Chapter 330 The First Clinical Lesson

All limbs need to be measured?

The nurse looked at Su Jie in surprise, and then at Feng who was lying on the flat car, but she soon came to her senses, picked up the blood pressure cuff on the bedside table and started measuring.

The cuff was inflated and deflated, and the results came out soon.

"The blood pressure of the limbs is asymmetrical, with the right upper limb having the highest blood pressure, 172/109mmHg!"

The nurse's tone suddenly became nervous and urgent, and she looked up at Su Jie in panic.

Su Jie looked at the huge difference in blood pressure of his limbs on the monitor, and his brows suddenly knitted together.

"Contact the cardiac surgery department and the interventional operating room. This person needs emergency surgery!"

"Need surgery?"

The dormitory boss was stunned for a moment. Wasn't he still searching for the cause of the disease just now? Why did he decide that surgery was needed so quickly?

"Wait a minute, what's going on with Feng? What kind of surgery are you going to do on him?" the boss of the dormitory asked quickly.

Su Jie took his three roommates a little away from some flat cars, and then lowered his voice and said:

"Now it is suspected that he has aortic dissection. Are you sure he has no history of hypertension?"

"No!"

When they heard about aortic dissection, the expressions of the other three people in the dormitory changed. As medical students, of course they had heard of this dangerous emergency.

"Can aortic dissection be diagnosed simply by asymmetric blood pressure in the limbs? If you want to determine aortic dissection, you should at least take an enhanced CT scan."

At this life-and-death speed, a classmate accompanying him looked at Su Jie with suspicion and said: "The blood pressure of the human body's limbs is not completely symmetrical. People walk upright, and the diameter and elasticity of blood vessels in the lower limbs are inherently different from those in the upper limbs.

There is a difference, blood pressure is the pressure of blood flow on the blood vessel wall, the difference itself exists."

"In the same way, the blood pressure of the dominant hand is generally higher than that of the non-dominant hand. These are normal phenomena and are not necessarily pathological."

"What's more, when I just measured my blood pressure, the cuff didn't have the right tightness at all, and my arms weren't close to the body, flat against the heart, and the measurement was inaccurate. What's the point of comparing it like this?"

"Plus, Feng has no history of high blood pressure at all!"

Su Jie looked at the other party silently. Although time was tight now, Su Jie still left him enough time to answer all his questions.

Because Su Jie understands that the more tense and urgent the situation is, the more urgent it is to cut through the mess quickly and directly convince the other party at once, leaving him speechless, so as to ensure that the subsequent rescue operation is smooth.

Continuously interrupting the other party will make the other party feel that your thoughts have not been fully conveyed. If this continues, it will only be endless and the time will be delayed even longer.

"Have you finished speaking?" Seeing that the other party stopped talking, Su Jie asked again thoughtfully.

"I'm done."

"What you said makes sense. You have solid theoretical knowledge and careful observation. I will definitely be a very good doctor in the future."

Su Jie nodded seriously and praised from the bottom of his heart. But just when the other person's face showed a hint of pride, Su Jie suddenly tightened his face again and said in a deep voice:

"But this is not a classroom, this is a clinic. What you said does make sense. There are many situations where the blood pressure of the limbs is unbalanced. It is a normal physiological condition, ischemia of the limbs, or the nurse did not measure accurately. These are all possibilities."

"But you can't deny that asymmetric blood pressure in the limbs is also one of the signs of aortic dissection."

"When a dissecting hematoma blocks the aorta and its branches at different parts, and the degree of involvement varies, there will be asymmetry in blood pressure in the limbs. This is one of the indicators for early identification of this type of patient."

"And even if the patient has no history of hypertension, hereditary vascular problems can lead to aortic dissection. Even if you are familiar with him, you probably don't know much about his family history."

"Clinical is not a classroom!"

Su Jie suddenly emphasized his tone and said:

"If you make a mistake in your judgment in class, the teacher will only give you a red cross and tell you to review the question carefully next time and not make the same mistake again. But in clinical practice, if your judgment is wrong, the patient may die, and death will not come."

You will be given a second chance to review the topic, and your next review can only be used on another patient."

"Let me ask you now, what should you do if your roommate has an aortic dissection?"

The classmate's expression immediately stiffened, and he said hesitantly: "I, I just raised some doubts."

"Do not suspect me!"

Su Jie continued to emphasize his tone, staring at the other party with his deep black pupils: "Although I am not your teacher, I will teach you a lesson tonight. If you want to be a good doctor, you must do the first thing

, just don’t let your patients and their families doubt you!”

The classmate was obviously completely overwhelmed by Su Jie's momentum, and he even lost the courage to raise his head and look at Su Jie again.

In fact, he didn't understand why the other party was obviously about the same age as him and seemed to be very talkative during the conversation, but now he suddenly became extremely aggressive, just like... an arbitrary commander, absolutely

No one is allowed to question him.

Three medical students from top universities are, after all, just cubs in the ivory tower who have not experienced any training. Compared with a real doctor like Su Jie who has been in clinical practice for about a year, they are still too immature.

"You go and notify his family."

Seeing that the three people traveling with him had no more questions, Su Jie quickly explained to them, then turned around and walked quickly to the nurse station, asking how the contact between the cardiac surgery department and the operating room was going.

Zhang Mao, CEO of the Cardiac Surgery Department, quickly rushed to the emergency room. After understanding the patient's condition, his reaction was exactly the same as Su's: "Send it to the interventional operating room for direct angiography. If it is confirmed to be an aortic dissection, repair it immediately!"

"

This chapter is not over yet, please click on the next page to continue reading! The most important thing in aortic dissection surgery is to compete with death for time. If possible, Zhang Mao would like to operate on the patient directly in the emergency department.

"Where are the family members? I'll talk to them."

Zhang Mao turned to look at three young people who were similar to patients, frowned and asked: "Who are you patients?"

"We are his roommates, college roommates!"

The three people who had just been trained by Su Jie looked very well-behaved. They also realized at this time that this was a clinic, not a classroom. Their solid theoretical knowledge was like children's songs in the eyes of these doctors who were really fighting death.

Just as childish.

"Are you our students from Southeast University?"

Zhang Mao asked subconsciously.

"No, we are from the School of Medicine of the University of Science and Technology of China."

"School of Medicine, University of Science and Technology of China?"

Zhang Mao was stunned for a moment, and slowly, a strange light suddenly flashed in his eyes.

"This classmate of yours is most likely suffering from aortic dissection. You are all top students in medical school. I don't need to describe the severity of this emergency. You should all understand it."

"Yeah!" The three people nodded immediately.

"We will immediately push the patient to the interventional operating room and use interventional surgery to repair his possible aortic damage."

"Uh-huh."

"Although this is not in compliance with the regulations, you are medical students after all. I can let you watch this operation in the observation room. Of course, if you don't want to see your roommate's operation, you can also choose to wait outside the operating room."

"Hmm...huh?!"

The three people nodded vigorously subconsciously, but they reacted the next second and suddenly looked up at Zhang Mao.

"Let us enter the operating room to observe Feng's operation..."
Chapter completed!