Chapter 619: : Rescue (below)

Looking at the constantly surging waveform on the electrocardiogram in his hand, it seems to be a life-saving sign.
Suddenly, everyone didn't think why this happened.
Originally, the patients were ready to be discharged, and the discharge certificates were issued in advance, and they recovered quickly.
Who can think of such an important thing happening at such an insignificant time.
Ventricular fibrillation!
Now, the cause of the coma is found, which is ventricular fibrillation.
Ventricular fibrillation, referred to as ventricular fibrillation, is one of the common causes of sudden cardiac death.
In fact, the heart is a muscle, which constantly contracts to pump blood ...
However, the power is limited. If your frequency is fast, the power will definitely be insufficient, and the blood will not be pumped out naturally.
When the ventricle continuously, rapidly, and evenly emits more than 240 times per minute, it is called ventricular flutter. If the ventricular excitement is rapid and irregular, this is called ventricular fibrillation.
The frequency of ventricular fibrillation can be between 250-600 times per minute.
多么 What a horrible figure this is?
Rescue!
At this time, ventricular defibrillation is the only option, but defibrillators are not!
Cang Cang said quickly:
"Preparing Amiodarone!"
The nurse nodded quickly.
At this time, Meng Xi suddenly remembered that there was a mature emergency doctor standing here.
Experienced and skilled!
After a while, the defibrillator came up.
沧 Chen Cang quickly started to prepare for defibrillation.
Wu Peng was relieved after seeing Chen Cang.
After all ... this is Chen Cang!
Defibrillation for the first time!
Unsuccessful!
Cang Cang glanced at Wu Peng: "Do not stop pressing on the chest!"
Then turned and looked at the nurse: "Push an adrenaline!"
The family members of the patients have been crying.
哪里 Where young mothers and children have seen such a battle, the patients in the bed next to them are stunned.
Who would have thought that the guy who was still laughing and chatting just now could be like this.
This is ready to be discharged ...
Cang Cang immediately started the second defibrillation!
成功 This time it worked!
For less than two minutes, the waveform on the ECG monitor gradually became normal.
At this time, the patient finally recovered his autonomous heartbeat.
Thrilling rescue, finally come to an end!
However, everyone dare not have any slack, staring at the ECG monitor one by one, for fear that this beautiful waveform and perfect heart rhythm will suddenly disappear ...
Perhaps the most perfect graphic for a doctor is: sinus rhythm!
几分钟 Another few minutes passed!
The patient finally calmed down. At this time, everyone was relieved.
Suddenly, he suddenly found himself full of cold sweat.
I don't know if the heating in the room is too high or because he was too nervous just now.
The blood pressure is also stable, the heart rate is maintained at 120 beats per minute, and the blood oxygen protection degree is 98%.
Cang Cang turned and said to the nurse, "Do a blood gas analysis."
At this time, it is time to analyze the cause.
Why does the patient suddenly have arrhythmia.
Rescue is like this.
I save my life first, and then cure.
Now that the patient's life is stable, it is necessary to find out what causes the arrhythmia.
Not long after, the blood gas analysis came out, and the PH value was basically normal, 7.31, and the normal value was 7.35-7.45, but ... it didn't affect.
This rescue was basically stable.
The next reason is to investigate.
Because the cause cannot be found, the patient cannot be said to be completely safe.
Cang Cang said to the nurse at this time: "Draw a blood, test it, blood routine, electrolyte ... liver and kidney function, let the laboratory examine it urgently."
At this time, he turned around, took off Meng Meng's stethoscope, and brought it directly to his ears.
Ok!
There is a fragrance ...
Chen Cang kept trying to figure out the heart sounds, wanting to find the slightest anomaly.
But it sounded normal.
为什么 Why is the patient's arrhythmia?
Why ventricular fibrillation?
Cang Cang turned and looked at Ge Huai: "Let me see the medicine the patient has taken recently."
Ge Gehuai nodded, and immediately issued a medical order.
沧 Cang Cang saw that these drugs are commonly used in cardiac surgery. These drugs ... not to mention arrhythmia, but also to treat arrhythmia!
Cang Chen continued to ask, "Does the patient have any abnormal reactions in these two days?"
"For example, chest tightness, panic ... these abnormal conditions?" Chen Cang asked the patient's wife.
The woman shook her head: "No, he has been saying recently that the operation was very successful, and it feels good ..."
At this moment, I suddenly thought of something: "Oh! He had a cold yesterday, and I didn't take it seriously, and I told Doctor Ge."
Ge Huai nodded: "Well, I don't think he is in serious condition, so I didn't let him manage it. After all, now the infusion, a bunch of drugs, don't have any adverse reactions."
At this time, Chen Cang suddenly became the director.
He stood alone, surrounded by a small nurse and a doctor. Although the patient was surprised why he had not seen the doctor.
But ...
The doctor rescued her husband, no matter who he was, he was a good doctor if he had the ability!
It is true that Bo Er Bo San was also present at this time, and everyone was listening to the patient's condition.
Constantly help thinking!
But sometimes, the head of an emergency doctor is really different from other doctors.
Emergency patients have all kinds of conditions. In contrast, specialist doctors are more specialized.
沧 Cang Cang suddenly changed his face: "Can it be myocarditis?"
Just a word, let everyone hold back.
Don't underestimate the cold!
If it is severe myocarditis, it can be dangerous.
However, my heart sounds are basically normal, and I have just caught a cold for a day, isn't it myocarditis?
Mengxi said, "Would you like to let the color Doppler room come up?"
Chen Cang groaned for a moment, then nodded: "Well, let's exclude it."
Because of the special circumstances of the patient, the operation tonight may be postponed until tomorrow.
Or just transfer the patient to the ICU for observation.
At this time, Chen Cang suddenly looked down and saw the medicine on the table.
I suddenly changed his face!
"He took cold medicine?"
My wife nodded: "Well, he said the doctor wouldn't prescribe him, so I asked to buy some cold medicine outside."
"I think the cold medicine is fine, so I bought some."
沧 Cang Cang suddenly changed his face, opened the drawer and took out the medicine.
I feel Kang!
White with black!
Paracetamol!
Chen Cang took a look and suddenly hesitated.
Maybe the reason is found.
Chen Cang sighed, "Did he take a lot of cold medicine?"
My wife nodded: "Well, when he was in his hometown, he ate colds when he caught a cold.
Cang Cang turned to the nurse and said, "I urgently check the blood concentration of acetaminophen."
The nurse nodded and rushed away with blood.
患者 While waiting, the patient suddenly woke up.
He stared at such a large group of people and suddenly hesitated: "I'm asleep?"
"Doctor, I'm so sorry, I fell asleep after taking cold medicine ... Hey? No, what happened to me?"
The stingy man looked at a lot of lines on his body, and suddenly choked.
Chen Cang stared at the man and asked, "How many cold medicines have you taken?"
The man coughed and coughed, "I ate two white and black tablets, and two paracetamol tablets, and I felt healthy ..."
Cang Cang was speechless: "How about you eat?"
The man shook his head: "I eat often, and everything I eat is resistant."
沧 Cang Cang couldn't help shaking his head: "You just fainted, and you almost lost your life!"
The man suddenly dumbfounded: "I ... I'm fine now? Just a little dizzy, flustered ..."
The people around me also looked at Chen Cang, a little puzzled.
Ge Huai said: "Doctor Chen, the color ultrasound can't do it, the doctor of cardiology also came."
Chen Cang shook his head: "No, just wait for the blood concentration."
The blood drug concentration is very fast. It didn't take long for the phone call to make a clear diagnosis of acetaminophen drug poisoning!
All at once, everyone was frightened.
I stared at Chen Cang with shock.
Is that all right?
都能 Can this be diagnosed?
The patient was sent to the dialysis room for dialysis, and the basic problem was not serious.
However, whether it is a doctor from the Department of Cardiology, Wu Peng in the emergency department, or even everyone around him is staring.
Even the doctor in the dialysis room said: "This can be detected, this is amazing!"
I'm right, everyone stared at Chen Cang with worship eyes, making him a bit shy ...
After I returned, Sanbo stared at Chen Cang:
"Doctor Chen, how long do your heads grow?"
"Yeah! You all know the bad side effects of acetaminophen!"
"Have you memorized all the medication guides?"
Cang Cang smiled.
And Meng Xi also looked at Chen Cang happily: "Great! This is all right!"
Cang Cang couldn't help saying, "The teacher teaches well!"
Mengxi didn't hold back at this time ~ EbookFREE.me ~ Sanbo raised his middle finger.
"Doctor Chen, this is overdone!"
就是 "Yeah, I didn't get my shot, I'm waiting to ..."
Mengxi glanced at the crowd: "Hey, he's not my student anymore?"
Everyone couldn't help but smile awkwardly: "Yes, yes ... it's all Director Meng!"
【Ding! Meng Xi favorability +10! 】
Cang Cang smiled.
Uh ...
Uh ...
Jps: To say one thing, during this time, there are a lot of patients with colds in the clinic. Don't be nervous, and don't panic about taking a lot of cold medicines.
Because cold medicine is not a prescription medicine, everyone can buy it at will, but it is better not to overdo it, and not to eat a lot of food at once.
Because of the overdose of the drug, not only the efficacy does not increase, but the toxic and side effects of the drug will increase proportionally.
Acetaminophen is safe enough, but it can cause serious adverse reactions such as liver injury, arrhythmia, etc. for some sensitive patients. After all, who can say this accurately?
If you are sensitive, it means 100%. If you are not sensitive, it means 0%. Do n’t take your body to test medicine.
Qps: I thank the local tyrants habitually, and thank the "Qingyan Xiaoguan 168" leader for his 10,000 reward! !!
Thank you for your 10,000 reward from the master of "Liu Yulan"!
继续 Continue to add more tomorrow ...