Section 12

The heart must return to a quiet state before surgery can be performed.

Zhang Yi was busy alone in the simulated operating room. Usually this kind of surgery requires two to three assistants.

But there was no assistant in the simulated operating room, so Zhang Yi had to rely on himself.

Although the movement was much slower, it made Zhang Yi more aware of what each step of the operation was and how to do it.

…

I don’t know how long he had been practicing, but Zhang Yi was woken up by the sound of an alarm bell.

When I woke up, I saw that there was a thousand yuan missing from my bank card! !

hiss!

It hurts just thinking about it!

Last night's simulated surgery, the score was lower than 95 twice!

Unexpectedly, the system actually deducted money!

And the way the money is deducted is to give a reward to a certain author who writes a novel!

What's the author's name?

Zhang Yi took a look and found out that it was called Zheergen Cilantro!

Zhang Yi sighed silently and started to get up and wash up.

You have to report to the emergency department on time today!

Chapter 13 Busy emergency room, girl with congenital heart disease

Other colleagues in the emergency department were not surprised to see Zhang Yi coming to report.

Zhang Yi has always been excellent, so it seems not unusual for him to stay in the hospital.

"Zhang Yi, we will be colleagues from now on!" Chen Fang came over and put his arm around Zhang Yi's shoulders and teased.

Zhang Yi smiled modestly, showing a row of neat teeth: "Thank you very much for Teacher Chen's teaching."

Chen Fang nodded with satisfaction, this child is quite good at talking.

Soon it was time for the morning shift.

However, He Ming was not seen in the office for a long time. Instead, deputy director Li Yan presided over the morning meeting.

"Director He has something to do. Let's start handing over first."

Everyone nodded in confusion without thinking much.

After the shift was over, Li Yan gave a brief introduction to Zhang Yi. After all, he was no longer an intern but a trained doctor.

Although he is at the bottom of the hospital, he is still a little better than the interns who run errands...

"Considering that Zhang Yi has not passed the test yet, you should just follow Chen Fang. I hope you can pass the test in one year."

Director Li smiled and patted Zhang Yi on the back.

In the hospital, if the resident doctor does not have a certificate, he or she needs to work with a certified doctor to facilitate signing of medical orders.

The prescribed training time is one year, and after one year you will obtain the medical qualification certificate. If you pass the exam, you can start receiving performance bonuses.

If you don't pass the exam... you will only have a basic salary of 1,800 yuan, and you will also face the risk of being fired.

"Thank you, Director Li, I will try my best."

Soon, the emergency room shift ended, and Zhang Yi followed Chen Fang to start ward rounds.

As soon as they reached the door of the emergency room, they saw the nurse at the nursing station coming over hurriedly: "Dr. Chen! The emergency center has brought over a patient with congenital heart disease. Go and have a look!"

There was no room for rounds now, so Chen Fang quickly led Zhang Yi to the emergency room door.

Just then the ambulance stopped.

"Help my daughter! Doctor! Help my daughter! She suddenly can't breathe! Her face has turned so dark! Woohoo...save her!"

As soon as the door of the ambulance opened, a pair of young parents pushed a flatbed cart out of the car. There was also a little girl lying on the flat car.

The parents were crying and shouting.

Chen Fang quickly comforted the family members: "Don't cry first. Let's explain the matter clearly. When did your daughter start having difficulty breathing?"

"Wuwu...I...I..." The family members were crying and sobbing and couldn't hear what was being said.

The emergency doctor on the side quickly added: "The call I made half an hour ago said that my daughter suddenly developed difficulty breathing and cyanosis after playing in the park. It was initially suspected to be congenital heart disease. Oxygen has been given and an intravenous channel has been established."

"Okay, Zhang Yi, please call the laboratory department and tell them that we need to do an urgent examination in the emergency department, including cardiac X-ray, ECG, and UCG, and ask them to arrange it as soon as possible."

"Okay, I'll go right away!" Zhang Yi nodded and turned around to contact the laboratory department immediately.

In fact, Zhang Yi already knew what the girl's illness was at this moment.

In her heart, the mitral valve, which connects the left atrium to the left ventricle, often closes and opens.

Almost all the blood flow in her body was blocked in the right atrium.

Fortunately, it was discovered early, otherwise acute heart failure and acute pulmonary edema would develop.

At that time, even Tathagata Buddha may not be able to save him alive.

For urgent emergency patients, all reports came out in less than ten minutes.

Heart X-ray results: upper lobe blood vessels were dilated, interlobular Kerleyb lines; left atrium and right atrium were enlarged.

Electrocardiogram ecg results: mitral valve type p wave (left atrium enlargement); right ventricular hypertrophy; atrial fibrillation.

Echocardiography UCG results: city wall-like, EF slope decreased, A peak disappeared.

Combined with the diastolic murmur, Chen Fang immediately made a diagnosis:

"It's mitral stenosis. Family members, have you checked your child before? Is this the first time that you have difficulty breathing today?"

"Uuuuuuuuuuuuuuuuuu... Is it a heart disease? No, we haven't had any tests before... We don't know at all... Doctor! Please save my daughter! She is still so young... Please save her!"

Children are the weak point that gives parents their armor.

At this moment, the young parents seemed to feel like the sky was falling.

Watching Chen Fang's mouth open and close, they seemed to hear but not hear.

Faced with such an emotional family member, Chen Fang was a little impatient: "Please calm down and answer my question! Has she ever had this situation before?"

"Woo woo... No, today is the first time."

"Your daughter needs surgery immediately, you go to pay the fee first, pay 100,000 first." After Chen Fang finished speaking, he turned around and went to the office to prepare a doctor's order to contact the cardiac surgery department and the operating room.

The emergency department is busy, and many doctors will overlook many important things in their busy schedule.

"You...!" Just when the family member's emotions were at a breaking point and were about to get angry, Zhang Yi stepped forward to comfort the family member.

"Your daughter has congenital heart disease. In layman's terms, a very important valve in her heart is broken, which has caused blood to not circulate in her heart and is blocked in her lungs, so she had difficulty breathing just now."

"But don't be too anxious, because you brought her here in time. Now as long as you have surgery to repair the valve in the heart and clear the blood, your daughter will be fine."

"The procedure is to replace the broken valve with an artificial valve. Of course, surgery is definitely risky, but as doctors, we will do our best to save the patient's life. Please believe us!"

"Can you understand this explanation?"

Zhang Yi's voice was neither too loud nor too soft, and very gentle.

The two parents who were still sobbing just now are now gradually calming down.

The girl's father nodded quickly: "So that's what you mean. Thank you, you are much more reliable than the doctor just now! We will go to pay the fee now! But please make sure to cure my daughter. If you cure her, I will kowtow to you ten times!"

"No, no, you should pay the fee first. We are contacting the cardiac surgery doctor and the operating room for your daughter. If you don't understand something, you can ask me again."

[Ding! Gratitude points +20! ]

As soon as Zhang Yi finished speaking, the system sounded.

Not far away, Deputy Director Li Yan just noticed this scene.

For a moment, he appreciated Zhang Yi a little more.

After a while, the family paid the fee, and the cardiac surgery doctor came over.

The doctor who came was the attending doctor, named Jiao Yong, who had been working in cardiac surgery for nearly ten years.

He only looked at the girl twice and prepared to let the girl enter the operating room.

Before the family members could recognize the doctor's face, the doctor left.

Only the words "prepare for surgery" were left.

Watching the girl being pushed into the elevator, Li Yan suddenly appeared behind Zhang Yi.

"Zhang Yi, do you want to learn this operation?"

or:x

Chapter 14 There is still a chance! Zhang Yi's operation shocked everyone

"Zhang Yi, do you want to learn this operation?"