【1152】A good doctor must have a strong heart
During the operation, the most feared accident is not the gallbladder and heart reflex. Why? Because the surgeon and anesthesiologist have experience in this and know that the patient has this risk, they can prevent it in advance. Even if they really find an accident, they still know how to deal with it quickly.
For common surgical accidents such as gallbladder and heart reflex, as long as the doctor makes a good plan, the success rate of rescue is very high.
"Senior Brother Tao has planned it. If necessary, he will use a closed method during the operation to freeze the vagus nerve here and avoid gallbladder and heart reflex." Xie Wanying said the arrangement for the surgery, so that Dr. Zhang, who is anesthesia, can rest assured about it.
For a deputy senior like Tao Zhijie, it is a small case in how to avoid such predictable surgical risks, and it is too easy to solve.
Zhang Tinghai knew the plan made by Tao Zhijie. Besides, as an anesthesiologist with rich experience, he could also seem more relaxed in dealing with such surgical problems.
Before the operation, the patient needs to routinely inject atropine in the ward to calm the vagus nerve. When he arrives in the operating room, he will give the patient a mask to inhale oxygen, and adopt general anesthesia methods to further stabilize the patient's vagus nerve without causing any trouble.
If a situation occurs during the operation, he will prepare the rescue medicine in advance before the surgeon takes the special area, and also know what medicine you need to use at that time, so it is not scary.
All the plans are clear, but Zhang Tinghai is not worried about this, but: "Mr. Lu's heart is not very good. Will it be related to gallbladder and heart syndrome?"
There are many differences between gallbladder and gallbladder reflexes. Although both affect the patient's heart, the causes are different. As I said just now, it is a vagus nerve reflex caused by surgery. Gallbladder reflex is an inherent disease of the patient and a heart problem caused by chronic cholecystitis and other diseases in the human body.
Here we will further talk about the anatomical relationship between the human heart and the gallbladder. The human heart is innervated by the spinal nerves of T2-8, and T is the abbreviation of the thoracic vertebrae. The common gallbladder and common gallbladder duct are innervated by the spinal nerves of T4-9. From this point of view, the inner nerves of the two intersected at T4-5.
Where there is a convergence, if one party has problems, it is destined to affect the other party.
The gallbladder has inflammation and the bile duct pressure increases. It is transmitted to the heart through crossed nerve reflexes, causing the heart's coronary artery to contract and reduce blood flow. Undoubtedly, typical heart disease symptoms appear, such as myocardial infarction.
The department has discussed these conditions of Teacher Lu many times. Xie Wanying said: "Yes, I have thought about this possibility. Therefore, the gallbladder must be cut off during the operation, even if there is no cancer cell infiltration. Because Teacher Lu's gallstones are very serious."
At this point, cutting off the patient's gallbladder is a radical cure for gallbladder syndrome, so it seems that it has nothing to do with the nightmare he has.
Zhang Tinghai sighed, not sure what his nightmare was.
"Doctor Zhang." Xie Wanying could feel his inner anxiety. All the teachers and senior brothers were very anxious before the operation, because the patient was Teacher Lu, which was understandable. She comforted Dr. Zhang like she gave her candy to Senior Brother Cao last time and said, "Drink some sweets and feel better."
Zhang Tinghai wanted to roll his eyes at her. If it were a medical student, who would not worry about the teacher's sorrow and nervous now? But she was so calm that she asked people to drink sweet and spicy food.
Chapter completed!