Chapter 1152: 【1152】Excellent doctors have a strong heart

   Chapter 1152 [1152] Excellent doctors have a strong heart

   In surgery, the most feared accident is not the gall-heart reflex. Why, because surgeons and anesthesiologists have experience with this and know that patients have this risk, they can prevent it early. Even if you find an accident, you still know how to deal with it quickly.

   For a common surgical accident such as gallbladder reflex, as long as the doctor makes a plan, the success rate of rescue is very high.

"Senior Brother Tao has made a plan. If necessary, a closed method will be adopted during the operation to freeze the vagus nerve here and avoid the gall-heart reflex." Xie Wanying said that the arrangement of the chief surgeon is so that the anesthetized Doctor Zhang can rest assured. some.

   For a deputy high-ranking officer like Tao Zhijie, in terms of how to avoid this predictable surgical risk, it is a small case, and it is too easy to solve.

  Zhang Tinghai knew Tao Zhijie's plan. Besides, as an anesthesiologist with rich experience, he could handle such surgical problems with ease.

   Before the operation, the patient needs to be routinely injected with atropine in the ward to calm the vagus nerve. When he arrives in the operating room, the patient is given oxygen through a mask, and general anesthesia is used to further stabilize the patient's vagus nerve.

   If something happens during the operation, he will prepare the rescue medicine in advance before the surgeon starts the special area, and he will know what medicine to use at that time, which is not scary.

   All kinds of plans are clear in his chest. Zhang Tinghai is not worried about this, but: "Mr. Lu's heart is not very good, will it be related to gall-heart syndrome?"

   The gall-cardiac syndrome and the gall-cardiac reflex are very different. Although both affect the patient's heart, they may have different causes. The latter just said that it belongs to the vagus nerve reflex triggered by the operation of the surgeon. The biliary heart syndrome is an inherent disease of the patient itself, and it is a heart disease caused by diseases such as chronic cholecystitis 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 T2-8 spinal nerves, T is the abbreviation for the thoracic spine. The gallbladder and common bile duct are innervated by the T4-9 spinal nerves. In this way, the innervated nerves of the two intersect at T4-5.

  There is a place where there is an intersection, and one side has a problem, which is destined to affect the other side.

  The gallbladder is inflamed, and the pressure of the bile duct increases, which is transmitted to the heart through crossed nerve reflexes, causing the coronary arteries of the heart to contract and blood flow to decrease. There is no doubt that typical symptoms of heart disease appear, such as myocardial infarction.

   There have been many discussions in the department regarding Mr. Lu's condition. Xie Wanying said: "Yes, I have thought about this possibility. Therefore, it is estimated that the gallbladder should be removed during the operation, even if there is no cancer cell infiltration. Because Teacher Lu's gallstone is very serious."

   As discussed here, the removal of the patient’s gallbladder is a cure for the gallbladder syndrome, so it doesn’t seem to have anything to do with his nightmares.

   Zhang Tinghai sighed, not sure what his nightmare was about.

   "Doctor Zhang." Xie Wanying could feel the anxiety in his heart. Before the operation, all the teachers and brothers were very anxious, because the patient was Teacher Lu, so it was understandable. She comforted Dr. Zhang like she gave candy to Senior Brother Cao last time, and said, "Drink something sweet and feel better."

   Zhang Tinghai wanted to roll his eyes at her. If it was a medical student, who would not worry about the teacher's worries and be very nervous now, but she was good, so calm that people could drink sweet and spicy food.

   Squinting, Zhang Tinghai remembered what many seniors said to junior doctors: An excellent doctor must have a very strong heart.

   (end of this chapter)