Vol 3 Chapter 2375: More invisible

"It's best to do coronary angiography, you need to be hospitalized, the invasive one." Zheng Ren frowned.
I am not deliberately asking for trouble, this is indeed the best way to solve the problem.
"Okay." Manager Hui hesitated without hesitation and responded directly.
This ... Zheng Ren and Su Yun looked at each other too strange.
说 Did he say he was going to collect evidence afterwards and then make trouble? Such an idea appeared in Zheng Ren's mind immediately.
Perhaps he may not be recording.
Thinking of this, Zheng Ren put on a habitual smirk and said gently: "The cost may be higher, but this is the best way to solve the problem. As for ..."
"Boss Zheng, don't worry, check it out." Manager Hui Bo Yitian said, "Do you want to go to the hospital now? When will the check-up be done?"
Zheng Ren this time really encountered a situation that he did not encounter.
He looked at Manager Hui in surprise and carefully calculated what he had just said. There should be no problem, even if it is recorded, it is fine. And if coronary angiography is performed, the patient's heart X syndrome can be diagnosed.
How can I confirm the diagnosis, but also toss a wool?
I ca n’t stop saying that, but be careful.
Zheng Ren explained like a card machine. Manager Hui was very active, with the female manager behind her, and took the time to handle the admission procedures for the patient.
According to Zheng Ren's request, he was admitted to the hospital with an emergency department, and the diagnosis was heart X syndrome, followed by a question mark.
Emergency admission, emergency examination, emergency surgery, everything is proceeding in an orderly manner.
"Manager Hui, let's do this ..." the female manager asked in confusion.
She thought all the way and didn't want to understand why Manager Hui was so active. But there was no chance to ask all the way, this time the patient was sent to the operating room, and finally he took the time to ask himself the doubts.
"Do you know who it was just now?" Manager Hui also exhaled, looking at the words on the door of the operating room, said restlessly.
"A doctor in the intervention department."
"You, 912 people can offend anyone, and no one knows how to offend." Manager Hui said coldly, "That one was airborne to 912 six months ago."
As soon as I said the word airborne, the female manager knew the weight.
912, let alone a graduate student, even a doctor or a doctor of his family can't stay. The returnee's doctor depends on his life.
Those who can airborne are all powerful!
"President Yan always exchanged such a boss Zheng with a pile of hospitalizations."
"Change?"
"Well, the piles of hospitalizations are now allotted to Haicheng. Isn't this the same as supporting the frontier, do you say that such people can offend?"
Qi's benefit manager also didn't understand the cause and effect, but when others said so, he didn't need to know why, he only needed to know that boss Zheng Niubi and boss Zheng mighty were enough.
"I am a tenured professor in the United States ... just like our academician." Manager Hui continued.
"So young ..."
"Don't bully young people, let's say Boss Zheng isn't poor. Don't look at people low, you are doing well today, and you know how to report." Manager Hui said, "The boss Zheng can't offend. A few days ago, he went to the Imperial City The Women and Children's Hospital rescued the stage and stepped down and did not even go to the hospital for dinner. You talk about it, how capable it is! "
"..."
"Honestly wait." Manager Hui said softly.
But he didn't relax at all, staring closely at the door of the circulation intervention operating room.
After 30 minutes, the operating room door opened. Zheng Ren appeared in the door wearing an isolation suit and a mask.
"Manager Hui?" Zheng Ren shouted.
Manager Hui Hui had been standing beside Zheng Ren like a rabbit, grinning: "Boss Zheng, did the operation go well?"
"Well, help push the patient back in a while, I will tell you about the operation."
After another 20 minutes, Zheng Ren changed his clothes and sat in the office of Director Zhang Lin of the Circulation Department to explain the operation images to the patients' families.
The time is still a bit short, the CD is not engraved, but that is not anxious.
"Here, there is nothing wrong with coronary arteries." Zheng Ren said, holding a tube of ball pen in his hand, and gently tapping the screen.
"Uh, no problem, no problem." Manager Hui responded again and again, almost what Zheng Ren said, and he followed.
"The problem is here," Zheng Ren continued. "It looks like the patient's heart's blood supply is not there, but Manager Hui pays attention to your heart's beating."
"Oh, watch your heart beat."
"The black is the image of the contrast agent that enters the coronary arteries with the blood flow. You look at the heart a few times before the blood flow reaches the last capillary."
"1,2,3 ..." Manager Hui counted very obediently.
"8 times." Finally he gave Zheng Ren an accurate answer.
"Well, this is the problem." Zheng Rendao, "Under normal circumstances, the coronary blood flow of ordinary people will reach all capillary branches in 1.5 seconds. In short, it is two heart cycles ... 2 times. "
经理 Manager Hui understood this time.
2 times and 8 times, the difference is 4 times.
"The large blood vessels we can see bear only about 5% of the blood flow of the heart's blood supply, and 95% are invisible microvessels. ~ Www.EbookFREE.me ~ Zheng Ren felt that what he said was not detailed enough and thought about it "The coronary arteries are like highways. If they are blocked, the traffic will be paralyzed. But there is no traffic jam on the highway, and you can't go directly home when you get off the highway. "
Manager Yun Hui nodded.
"To get home, you have to walk down the streets and alleys, that is, the oxygen supply of the capillaries." Zheng Ren continued: "Because the blood can not be delivered to the location effectively, the nutrients needed by the myocardium cannot be obtained in time, and vascular stenosis or vasospasm The result is the same, and it is also a type of myocardial ischemia. "
"Uh, the previous examinations were useless." Manager Hui felt that Boss Zheng's lectures were easy to understand and he gradually listened to them.
"It can't be said that it is useless. Heart X syndrome is not as rare as patients." Zheng Rendao: "In order to determine this, we next use nicorandil for injection to improve the state of capillaries."
He said, Zheng Ren opened the video and continued to play.
"Nicorandil is applicable to all types of angina pectoris, including labor-type angina pectoris and spastic angina pectoris, and can significantly reduce the risk of cardiovascular events." Zheng Ren said: "Now is the situation after intravenous bolus nicorandil."
"The patient's capillary spasm has been greatly relieved. You see how fast the black contrast agent goes down." Zheng Ren clicked on the screen.
Smell is indeed immediate, and the contrast agent almost "brushes" into all levels of blood vessels feeding the heart muscle.
On the screen, the roots are staggered, and countless branches are revitalized to provide nutrients to the patient's heart.
"The diagnosis is very clear. It is cardiac X syndrome. The patient is not pretending to be sick." Zheng Ren said with a smile at the end.