"Doctor Lu, according to B-ultrasound, blood tests and other examinations." "The probability of the patient's appendix perforation is at least 90%." "I recommend immediate surgery." After the expansion, the emergency department has greatly enhanced various medical equipment. Basically, basic diseases such as appendicitis can be diagnosed without leaving the department. "Arrange the operation immediately, I will be the main surgeon." Looking at the various examination forms in his hand, and then looking at Lin Yi who was still pressing the painkiller for the patient next to him. Lu Chenxi really didn't believe his eyes. How could Lin Yi guess such a complicated condition correctly? This is not scientific at all. Even the patient's adhesion condition can be accurately predicted, which is even more weird!
There is already a large area of fluid contamination in the patient's abdominal cavity. Even experienced doctors may not confirm the possibility of adhesion complications through imaging data... "Fang Xiaoran, enter the operating room and be my assistant." "Lin Yi." Lu Chenxi looked at the other party with complicated eyes. "Go back to the triage desk and do your job well." Why did Lin Yi make such an accurate judgment? Lu Chenxi had no time to investigate. But she was still a little worried about letting Lin Yi go to the operating table like this. The other party's performance always gave Lu Chenxi a feeling of being mysterious. "This is my patient after all. If I don't give you a first assistant, you can give you a second assistant!" Lin Yi muttered softly, reluctantly let go, and prepared to let the patient enter the operating room. [Prompt: The patient has three-vessel coronary heart disease, and there is a risk during the operation. 】 "Wait!" The moment the prompt appeared again, Lin Yi suddenly grabbed the stretcher. "What's wrong again?" Lu Chenxi and others looked at Lin Yi in confusion. "Teacher Lu, to be on the safe side, give the patient a coronary CTA?" It seemed that he was asking Lu Chenxi for his opinion. But Lin Yi held the back of the stretcher tightly, and there was no possibility of letting go. "Coronary CTA?" "Lin Yi, do you know what you are talking about?"
Lu Chenxi frowned for the nth time when facing Lin Yi. "Coronary CTA examination will only be performed when the patient has three-vessel coronary heart disease." "The patient is in danger at any time now, and the angiography examination will definitely..." "I know it will waste some time." Before Lu Chenxi finished speaking, Lin Yi interrupted again. "But according to the patient's current pulse, there is obviously insufficient blood supply." "If this examination is not performed, there is no intraoperative emergency plan." "The patient may not be able to get off the operating table!" So far, the system prompts that there has been no error. For the safety of the patient. Lin Yi tried to make the risks he faced more serious. "Immediately arrange for the patient to undergo a coronary CTA examination, and by the way, ask the heart center to come for a consultation." Lu Chenxi hesitated for a moment and immediately issued the latest instructions. It is indeed as Lin Yi said. In the attitude of being responsible for the patient's life, the doctor cannot let go of any possibility of danger. What's more, the diagnosis method of this guy in front of her can't be understood by common sense. She was really afraid that Lin Yi's bad words would come true again. A small appendectomy surgery has become extremely complicated... Twenty minutes later. Lu Chenxi from the emergency department and Zhuang Shu, deputy director of the heart center, began a joint consultation. "The patient does have a more serious stenosis of three coronary arteries. My suggestion is to arrange intervention or bypass treatment as much as possible." After looking at the patient's film, Zhuang Shu immediately gave the heart center's advice. "I just don't know if the patient's current appendix perforation can be effectively contained." But looking at the patient's increasingly bulging belly, he still had to analyze the specific situation. "And I want to ask, how did Dr. Lu discover that the patient might have three lesions." "In theory, there is no need to do coronary CTA before appendicitis surgery." Seeing Lu Chenxi's cold face, he seemed unhappy. Zhuang Shu immediately explained again.
"I don't mean anything else. I just think that Dr. Lu's bold attempt this time has set a good example for our pre-surgical examination process." "I think it is necessary to suggest that the hospital add this examination to the surgical process." "Even for a small operation like appendectomy, if you don't know in advance that the patient may have three lesions." "The possibility of fatal risks during the operation is still very high!" As Zhuang Shu explained. All the medical staff on the scene looked at Lin Yi in unison and unquestioningly. Is this guy a charlatan or a miracle doctor? It's really hard to understand now. Anyway, the patient's condition in front of him is almost exactly right! If he hadn't reminded him, the patient would have been on the operating table long ago. What kind of situation will happen during the operation? They are all experienced doctors, and they dare not imagine it. "I only have two suggestions now." Lu Chenxi didn't pick up Zhuang Shu's words at all. The various magical performances of Lin Yi's diagnosis cannot be explained clearly to a Western medicine expert like the other party in a few words. "First, the appendectomy operation is urgent. When I perform the operation, is there any way for Dr. Zhuang to ensure that the patient's heart is not in danger." "Second, can the patient's heart afford to do two operations at the same time?" Lu Chenxi gave two suggestions neatly. Do cardiac interventional surgery first, the patient's appendix perforation can't wait. There is no need to propose this plan at all. Zhuang Shu picked up the film again and checked it carefully. "The first plan 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 do the interventional surgery." Without much consideration, Zhuang Shu gave his own surgical advice. The patient's coronary artery stenosis can't afford two operations at the same time. "Okay, prepare for the operation immediately." "Doctor Zhuang, don't worry about the speed of the operation." "The stability of the patient's heart still requires Dr. Zhuang to follow up and monitor throughout the process."
Before Zhuang Shu came to the Central Hospital, Lu Chenxi was also known as the fastest surgeon in cardiac surgery. As for the speed of the operation, she also confidently guaranteed it. "No problem, it should be!" They are all doctors who perform operations frequently. After the surgical plan was determined, there was no delay. The patient and the doctor entered the operating room as quickly as possible... Lin Yi looked at the empty door of the operating room. He could only smile bitterly and returned to the triage desk alone again. He continued his work. Fortunately, without Fang Xiaoran's constraints, his diagnosis speed was a little faster. "Doctor Lin, Doctor Lu asked you to go to the operating room immediately." Before the third patient was finished. Nurse Yang Yu hurriedly pushed open the door of the emergency room. She called Lin Yi to go to the operating room immediately...
