While thinking, I walked to the ward.
There was a stool at the door of the ward. After finishing his meal, Dr. Yu sat on it with his arms folded across his chest. He knocked his forehead on his crossed arms like a chicken pecking at rice.
After a busy day, the young resident was already exhausted and would doze off when he wasn't working.
There was another person in the ward anyway.
Unlike others, Geng Yongzhe slept first to recharge his energy. He watched the numbers and graphs jumping on the instruments with bright eyes and no sign of fatigue.
Hearing footsteps behind him, Geng Yongzhe turned around and saw her and asked, "Why are you back? I said I would let you know if there is anything."
"I'm too full. I'll check on the patient's condition before going back to sleep," said Xie Wanying.
Indeed, eating too much makes it hard to sleep. Geng Yongzhe and her stood shoulder to shoulder and discussed: "The patient's vital signs are relatively stable now."
Hearing this, Xie Wanying asked, "How is the patient's blood coagulation condition?"
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Blood coagulation condition?
Some issues involved in surgical operations may be different from what laymen think. One point is probably not what the public can think of. Doctors are not only afraid of heavy bleeding during and after the operation, but also afraid of hypercoagulable thrombosis during and after the operation. Because sometimes the patient's death is not due to shock caused by excessive blood loss, but rather disseminated intravascular coagulation such as DIC, or blood clots suddenly stuck in important organs and cause death.
When the team discussed this patient before the operation, the doctors generally knew that the patient was in a hypercoagulable state, which caused the thrombosis of the artificial valve, so a large amount of heparinized anticoagulants were used during the operation to try to offset the balance of anticoagulation and hypercoagulation. How long will the efficacy of these anticoagulants last after the operation? Is it enough? Whether it is necessary to add anticoagulants? These are all key points to consider.
Geng Yongzhe had never worked in cardiac surgery and had never seen open-heart surgery, so he was not familiar with this type of surgery. When he heard the problem she pointed out, he fell into deep thought and said, "I remember reading in a book that extracorporeal circulation during cardiac surgery can cause the fibrinolytic system in the human blood to become hyperactive, which can cause postoperative bleeding and thromboembolism."
Geng is also an excellent medical student. He studies hard and memorizes everything he can. He remembers a lot of medical knowledge and can quickly associate related knowledge points.
"Yeah." Xie Wanying nodded and said, "Generally speaking, after heart surgery, antifibrinolytic drugs are given on the same day."
What Geng Yongzhe didn't quite understand was: "Yingying, you said that giving antifibrinolytic drugs on the same day after cardiac surgery is a routine strategy after cardiac surgery?" This knowledge point didn't seem to be mentioned in the book.
Having visited the cardiac surgery department of the National Association several times and noticed such scenes, and having seen her cousin undergo surgery at the hospital, Xie Wanying had some speculations and ideas of her own. She said, "Is it a routine treatment plan for the entire department? I haven't communicated with the cardiac surgery teachers, so I'm not sure. But I've seen it used in their department."
Geng Yongzhe had never observed these scenes in the ward, and was surprised at how she could pay attention to and find problems everywhere. Medical students usually arrive at the ward to study, and most of them just follow what the teacher says and think about it. It is difficult for medical students to think independently and come up with problems, because they don't have clinical experience and don't know where to grasp the key points.
The reason why she can think differently from other medical students is, of course, because she, Xie Wanying, is reborn. As long as it involves things like laboratory tests of blood indicators, which was her main job before rebirth, it is difficult for her not to pay attention.
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