Chapter 329: : The disappearing heart?

Rescue is a multi-minute battle!
Time is precious every minute.
No one dares to relax their vigilance!
Chen Cang pushed the car, Qin Yue rode on the narrow car, straightened his arms to press, CPR never stopped.
The big man who got off the bus didn't leave, helping Chen Cang to help push the cart.
At three o'clock in the afternoon the sun was very intense, but the three felt that their backs were still cold.
Qin Yue's chest compressions never stopped.
Soon the trio entered the door of the emergency department.
Chen Cang shouted to the nurse standing: "Xiao Lin prepares for ECG monitoring, and asks B-side ultrasound ..."
Rescue is at your fingertips!
Qin Yue felt that her arms were almost losing her intuition, but she didn't dare to stop. This is ... the baton of life, who dares to stop?
At this time, Qin Yue suddenly felt that her heartbeat was slowly recovering ...
ECG monitoring!
The patient's vital signs came out quickly.
Kobayashi shouted!
"Blood pressure: 60 / 30mmHg!"
"Heartbeat 120 times per minute!"
"Breathe 32 times per minute!"
With a heartbeat, this is all right, this is all right, Qin Yue is sweating all over, her hair sticks to her face, a bit messy, the white coat on her chest has been soaked and stuck to her body. curve.
Soon, the ECG results came out, and Qin Yue handed it to Chen Cang: "Cang Cang, ECG!"
Chen Cang took a look and frowned instantly!
S-T changes irregularly!
Ischemia is for sure!
There is also an acute myocardial infarction!
but……
This is not the most critical. What is the most critical?
It is strange that the ECG axis is offset.
Chen Cang's face suddenly changed. This kind of ECG may be a bad thing!
In the rescue room, not only Chen Cang and Qin Yue, the cardiology department's rescue level for patients with heart disease is stronger than surgery. At this time, Zhang Tao, an emergency medical doctor, hurried in.
After seeing the symptoms, I saw Chen Cang daze holding the ECG: "Little Chen, give me the ECG!"
Chen Cang nodded and handed it to Zhang Tao.
Chen Cang turned and looked at Xiaolin: "Go, take the patient with me, and quickly go to a chest radiograph to see if there is any trauma and pericardial effusion."
Chen Cang recently saw more cardiac tamponades, and he felt that the electrocardiogram did not look like an acute myocardial infarction.
Of course, is there any obstruction? Yes!
But it's not the kind of myocardial infarction like coronary atherosclerotic heart disease.
Heart tampon?
possible?
But it's really unlikely.
what is the problem?
The information from an electrocardiogram is too limited.
How to do?
While the patient is OK at this time, the relevant inspections must be completed before the next rescue operation can be performed!
Chest X-rays are not the same as CT. It does not take much time and can produce results instantly. Even Chen Cang is willing to follow suit.
Zhang Tao saw Chen Cang and pushed the patient away.
Suddenly his face changed: "What are you doing, Xiao Chen?"
Chen Cang looked at Zhang Tao and could not explain it in full: "Mr. Zhang, it is too late. We must complete the inspection and determine the rescue method."
Zhang Tao looked at the ECG, and to be honest, he was a little flustered!
He has never seen such an electrocardiogram, really!
I have never seen such a strange ECG.
Mixed feelings.
Inwardly!
Anxious!
Complicated emotions appeared in his mind, this is the most terrible feeling of a doctor at this time: no end!
Just no bottom!
He doesn't know what to do!
Can only go to perfect inspection.
But ... isn't there a problem?
There are so many heart disease patients who die in the radiology department.
One accidentally disappeared.
But ... there is no clear diagnosis without checking.
How to do?
Follow up with the patient?
There is only one way to take the patient into the radiology room for examination.
Where is the radiology department?
This is definitely not a blessing.
Chen Cang and Xiaolin pushed Sun Baomin to the radiology department and said, "Emergency, cardiogenic shock, urgently check a chest radiograph!"
The green channel is so fast!
Soon, with the help of Chen Cang and Xiaolin, the patient was in a good posture.
The radiology doctor said, "Okay, come out."
When filming, usually doctors are not present. After all, there are rays inside, and they must eat rays when they are inside, so most people will not stay inside.
Chen Cang looked at Xiaolin and hesitated: "Xiaolin, go out!"
Kobayashi stunned: "I ... Doctor Chen, you go out, I'll come."
Chen Cang looked solemnly and dignified: "You go to the doctor next to the B-bed and wait for me in the emergency department! I'll go back immediately and do the relevant examinations. Hurry, I was delayed.
Kobayashi's face changed, and he hurried toward the outside in a hurry.
Chen Cang gestured to the doctor who made the film: "OK!"
The radiologist asked with a microphone, "Are you not coming out?"
Chen Cang shook his head: "Patients with heart disease, the situation is unstable. I have to watch for an examination. By the way, I can put in more positions. You can take more pictures. It's troublesome!"
The doctor in the radiology department took a deep breath and said nothing, giving Chen Cang a thumbs-up through the glass.
Niubi!
Chen Cang took a deep breath and began to pose.
In general, the radiological rankings of radiology departments are as follows: CT radiation is greater than X-ray radiation is greater than nuclear magnetic.
Of course, there are specific radiation units, so I won't go into details.
This radiation is subtle.
In many grass-roots hospitals, county-level hospitals, and city-level hospitals, doctors of radiology departments basically have to rest for half a month for one month, just because they are worried about eating too much radiation. Doctors have enough rest time and some special post allowances.
Don't underestimate radiation.
Women are not allowed to undergo CT during pregnancy, as it is likely to affect the child.
With the help of Chen Cang and the radiologist, the results came out quickly.
Chen Cang looked at the results of the x-ray examination.
Suddenly!
He saw a local raised shadow outside the contour of the heart. The heart was swollen?
Suddenly a terrible idea appeared in Chen Cang's mind.
Chen Cang looked at the doctor of the radiology department anxiously, without a time to say thanks, he nodded and pushed the patient away.
The doctor of radiology looked at Chen Cang, and could not help but take a deep breath, admiring his face, his eyes filled with respect.
Eat radiation for patients.
real man!
Really great!
Hurrying back to the emergency department, the color ultrasound is already in place.
2D echocardiography begins!
Soon ~ EbookFREE.me ~ Super results screen also appeared.
Everyone looked at the results, and he was stunned.
Hold the grass!
Where's the heart?
The heart of the pericardial cavity no longer seems to be where it was!
lost?
Still running?
At this time, Chen Cang knew what was happening!
His face changed, and he said to Kobayashi, "Kobayashi, prepare for emergency room surgery!"
ps: Hey, five more deliveries, everyone guessed, where did the disappearing heart go? Revealed at 12 am!