Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 329 - 220: Emergency Rescue, Infective Endocarditis
Lin Hai and Qin Feng rushed to the emergency room and glanced at the patient on the bed.
"Status!"
"Patient Zhu Jianfeng, age 25, no heartbeat, unconscious, has undergone 15 minutes of cardiac compressions, two doses of epinephrine pushed intravenously..."
One of the doctors in the emergency department gave a brief overview of the situation.
Due to the urgency of the condition, the patient was already in critical condition upon arrival, so no relevant examinations were conducted in time.
The top priority now is to restore the heartbeat and save the patient.
Lin Hai and Qin Feng listened to the summary without panic, becoming even calmer instead.
All the current procedures are appropriate, including CPR, intubation, pharmaceutical support, and data monitoring.
"Let me take over!"
Seeing the doctor performing chest compressions drenched in sweat, Lin Hai stepped forward to relieve him.
Cardiac resuscitation must not be interrupted now, or all prior efforts will be wasted.
The relieved emergency doctor could finally catch his breath, panting heavily, with sweat soaking through his white coat.
Qin Feng, standing beside him, looked at the patient on the bed, eyes shut tight, muscles flaccid, with skin on the face and body losing color, showing a pallor and waxy yellow hue.
This is a manifestation of insufficient blood supply in the body caused by prolonged cardiac ischemia.
Beep~
Beep~
Beep~
Finally, after another ten minutes of alternating chest compressions, fluctuations appeared on the heart monitor.
"Phew~!"
Everyone let out a long sigh of relief.
For now, the patient is alive.
"Quick, perform cardiac and cerebral examinations and expedite fluid replacement."
Lin Hai straightened up and immediately arranged for the nurse to carry out a series of detailed examinations on the patient.
Soon,
the cardiac examination report came out.
When Lin Hai received the report and flipped through it, his pupils constricted immediately, and his expression turned serious.
"Take a look."
Saying this, he handed the report to Qin Feng and the two emergency department doctors.
Upon reviewing the report, all the doctors present were alarmed.
In the images, the patient’s heart was noticeably larger than a normal heart, which is typically around 50 millimeters, but the scan showed the patient’s heart exceeding 70 millimeters!
This situation is severe. Although this report alone cannot determine the cause, such a serious heart condition doesn’t develop overnight; it results from accumulated issues over time.
"Contact the cardiothoracic department for a consultation, and notify the family to come to the meeting room."
Lin Hai glanced at the nurse beside him and immediately instructed.
"Okay, Dr. Lin."
The nurse nodded and quickly left to contact the on-duty cardiothoracic doctor and inform the patient’s family waiting outside.
Soon,
the on-duty cardiothoracic doctor arrived, and it happened to be Associate Director Liu Guofeng tonight.
"Director Liu."
Seeing Liu Guofeng enter, Lin Hai stood up and greeted him.
"Have a seat, Xiaolin."
Liu Guofeng raised his hand, then looked at Qin Feng with a smile,
"Qin Feng, you’re here too. Have a seat. What’s the situation?"
"This is the patient’s cardiac examination report."
Lin Hai handed the report to him and briefly explained the situation.
At first glance at the report, Liu Guofeng’s brow furrowed slightly.
The report indicated significant heart enlargement in the patient, with no signs of tumors.
They quickly formed a rough judgment that it might be an infection.
But the specific type of infection and whether there are other problems remain unknown.
"Where are the patient’s family members? Call them in for an inquiry."
Liu Guofeng set aside the report and immediately asked.
"The family is outside. Xiaocheng, call them in."
Lin Hai instructed the nurse nearby,
"Also, hasten the cardiac angiography. Have the lab speed up the process."
"Alright, I’ll go right away."
The nurse replied and headed out.
About a minute later, two middle-aged men and a middle-aged woman entered, followed by a young man about the patient’s age.
"Doctor, how is my son?"
As soon as she entered, the woman wiped her tears and asked anxiously, her face full of panic.
"Please don’t worry for now. We’ve conducted timely resuscitation on the patient, and there is no immediate life threat, but the condition is not good."
Lin Hai quickly explained, then pointed to Liu Guofeng,
"This is our cardiothoracic Director Liu, who needs to ask you about some details. Please sit down, everyone."
The patient’s family sat down, faces still tense and worried.
"The patient hasn’t woken up yet, so I have some questions to help us make an assessment."
Seeing that they were somewhat calmer, Liu Guofeng nodded and asked,
"Has the patient had any prior heart issues or abnormalities?"
"No issues were found with his heart before."
The woman thought for a moment and then suddenly seemed to remember something.
"Oh right, my son had a bit of diarrhea a while ago, but we thought it was normal, and he got better after a few days of medication."
"Diarrhea?"
Hearing this, Liu Guofeng’s eyes immediately changed.
Upon hearing this, Qin Feng also felt a stir in his heart, and his mind quickly began analyzing based on the heart examination report.
The possibility of a heart infection is growing!
But just having diarrhea isn’t enough to diagnose completely, further confirmation is needed.
"Is there anything else? Or has there been any heart problems before?"
Liu Guofeng continued to ask.
"Yes, when Xiaofeng was six, he had heart surgery, some aortic valve surgery."
A tall, thin man with a small mustache sitting next to the woman hurriedly said.
The moment he finished speaking, Liu Guofeng turned his head and exchanged glances with Qin Feng and Lin Hai, their gazes suddenly became heavy.
Aortic valve of the heart!
In an instant, a possibility flashed simultaneously in the minds of the three.
Infective endocarditis!
Then,
Liu Guofeng asked a few more brief questions before asking the family members to leave and wait.
"Lin Hai, Qin Feng, what do you think?"
Liu Guofeng looked at the two, asking in a deep voice.
"Although the imaging isn’t out yet, I feel if it’s really an aortic valve issue, it’s very likely infective endocarditis."
After pondering for a moment, Lin Hai shared his opinion.
"Qin Feng, what about you?"
Liu Guofeng nodded upon hearing that and turned his gaze to Qin Feng.
"I agree with Dr. Lin’s view, there’s a high possibility of infective endocarditis."
He also nodded, this was almost beyond doubt.
Even though the imaging wasn’t out yet, based on the current situation and the patient’s medical history, it could already be diagnosed.
However,
The patient’s infection is so severe that it has led to heart stoppage.
"Yes, I agree with you both, if it truly is infective endocarditis, the patient’s current condition simply cannot support surgery."
Liu Guofeng’s expression looked somewhat grave, his tone carrying a hint of helplessness.
Indeed!
The patient’s physical condition is too poor, now is not suitable for the operating table, otherwise they might die from the infection right on the table.
A few minutes later, the results from the imaging department were out.
When the nurse handed the imaging to Liu Guofeng, the three of them instantly had a clear understanding of the condition.
The patient’s heart aortic valve showed obvious regurgitation!
Combined with the family’s description, during a recheck three years ago, they had already discovered aortic valve regurgitation, but due to being busy with work, they hadn’t undergone surgery in time.
Moreover, since it hadn’t affected daily life, it was quickly forgotten.
But a severe diarrhea two weeks ago likely led bacteria to infect the heart through the bloodstream, triggering infective endocarditis.
In addition, with the severe regurgitation of an already incompetent aortic valve, it caused heart failure...
"Alright, the situation is clear now."
Liu Guofeng withdrew his gaze, the condition was now very clear,
"Although the patient has currently regained vital signs, and the infection has somewhat subsided, they still don’t meet the surgical criteria for valve replacement surgery."
"Understood, Director Liu."
Lin Hai nodded, and Qin Feng remained silent.
Because what they could do next was to try to control and reduce the infection, allowing the patient to survive these days and make it to the operating table.
Operate, to survive!
....
Liu Guofeng left, as the patient yet doesn’t belong to cardiac surgery and needs to survive the critical phase in intensive care.
Qin Feng followed behind Lin Hai, watching him skillfully arranging things.
Afterwards, the two of them returned to the office.
In this situation, there is actually not much more that they, as doctors, can do.
Anyone who studied medicine understands that modern medical techniques can largely only play an auxiliary role.
What truly saves a life, is oneself!
"Phew~"
Lin Hai sat on the chair, exhaling deeply,
"I hope he can pull through, only 25 years old, still so young, sigh~
Qin Feng, do you think making money is more important or is life more important?
Knowing there’s a problem with one’s health yet showing such little concern, resulting in this situation, it makes me angry just thinking about it!"
Qin Feng smiled and shook his head.
It’s not just them, which doctor isn’t covered in injuries.
Compared to pulling all-nighters, working 996, doctors, because of their professional attributes, seem to outsiders as nothing but noble and glamorous, forgetting that this profession is one of the most prone to sudden death.
...
Bang!
"Dr. Lin! The patient’s heart has stopped!"
Early morning, as dawn was just breaking, Qin Feng was still looking over materials when suddenly the office door was pushed open heavily.
Boom~
"Which one? Let’s go!"
Lying on the recliner and having just dozed off during a brief free moment, Lin Hai was startled and rolled off directly.
The next second, he bounced up from the ground, like a spring, and shouted loudly.
Upon hearing this, Qin Feng also immediately stood up and looked towards the nurse at the door.
"Bed 25, it’s the infective endocarditis case from last night!"
The nurse said anxiously.
Upon hearing this, Qin Feng and Lin Hai’s expressions changed, and a sinking feeling dropped in their hearts.
The situation is dire!
