Chapter 1438: 【1438】The dentist is more afraid
Professor Liu didn\'t seem to remember the specific name, so he turned around and asked Dr. Zhou: "Which department of our hospital is your girlfriend from?"
"She is a doctor in the Department of Respiratory Medicine of the National Association." Dr. Zhou whispered.
"What\'s it called?" Professor Shen wentssip.
Teacher Xin\'s figure appeared in Xie Wanying\'s mind.
"It\'s Dr. Xin Yanjun." Dr. Zhou said.
Teacher Xin\'s boyfriend. Xie Wanying hurriedly took another look at everyone.
Dr. Zhou was seen by everyone and had to dig a hole.
Professor Liu put on gloves and examined Mrs. Lu\'s teeth on the spot. He came to the same conclusion as Professor Shen, and said to Zhang Huayao: "She won\'t pull this wisdom tooth, it\'s not good, the treatment has no effect."
"Can I pull it now?" Zhang Huayao asked.
"Extraction can be done. Taking a picture, I can confirm the condition of the lower tooth root. If it is quick, it will happen in a moment after the anesthesia." Professor Liu seemed full of confidence.
Teacher Lu said cheerfully: "Pull it, pull it out, listen to the doctor."
Zhang Huayao clapped his mother\'s shoulder twice: Don\'t get too excited.
Professor Shen babbled to Liu Yu about the patient\'s heart problem. After listening, Liu Yu asked Zhang Huayao, "Did Mr. Lu ever stop his heartbeat in the operating room?"
"Yes."
"A pacemaker now?"
"I installed a temporary pacemaker, but I removed it. If there is another accident, I will install a permanent pacemaker."
"That means she has a third degree block now? What\'s the ventricular rate?"
"Her ventricular rate was sixty times."
"So, her symptoms are temporary during surgery?"
"There\'s a possibility. So I\'m going to do an imaging of her heart next."
"She did braces?"
"Yes, when did you do it?"
"It\'s been a while."
To go to war, the dentist is more afraid than the cardiologist, and must ask the patient\'s condition clearly.
"If Teacher Lu wants to extract this tooth, he will go into the operating room to extract it, and it will be extracted under ECG monitoring. The rescue must be prepared." Liu Yu said cautiously.
"Oops." Teacher Lu sighed. Tooth extraction goes to the operating room.
This tooth cannot be pulled out.
"Would you like to wait for coronary angiography before pulling out?" Zhang Huayao could only think about it again.
"Can she bear the toothache now?"
couldn\'t help it. Teacher Lu shook his head.
Several doctors are balancing various risks in a difficult consideration.
In the end, Liu Yu said: "Make the film first, and then we will talk about the results after the filming."
Zhang Huayao, who didn\'t want his mother to have his teeth extracted first, saw the painful expression on his mother\'s face and said to two colleagues in the dental department: "Let\'s see how to solve her pain first. Where we need our cardiologist to assist. , even if you speak up."
"Let Professor Shen give her medicine first to control the inflammation in the acute phase." Liu Yu said, and then told the patient himself to be patient, "Tooth extraction needs to wait for the acute phase. When the time comes to solve this, it will not hurt again. problem."
Oral treatment takes time, so if the doctor has such a patient, the preoperative plan should be more carefully arranged, and the possibility of repeated delays in the operation cannot be ruled out. Xie Wanying learned on the spot, and I saw that Mr. Zhang was also helpless.
After angiography, if it is confirmed that there is something wrong with the heart and blood vessels that require surgery, the teeth must be treated first. For this reason, it is possible to do angiography first, but the angiography is also risky.
(end of this chapter)