Chapter 3747: 【3747】prime question

  Chapter 3747【3747】First question

  There are people coming and going in the emergency department on the first floor. Guozhi's hospital beds were never vacant, they were all full.

  When a doctor is used to brisk walking. Brother Ren is obviously more like Teacher Tan, walking steadily and fast like a soldier, blowing through the corridor like a gust of wind. The characteristic of walking fast is that you can't look around and avoid bumping into people, so you can go straight to your destination like a quick march.

   While the two were walking with their heads down, someone in front shouted, "Doctor Ren."

  Brother Ren raised her head, Xie Wanying saw Teacher Du Yeqing and the others in front of her.

   "Did you also call over?" Ren Zhelun asked.

   "You go to the office first, let's go see the patient first." Du Yeqing said to the two of them.

  It seemed that the people in the office only wanted to talk to the two of them.

   Seeing this, Ren Zhelun decisively pushed open the door of the director's office and entered.

   "Didn't knock on the door." Big brother Zhang inside said, there was no blame in his tone, and he complained at most. Who let this proud disciple be spoiled by himself.

  Ren Zhelun glanced at the room, besides Mr. Zhang, there was someone sitting on the sofa, which was Director Fang.

   "Doctor Ren, Doctor Xie." Director Fang got up to greet the doctor.

  Doctors receive patients of all kinds, and there are all kinds of patients. The bigger the richer the doctor, the more likely the patients he sees are either rich or expensive. Director Fang's kind can be called "noble family members".

  Xie Wanying, who was standing behind, could see that whether it was Big Brother Zhang or Senior Brother Ren, their expressions were very cautious, and they probably didn't dare to spit out their usual gags.

   Anyway, Director Fang is a director of the Medical Association, and it is said that he is also the director general of the Medical Association for the time being. In other words, Director Fang knows a lot of people, and he knows a lot of big shots. Based on Director Fang's terrifying network of contacts, good news and bad news can be spread thousands of miles at any time through Director Fang's mouth. Do you think Mr. Zhang and the others dare not be cautious?

   "Which hospital has the patient been to?" Ren Zhelun asked.

  Patients like this must have consulted big doctors in many hospitals.

Director Fang briefly introduced the patient's condition to the doctors: "My friend, a teacher from the School of Architecture, is 68 years old, neither young nor old. I didn't pay much attention to my body before, I loved smoking, and I suffered from chronic obstructive pulmonary disease. root of the disease."

Chronic obstructive pulmonary disease, chronic obstructive pulmonary disease, is a disease that can be understood literally. As the saying goes, the patient feels that his lungs are slowly blocked when he breathes. In technical terms, it refers to the airway and lungs. The airflow through it is continuously restricted.

  Etiology, the most dangerous factor is the smoking that Director Fang just mentioned. For COPD patients who smoke, if they do not quit smoking, the disease will never be cured. It is conceivable that one of the causes of COPD is that the airway is subjected to continuous chronic stimulation to produce an inflammatory response, which can also be caused by air pollution particles entering the airway and lungs in people's living and working environment.

   Director Fang immediately told the doctor that the patient had COPD, which shows that he is really a master of medical anesthesiology.

  This is because of minimally invasive surgery such as cardiac surgery, especially thoracoscopic surgery. As mentioned before, anesthesia is to collapse one lung and leave only one lung for ventilation, so as to make room for the doctor to operate. Patients with chronic obstructive pulmonary disease have poor lungs, and it is difficult to keep one side of the lung collapsed without problems.

  Is COPD an absolute contraindication? Nor is it. One depends on the severity of the patient's COPD. Second, it depends on the length of the operation.

  (end of this chapter)