I Can See Health

When others hear the patient's description, they will at most feel sorry for them, as so many people have died.

But a clinical doctor will not think about these words when hearing such words.

Wu Si happened to come out and heard the family's description.

Lu Chen turned his head and asked Wu Si, "Have you done a chest CT scan?"

Wu Si certainly knew what Lu Chen meant. Lu Chen suspected that the patient might have lung cancer.

The patient's brothers all have cancer, which is a very prominent family history. Normal doctors should consider whether the patient may have lung cancer.

If the patient's lung cancer is severe, blocking the bronchus, or seriously affecting the lung tissue, it may cause hypoxia.

"I just asked the patient's family. The patient had a physical examination half a month ago and there was a CT scan." Wu Si said, "I didn't see the scan, only a report, and the report didn't say that lung cancer was seen."

Wu Si's meaning is very clear. The patient does not have lung cancer.

If lung cancer was not seen half a month ago, it is impossible to have lung cancer now.

Lung cancer cannot grow in ten days or half a month, and the impact is so great.

"Most of them are pneumonia. Only pneumonia can develop so quickly." Wu Si said in a deep voice.

Lu Chen nodded slightly, temporarily agreeing with Lao Ma's judgment.

The patient's life value is 48 (---).

There is no special situation at present.

"Let's go to the ICU first." The ICU doctor said, "I'll go back and prepare first."

"Okay." Wu Si nodded.

...

However, just when the patient was about to be transferred to the ICU, the condition suddenly changed.

This was beyond everyone's expectations!

The patient had just been pushed out of the door of the emergency department, and the chest tightness symptoms worsened!

The nurse rushed out and said: "The patient's heart rate is very fast, 130 beats/minute, and the breathing is more rapid."

Wu Si immediately shouted: "Push back to the emergency room first!"

At this time, the patient was sweating and panting, and his eyes could see his fear.

He said to the nurse next to him intermittently, "Hurry up, turn up the oxygen for me, it's uncomfortable."

The blood oxygen saturation dropped to 88%.

"Okay, don't talk too much, just have a good rest!" The nurse said hurriedly.

On the side, Lu Chen didn't have time to leave.

"This is not a good thing." Lu Chen frowned, "The patient can't wait to go to the ICU, and he has to be intubated and put on a ventilator here." Lu Chen immediately used a stethoscope to listen to the patient's lungs. The breathing sounds of both lungs were loud and symmetrical, not pneumothorax! The patient's hypoxia suddenly worsened, and it is necessary to be alert to the possibility of spontaneous pneumothorax. If one side has pneumothorax, that is, the lung ruptures, then the breathing sounds of the chest cavity on this side will be very low, or even inaudible. If the breathing sounds on both sides are symmetrical, then it is basically not pneumothorax. This auscultation is very critical. At this time, Wu Si also had a lot of concerns and asked Lu Chen, "Mr. Lu, there may be no heart problems. If the patient is severely hypoxic, it may induce myocardial infarction. If it is a myocardial infarction..." Lu Chen frowned deeply. He did not deny Wu Si's idea, "Then check an electrocardiogram." Hearing this, Wu Si immediately asked the resident doctor next to him to help draw an electrocardiogram for the patient, and at the same time increased the oxygen concentration, and asked the nurse to prepare for tracheal intubation. Another nurse also pushed the ventilator over.

…

When the patient came to the emergency room, an electrocardiogram had been done, and no obvious abnormalities were found.

Troponin, myocardial enzymes, etc. were also checked, and they were all normal.

The previous evidence did not support acute myocardial infarction.

But it is hard to say whether a sudden myocardial infarction will occur now.

The electrocardiogram results came out quickly.

Lu Chen immediately took the electrocardiogram and looked at it, but did not see any obvious myocardial infarction pattern.

No lead elevation or depression was seen.

Wu Si also leaned over, "It seems that the patient is not having a myocardial infarction..."

"Could it be that the condition has suddenly worsened?" Lu Chen murmured.

Just now, the patient's life value has indeed accelerated!

A patient with severe pneumonia suddenly has severe shortness of breath, and common diseases such as myocardial infarction and pneumothorax have been ruled out, so the only explanation is that the condition has worsened.

For example, the patient may turn over, or have an arrhythmia, which will cause such a fast heart rate and more severe hypoxia.

"Then let's intubate. I'll talk to the family. It's safer to intubate here first and then go to the ICU." Wu Si looked at Lu Chen on the side, wanting to ask for his opinion.

"Wait!" Lu Chen waved his hand to stop Wu Si.

He frowned slightly and took the electrocardiogram back to look at it again.

He always felt that something was wrong with this patient who suddenly had difficulty breathing.

Did he overlook something?

It wasn't until Lu Chen looked at the electrocardiogram he had just made that he suddenly realized it!

"What's the situation?"

Wu Si saw that Lu Chen's expression had changed, and he probably had some new discoveries.

Hearing this, Lu Chen immediately handed the electrocardiogram to Wu Si.

"Look at the patient's S wave in lead I, and the Q wave and T wave in lead III. The electrical axis is right-biased. Does it look familiar..."

Wu Si was confused. He had just been staring at the myocardial infarction information on the patient's electrocardiogram.

Anyway, he was relieved that he didn't see the myocardial infarction figure.

But now Lu Chen obviously had other discoveries, so he looked at it so carefully.

…

Wu Si took the electrocardiogram and carefully re-examined it according to Lu Chen's instructions.

"Ah, s1q3t3? Could it be that the patient has pulmonary embolism?!"

s1q3t3, as well as right axis deviation, the most typical electrocardiogram pattern in patients with pulmonary embolism!

Wu Si was frightened when he thought about pulmonary embolism.

Six months ago, a patient with pulmonary embolism died under his eyes.

"Yes, this is pulmonary embolism!" Lu Chen said solemnly.

In fact, pulmonary embolism is easy to understand.

If a thrombus forms in the human venous system and the thrombus breaks off, it will enter the pulmonary artery along with the venous blood flow.

If the blood clot gets stuck in the pulmonary artery, the blood will not be able to pass through, and the blood will not be able to reach the lungs, and it will no longer be able to obtain oxygen.

Without oxygen supply, a person would probably be suffocated to death!

Severe pulmonary embolism can kill you instantly!

"I'm going, then we can't waste this moment!"

Wu Si was shocked.

Although pulmonary embolism is currently highly suspected, electrocardiography is still reluctant to diagnose pulmonary embolism, and electrocardiography can only provide a rough idea.

To truly diagnose pulmonary embolism, CT pulmonary angiography must be performed.

Therefore, Wu Si had already rushed out to find the family members to sign, and suggested that the family members agree to undergo CT pulmonary angiography.

…

Outside the emergency ward. UU Reading www.uukａnshu.net

Wu Si stared closely at the patient's eldest daughter, "The patient's condition is now more serious. It is suspected that there may be a sudden pulmonary embolism. This examination must be done."

"Do you want to do it now?" The eldest daughter looked confused.

"Yes! If you don't do it, it won't work. If you don't do it, you will be dead. If you do it, you may not be able to save it, but at least there is a direction for treatment, and if the rescue is timely, there is still a chance."

At the critical moment, Wu Si understood everything he said.

The patient's daughter was extremely frightened. They had just taken a look at the patient's condition outside and roughly knew what was going on.

"Do it, whatever helps!"

－－－－－－Digression－－－－－

I start working tomorrow, and I will work the night shift tomorrow.

.