Chapter 585: Ask the dean to be an assistant, the pulse is lower than the heart rate

  As everyone knows, Ye Ru is Li Quan’s disciple. Because of her beautiful appearance and good medical talent, she is deeply loved by Li Quan.
  This time participating in the National Medical Skills Competition, there are thousands of people in the hospital, and there are only 25 places in total.
  Li Quan allocated a place to her, which is enough to show the love and respect for her.
  Even Luo Wenhao and Tang Zhengyuan did not bring them.
  "Ye Ru, you don’t have to be scornful! In fact, with your current ability, if you encounter a suitable problem, you can bravely fight it. For example, hemophilia, simpler leukemia, you are now fully capable of solving it."
  Li Quan actually made careful consideration when selecting candidates to participate in the competition.
  Love belongs to love.
  For such an important thing as the National Medical Skills Competition, it is naturally impossible for the female apprentice to occupy a precious place for the competition just because she is beautiful and pure.
  But consider all aspects comprehensively.
  Li Quan has been able to cure hemophilia and leukemia for a long time, but for various reasons, in addition to the initial widespread attention from the media and people, he has been tepid in the future.
  The outside world has been skeptical about the ability of Whale Hospital to cure leukemia and hemophilia.
  This national medical skills competition is a good opportunity.
  As long as he encounters patients with hemophilia and leukemia, Li Quan must seize the opportunity to prove that Chinese medicine can indeed cure these two diseases.
  He can do it himself, but it can, but the effect is definitely not as shocking as the disciple cures the patient.
   "Dean, this competition has gathered the nation's medical elites. The top experts and professors in various fields are here. Can I be a young doctor?"
  Ye Ru's eyes brightened, but still a little unconfident.
"Don't worry, as long as you are courageous and careful, and maintain your usual level, you will definitely be able to shine this time. At that time, your achievements will also help me block the mouth of everyone. lest they say that I am beautiful Special care for the female apprentice."
  Li Quan took Ye Ru to the competition this time, and there will definitely be many doctors in this hospital talking behind the scenes.
  Some people even say that Ye Ru is Li Quan’s lover and so on.
  The mouth is on someone else, and the explanation is useless.
  Only by proving yourself with strength, can you shut up those who are dissatisfied because they are not selected to participate.
   "Well, if there is a chance, I will go all out! But if I lose and deduct points, you can't blame me." Ye Ru's eyes became a little firm.
  Don't look at how she doesn't talk much, she is gentle and quiet.
  In fact, like Luo Wenhao and Tang Zhengyuan, she respects Li Quan from the heart, admires Li Quan, and maintains Li Quan’s positive image.
  They will not allow anyone to tarnish Li Quan’s reputation.
  ……
  The answer to the questions continued, and the host asked several more questions in a row.
  A question in the field of internal medicine was successfully answered by Professor Tang.
  Professor Tang's medical level in internal medicine is quite good. At least the question that he answered is extremely difficult.
  The most top-notch physicians in the country were basically present, but he was able to win, which is enough to prove his strength.
   "Dean, if there is a suitable surgical question later, I also want to try to answer it. Can you be an assistant for me?" Director Jin Leiming of General Surgery was a little bit unable to sit still.
  According to the rules, the game will last three to five days in total.
  This year, because of an accident in the Beijing First Hospital, an incurable infectious disease appeared, and Professor Hawking, who was already infected, also participated in the live competition.
  For safety reasons, it is likely that only three days of competition will be held this year.
  Some questions with lower difficulty will be deleted.
  Surgery, a total of six doctors came this time.
  Twenty-five places accounted for more than one-fifth.
  But the competition has been going on for nearly a day and a half, but the surgery has not been able to achieve any dazzling results.
  Jin Lei is arrogant, and he must be uncomfortable in his heart.
   is also really anxious.
  It's just that the contestants on the spot are all masters, and he wants to answer the questions in the surgical field that appear. But he is not sure.
  Worry that after rushing to answer, not only will you not be able to score, but will deduct points.
  Almost every question, one of the three contestants who rush to answer will be deducted points.
  There are only a few exceptions.
  If you rush to answer the question, you can have Li Quan, a master surgeon, help you perform the operation. Director Jin Leiming's heart is much stronger.
  Li Quan is not only good at surgery, but Chinese medicine is sometimes even better than the life support and interventional treatment of internal medicine.
  For example, to stop bleeding, which many western medicine doctors can't do, Li Quan can do it.
   "Okay, as long as Director Jin needs it, I am happy to help anytime."
  In front of these hospital veterans, Li Quan is usually very kind.
   Give them enough respect.
  Being the dean is equivalent to the head of the Whale Hospital. If you do not respect the talents, it is easy to cause the hospital staff to depart from morals, and even some top talents are lost.
   "Thank you, Dean!" Jin Leiming and Li Quan can't meet each other.
   Before Li Quan was just an intern, he was severely taught by Li Quan.
   Later, Li Quan performed particularly well in the operating room. Jin Leiming's attitude towards him quietly changed and he began to appreciate him.
  Now, Jin Leiming can only admire Li Quan.
   "Please prepare to answer the eleventh question today, please look at the big screen." The host's voice sounded.
  Recently, these two questions are consecutive questions in the field of surgery.
  So the eleven questions are still very likely to be in the field of surgery.
  "This is a heart disease patient, please diagnose."
  An old man about 60 years old appeared on the screen, with a kind face and delicate eyes. The silver-white hair, although very sparse, is meticulously maintained.
  At this moment, his eyes are closed tightly, and he is lying on the hospital bed while wearing a ventilator.
  Looks like he's in a coma.
  Jin Lei glanced at Li Quan clearly.
  Li Quan nodded his head in affirmation.
"I am Jin Leiming, the chief physician of the General Surgery Department of Whale Hospital. According to the examination data of this patient, the patient has arrhythmia and is in shock. It should be an acute myocardial infarction. The best way is to take interventional treatment immediately. Other surgical treatments."
   After Jin Lei got Li Quan’s support, his confidence doubled.
   answered the question loudly.
  Li Quan frowned slightly looking at the patient’s ECG.
  It can be seen from the patient’s electrocardiogram that there is obvious arrhythmia.
  When contacted again, the patient has a history of heart disease and is now in shock. The probability of acute myocardial infarction is very high.
  Director Jin Leiming has rich experience in treatment and reliable diagnosis.
  It’s just that Li Quan looks at the patient's complexion, body, etc., and conducts in-depth diagnosis of the patient through inspection surgery. He always feels that the patient's condition is not so simple.
"Director Jin’s diagnosis opinion, I agree! But I think the patient may have explosive myocarditis. So I recommend further testing. At present, it is basically certain that the patient has shocked because of myocardial infarction. I immediately find a way to rescue the infarction. Minimizing the area is the key."
  Another strong player stood up to answer.
   is impressively Chi Zhiyin, the director of surgery at the Mordu Provincial People’s Hospital.
  This person acts and behaves very low-key on weekdays.
  However, he is well-known in the magic city and even in the field of surgery across the country.
  The number of lives he rescued was not 10,000, and there were more than 8,000.
   is a veritable nemesis of Yama.
   is the godfather of human life.
   "I support the diagnosis of acute myocardial infarction, and disagree with the statement of fulminant myocarditis." Another doctor stood up to answer.
  Three places have been occupied in a very short time.
  The last person to answer is Professor Song Bo from the Military Hospital, who is known as the of surgery and the nemesis of cardiovascular disease.
  His fame is even greater than that of the Chi Zhiyin of the Modu People’s Hospital.
   can be said to be an authority in the field of surgery, especially cardiovascular.
  Before Professor Bei Ke was able to compete with this one before he had no cerebral hemorrhage.
  But Professor Bei Ke is not such a person.
  Because this person is an all-around player in internal medicine and surgery.
  Physicians, almost all of them can perform basic operations. But the surgical skills are extremely powerful and very rare.
  Professor Tang is barely one of them.
  This Professor Song Bo from the military hospital is even better than Professor Tang.
  Cardiovascular internal medicine is at the top level, and at the same time, the cardiovascular surgery level is also at the top level.
   is considered to be both internal and external, and everything is accomplished.
  The country, and even the whole world, can’t find two such talents.
  Especially modern medicine is becoming more and more refined, let alone studying both internal and external, it is enough to study every small category in the field of internal medicine or surgery, enough to study for a lifetime.
  For example, some people specialize in brain nerves, some specialize in motor nerves, or some specialize in the treatment of infertility and so on.
  Professor Song Bo has practiced the field of cardiovascular to the extreme.
"Okay, thanks to the three top doctors in the field of surgery for answering this question! According to the current diagnosis, the patient is an acute myocardial infarction. Next, please enter the operating room 7 immediately to rescue the patient. The rules are still the same as before. The one who grasps the highest will go first."
  The host is not nonsense.
  Saving people is like fighting fire.
  The patient is in a state of shock and must be treated immediately.
   "Dean, the treatment of this patient is definitely not as easy as imagined. Apart from asking you to be an assistant, I also want to bring Professor Tang with him." Jin Leiming has worked with Professor Tang many times.
  In terms of internal medicine, Professor Tang can provide strong life support.
   "I have no problem." Professor Tang stood up and readily agreed.
  Everyone belongs to the Whale Hospital. In this kind of competition related to collective honor, everyone must think in one heart and work hard in one place.
  ……
  In the operating room, the patient was lying pale on the operating table.
  On the operating table over there, Professor Xue Minqing’s operation has been completed. Director Pi looked very tired.
  However, judging from the ray of joy between his eyebrows, the operation should have been successful.
  After observing for a while, if Professor Xue Minqing’s vital signs are stable and there are no other accidents, he should be transferred to the ward to recover slowly.
  When Li Quan followed Jin Leiming into the operating room, Director Pi’s gaze swept over Li Quan, and he stayed for two more seconds.
  No matter where you are, strength is the respect.
  There is no doubt that Li Quan has won the attention of Director Pi by virtue of his strength.
  In a very short period of time, without the aid of any equipment, the disease of Professor Bleeding Minqing can be accurately diagnosed. He took the operation that Professor Xue Minqing could not complete, and successfully completed the operation of the patient with a very large liver hemangioma.
   is enough to make Director Pi look at Li Quan with admiration.
  "Patients on the operating table, you have also seen that the acute myocardial infarction occurred half an hour ago. It should not have missed the best rescue time. Whoever has the most certainty will go first."
  Director Pi does not have any extra nonsense.
  "Is this the patient's cardiovascular CT examination?"
  Professor Akanoyin asked.
   "Yes, it was the result of this patient's examination. A contrast-enhanced CT examination was done specifically, and it was clear that the blocked blood vessel was here." Director Pi nodded.
  It’s not easy to be an examiner.
  Who would have thought that all you need to do is to sit down and schedule easily, but the contestants had a cerebral hemorrhage.
   Then, he had to urgently perform surgery on the contestants.
  Tired and become a dead dog.
  "I suggest establishing a venous channel immediately and rehydrating slowly. Then find a way to melt the thrombus. If it can't be melted, then find a way to get the thrombus." After seeing it, Akinoyin gave a treatment opinion.
  His treatment plan does not have any bright spots.
  It belongs to the kind of standard emergency rescue.
  Basically, acute myocardial infarction will use these methods.
  "I do not agree with this conventional treatment. From the results of the examination, the patient’s myocardial infarction area is rapidly expanding, and the thrombus must be removed immediately to minimize the infarction area."
  Professor Song Bo has the tough style of an iron-blooded soldier.
  Speaking and doing things are all vigorous and resolute.
  "I also think that the patient's condition cannot be delayed and cannot be delayed." Jin Leiming supports Professor Song Bo's treatment plan.
   "Okay, Professor Song Bo will get treatment first! Professor Chi Zhiyin is out." Director Pi, the examiner in the operating room, still has a lot of power.
  One sentence can directly let the players out.
  Of course, he certainly can't make random judgments.
  To let a player out, there must be a basis.
  "The patient's pulse is lower than his heart rate!" Li Quan has been calmly thinking about the hidden symptoms of the patient.
  Now after looking at the detailed inspection data, he has made an amazing discovery.
   "Patients with myocardial infarction, the pulse is lower than the heart rate, it is normal, as long as the blood clot is removed, the blood vessels will be unblocked, and the pulse will naturally return to normal."
  Professor Song Bo explained.
   "I know this, but I think the patient's pulse is lower than the heart rate. It should not be caused by myocardial infarction. It is possible that the heart itself has a problem."
  Li Quan can't tell the specific diagnosis basis, just an intuition.
  Like an excellent hunter, after rich experience, he will have almost magical intuition. It can be judged that many ordinary hunters can't predict the result.
  In the case of arrhythmia, low blood output, and insufficient blood vessel filling, the pulse and heart rate are not the same, and the pulse is less than the heart rate is a pathological condition. Simply put, when insufficient ejection of the heart can cause the peripheral arteries to beat, the pulse will be lower than the heart rate, which is clinically called short pulse.