"Doctor Lu, based on B-ultrasound, blood tests and other examinations."
"The patient's chance of appendix perforation is at least 90%."
"It is recommended that surgery be performed immediately."
After the expansion, various medical equipment in the emergency department have also been greatly enhanced.
Basically, basic diseases like appendicitis can be diagnosed without leaving the department.
"Arrange the operation immediately and I will be the surgeon."
He looked at the various checklists in his hand, and then looked at Lin Yi who was still helping the patient with pain relief.
Lu Chenxi really didn't believe his eyes.
How Lin Yi got it right with such a complicated condition is unscientific at all.
Even the patient's adhesion condition can be accurately predicted, which is even more damning!
There has been a large area of fluid contamination in the patient's abdominal cavity.
Even experienced doctors may not necessarily confirm the possibility of adhesion complications through imaging data...
"Fang Xiaoran comes into the operating room and becomes my first assistant."
"Lin Yi." Lu Chenxi looked at him with complicated eyes.
"You continue to go back to the triage table and do your job."
Why Lin Yi made such an accurate judgment, Lu Chenxi now has no time to investigate.
But she was still a little worried about having Lin Yi go to the operating table like this.
The other party's performance always gave Lu Chenxi a nagging feeling.
"After all, this is the patient I am treating. If you don't want to be given a first assistant, a second assistant will do!"
Lin Yi muttered something softly, reluctantly let go, and prepared to let the patient enter the operating room.
[Tip: The patient has three-vessel coronary heart disease and there are intraoperative risks. 】
"etc!"
The moment the prompt appeared again, Lin Yi suddenly grabbed the flat car.
"What's wrong?" Lu Chenxi and others looked at Lin Yi in confusion.
"Teacher Lu, just to be on the safe side, do you want to do a coronary CTA on the patient?"
It seemed that he was seeking Lu Chenxi's opinion.
But Lin Yi held on to the back of the cart tightly, with no chance of letting go.
"Coronary CTA?"
"Lin Yi, do you know what you are talking about!"
Lu Chenxi frowned several times when facing Lin Yi.
"Only when the patient has three-vessel coronary heart disease, a coronary CTA examination will be performed."
"Patients are now at risk at any time, and imaging examinations will definitely..."
"I know it'll be a waste of time."
Before Lu Chenxi could finish speaking, Lin Yi intervened forcefully.
"But based on the patient's current pulse condition, it is obvious that there is insufficient blood supply."
“If this test is not done, there is no intraoperative emergency plan.”
"There is a high possibility that the patient will not be able to get off the operating table!"
So far, there have been no errors in the system prompts.
For the sake of patient safety.
Lin Yi tried his best to describe the risks he faced in a more serious way.
"Immediately arrange for the patient to undergo a coronary CTA examination, and then come to the heart center for consultation."
Lu Chenxi hesitated for a moment and immediately issued the latest order.
It's exactly what Lin Yi said.
With the attitude of being responsible for the patient's life, doctors cannot let go of any possibility of danger.
What's more, the diagnosis method of the guy in front of me cannot be understood by common sense.
She was really afraid of being criticized by Lin Yi again.
A small appendectomy operation can become extremely complicated...
Twenty minutes later.
Lu Chenxi from the emergency department and Zhuang Shu, deputy director of the heart center, started merging consultations.
"The patient does have severe three-vessel coronary artery stenosis. My suggestion is to arrange intervention or bypass treatment as much as possible."
After watching the patient’s film, Zhuang Shu immediately gave the heart center’s recommendations.
"I just don't know if the patient's current appendix perforation can be effectively contained."
But seeing the patient's belly getting bigger and bigger, he had to analyze the situation in detail.
"Also, I would like to ask how Dr. Lu discovered that the patient may have three-vessel disease."
"Logically speaking, there is no need to do coronary CTA before appendicitis surgery."
Seeing Lu Chenxi with a cold face, as if he was unhappy.
Zhuang Shu immediately explained again.
"I don't mean anything else. I just think that Dr. Lu's bold attempt has set a good example for us in the examination process before surgery."
"I think it is necessary to suggest that the hospital add this examination to the surgical process."
"Even for a minor surgery like appendectomy, if the patient is not informed in advance that the patient may have three-vessel disease."
"The possibility of fatal risks during surgery is still very high!"
Following Zhuang Shu's explanation.
All the doctors and nurses on the scene looked at Lin Yi with disbelief.
Is this guy a magic stick or a miracle doctor? I really can’t figure it out now.
Anyway, the situation of the patient in front of me is almost accurate!
If he hadn't warned him, the patient would have been on the operating table long ago.
What kind of situation will happen during the operation is an experience that no one can imagine.
"I only have two proposals right now."
Lu Chenxi didn't answer Zhuang Shu's words at all.
The various miraculous manifestations of Lin Yi's diagnosis cannot be explained in a sentence or two by a Western medicine expert like the other party.
"First, the appendectomy operation is urgent. When I perform the operation, is there anything Dr. Zhuang can do to ensure that the patient's heart is not in danger?"
"Second, if two operations are performed at the same time, can the patient's heart bear it?"
Lu Chenxi gave two suggestions neatly.
Perform cardiac interventional surgery first, as the patient's appendix perforation simply cannot wait.
There is no need to propose this plan at all.
Zhuang Shu picked up the film again and checked it carefully.
"The first option is the safest."
"But there is a premise. Dr. Lu must complete the operation as quickly as possible."
"This will not put a greater burden on the patient's heart."
"After the patient recovers, the heart center will perform the interventional surgery."
Without thinking too much, Zhuang Shu gave his opinion on the surgery.
The patient's coronary artery stenosis simply cannot afford two surgeries at the same time.
"Okay, prepare for the operation immediately."
"Dr. Zhuang doesn't have to worry about the speed of surgery."
"The stable condition of the patient's heart requires Dr. Zhuang's full follow-up and monitoring."
Before Zhuang Shu came to the Central Hospital, Lu Chenxi was also known as the fastest knife in his heart.
She is also confident in the speed of the operation.
"No problem, it should be!"
They are all doctors who perform frequent surgeries.
After deciding on the surgical plan, there was no delay at all.
Patients and doctors enter the operating room as quickly as possible...
Lin Yi looked at the empty operating room door.
I had no choice but to smile bitterly and return to the triage table alone.
Continue your work.
Fortunately, without Fang Xiaoran's constraints, his diagnosis speed was a little faster.
"Dr. Lin, Dr. Lu wants you to enter the operating room immediately."
I haven’t finished reading The Third Patient yet.
Nurse Yang Yu hurriedly opened the emergency room door.
Tell Lin Yi to enter the operating room immediately...
