Chapter 36 Saving People and the Future
When the water pressure boosting therapy was effective just now, almost everyone thought that Li Quan was doomed to fail. Now, with a sudden turn of events, everyone finally began to take Li Quan's advice seriously.
The heart is equivalent to the engine of the human body, and its internal structure is very complex.
Its most important function is to pump blood. The left heart is responsible for pumping the arteries to the aorta and its branches, supplying blood and oxygen to various important organs. The right heart is responsible for collecting venous blood, which is then pumped to the lungs. Because the lungs contain the oxygen inhaled, the venous blood must combine with oxygen to become arterial blood again.
If the venous blood does not contain enough oxygen, it will be like a hard laborer who only drinks porridge, which does not replenish enough energy and leads to lack of strength.
"I think the heart has been checked and there is no problem at all. There is no need to do more and waste precious rescue time." Doctor Jin's confidence was obviously not as strong as before when he said this.
But his scholarly pride made him unwilling to give in easily.
"We'll do a color Doppler ultrasound scan. It won't take that long anyway! If we can't find the lesion, all our efforts will be like looking for a needle in a haystack."
Professor Liu has some confidence in Li Quan's abilities.
Because Li Quan has already created a miracle.
Moreover, Li Quan had already discovered that the patient had bleeding yesterday evening, which was enough to show that Li Quan's medical skills were superb.
The ultrasound technician has begun to apply coupling agent on the patient's heart, and then started to scan with the probe.
This color Doppler ultrasound instrument is a dedicated cardiac color Doppler ultrasound instrument.
The image of the chest cavity soon appeared on the screen.
“I didn’t find any problem!”
The famous doctors and professors present stared at the display screen, their hopes dashed once again.
"I told you, we've already checked it out . Checking it again is a waste of time. He's just an intern, and he's learning unreliable Chinese medicine. How could he possibly find out where the lesion is!"
Doctor Jin straightened his back again.
He was actually sweating just now.
If I were really slapped in the face by an intern, I would probably not be able to hold my head up for a long time.
"Cardiac ultrasound can only check the structural changes of the heart, that is, whether the valves are completely closed, whether there is obvious regurgitation, whether there is hypertrophic obstructive cardiomyopathy, whether the heart is obviously pathologically enlarged, and the heart's contractile function. It cannot detect vascular lesions. Judging from the patient's condition, we only have about half an hour at most."
Li Quan is still confident in his diagnosis.
He looked up at Professor Liu.
"Teacher, if you and the famous doctors and professors cannot find a better treatment method, then I suggest that you sign a consent form for the surgical risks with the family, and then perform a small incision operation on the patient's chest. I am more than 90% sure that the blood vessels between the right atrium and the lungs may be blocked, or there may be other lesions."
Li Quan also knew that in this case, the lesion was not clearly detected and the condition did not meet the surgical indications.
But in an emergency, we have to take the necessary measures.
Although modern medical equipment is advanced, there are still some lesions that it cannot detect.
Because the human body is ten thousand times more complex than the most sophisticated computer in the world.
Its organs, muscles, skin membranes, blood vessels, bones, nerves, hormones, etc. together constitute a comprehensive balance. When any of these balances is broken, people will get sick.
Some causes of disease cannot be detected by medical equipment.
From this point of view, Chinese medicine diagnosis is actually more advanced than medical equipment. However, if everyone has their own strengths and complement each other, it would be perfect.
"absurd!"
Doctor Jin shouted angrily.
"How can you easily perform chest surgery on a patient when the cause of the disease has not yet been determined? Absolutely not! You are an unqualified intern who has not even learned the most basic medical procedures."
Professor Liu also shook his head repeatedly and disagreed with Li Quan's suggestion.
He believed in Li Quan, but medicine was a rigorous science. For something as important as surgery, it had to be done strictly according to rules and regulations.
It is absolutely not allowed to perform surgery on patients randomly.
The other doctors also shook their heads and disagreed with Li Quan's suggestion.
Li Quan was scolded by Doctor Jin and denied by everyone, but he was not angry. He was just worried about the patient's life.
If blood pressure drops to 60 for a long time, the patient will not be able to survive for long.
Saving a life is better than building a seven-story pagoda.
He found out the cause of the disease through observation and pulse diagnosis, but he was unable to convince other doctors.
Because other doctors do not have the ability like Li Quan.
Taking a deep breath, Li Quan decided to make one last effort.
"Teacher, I also know that this is against the rules. But in an emergency, I have used Chinese medicine to diagnose the patient's pulse and found that the cause of the disease is a problem with the blood vessels between the right atrium and the lungs. Do you think there is a way to obtain surgical indicators? Open-heart surgery will take at least 20 minutes. If we really want to save this patient, we will have no more than 10 minutes to consider."
His tone was particularly calm and his expression was serious.
Everyone felt a unique temperament in this young man—calm as a mountain.
"Let me think about it!"
Professor Liu closed his eyes and held the armrest next to the operating table.
Having practiced medicine for so many years, Professor Liu was very clear about the risks he would face after agreeing to undergo this thoracic surgery.
If the person can really be saved, everyone will be happy.
If the person cannot be saved, the patient's family will definitely make a fuss, and the higher authorities will then conduct an investigation.
Performing surgery in violation of regulations is a serious crime.
After nearly two minutes, Professor Liu slowly opened his eyes.
"Are you sure that the blood vessels between the right atrium and the lungs are blocked?" Professor Liu asked, staring into Li Quan's eyes.
"More than 90% sure." Li Quan didn't dare to say that he was completely sure.
"Immediately bring the vascular drainage device over! Write a consent form in my name and have the family sign it! Tell them that after a variety of tests and based on the patient's condition, I have concluded that there is a blockage in the blood vessels from the right atrium to the lungs, and surgery must be performed immediately."
After Professor Liu made this decision, he felt relieved.
He was under tremendous pressure as he was risking his reputation and future.
He thinks it's worth it if he can really save the patient.
Li Quan also breathed a sigh of relief.
Originally, he thought he would have to undergo a thoracotomy, but he didn't expect that Huier Hospital had purchased an advanced vascular dilation device, which would reduce the risk of surgery.
"Professor Tang, you are a famous doctor in internal medicine. You will be in charge of dredging the blood vessels between the heart and lungs. Don't worry, all the risks will be on me."
Professor Liu also knew that it was a bit too much to ask Professor Tang to do the operation.
However, there is no other way. In order to ensure the success rate of the operation, the experienced Professor Tang must perform the operation.
"Old Liu, do you look down on me? You have already risked your life to save the patient, so why would I be afraid of taking the responsibility of performing the operation?" Professor Tang is a man of character.
He snorted in displeasure and began to prepare for the surgery.
First, the best incision point is determined, and then a detailed examination is performed.
Now we are just waiting for the equipment to arrive and for the patient's family to sign their consent.
Li Quan was studying hard beside him. He had never watched an operation of this level. He had been working in the obstetrics and gynecology department and had seen many cesarean sections and uterine fibroid removal surgeries.
