Infective endocarditis

Lin Hai and Qin Feng rushed to the emergency room and glanced at the patients on the hospital bed.

"Patient situation!"

"Patient Zhu Jianfeng, 25 years old, has no heartbeat and is unconscious. He has been pressing the heart for 15 minutes, and two injections of epinephrine have been administered..."

A doctor in the emergency department briefly introduced the situation.

Because the condition was urgent, the patient was already dying when it was delivered, so the relevant examinations were not done in time.

The most important thing now is to restore the heartbeat and save the person.

Lin Hai and Qin Feng did not appear flustered after listening to the situation explanation, but calmed down more and more.

At present, all operations are no problem, including cardiopulmonary resuscitation, endotracheal intubation, drug support and data monitoring.

"Come on, replace me!"

Seeing the doctor who was doing heart compressions was sweating profusely, Lin Hai stepped forward to replace him.

At this time, the cardiac resuscitation must not be interrupted, otherwise all previous efforts will be wasted.

The emergency doctor who came down finally breathed a sigh of relief, panting loudly, his white coat was already soaked in sweat.

And Qin Feng, who was standing aside, looked at the patient on the hospital bed, his eyes were closed, his muscles were slack all over his body, and the skin on his face and body had lost all color, showing a pale and waxy yellow.

This is a manifestation of insufficient blood supply in the body caused by prolonged heart ischemia.

Finally, after more than ten minutes of alternating heart compressions, heartbeat fluctuations appeared on the monitor.

"Huh~!"

Everyone breathed a sigh of relief.

People, temporarily alive.

"Hurry up and do a heart and brain examination, and speed up the rehydration."

Lin Hai straightened up and immediately arranged for a nurse to conduct a series of detailed examinations on the patient.

Soon, the heart examination report came out.

When Lin Hai got the report and read it, his pupils shrank suddenly, and his face became serious.

"Look."

After finishing speaking, he handed the report to Qin Feng and the two doctors in the emergency department.

When everyone read the report, all the doctors present were startled.

In the picture, the size of the patient's heart is obviously larger than that of a normal person. A normal heart is only about 50 mm, but in the image, the patient's heart is more than 70 mm!

This situation is very serious. Although the cause cannot be determined according to this inspection report, such a serious heart disease is by no means a matter of a day or two, but it has accumulated over a period of time.

"Contact the Cardiac Surgery Department for a consultation, and inform the family members to go to the conference room."

Lin Hai looked at the nurse beside him, and immediately made arrangements.

"Okay, Dr. Lin."

The nurse nodded, turned around and left quickly to contact the doctor on duty, and informed the family members of the patients who were still waiting outside.

Soon, the doctor on duty came, and it happened to be the deputy director Liu Guofeng tonight.

"Director Liu."

Seeing Liu Guofeng coming in, Lin Hai got up and said.

"Sit down, Xiaolin."

Liu Guofeng raised his hand, then looked at Qin Feng and smiled,

"Qin Feng is here too, sit down, what's the matter?"

"This is the patient's heart examination report."

Lin Hai handed him the report in his hand, and then briefly explained the situation.

Liu Guofeng frowned slightly when he saw the report for the first time.

According to the report, the patient's heart was obviously enlarged abnormally, but no tumor or other conditions were found.

Soon there was a general judgment that it might be an infection.

But the specific infection and whether there are other problems are still unknown.

"What about the family members of the patient? Ask them to inquire."

Liu Guofeng put down the report and asked immediately.

"The family members are outside, Xiaochen, tell them to come in."

Lin Hai then said to the nurse next to him,

"Also urge a cardiac angiography, and let the laboratory send it as soon as possible."

"Okay, I'll go right away."

The nurse heard the sound and walked out.

About a minute later, two middle-aged men and a middle-aged woman walked in, followed by a young man who was about the same age as the patient.

"Doctor, how is my son?"

As soon as he came in, the woman asked eagerly, wiping away her tears, with a flustered look on her face.

"Don't worry, we have rescued the patient in time, and his life is not in danger for the time being, but the situation is not very good."

Lin Hai hurriedly explained, and then pointed to Liu Guofeng,

"This is Director Liu of our Cardiac Surgery Department. I need to know something about you. Sit down first, everyone sit down first."

After speaking, the family members of the patient also sat down, all of them were nervous and sad.

"The patient is still awake, so I need to ask you some questions that can help us judge."

Seeing that everyone was calmer, Liu Guofeng nodded and asked,

"Has the patient had any heart problems before, or is there any abnormality?"

"Before, there was no problem with the heart."

The woman thought for a while and said, then suddenly she seemed to remember something,

"Oh, by the way, my son had a bit of diarrhea some time ago, but we all thought it was normal. He also took medicine for a few days and he was fine."

"What? Diarrhea?"

Liu Guofeng's expression changed immediately when he heard the words.

Hearing this, Qin Feng also had a thought, and quickly began to analyze according to the heart examination report in his mind.

Heart infection is more and more likely!

However, diarrhea alone cannot be fully concluded, and further confirmation is needed.

"Anything else? Or have you had heart problems before?"

Liu Guofeng continued to ask.

"Yes, Xiaofeng had a heart surgery when he was 6 years old. It was aortic valve surgery."

A tall, thin man with a mustache sitting next to the woman said quickly.

As soon as the words fell, Liu Guofeng turned his head and looked at Qin Feng and Lin Hai, his eyes suddenly sank.

Heart aortic valve!

In an instant, a possibility appeared in the minds of the three of them at the same time.

Infective endocarditis!

Afterwards, Liu Guofeng briefly asked a few more questions, and asked the family members to leave and wait.

"Lin Hai, Qin Feng, what do you think?"

Liu Guofeng looked at the two of them and asked in a deep voice.

"Although the angiography has not yet come out, I think if it is really a problem with the aortic valve, it is likely to be infective endocarditis."

After pondering for a moment, Lin Hai expressed his opinion.

"Qin Feng, what about you?"

Liu Guofeng nodded when he heard the words, and looked at Qin Feng.

"I agree with Dr. Lin Hai, the chance of infective endocarditis is very high."

He nodded too, almost without a doubt.

Even though the angiography has not yet come out, according to the current situation and the patient's medical history, the diagnosis can already be made.

However, the patient's infection was so severe that his heart stopped beating.

"Well, I agree with you. If it is really infective endocarditis, then the current condition of the patient is simply inoperable."

Liu Guofeng's expression was a little dignified, and his tone was a little helpless.

The patient's physical condition is too poor, and he is not suitable to be on the operating table now, otherwise he may die directly during the operation due to the virus infection.

After about a few minutes, the angiogram from the laboratory came out.

When the nurse handed the radiography to Liu Guofeng, the condition of the three of them became clear instantly after watching it.

The patient's aortic valve has obvious regurgitation!

Combined with the description of the family members, aortic valve insufficiency was found during the reexamination three years ago, but due to busy work, the operation was not performed in time.

In addition, it did not have any impact on life at ordinary times, and it was soon forgotten.

But a severe diarrhea two weeks ago may have caused bacteria to infect the heart through the blood, causing infective endocarditis.

Coupled with the severe regurgitation of the aortic valve that is already incompetent, causing heart failure...

"Okay, the situation is clear."

Liu Guofeng withdrew his gaze, the condition was already very clear,

"At present, although the patient has recovered his vital signs and the infection has eased, he still does not meet the surgical standards and cannot undergo valve replacement surgery."

"I understand, Director Liu."

Lin Hai nodded, but Qin Feng also remained silent.

Because next, what they can do is to control and reduce the infection as much as possible, so that the patient can survive these few days and go to the operating table.

Operate and survive!

...

Liu Guofeng left because the patient is not yet in the Department of Cardiac Surgery and needs to survive a fatal stage in intensive care medicine.

Qin Feng also followed behind Lin Hai, watching him skillfully arrange.

After that, the two returned to the office.

Because in this case, as doctors, they can't do much.

Anyone who studies medicine understands that the means of modern medicine can only play a supporting role to a large extent.

Only you can save your life!

"Huh~"

Lin Hai sat on the chair and let out a long sigh of relief.

"I hope he can get through it, he's only 25 years old, he's still so young, hey~

Qin Feng, do you think it is more important to earn money through work or life?

Knowing that I have a problem with my body and still being so indifferent, but at this point, I am angry just thinking about it! "

Qin Feng smiled and shook his head.

In fact, it is them, who is not a doctor with injuries.

Compared with staying up late and 996, doctors are due to their professional attributes. In the eyes of outsiders, apart from being noble and glamorous, they have forgotten that this profession is the most prone to sudden death.

…

Boom!

"Doctor Lin! The patient's heart stopped beating!"

In the morning, just after dawn, Qin Feng was still flipping through the documents, when suddenly the office was pushed away heavily.

"Which one? Let's go!"

Lin Hai, who was lying on the recliner and had just been idle for a while and fell asleep, was frightened and rolled down.

In the next second, he bounced off the ground like a spring, and then yelled loudly.

Qin Feng got up immediately when he heard the words, and looked at the nurse at the door.

"25 beds, that is the infective endocarditis that was sent last night!"

The nurse said anxiously.

Hearing this, Qin Feng and Lin Hai's expressions changed, and their hearts skipped a beat.

The situation is not good!