MTL - I Can See Health-Chapter 56 Ventricular fibrillation! Ventricular fibrillation! Ventricular fibrillation again!

   Chapter 56 Ventricular fibrillation! Ventricular fibrillation! Ventricular fibrillation again!

   "Doctor Sun, there is an accident in 20 beds!"

   Liu Mei shouted eagerly, which shocked Lu Chen, and his heart rate rose to 120 beats/min.

   "Here!" Sun Guoguo and Lu Chen responded the most quickly. They grabbed the stethoscope and ran outside the office.

   Jiang Qingyan, Ke Yue and others followed.

  …

   "Doctor Sun, 20 beds fainted in the toilet, he locked the door, and now there is no movement!"

   Everyone quickly ran to the ward where bed number 20 was.

  Liu Mei stood at the door of the toilet, looking anxious.

"The patient in the next bed said that he went in two minutes ago, and after a while, he heard a thump from inside, and there was no movement, and no one responded after shouting a few times. We have called the family members, and the family members rushed over immediately. arrive."

  Lu Chen immediately understood the urgency of the situation.

   These 20-bed patients are most likely to be forced to defecate, aggravating the load on the heart, inducing acute heart failure, malignant arrhythmia, and even sudden death!

  In the Department of Cardiology, some patients with myocardial infarction died in the toilet, the reason being "squeezing the stool"!

   "Senior sister, the door is locked, and the only thing you can do is kick the door."

   With Sun Guoguo's answer, the two boys Lu Chen and Dong Hao started kicking the door.

On the side of   , Sun Guoguo looked extremely gloomy.

  What the doctor is most afraid of is not that he is in a critical condition.

   is the fear of disobedient patients and difficult family members.

   She has repeatedly warned the 20-bed patient that he must defecate beside the bed.

   But he was completely ignored!

  …

   Fortunately, the door of the hospital bathroom is made of PVC plastic!

  Chen and Dong Hao kicked hard twice before kicking the door open.

The smell of    is mixed with the smell of toilet disinfectant, which is extremely unpleasant.

   I saw Zhang Guangming lying in the middle of the toilet with his pants at his knees, and he was completely unconscious.

   The color on his head, no doubt, is bright red!

   "The defibrillator is ready!"

  Sun Guoguo shouted to the nurse.

   "It's ready!"

  Liu Mei has pushed the ambulance and defibrillator into the ward.

   At the same time, Lu Chen and Dong Hao worked together to get Zhang Guangming out of the toilet and put him on the open space of the ward.

   At this time, Li Yao also rushed to the ward.

   "My heart stopped!"

   "Prepare for defibrillation!"

   "Liu Mei, push an adrenaline!"

   After auscultation of the heart, Li Yao quickly judged the condition, and immediately knelt on the ground and started chest compressions.

   "Ice bag brain protection!"

   "Balloon Assisted Breathing!"

   "Lu Chen, inform the CCU catheterization lab to prepare, the patient may come to the stage for emergency intervention at any time!"

"receive!"

   After receiving the order, Lu Chen immediately ran out of the ward, went to the nurse station, picked up the landline phone, and started to contact the CCU ward.

  Sun Guoguo and Li Yao were present at the same time to rescue him, and he couldn't help much either.

  …

   "Dududu..."

  CCU is on the phone.

   "Hello, CCU Ward A."

   "I am here in the eighth area of ​​the heart. A myocardial infarction patient has sudden cardiac arrest and may need emergency surgery!"

   "What is the specific situation? The patient's age, which blood vessel is considered blocked? Has the family agreed to the operation?"

  Lu Chen immediately said: "The 31-year-old male patient is considering occlusion of the anterior descending branch. The family members are on their way here."

   "Okay. If the family members agree to the operation, they can be transferred to the department. I will contact the doctor in the catheterization lab."

"OK, thanks."

   hung up the phone, and Lu Chen hurried back to the ward.

   "Teacher, I have already contacted CCU."

   "Okay." Li Yao nodded.

   At this point, the patient's ECG monitor has been connected, and it shows the heart rate of continuous ventricular fibrillation.

  Sun Guoguo was half kneeling on the ground, defibrillating the patient.

   "Boom..."

   The first defibrillation is over.

   The ventricular fibrillation on the monitor immediately turned into sinus rhythm, but before everyone was happy, sinus rhythm turned into ventricular fibrillation in an instant!

   "Continue CPR!"

  The two defibrillations cannot be performed consecutively, and cardiopulmonary resuscitation is required in between.

   Jiang Qingyan took over from Li Yao and immediately performed chest compressions on the patient.

   On the side, Ke Yue was using a balloon to assist the patient in breathing.

   "Second defibrillation!"

  Everyone kept away from the patient. Sun Guoguo adjusted the energy of the defibrillator, applied conductive paste, and aimed it under the right clavicle and under the apex of the heart.

   "Boom..."

   Defibrillation succeeded!

   After the ventricular fibrillation was converted to sinus rhythm, it remained stable with no signs of reconversion to ventricular fibrillation.

   quickly converted to sinus rhythm, that means hope of life.

  Persistent ventricular fibrillation, continuous cardiac electrical storm, if the time is too long, even if it can finally be converted to sinus rhythm, prolonged ischemia and hypoxia of various organs, the prognosis is extremely poor!

   "Zhang Guangming! Zhang Guangming! Can you hear me?"

  Sun Guoguo came close to Zhang Guangming's ear and shouted loudly.

  I saw Zhang Guangming slowly open his eyes, and then slowly close them.

   Although there is no response, he has regained consciousness.

   Everyone breathed a sigh of relief.

   "Come on, give me a hand, and put the patient on the bed."

   The situation was critical just now, and it was too late to put the patient on the bed.

  There are more people and more power, so everyone moved Zhang Guangming to the hospital bed.

   At this time, Zhang Guangming's father finally arrived.

   He looked flustered, and was carrying a large bag of steamed buns in his hand.

   "This... what's wrong with this?"

   "The patient's family members, right, come, you and I go outside and talk."

  Li Yao looked serious, pointed to the outside of the ward, and walked out first.

   Zhang Huaming's father also knew that the female doctor in front of him was the director of the department, looked at his son on the bed, and followed Li Yao out of the ward.

   This kind of communication in critical times is of course the director of the department.

  …

   The rescue was over, but Lu Chen was not idle.

   He pushed an electrocardiograph and reviewed the 18-lead electrocardiogram for Zhang Guangming.

  Compared with before, the electrocardiogram at this time showed that the ST segment in leads V1-V6 of the entire chest was all elevated!

   Now there may not only be a problem with the blood vessels of the anterior descending artery, but other heart vessels may also be blocked!

   Holding the electrocardiogram, he walked out of the ward.

  Lu Chen saw that Mr. Li Yao was communicating with the patient's family about his condition.

"The patient may have cardiac arrest again at any time, and the next time may not be as lucky as now and can be rescued." Li Yao frowned, "Now while the patient's condition improves, interventional surgery should be performed immediately to open the blood vessels. A lifeline."

   The middle-aged uncle gritted his teeth.

"how much is it?"

   "Look at how many stents are placed. Judging from the current state of the patient, you should prepare at least 50,000 yuan."

   "Fifty thousand..." The middle-aged uncle hesitated, "This... can he be okay?"

Li Yao shook her head slightly, "We can't guarantee that no hospital can guarantee the effect of treatment, unless it's a hospital in Putian. You should be thankful now that your son has the opportunity to have emergency surgery! How many people died suddenly after a heart attack and wanted to do There is no chance of surgery!"

   "Director Li, let me think about it!" The middle-aged uncle paused.

   "There is no time to think about it!" Li Yao frowned, "Every minute that passes, the patient becomes more dangerous!"

   As soon as he finished speaking, Sun Guoguo's voice came from the ward.

   "The patient has ventricular fibrillation again!"

   (end of this chapter)