Section 93

Once ischemia occurs, the entire myocardium is prone to obstruction and necrosis.

So this is why coronary heart disease can easily cause myocardial infarction.

There is a very typical symptom of myocardial infarction.

Angina pectoris will occur before infarction develops.

If found, seek medical attention immediately.

Coronary arteries are not as large in diameter as other blood vessels; they are very small.

Under contrast imaging, the black blood vessels are about the same thickness as toothpicks, and even the end blood vessels are thinner than toothpicks.

The formation of blockage is usually caused by chronic diseases such as genetics, hypertension, hyperlipidemia, and hyperglycemia.

Under normal circumstances, coronary heart disease will be treated with interventional thrombolysis.

Within six hours.

Dredging the coronary blood flow and restoring the blood supply to the myocardium can ensure most of the myocardial function.

If it is like the veteran Tian Ming mentioned just now.

He developed a ventricular aneurysm in addition to the infarction.

Then the surgical plan would have to be thoracotomy.

Do bypass surgery plus remove this fibroid.

Ventricular aneurysm is a condition in which necrotic myocardial cells are gradually replaced by fibrous connective tissue after myocardial infarction and gradually protrude outward.

This necrotic tissue will fall off on its own over time.

Once it falls off, it can easily cause blockage of other large blood vessels.

Therefore, this small ventricular aneurysm must not be underestimated.

Now the question is.

This old man is old, the elasticity of his blood vessels has weakened, and his body's resistance has weakened.

Thoracotomy has a high failure rate.

It is very likely that one cut will break all the blood vessels.

Or the body cannot bear such a major sternotomy surgery, and the recovery is extremely poor, etc.

Doctors at Ping An Hospital work hard to make surgeries safer.

Also to allow the elderly to participate in the military parade.

So I would like to take this opportunity to invite Professor Jin to take a look.

After what Tian Ming said, Zhang Yi was actually very curious about this old man's situation.

Zhang Yi had previously undergone bypass surgery for coronary artery sclerosis.

He even got involved in interventional cardiology.

It’s just that I haven’t had the opportunity to practice the technology recently.

Zhang Yi thought for a while and said:

"Director Tian, ​​can you take me to see this old man in a moment?"

Tian Ming turned his head and looked at Zhang Yi in surprise.

There was only one thought in my mind!

That is, Dr. Zhang would not want to talk about the surgery of this 93-year-old veteran...

Can he do it?

No way, no way!

He admitted that Dr. Zhang was very good at general surgery and appendix surgery.

He admired it too.

But……

This veteran is in cardiac surgery.

He can't even do cardiac surgery, right?

Tian Ming shook his head and thought:

Impossible, impossible!

There is no way such a young doctor can perform cardiac surgery!

However, just taking a look should be fine.

After thinking about it, Tian Ming agreed:

"Okay, I'll take you to see the patient's condition later. However, that veteran's status is unusual, so we have to show some respect."

Zhang Yi nodded: "I understand."

Lu Jing listened quietly to the conversation between the two.

I thought: It’s okay now, Zhang Yi is going to start his pretentious journey to Ping An Hospital again.

I'm afraid Director Tian doesn't know.

Zhang Yi...

He can even perform heart surgery!

An hour and a half later.

Tian Ming glanced at the watch on his hand and said to Zhang Yi:

"Let's go, Doctor Zhang, let's go see the veteran patient first."

Zhang Yi nodded, said something to Lu Jing next to him, and then followed Tian Ming away.

Inpatient Building No. 1, eighth floor.

Tian Ming brushed his face and the whole journey was smooth.

Although Zhang Yi looked surprised, no one following Tian Ming dared to say anything.

In large hospitals, the positions of director and deputy director are very high.

Walking to the door of a VIP ward, Tian Ming reached out and knocked on the door.

The door was opened by the caregiver caring for the elderly.

"Doctor, you are here." The nurse said politely.

Tian Ming nodded.

In the ward.

Except for the elderly.

There was only a middle-aged woman in her fifties and a caregiver in her early forties.

"Doctor, how is the situation? Will Professor Jin come over to operate on my dad?"

The woman in her fifties asked quickly.

Tian Ming nodded:

"Don't worry, Professor Jin will be here soon."

At this time, Zhang Yi had already walked to the veteran's hospital bed.

At the age of 93, this veteran's entire facial skin has become sunken and dull.

However, I did a thrombolysis and several days of drug treatment.

The old man's spirit is acceptable.

He saw a doctor coming in and he knew who it was.

He also opened his mouth and shouted softly: "A doctor's kindness is equal to his forehead."

The uncle didn't wear dentures, so he could only speak with his mouth open.

But Zhang Yi still understood.

He means, hello, comrade doctor.

Zhang Yi smiled at him and replied: "Comrade Qin, you are welcome too."

The old man was well taken care of.

My physical fitness is pretty good and I don't have Alzheimer's disease.

There are many chronic diseases.

The most serious problem currently threatening his life is coronary heart disease.

Zhang Yi observed carefully.

The blockage at the branch of this man's coronary artery was caused by thrombus and fat thickening of the blood vessel wall.