I Can See Health

Remember [new] in one second! The upstairs Zhou Bin is talking about is the general ward of the Department of Cardiology, from the first ward to the eighth ward.

Once a patient in the general ward becomes critically ill or suddenly deteriorates, he or she will usually be transferred to the CCU ward for more detailed and professional rescue.

Because many rescue equipment are not equipped in ordinary wards, such as invasive ventilators, iabp machines, ecmo machines, etc.

"I just received a call from Heart Zone 2. There is a little girl who was just admitted to the hospital today and suddenly has difficulty breathing..."

While explaining the cause of the disease to Lu Chen, Zhou Bin quickly arrived at the gate of the CCU.

"Little girl who has difficulty breathing? Come to the cardiology department?" Lu Chen followed closely behind.

The two opened the CCU door in advance and waited for the patient's arrival.

…

The two didn't wait too long. About half a minute later, a rushing sound attracted Lu Chen's attention.

In his sight, four doctors pushed the ward towards the door of the CCU ward.

This scene was somewhat familiar to Lu Chen. It was very similar to the rescue of the pulmonary hypertension patient yesterday.

Yes, there was no doctor in the hospital bed today performing CPR.

Lu Chen looked at the patient on the hospital bed.

This is a very young girl, probably only eighteen years old.

The head of the bed has been shaken high.

The girl was leaning on the bed, panting constantly, her lips were cyanotic, and her eyes were very blurred.

And her health value is only 32 (---)!

The changing trend of health value is three minus signs!

"Quick, push it to the rescue room!" Zhou Bin shouted to everyone, "Grab 8!"

(Grab 8: The 8th rescue room)

In area A of the CCU ward, only the last rescue room No. 8 is left.

When the doctor accompanying the ward heard Zhou Bin's words, he immediately pushed the bed into the emergency room No. 8.

"Brother Hua, what is the specific condition of the patient?" Zhou Bin asked immediately.

The accompanying doctor was Li Qinghua, an old acquaintance of Lu Chen.

He said solemnly: "The patient was originally admitted to the Department of Respiratory Medicine with pneumonia, but an electrocardiogram was performed as a routine upon admission, which showed frequent ventricular premature episodes and short bursts of ventricular tachycardia. The patient had symptoms of chest pain, and her kinase indicators increased. "High, I thought there was a possibility of myocarditis, so I transferred it to our heart area 2."

"Less than half an hour after the transfer, the patient suddenly had difficulty breathing, which gradually worsened. His blood pressure dropped to only 80/50mmhg, and his blood oxygen dropped to around 90%..."

When Lu Chen heard all the descriptions, five words popped into his mind: "Explosive myocarditis!"

Fulminant myocarditis, sudden onset, extremely high fatality rate!

…

However, it was too late for everyone to think about it at this time.

All available medical staff in the CCU came to the rescue room.

Zhou Bin is still the commander-in-chief of the rescue.

"Push the ventilator over and open three intravenous channels first!"

"Rehydration at full speed!"

"Brother Hui, help me make a central venous catheter!"

"The nurse checks a set of blood, takes blood gases, and then inserts a urinary catheter."

Lu Chen was already familiar with the CCU's rescue rhythm. As a student, what he could currently do, or what Zhou Bin asked him to do, was extremely limited, which was to do electrocardiograms and measure blood pressure.

He moved quickly and immediately pushed the electrocardiograph over.

"Teacher Zhou, the patient's blood pressure is 75/62mmhg, which is similar on both sides. The electrocardiogram shows short-term ventricular tachycardia, and there are ST-T changes."

Zhou Bin briefly glanced at the electrocardiogram, then nodded and continued to direct the operations on the field.

Suddenly, the ECG monitor in the rescue room sounded an alarm.

"The patient has ventricular fibrillation!" Li Qinghua exclaimed.

At this time, the patient's eyes were staring forward and to the right, foaming at the corner of his mouth, and he completely lost consciousness.

Li Qinghua rushed to the front and immediately jumped on the bed to perform chest compressions on the patient.

"Quick, tracheal intubation!" Zhou Bin quickly obtained all the tools for tracheal intubation.

Lu Chen cooperated with Zhou Bin.

Whatever tools Zhou Bin wanted, Lu Chen could quickly hand them over.

In less than thirty seconds, the patient had the tube successfully inserted.

"Teacher Li, the defibrillator is here!"

After inserting the tube, Lu Chen pushed the defibrillator over and adjusted it to the defibrillation mode.

Li Qinghua saw this and nodded slightly, "Look at my movements. After I withdraw, you come up immediately!"

"Got it!" Lu Chen said.

…

Li Qinghua stepped back slightly, and Lu Chen immediately stepped forward with a defibrillator in hand.

Charge!

Discharge!

Toot toot toot…

On the ECG monitor, there is still ventricular fibrillation!

Lu Chen stepped aside and Li Qinghua continued to perform chest compressions.

"Wait and prepare for the second defibrillation!"

Li Qinghua performed compressions for a few more cycles, and Lu Chen started defibrillation again!

Second defibrillation.

When charging and discharging were completed, the patient's ventricular fibrillation waveform did not disappear for a second, but reappeared!

Lu Chen's heart was already in his throat.

Everyone was also staring closely at the ECG monitor, wishing they could get their hands dirty and eliminate the ventricular fibrillation waveform.

…

On the bedside ECG monitor, the beeping sound struck everyone's heart.

Defibrillation for the third time!

Charge!

Discharge!

Lu Chen stared at the monitor. When the chaotic ventricular fibrillation waveform suddenly disappeared and turned into a normal sinus heart rate, the big stone in his heart finally fell.

"Defibrillation was successful!"

On the monitor, the patient's ventricular fibrillation waveform finally completely disappeared and turned into a sinus rhythm that represented "hope."

This also means that the patient's heart has resumed beating.

However, the change trend of the health value on the patient's head is still three minus signs!

…

At this time, Zhou Bin asked the nurse to bring over the ultrasound machine, and she quickly performed an emergency bedside ultrasound on the patient.

Through the screen of the ultrasound machine, Lu Chen saw that the patient's entire heart was almost "squirming"!

A normal heart contracts powerfully, but hers was like an old man, unable to move.

"The end-diastolic diameter of the left ventricle is 40mm, the left atrium, right ventricle, and right atrium are not large. The left ventricular wall motion is weakened and the segmental motion is abnormal. The EF value is about 30%. The left ventricular posterior wall is 12mm. The pulmonary artery pressure is normal!"

There is no doubt that UU Reading www.uukanshu.net The patient's heart ultrasound was even printed with the diagnosis of "fulminant myocarditis".

Although the rescue is over, for patients with fulminant myocarditis, the danger has just begun!

When a new myocarditis breaks out, there will be "storms" of inflammatory factors.

During this period, it will cause fatal blows to the fragile heart of the human body again and again.

As long as the patient cannot withstand any blow, the patient will not survive!

…

In the rescue room, there was no joy on the faces of the doctors after the rescue was successful.

This rescue also alarmed Director Cao Zhiying.

He has already rushed to the rescue room.

Cao Zhiying looked around at everyone and said in a deep voice: "Get ready to communicate with the patient's family and get on ECMO."

Li Qinghua and Zhou Bin both nodded and agreed: "It is necessary to get ecmo. If this patient does not get ecmo, the chance of survival is low."