I Can See Health

No. 1 Hospital in Shanghai, Emergency Department.

"The patient is currently in critical condition. We have to intubate his trachea and put him on a ventilator before doing a pulmonary artery CTA, otherwise we are afraid of an accident on the road."

Wu Si said to the patient's two daughters in a solemn tone.

The little daughter had started to cry.

"I agree with the intubation and the ventilator."

The eldest daughter made the decision immediately.

The two sons-in-law also expressed their opinions and actively rescued her.

The patient is now severely hypoxic. Pulmonary embolism will cause hypoxia in the body, which will cause major problems.

Lack of oxygen can cause the brain to become sluggish or even cause coma. Lack of oxygen reflexively causes breathing to become more rapid in the hope of getting more oxygen from the air.

"My dad is so hypoxic right now, can't he increase his oxygen intake?" the eldest son-in-law suggested.

He is a pharmaceutical dealer and knows a little bit of medical knowledge, but not much.

Wu Si quickly shook his head and said: "It's really not possible. Because there is no lack of oxygen in the patient's alveoli! The reason for difficulty breathing is that the pulmonary artery is blocked!"

"No matter how much oxygen is given at this time, there is no way to alleviate the patient's hypoxia."

In fact, the reason is very simple.

What we have to do is to clear the road, dissolve the thrombus stuck in the pulmonary artery, or intervene to break the thrombus or surgically remove the thrombus, so that the blood can smoothly enter the lungs, obtain oxygen, and then bring it to the tissues for use.

"Will the ventilator work?" The eldest son-in-law frowned.

Wu Si was preparing the equipment for tracheal intubation and had no time to pay attention to it.

Lu Chen immediately explained: "Although the ventilator cannot reverse the condition, it can alleviate some of the hypoxia, because we can pump pure oxygen into the patient's lungs. If there is blood that can bypass the blood clots and enter the lungs, it may be able to give the tissues more Bring some oxygen, bring more at critical moments.”

The eldest son-in-law nodded to Lu Chen and said nothing more.

At this time, Wu Si had prepared all the tracheal intubation equipment.

As a veteran of the emergency department, Wu Si inserted the tracheal intubation into the patient in a matter of seconds.

The nurse quickly connected the ventilator and adjusted it to 100% oxygen inhalation. I watched my blood oxygen saturation rise from 82% to 90%, and then it stopped going up.

"Oh, it seems really choked." Wu Si sighed.

On the other side, the emergency department nurse had already contacted the CT room and called the respiratory medicine doctor down again.

After seeing it, the respiratory physician agreed to consider pulmonary embolism and agreed to CT pulmonary angiography.

It is very important to seek consultation at this time!

First, multiple people have multiple ideas, and second, multiple people share responsibilities. This is to protect patients and ourselves.

Wu Si personally escorted the patient to the CT room.

At this time, there was nothing going on with Lu Chen in the emergency department.

After Lu Chen completed his consultation opinions, he put the stethoscope in his pocket and left the emergency department ward.

…

The hospital road at night is somewhat quiet, which is in sharp contrast to the noisy wards not far away.

The weather is still cool, and the evening breeze comes out, making people feel a bit chilly.

Lu Chen tightened his white coat slightly and walked back to the CCU lounge.

Just sat in the lounge for five minutes.

The phone rang.

But this time it was Lu Chen's personal mobile phone, and it was Wu Si who called him.

"Mr. Lu, pulmonary embolism has been diagnosed!" Wu Si's tone was very solemn, "CT showed that there were thromboembolisms in many places in the pulmonary artery, but it was not completely blocked. Fortunately, there was still a little blood that could pass through, otherwise the patient would have died in the emergency department. We are so lucky!”

"This man is really lucky!" Lu Chen couldn't help but sigh, "Don't go back to the emergency department, send him to the ICU for thrombolysis as soon as possible!"

Now only by dissolving the thrombus can the patient have a chance of survival.

"Okay, I'll send him there myself!"

Under Wu Si's escort, the patient was safely transferred to the ICU.

The senior doctor in ICU has also returned. In such a critical situation, it will be safer to have a senior doctor there.

…

Lu Chen had no time to take care of the remaining rescue matters.

As the chief resident of the cardiology department, he is always ready for consultation and rescue from other departments.

However, after this rescue, Lu Chen was reminded not to be confused by the patient's symptoms.

After thinking about it, Lu Chen took off his white coat and lay on the bed to continue sleeping.

This time, Lu Chen couldn't sleep.

After the rescue just now, his spirit is now quite high.

So, Lu Chen took out his phone and opened the WeChat group.

I found that there were many unread messages in the Jinghua Electrophysiology Communication Group.

When I opened it, it turned out that there was a difficult electrocardiogram, but no one has been able to interpret it yet.

"They are all a bunch of night owls!" Lu Chen smiled.

Recalling that year, I helped everyone interpret electrocardiograms in the Jinghua Electrophysiology WeChat group.

That was a really wonderful experience.

But now Lu Chen rarely bubbles in the group.

First of all, everyone's level has improved greatly. The most powerful one is Fan Zhiping, who can basically interpret most electrocardiograms.

Secondly, when Lu Chen arrived in Magic City, he had little time to pay attention to these group messages.

But when he encountered this difficult electrocardiogram today, Lu Chen suddenly became interested.

Finding this electrocardiogram that no one in the group could interpret, Lu Chenzai studied it carefully many times.

Finally a diagnosis was made.

"Left posterior branch ventricular tachycardia, ventricle reverse conduction to the atrium 1:1!"

As soon as Lu Chen's avatar appeared in the group, the Jinghua Electrophysiology Exchange Group went crazy!

The focus of everyone's attention was no longer the electrocardiogram, but Lu Chen himself.

…

Fan Zhiping happened to be working the night shift tonight, so he opened the electrophysiology WeChat group when he had nothing to do.

His biggest daily interest now is to discuss various electrocardiograms with everyone in the group.

However, this electrocardiogram tonight is really difficult!

Fan Zhiping thought for a long time but had no clue.

Suddenly, a message popped up in the group.

"Left posterior branch ventricular tachycardia, ventricle reverse conduction to the atrium 1:1!"

Fan Zhiping frowned slightly. This diagnosis... seems unlikely, right?

However, when he saw the somewhat familiar avatar, he was stunned.

This is Lu Chen!

Professor Lu, it finally bubbled up!

There is nothing to say about this electrocardiogram. It must be left posterior branch ventricular tachycardia!

Fan Zhiping quickly sent a message.

"Professor Lu, long time no see."

Although he knew that Lu Chen was not a professor, he was still used to using the title "professor" in the WeChat group.

Others in the group also echoed.

Messages greeting "Professor Lu" flooded the screen one after another.

Many newcomers who have just joined the group don't quite understand what is going on.

After asking for a while, I found out that he was a boss-level figure.

…

No.1 Hospital of Magic City, UU reading www.uukanshu.net ccu lounge.

Lu Chen looked at the WeChat group and couldn't laugh or cry.

He really underestimated his influence in Beijing.

If I had known earlier, I wouldn’t have sent this message…

However, Lu Chen also received a wave of gratitude points from the Jinghua Electrophysiology Exchange Group.

No loss, no loss!

Lu Chen chatted with everyone for a while and then closed the WeChat group.

－－－－－－Digression－－－－－

I'm really busy working the night shift today, so I can only write as much as I can.

I'll have a rest tomorrow and update as much as I can.

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