot, alleviate the condition and prevent the patient's pain from aggravating due to hypoxia. Wait until the condition improves, inject insulin to control blood sugar, wait until the blood sugar is controlled, and then perform surgery, the success rate can be increased by 2%! Blindly lowering blood sugar without considering the patient's blood vessel wall and blood lipid content, the difficulty of surgery will not change in any way. ”
A deputy chief doctor nodded, "The blood clot is controlled, the blood sugar is lowered, and the difficulty of the operation will indeed be reduced a lot."
The young doctor nodded and silently wrote down Tang Yi's treatment plan.
Chen Zhou watched the discussion among his subordinates, and his heart was full of flowers, it was really a wise choice to invite Tang Yi over this time.
With one person taking the lead, there will be a second person asking questions! Tang Yi didn't hide his selfishness, and while patiently answering their questions, he also expanded some knowledge, such as diet, choice of medication, selection of stents, and so on!
"Cardiac interventional surgery can lead to damage to the lining of blood vessels. Regardless of whether the interventional surgery is an artery or a vein, it may cause certain damage to the intima of the blood vessels, resulting in the perforation of blood vessels, the formation of arteriovenous fistulas, or arterial dissection. So we have to be extra careful when choosing patients. Tang Yi took a sip of water and made a final summary.