I can see health

Chapter 209 Ventricular Fibrillation After Headache

"Chest tightness, still out of breath?" Yin Xinhua paused, "This may also be related to high blood pressure."

"Can high blood pressure cause chest tightness?" The family member of the patient asked with a puzzled look, "Doctor, you... you should go and see my dad."

Yin Xinhua glanced at Lu Chen, Lu Chen understood, and immediately nodded to the patient's family: "I'll go right away."

It is easy to understand that high blood pressure can cause chest tightness.

Just imagine, with such a high blood pressure, it is much more difficult for the heart to pump blood out.

It's like a typhoon blowing outside, you have to carry an umbrella forward, it's not bad if you don't get blown backwards.

But the heart can't stop pumping blood, so even if the blood pressure is high, the heart still has to work hard to pump the blood out. The higher the blood pressure, the more effort it takes to pump it out.

In this way, the heart itself will be more tired, and the heart itself is prone to ischemia and hypoxia, so you will feel chest tightness and even chest pain.

……

Come to the ward.

Lu Chen measured the patient's blood pressure again.

The blood pressure of both upper extremities is symmetrical, around 140/70mmHg.

The patient's blood pressure dropped, but to Lu Chen's surprise, his chest tightness still persisted, and it seemed to be getting worse!

"Let's do another EKG."

With a rigorous attitude, Lu Chen pushed the electrocardiogram machine and took another electrocardiogram for the patient.

What surprised Lu Chen was that the patient's electrocardiogram changed!

Electrocardiogram showed slight elevation of ST-T segment.

Lu Chen frowned. This change may mean that the patient's heart is ischemic!

……

Take the EKG and go back to the doctor doctor's office.

Lu Chen handed the electrocardiogram to Yin Xinhua.

Yin Xinhua compared the two ECGs before and after.

Fan Zhiping on the side said in a deep voice, "I think it might be a myocardial infarction!"

Yin Xinhua nodded in agreement: "Although the patient does not have the typical chest squeezing pain for the time being, not everyone has typical symptoms, and the disease is not static."

The most typical symptom of myocardial infarction is chest pain.

But there are exceptions. Some people have toothache, sore throat, or even shoulder pain as the first symptom, and it is finally found to be myocardial infarction.

Yin Xinhua returned to the ward, listened to the medical history report of the patient and his family members again, and called the patient's family members out for a private conversation.

"Currently, a CT scan of the head has been performed to temporarily rule out cerebral hemorrhage. However, based on the patient's chest tightness symptoms and electrocardiogram, we suspect the possibility of myocardial infarction..."

Yin Xinhua is communicating with the patient's family about his condition.

Lu Chen and Fan Zhiping stayed in the ward.

Lu Chen thought more, besides considering acute myocardial infarction, he also considered whether the patient would have aortic dissection.

With such a high blood pressure and chest tightness, aortic dissection cannot be easily ruled out.

……

Lu Chen brought the blood pressure monitor and wanted to continue measuring the patient's blood pressure monitor.

Walking to the bedside, Lu Chen looked at the patient and was about to speak, but found that the patient rolled his eyes and foam came out of the corner of his mouth.

"Beep beep..."

On the side of the ECG monitor, the siren suddenly exploded in the ward!

Fan Zhiping yelled, "Venticular fibrillation!"

Startled, Lu Chen threw the blood pressure monitor aside, and immediately threw himself beside the hospital bed, and began to perform chest compressions.

At the same time, he shouted: "Brother Fan, hurry up and call the nurse and Dr. Yin!"

Fan Zhiping was taken aback. In the past, he was the one who did the first aid, and others did the errands.

Today the roles are reversed.

It can only be said that Lu Chen's rescue response speed is really fast!

He immediately ran out of the ward and shouted at the nurse on duty and Yin Xinhua.

In fact, as soon as the accident happened in the ward, the nurse on duty found out. She had already rushed to the ward with the emergency vehicle, calling Yin Xinhua all the way.

……

On Lu Chen's side, he was performing emergency cardiopulmonary resuscitation.

Six months ago, he was just a novice in CPR.

But now, he is already familiar with cardiopulmonary resuscitation!
Yin Xinhua rushed over after hearing the sound, and Lu Chen had already got the defibrillator handed over by the nurse.

"Lu Chen, what's going on!"

"Senior Sister Yin, the patient has sudden ventricular fibrillation!" Lu Chen said.

Yin Xinhua's heart sank, "Vtrial fibrillation?"

Is it really a malignant arrhythmia after myocardial infarction?
"Ready to defibrillate!"

After the defibrillator is ready, Lu Chen has already applied the conductive paste.

Charge, discharge!
The first reversion was not successful.

Continue CPR!

Second defibrillation.

"Success!"

After the second defibrillation.

The patient's sinus rhythm finally recovered, but the patient still did not wake up.

"Oops! The patient's blood oxygen is dropping!"

Just as Lu Chen breathed a sigh of relief, Fan Zhiping's voice made his spirit tense again.

The patient's blood oxygen saturation dropped from 97% to 92%, and then the value on the monitor jumped.

It became 90% again!

"This, what is the situation!"

Whether it is myocardial infarction or aortic dissection, the patient's blood oxygen saturation will generally not drop!

Yin Xinhua immediately told the nurse: "Change to a mask to inhale oxygen, and increase the concentration of oxygen inhalation!"

"Received!" The nurse immediately replaced the oxygen inhalation through the nasal cannula with the oxygen inhalation through the mask.

Putting on a mask to inhale oxygen, the patient's blood oxygen saturation fluctuated back and forth around 90%!

"Although the blood oxygen is stable, emergency intubation may be necessary at any time!" Lu Chen said in a deep voice.

At this time, the nurse had opened three intravenous accesses.

Yin Xinhua also knew the seriousness of the matter.

"Urgent blood test, biochemistry, ion, myocardial enzyme, D-dimer, emergency consultation with the anesthesiology department, ready for emergency intubation, and then call the hospital in the heart." Yin Xinhua said to another nurse.

"Okay, Doctor Yin."

……

The patient has now recovered sinus rhythm, and the most important thing at the moment is cardiopulmonary resuscitation, and contacting the anesthesiology department to help with tracheal intubation.

"Doctor, my dad, he, he is..." The expression of the patient's family members was extremely nervous. He swallowed and looked at the bed where he was rescuing his father.

"Family, come out first, and I'll talk to you later."

Yin Xinhua immediately called the patient's family members to the side of the corridor and began to communicate about the condition.

……

Lu Chen and Fan Zhiping stayed by the hospital bed, ready to deal with changes in the patient's condition at any time.

Staring closely at the ECG monitor next to the bed, Lu Chen noticed that the patient's blood oxygen could no longer be maintained!
It was throbbing around 90% at first and now it's down to around 85% again!

"No way! The intubation is about to happen, we can't wait for the anesthesiology department to come." Lu Chen immediately said, "It will be too late when they come!"

Fan Zhiping on the side was stunned, "Yes, but I don't know how either."

Fan Zhiping subconsciously thought that Lu Chen wanted him to intubate.

Bronchial intubation, except for doctors in intensive care, emergency, anesthesia and other departments, doctors in other departments rarely perform this operation.

Although Fan Zhiping is an elderly deputy chief physician, he has never been intubated for many years.

But the next moment, he was stunned.

Lu Chen has already picked up the laryngoscope.

Is he going to intubate the patient himself?
While Fan Zhiping was still thinking about whether Lu Chen would do it, he saw that he had found the right position and stuffed the tracheal tube into the patient's mouth.

(End of this chapter)