medical road high rise

Heart failure
Chapter 273 Heart Failure
"I already have a teacher." Qin Feng said.

When Zhao Guoping heard what Qin Feng said, he didn't say anything more. Everyone wants to save face, so just go as far as you can.

Although Zhao Guoping admires Qin Feng very much, there are still some principles that must be adhered to.

"By the way, there is one more thing, that is, the courtyard is preparing to equip you with a laboratory." Zhao Guoping said.

Qin Feng was taken aback for a moment, and then became ecstatic.

Owning a laboratory is the greatest wish of surgical experimenters.

A laboratory, in addition to living animals, has indicators of corpses every year, that is, it can conduct experiments on humans.

In addition, the laboratory has complete instruments and various equipment.

Turning around and thinking about it, Qin Feng found that he didn't seem to have a great need for the laboratory. What the laboratory can do, he can do in the training room.

However, since I have the qualifications to teach, I will use this laboratory for my students in the future. This is a treasure for those doctors who want to study surgical techniques.

Even, many attending doctors will come to Qin Feng to borrow the laboratory.

After Qin Feng and Zhao Guoping said goodbye, they returned home. Before Lu Shan got off work, Qin Feng took a shower and went to bed to rest.

As for watching TV shows, it is a luxury for the surgeon. He can't sleep well every day while still watching TV shows.

It's just that not long after Qin Feng left, a small patient came to the emergency department.

It happened that Li Xuewen was on duty at night. After receiving the call from the emergency center, he was already waiting in the emergency room.

The emergency nurse pushed the patient in, and Li Xuewen asked about the patient's condition.

"Sudden shock?" Li Xuewen frowned, "Prepare for cardiopulmonary resuscitation and defibrillation."

"Does the patient have any previous medical history?"

"Yes, this child was delivered in our hospital before, and the ductus arteriosus was closed at birth, and the follow-up treatment has been in our hospital." The nurse in the emergency department said.

This nurse knew the family members, which was equivalent to a good relationship.

"What happened to the patient before he was sent here?" Li Xuewen looked at the patient's parents.

The patient's parents patted his wife on the back to make her feel more comfortable and said: "When I was finishing the report and getting ready to go to bed, Xiaolong cried and said he was not feeling well. I thought it was a bad stomach, so I gave the child After taking some medicine for diarrhea, Xiaolong fell asleep again, and within a few minutes, he woke up again, called his mother, and passed out."

Li Xuewen listened carefully, nodded and said, "Well, well, I understand, the family members should go out first, we are going to rescue."

The rescue process cannot be seen by the family members, and even the curtain must be drawn to ensure the privacy of the rescue.

After the family nurse took it out, the nurse came back and asked, "Dr. Li, what do you think caused the patient?"

Li Xuewen did not answer, but looked at the equipment next to him. Although the patient was still in a coma, the vital numbers were normal and there was no danger to his life.

Obviously it was dyspnea, and after being put on the ventilator again, the dyspnea also eased.

"I won't be able to tell the cause of the disease for a while, but surgery may be required. Nurse Meng, you should ask the doctor from the vascular surgery side for consultation first." Li Xuewen said.

Nurse Meng nodded and left, when Li Xuewen suddenly heard something.

"You remember to call Qin Feng."

More than half of the patient's cause is related to old diseases, but Li Xuewen is not clear about the specific situation.

Qin Feng, who was sleeping on the bed with his pillow in his arms, was awakened by the rapid ringing of his mobile phone.

Qin Feng was stunned for a moment, then quickly woke up.

Generally, there will be no other calls at this point, and they are all emergency work calls.

Qin Feng answered the phone, Nurse Meng explained the situation, Qin Feng grabbed his clothes, put them on in a hurry, and opened the door.

Just met Lu Shan who was returning home.

"Are you going to the hospital?" Lu Shan froze for a moment.

"Well, there's an emergency, Dr. Li and the others can't handle it, let me go and have a look." Qin Feng explained.

"Go, have you brought the key?"

"Bring it."

Qin Feng and Lu Shan are going in different directions. This is the pain of the doctor's family. Although they live together, they still get together less and leave more.

Even in a hospital, one palm is enough to count the number of times you can meet each other in a day.

After rushing to the hospital, Qin Feng parked the shared bicycle aside and rushed into the emergency room.

"What's the patient's condition?"

Li Xuewen told the patient's situation, which echoed in Qin Feng's mind.

"Do you think it could be heart failure?" Qin Feng asked.

The patient had dyspnea and fatigue, woke up twice at night and fainted suddenly, which is not something that can be caused by general symptoms.

Qin Feng checked the patient's right lower extremity, and there was edema in the calf, which is also one of the symptoms of congestive heart failure.

"I'll go. I'm a little confused on the night shift today. I actually forgot to check up." Li Xuewen patted himself on the head.

This is a big taboo for doctors. If he had a physical examination, Li Xuewen would have thought of heart failure.

There are no mediocre doctors in Ruijin Hospital. Most of them are doctors with real talents and hard work.

"Has the patient been exercising a lot recently?" Qin Feng asked.

"It's not that big. The patient hasn't been out recently. Instead, he always feels inexplicably tired at home. He even said he was a little sleepy after eating two bites." Li Xuewen said.

After Qin Feng listened, he looked at the heart rate meter. The patient's heart rate was much faster than normal people's.

The normal heart rate is 60 beats/min, but the patient's heart rate has reached 80 beats/min. Then Nurse Meng handed the patient's film to Qin Feng.

Li Xuewen also looked at Qin Feng, and Qin Feng took a rough look.

"The patient's left ventricle is enlarged. Do you have a stethoscope?" Qin Feng put the stethoscope on the patient's lungs and listened for a few minutes. "The patient's lungs have moist rales."

Moist rales in both lungs suggested left heart dysfunction, and Qin Feng quickly made a diagnosis.

"The patient should have congestive heart failure."

Congestive heart failure is also called heart failure. Due to poor ventricular pumping or filling function, the cardiac output cannot meet the body's metabolic needs, and the blood perfusion of tissues and organs is insufficient.

At the same time, there may be congestion in the pulmonary circulation or systemic circulation. In addition, typical symptoms such as dyspnea, fatigue, and edema appeared in the patient, which further confirmed the patient's condition.

"No, I remember that the patient's ventricular problem has been cured!" Nurse Meng said.

Qin Feng frowned and looked at Nurse Meng, as if there were other conditions in the patient's condition.

"The patient was delivered by me before, and then I was transferred to the emergency department. The patient's parents dragged me to contact the doctor. After coming and going, I became good friends with the patient's parents, and they often told us about the child's situation. .” Nurse Meng explained.

(End of this chapter)