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¡¾2172¡¿Strike a balance

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    While thinking about it, he 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 hands folded on his chest, his head like a chicken pecking at rice, and he kowtowed his forehead on his crossed arms.

    After a busy day, the young resident doctor was already exhausted and would doze off when he didn't have to work.

    There is another person in the ward anyway.

    Contrary to other people, who sleep first to replenish their energy, Geng Yongzhe guards the beating numbers and graphs on the instrument with bright eyes and no signs of fatigue.

    Hearing the footsteps behind her, Geng Yongzhe turned around to see her and asked, "Why are you back? I said I'll let you know if anything happens."

    "If you are too full, check the patient's condition before going back to sleep." Xie Wanying said.

    Indeed, it is difficult to sleep after eating too much.  Geng Yongzhe stood side by side with her and discussed: "The patient's vital signs are now relatively stable."

    Hearing this, Xie Wanying asked: "How is the patient's coagulation condition?"

    Blood coagulation condition?

    Some of the issues involved in surgery may be different from what laypeople think.  One of these points is probably not something that the public would think of. Doctors are not only afraid of massive bleeding during and after surgery, but are also afraid of hypercoagulable blood clots during and after surgery.  Because patients sometimes die not from excessive blood loss and shock, but from disseminated intravascular coagulation such as DIC, or death from thrombus suddenly blocking important organ parts.

    During the preoperative team discussion about this patient, the doctors generally believed that the patient was in a hypercoagulable state, which would lead to the occurrence of artificial valve thrombosis. Therefore, a large amount of heparinized anticoagulant was used during the operation to try to offset the balance of anticoagulation and hypercoagulation.  How long will the effectiveness of these anticoagulants last after surgery?  Whether additional anticoagulation is needed.  All important points to consider.

    Geng Yongzhe had never been in cardiac surgery. He had never seen open-heart surgery and was not familiar with this type of surgery. When he heard the problem she pointed out, he fell into thinking and said: "I remember it was mentioned in the book that extracorporeal circulation in cardiac surgery can  The fibrinolytic system in human blood becomes hyperactive, which can cause postoperative bleeding and thromboembolism."

    Classmate 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 relevant knowledge points.

    "Hmm." Xie Wanying nodded and said, "Generally speaking, antifibrinolytic drugs will be given on the same day after cardiac surgery."

    What Geng Yongzhe doesn¡¯t quite understand is: ¡°Yingying, you said that taking antifibrinolytic drugs on the same day after cardiac surgery is a routine strategy after cardiac surgery?¡± This knowledge point seems not to have been mentioned in books.

    I have been to the Cardiac Surgery Department of Guoxie several times and noticed such a scene. I have seen my cousin perform surgery in Guozhi. Xie Wanying has her own speculations and thoughts about this, saying: "Is this a routine treatment plan for the entire department?  I haven¡¯t communicated with Teacher Xinwai so I don¡¯t know much about it. But I¡¯ve seen it useful in their department.¡±

    Geng Yongzhe had never observed these scenes in the ward, and he was suddenly surprised how she could pay attention to find problems everywhere.  Medical students generally arrive at the ward to study, and most of the time they follow what the teacher says and are guided to think.  It is difficult for medical students to think independently and ask questions because they don¡¯t know where to focus without clinical experience.

    She can have different ideas from other medical students, of course because she, Xie Wanying, was born again.  As long as it involves things like laboratory testing of blood indicators, which was her old profession before her rebirth, it would be difficult for her not to pay attention.  (Remember the website address: www.hlnovel.com
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