I Can See Health

When Lu Chen woke up, it was already two o'clock in the afternoon.

The feeling of hunger in his stomach made him decide to go out to look for food.

After washing up a little, Lu Chen carried his little black bag and went out.

It was past dinner time and the hospital cafeteria was closed.

He had no choice but to go to a small restaurant near the hospital to deal with it.

In the alleyway of the hospital.

The passers-by were in a hurry, and everyone seemed to be in a hurry, whether they were patients or medical staff in white coats.

Jinghua Second Hospital, one of the top hospitals in the province, handles a large part of the medical care. Most patients from surrounding counties and cities will flock here.

Lu Chen was walking in the hospital, feeling a little emotional for no reason.

During this period, while treating patients, he also received tokens of gratitude from patients or their families.

After the gratitude value was digitized, he could feel more and more that the doctor-patient relationship is so tense now.

Every bit of gratitude is hard-earned.

He became increasingly aware of the hardships of the medical profession.

The future has a long way to go.

…

In the small restaurant at the entrance of the hospital, Lu Chen ordered a fish-flavored shredded pork rice bowl.

The store is not big, but the food tastes very good, or maybe Lu Chen is hungry, so he eats it with gusto.

Just half a day to rest.

After eating, Lu Chen decided to take a stroll around the area.

After coming to Jinghua for so long, he really hasn't had a good feel for Jinghua's customs and customs.

After two hours of shopping, Lu Chen walked around for several miles around the hospital.

Strolling down the street with slow steps, I enjoyed a moment of tranquility away from the hospital.

When Lu Chen was about to go back to the dormitory, he suddenly received a call from Sun Guoguo.

"Junior brother Lu, do you have time tonight? Our teacher is treating us to a treat, and all the students in the second hospital will go out to eat together."

Lu Chen had no reason to refuse such a large-scale group activity.

"I have time, senior sister. What time is it approximately at night? Where is it?"

"My two junior sisters and I will take the bus after get off work. How about you come to the department to meet us?"

"good."

After hanging up the phone, Lu Chen looked at the time.

It's almost five o'clock, and there's still half an hour left before get off work.

Now go to the department, it should be about the same time.

Lu Chen walked towards the Jinghua Second Hospital.

…

Jinghua Second Hospital, eight districts in the heart.

"Doctor Ding, Director Lin Cui just admitted a patient to the outpatient clinic."

Liu Mei walked into the doctor's office.

Ding Deli glanced at Liu Mei and said, "Let Dr. Yin take it away. She has just come to the department and needs to practice her skills."

Liu Mei handed the hospitalization certificate to Yin Xinhua, the attending doctor who had just arrived in the eighth district of Xinnei.

"Which bed is it in?"

"Bed 41." Liu Mei said.

"Okay, thank you."

Yin Xinhua took the hospitalization certificate and looked at the admission diagnosis line.

Admission diagnosis: The cause of dyspnea is yet to be investigated.

"Doctor Yin, the patient's condition is a bit bad, why don't you go see the patient first." Liu Mei said.

"Well, I'll go right away."

Yin Xinhua nodded, and then asked He Sirong to go with her to see the patient.

In the ward.

A man about fifty years old, sitting in a wheelchair.

His lips were white, his breathing was slightly rapid, his head was tilted to one side of the wheelchair, and his mental state was very poor.

"Recently, my dad developed chest tightness and shortness of breath after an activity. He was given intravenous injections at the clinic for three days, but it didn't work, and the condition got worse. He came to the hospital today."

The patient's family members describe the patient's illness.

"Doctor He, measure the patient's blood pressure and then do an electrocardiogram." Yin Xinhua immediately ordered.

Encountering emergency patients.

The most important thing is to judge two things.

The first one is circulation, which is blood pressure and other conditions.

The second one is breathing.

As long as circulation and breathing are normal, the patient's life is not in danger for the time being.

"Sister Yin, the patient's blood pressure is Hg." He Sirong and his family members moved the patient to the hospital bed. "The pulse is a little weak, but it can be felt."

"good."

Yin Xinhua nodded, picked up the stethoscope and auscultated the patient.

Dong Dong... Dong Dong...

"The heart sounds are very low." Yin Xinhua frowned, "No obvious murmur was heard."

She auscultated the lungs again.

Breathing in the lungs was slightly rough, but there were no obvious wet or dry rales.

On cardiac percussion, the dullness boundary of the heart is enlarged.

At this time, He Sirong also finished the electrocardiogram.

"Senior sister, the electrocardiogram shows low voltage in the limb leads and chest leads. The QRS amplitude of the chest lead is lower than 1mv, and the limb leads are lower than 0.5mv."

"Low voltage in the lead?" A diagnosis immediately popped up in Yin Xinhua's mind - pericardial effusion!

There is a layer of "skin" on the surface of the human heart, which is called the pericardium in medical terms.

The pericardium is a double-layered bag composed of a serosa layer and a fibrous layer.

The serosa layer is divided into two parts, the parietal layer and the visceral layer. The parietal pericardium is composed of the parietal layer of the serosa layer and the fibrous layer. The visceral pericardium is the visceral layer of the serosa layer. The gap between the parietal layer and the visceral pericardium is the pericardial cavity.

There is 15~50ml of serosal fluid in the normal pericardial cavity, which acts as lubrication.

but.

If the serosal fluid increases beyond the heart's tolerance, the serosal fluid will compress the heart and prevent it from relaxing, resulting in a reduction in the amount of blood returning to the heart.

Then, the amount of blood ejected from the heart to the whole body will decrease, resulting in insufficient blood and oxygen supply to various tissues and organs of the human body.

Patients will experience symptoms such as difficulty breathing.

Judging from the patient's physical signs and auxiliary examinations, all currently support the diagnosis of pericardial effusion.

And judging from the patient's symptoms, the amount of pericardial effusion is quite large.

"Senior sister, is this...pericardial effusion?"

This patient's symptoms and auxiliary examinations were extremely typical, and He Sirong also thought of the diagnosis of pericardial effusion.

"Yeah, but we can't control the cause of the pericardial effusion for the time being." Yin Xinhua said solemnly, "Looking at his condition, the amount of pericardial effusion should be quite large. A pericardiocentesis should be performed as soon as possible to relieve the compression symptoms of the heart. UU Reading www.uukanshu.net ”

A large amount of pericardial effusion, if the fluid is not punctured and the compression symptoms are relieved in time, is likely to cause cardiogenic shock or even sudden death!

"Senior sister, then I should call the ultrasound department and do an emergency bedside ultrasound, and then go directly to the bedside puncture?" He Sirong said.

"No, contact the CCU directly on the fourth floor and push the patient to them." Yin Xinhua said, "They have complete rescue equipment."

"Okay." He Sirong immediately ran out of the ward and called the CCU on the fourth floor.

…

…

When Lu Chen arrived at District 8, it was already 5:20 in the afternoon.

"Junior brother, you came on time. We will finish the shift later and we are ready to go." Sun Guoguo was writing the shift record.

This dinner was a gathering of all teachers and students of Li Yao in Jinghua Second Hospital.

Lu Chen was quite looking forward to it.

At present, except for his two classmates, Jiang Qingyan and Ke Yue, he only knows Senior Sister Sun Guoguo, and does not know any other senior brothers and sisters.

"Let's do this, Junior Brother Lu, you and the first two Junior Sisters go to the first floor and wait. The car to pick us up has already arrived." Sun Guoguo said suddenly, "Don't keep him waiting, I'll be down right away."

Lu Chen nodded: "Okay, I'll go down first with Jiang Qingyan and the others."

…

Lu Chen, Jiang Qingyan and Ke Yue took the first step.

Walking onto the elevator, the elevator door slowly closed.

"Hey, elevator, wait a minute!"

Suddenly, He Sirong and his family members pushed the hospital bed and hurried towards the elevator entrance.

Lu Chen immediately pressed the door button.

Fortunately, there were few people in the elevator, only Lu Chen and the other three.

The hospital bed can be pushed steadily into the elevator.