I Can See Health

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Isn't this too fast? !

Fan Zhiping now has a black question mark face.

Although Lu Chen's nickname is "Professor Lu", it is also academic.

As for clinical operations, Fan Zhiping only knew that Lu Chen knew how to puncture the radial artery.

But Lu Chen knew how to perform bronchial intubation, which really stunned Fan Zhiping.

It’s not that this endotracheal intubation operation is difficult.

But the current division of labor in medicine is extremely thin, and doctors in general departments basically do not know how to learn bronchial intubation.

Lu Chen is just a first-year graduate student. Not only does he know how to do it, but he is also so proficient in it, which is so surprising.

Fan Zhiping took a deep look at Lu Chen.

How many passwords does he still have on him?

…

After Lu Chen intubated the tube, he connected the breathing bag and began to ventilate the patient at a constant speed.

At the same time, the nurse also pushed the non-invasive ventilator over.

With the input of a large amount of oxygen, the patient's blood oxygen saturation gradually increased from 80% to 90%.

At this time, Yin Xinhua also returned to the ward.

When she saw that the patient had been intubated, she was slightly startled, but she was not particularly surprised.

Yin Xinhua's performance was extremely calm, which made Fan Zhiping a little confused.

Is everyone accustomed to Lu Chen's operations?

Lu Chen was usually a bit too scary.

"Senior sister, the patient's blood oxygen could not be maintained just now, so I had to insert it for him first." Lu Chen said.

"Okay, then we can cancel the consultation in the anesthesiology department." Yin Xinhua said to the nurse on the side.

The role of the anesthesiology department is intubation.

Now that Lu Chen has been intubated, they have no effect.

The nurse nodded and quickly called the anesthesiology department to cancel the emergency consultation.

…

At present, the patient's heart rate and blood pressure are normal, but his consciousness has not yet recovered.

All rescue operations follow a basic principle and do everything possible to maintain the patient's vital signs, namely blood pressure, heart rate, breathing, etc.

In other words, if the patient's vital signs are stable, it means that the patient's condition has improved.

"We will observe and see for the time being," Yin Xinhua said. "I talked with the patient's family and wanted them to be transferred to the CCU, but the family refused."

Patients who are critically ill and require ventilators are generally transferred to the CCU to receive more sophisticated treatment.

However, due to cost issues, many family members cannot afford it.

"Senior sister, I just reviewed the patient's electrocardiogram, and there aren't many changes." Lu Chen said in a deep voice, "I think it may not support the diagnosis of myocardial infarction."

When Yin Xinhua heard this, she couldn't make up her mind for a while.

"Let's wait for the blood test results to come out."

Based on the patient's current symptoms and auxiliary examinations, the diagnosis of myocardial infarction is still the first priority, but we still have to wait for the results of the blood troponin test to come out.

If troponin is elevated, it is most likely a myocardial infarction.

If the troponin is not high, then myocardial infarction is ruled out!

As for other diagnoses, Lu Chen, Yin Xinhua and others didn't have any ideas for a while.

…

At present, the patient's vital signs are maintained and there is no immediate danger to his life.

Lu Chen and others returned to the doctor's office.

Because of the bonus from the "Clinical Thinking Skills Book" in the afternoon, after returning to the office, the cheating Lu Chen began to sort out the patient's entire illness process.

From high blood pressure, headaches, and later ventricular fibrillation, is there a clue leading to this?

…

About ten minutes later, the nurse walked into the office.

"Doctor Yin, the patient is awake."

Everyone looked happy.

The patient's consciousness has returned, which means that everything is developing in a good direction.

However, tracheal intubation in a clear state is undoubtedly very uncomfortable for the patient.

"Let's go see him."

Yin Xinhua brought Lu Chen and Fan Zhiping to the ward.

The patient was lying on the hospital bed with his eyes half-closed.

Beside the hospital bed, his son was sitting beside the bed, looking nervous.

"Uncle, how do you feel now?"

The patient's lips were pale and he could not speak now. He could only blink his eyes to indicate that he was in good condition.

The nurse took his blood pressure again.

The blood pressure chart shows that the blood pressure is around 130/60mmhg.

The patient's blood pressure has recovered.

…

"Doctor, when will my dad be able to get off the ventilator? I think his condition is stable."

In the doctor's office, the patient's family asked.

Yin Xinhua frowned: "Don't be anxious. Wait first. When the patient shows signs of weaning, we will remove the ventilator in time. If it is removed rashly, it may be life-threatening."

"Approximately how long will it take?"

"About two days." Yin Xinhua thought for a while.

The patient's family members breathed a sigh of relief when they heard this.

"Okay, thank you doctor."

The patient's family temporarily gave up their plan to remove the ventilator and then left the doctor's office.

"This son is so cruel, he actually wants to remove the ventilator." Fan Zhiping shook his head slightly.

"He is still an only child." Yin Xinhua sighed, "Raising children sometimes cannot prevent old age."

…

About half an hour later.

The results of the previous patient’s urgent blood test are out!

"Sister Yin, the patient's troponin is negative!"

Lu Chen immediately checked the laboratory system and found the test result of cardiac enzymes.

"Ah? Is troponin negative?" Yin Xinhua was stunned.

Troponin is negative, which completely rules out the possibility of myocardial infarction!

What else would the diagnosis be?

Yin Xinhua frowned, she had no clue.

Fan Zhiping and Lu Chen on the side didn't have the slightest clue.

at this time.

The nurse on duty ran into the office again.

"Dr. Yin, the patient's blood pressure is high again. I just measured it and it was 1hg! Both upper limbs are symmetrical."

Everyone looked at each other after hearing the nurse's words.

My blood pressure had dropped to 130/70mmhg just now, but now it is 1hg.

In less than half an hour, my blood pressure changed rapidly!

There must be something wrong with this!

"First use intravenous antihypertensive drugs to lower the blood pressure." Yin Xinhua said.

"Okay." Lu Chen nodded and began to give medical instructions.

After giving the doctor's order, the nurse began to execute it.

Lu Chen glanced at Yin Xinhua and Fan Zhiping, paused, and said hesitantly: "Sister, Brother Fan, do you think the patient may have pheochromocytoma?"

The patient's blood pressure fluctuated rapidly within a wide range, and he also had accompanying symptoms of headache and chest tightness.

This has to make people suspect pheochromocytoma!

When Fan Zhiping and Yin Xinhua heard the diagnosis, they were slightly stunned.

Pheochromocytoma?

The simple explanation of this disease is that there is a gland above the kidneys in the human body called the adrenal gland (the gland above the kidneys).

If the adrenal gland develops a tumor, the tumor may secrete many hormones, including epinephrine, norepinephrine, etc.

These hormones will excite the sympathetic nerves in the human body, leading to high blood pressure, fast heart rate, sweating, excitement, restlessness, etc.

When will such hormones be secreted in large quantities?

For example, when you hold a stick in your hand and there is a lion in front of you, these hormones will be secreted crazily.

These hormones make you feel nervous and more powerful, whether to escape or fight.

If there are no special circumstances, hormones will be secreted according to the needs of the human body.

However, if secretion is completely uncontrolled by command.

Instead, it secretes randomly, concentrates the secretion for a while, and exhausts the secretion for a while. The blood pressure will be like a roller coaster, with highs and lows.

This can also damage the heart, kidneys, etc., and in particular may cause arrhythmia...

"I think it's probably true. UU Reading www.uukanshu.net The ventricular fibrillation and cardiac arrest in patients may be caused by excessive hormone secretion from pheochromocytoma!"

Fan Zhiping is Lu Chen's loyal supporter.

When Lu Chen told him the diagnosis, he realized that all the symptoms were correct!

Yin Xinhua was a little silent, and she kept thinking "pheochromocytoma" in her heart.

This disease is not common in clinical practice, and it may take a long time to encounter one.

The symptoms of pheochromocytoma vary, but the most common one is paroxysmal increase in blood pressure, which fluctuates greatly!

To confirm the diagnosis of pheochromocytoma, abdominal CT or enhanced CT is required.

…

When Lu Chen finished speaking "pheochromocytoma", a prompt popped up on the system panel.

"Congratulations, the system upgrade completion rate has increased!"