I Can See Health

Chapter 41 The electrocardiogram battle (Part 1)

"Mother-in-law, although dad's condition has improved now, we still recommend transferring him to CCU. Only in CCU can he get the best treatment!" Sun Guoguo persuaded him earnestly.

The old woman stood up slowly and shook her head vigorously.

"Dr. Sun, thank you for your rescue just now, but if we don't transfer to another department or go to CCU, we really have no money!"

Seeing the old woman's resolute attitude, Sun Guoguo sighed, there was nothing he could do against her.

Dong Hao took out two informed consent forms.

One is an informed consent form refusing to transfer to CCU.

The other is a critical illness notice.

"Mother-in-law, then sign it."

The old woman nodded and took the pen handed over by Dong Hao.

Wai Wai signed his name on the two informed consent forms.

"Thank you Dr. Sun, and thank you Dr. Xiao Lu."

She said this to Lu Chen.

Two consecutive rescue operations also introduced the old woman to Lu Chen, a young doctor who had just entered the department.

After each rescue, the first priority is to record the rescue orders and write the rescue records.

"Junior Brother Lu, go and write down the rescue record."

Sun Guoguo led everyone out of the ward.

"Junior Sister Ke, you go and record the emergency medical orders, and the others will continue the ward rounds."

The time for ward rounds is tight, so everyone can only work separately to improve efficiency.

Lu Chen and Ke Yue received the order and returned to the doctor's duty room.

In the doctor's office at this time.

Most of the medical teams are doing rounds, and only a handful of doctors are filling in medical orders.

"Lu Chen, you are so awesome."

Ke Yue whispered.

"I heard from Senior Brother Dong that you were the one who sucked out the blood clot just now."

Lu Chen turned on the computer and smiled, "If you have ever used a sputum suction tube once, you will know that this thing is actually very simple and does not have a lot of technical content."

"Oh." Ke Yue pursed her lips. Although Lu Chen said this, she knew that Lu Chen was being modest. In the two months since she came to the department, she has not seen any other students who can use a sputum suction device.

Lu Chen started to make up the rescue records, and Ke Yue made up the emergency medical orders.

The time for medication prescribed by the doctor should correspond to the time for medication during the course of the disease, so the two of them communicated while completing their respective tasks.

Because of the experience of writing the rescue record that morning, Lu Chen was now more comfortable writing the rescue record.

About ten minutes later.

Lu Chen and Ke Yue both completed their respective tasks and were ready to return to the ward inspection team.

At this time, another medical team in District 8, with about seven or eight doctors, suddenly returned to the doctor's office.

The leader was a female doctor in her forties, followed closely by the other doctors in the team.

"Actually, electrocardiograms are very simple. You need to read and interpret them clinically. Different electrocardiograms may have different meanings when they appear in different people."

The female doctor walked into the office and turned around to educate the students behind her from time to time.

Lu Chen recognized her.

She is the superior chief physician of another medical group in Xinnei District 8 and the deputy director of the ward in Xinnei District 8 - Lin Cui.

"Hey, you two students, don't leave yet."

Lin Cui suddenly pointed at Lu Chen and Ke Yue and said.

Lu Chen and Ke Yue, who were about to leave, paused and looked at Lin Cui doubtfully.

"I'll show you some electrocardiograms later. All of you students have to come and study." Lin Cui sat at the table in the center of the office and said earnestly, "You must seize the opportunity to see electrocardiograms when you have the opportunity. The little you add up makes a big difference. . Otherwise, when it comes to clinical practice, looking at electrocardiograms is like reading a holy book. If you look for a quick guide to electrocardiograms at that time, they will all be heresy."

Interpret an electrocardiogram?

Lu Chen was not afraid of reading electrocardiograms, but why did Lin Cui keep them too?

Ke Yue on the side behaved a little abnormally. She was reluctant to step forward.

"What's wrong?" Lu Chen asked in a low voice.

"I, I'm not very good at reading electrocardiograms." Ke Yue said timidly, "What if Director Lin asks, I don't know anything?"

"It's just because you don't know how to do it that you have to study." Lu Chen smiled, "If you know everything, then what are you going to do?"

Director Lin had already spoken, and Lu Chen could only walk towards their small group.

Ke Yue gritted her teeth and followed slowly.

In the ward.

"Why haven't they come back yet?"

Sun Guoguo has checked bed No. 6, but there is still no sign of Lu Chen and Ke Yue.

"Xiao Dong, go to the office and see if Junior Brother Lu and the others have encountered any trouble and why they haven't come back yet."

"Okay, senior sister." Dong Hao nodded, holding a stack of medical records and walking towards the doctor's office.

"First of all, when we learn something, we must know its principle early! And what is the principle of electrocardiogram? Does anyone know?"

Lin Cui sat on the desk in the center of the office, surrounded by a group of people, mostly graduate students, graduate students and interns.

"Xiao He, please explain it to everyone."

Lin Cui smiled and looked at a girl next to her.

This girl is called He Sirong. She is a graduate student this year. She scored very high in the preliminary examination and ranked third in the entire Department of Cardiology.

He Sirong smiled and nodded, looking confident.

"The principle of electrocardiogram refers to the reaction of action potentials of atrial myocytes and ventricular myocytes on the body surface. However, electrocardiogram is not the reaction of action potential of a single cell, but the depolarization and repolarization of most atrial myocytes and ventricular myocytes. Comprehensive response.”

"Since the entire depolarization or repolarization process of atrial and ventricular myocytes is completed in an instant, there is a corresponding relationship between the electrocardiogram on the body surface and the action potential map of myocardial cells."

"Well, classmate Xiao He made it very clear. UU read www.uukanshu.net "

Lin Cui showed a happy smile, then picked up a piece of waste paper and started her teaching part.

On the back of the waste paper, Lin Cui drew a simple electrocardiogram, including P, QRS, T waves, etc.

"Then I'll take the ventricular muscle as an example. Phase 0 and its spread in the ventricle are equivalent to the R wave of the electrocardiogram."

“Phase 1 is equivalent to the J point or J wave of the electrocardiogram, phase 2 is equivalent to the ST segment of the electrocardiogram, phase 3 is equivalent to the T wave of the electrocardiogram, phase 4 is equivalent to the baseline of the electrocardiogram, and the entire cardiac action potential course is equivalent to the electrocardiogram. The QT interval."

Lu Chen, Ke Yue and everyone stood around Lin Cui, listening carefully to her impromptu lecture.

I don’t know when, Dong Hao also came.

"Damn it, if I had known it was Teacher Lin giving the lecture, I wouldn't have gone back to the office!" Dong Hao walked to Lu Chen's side and whispered helplessly, "Whenever she lectures, everyone must listen to the lecture peacefully and are not allowed to leave. . Otherwise, she’s going to start going crazy.”

He planned to ask Lu Chen and Ke Yue to go back and continue to follow the ward rounds.

It's good now that he's involved himself.

"Just having rich theoretical knowledge is not enough." Lin Cui smiled and then asked the doctor on the side to get some electrocardiograms. "These five electrocardiograms are all of the patients currently in the department. Let's take a look."

Lin Cui also noticed Lu Chen and the others.

"Are you students in the director's group?"

Lu Chen nodded, "Yes."

"That's great, let's take a look at these electrocardiograms."

"OK."

Lu Chen stepped forward, and Ke Yue's face turned pale slightly as she slowly followed behind Lu Chen.

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