I can see health

Chapter 364 The Change of the Minus Sign

Soon, the results of the urgent blood test came out.

All of the patient's examination results were normal.

At this time, Wang Xiaodong also came to the emergency ward.

"How is the patient?"

Lu Chen said: "After the patient swallowed the battery, he experienced abdominal discomfort and ST-segment elevation in the lower lead of the electrocardiogram. Other than that, the blood test results were all normal, and there were no symptoms of chest tightness or chest pain."

"Please consult with the Department of Cardiology, General Surgery, and Gastroenterology." Wang Xiaodong said.

"Already invited." Lu Chen replied.

"Okay." Wang Xiaodong nodded slightly, it's great to have Lu Chen in the group, it can save a lot of things.

In another week, Lu Chen will be transferred to another department, and he will really not get used to it then!

"Lu Chen, what do you think of this ECG?" Wang Xiaodong looked at Lu Chen.

Ever since Lu Chen's reputation spread, whenever the department has an ECG that they don't know how to read, everyone will come to him.

"The lower lead is indeed elevated, but the cause of the elevation is not yet known." Lu Chen said in a deep voice, "At present, myocardial infarction can be ruled out. I think it may be due to the battery."

"You said it was caused by the battery?" Wang Xiaodong asked doubtfully.

"Well, that's the only way I can think at the moment." Lu Chen said.

At this time, the life value of the patient's head suddenly dropped again!
becomes 64 (--).

"Doctor, my stomach is still very uncomfortable!" The patient said while lying on the bed, clutching his stomach.

"Take some medicine to protect the stomach first." When encountering this kind of patient who swallowed the battery, Wang Xiaodong did not dare to use other medicines rashly.

At this time, Cheng Peng said, "Senior Brother Wang, the patient's chest X-ray image has come out."

Everyone immediately went to the computer to check the video and pictures.

A chest radiograph revealed a radiopaque metallic body in the patient's antral region.

This should be the battery he swallowed.

"It seems that the battery was really swallowed." Wang Xiaodong frowned, "Let's wait for the consultation opinions from the relevant departments first."

About 5 minutes later, the cardiologist came.

However, it was the first time for everyone to encounter this kind of battery swallowing patient, and there was no particularly good way to deal with it for a while.

"Don't consider myocardial infarction for the time being." The opinion of the cardiologist was very clear.

Combined with the patient's symptoms and blood test results, the diagnosis of myocardial infarction is absolutely untenable!
Lu Chen stood in front of the computer and compared the patient's chest X-rays carefully.

"If it is said that the battery has affected the changes in the ECG, there is only one possibility!" Lu Chen thought to himself.

Batteries, after all, are foreign objects.

When a foreign body enters the human body, the first thing to consider is whether there is a possibility of blocking the airway.

Judging from the patient's symptoms, it is definitely not.

Secondly, is whether the foreign body is toxic and how toxic it is!

Substances such as pesticides, rat poisons, and metals can cause damage to the human body.

And the battery enters the human body, this kind of situation is relatively rare, and ordinary doctors really don't understand it.

However, Lu Chen had obtained the skill card of emergency poisoning before, and studied it after returning.

The hazard of the battery is that its surfaces come into contact with the conductive tissue of the esophagus, causing severe burns.

This contact generates an electrical current and splits nearby water into a highly corrosive liquid.

Looking at the chest radiograph in front of him, and thinking of the location of the battery, Lu Chen suddenly realized.

"Junior Brother Lu, did you find anything?" Wang Xiaodong asked as he watched Lu Chen staring at the chest film.

Lu Chen nodded slightly: "Brother, I think I understand the reason why the patient's ECG looks like a heart attack."

When Wang Xiaodong and Cheng Peng heard this, they immediately joined together.

Lu Chen paused for a while, then said: "Because stomach acid has a corrosive effect on the battery, and the content of the battery is a strong acid and strong alkali substance, once the skin of the battery is corroded and the content leaks, it will corrode the digestive tract. It happens that the stomach is facing the heart. lower wall, it may lead to ST-segment elevation possible!"

"In fact, the ECG waveform feels weird, not only the lower wall is elevated, but the chest leads are also elevated!""

"The possibility of interference must be ruled out for this picture! According to the Einthoven triangle, the waveform of lead I is quite good, and the waveform change caused by the interference of the left lower limb must indeed be ruled out!"

"..."

Lu Chen's explanation is very simple. It is the corrosion of the battery by stomach acid. Its position is right against the lower wall of the heart, which leads to changes in the electrocardiogram.

Cheng Peng suddenly realized: "Lu Chen, I understand after hearing you say that. It seems that the electrocardiogram is not only about the heart. We can better understand these things after we know the principle of the electrocardiogram."

"Yes, that's right." Lu Chen smiled.

Wang Xiaodong nodded slightly.

Lu Chen's explanation seems very simple, only a few words, but it is not something ordinary people can do to explain the electrocardiogram from this level!

No wonder Lu Chen Nengdao got the No.6 result in the electrocardiogram competition. This is all strength!

Once the condition of the patient has been initially clarified, the next step is treatment.

The battery must be taken out!
But the way to take it out is to use a gastroscope or a surgical method, which depends on the judgment of general surgery and gastroenterology.

As for the method of excretion, whether it can be excreted or not is another matter. Once the battery stays in the gastrointestinal tract for too long, it may cause corrosion to many intestinal tracts.

Then the loss outweighs the gain!

Therefore, the method of inducing vomiting and excretion is not advisable.

"Doctor... I don't know how to open my abdomen, do I?" The patient lay on the bed with a bitter face.

Accidentally swallowing a button battery caused so much trouble.

"Not necessarily." Lu Chen said, "We can take out the position of the chest X-ray, and it may be taken out with a gastroscope, but the specific method must be judged by other professional departments."

Lu Chen didn't say anything to death.

Gastroscopy is only a minimally invasive operation, but laparotomy is a major operation.

"Doctor, use a gastroscope if you can." The patient tugged on Lu Chen's sleeve, crying sadly, "I'm still young, I really don't want to have this kind of surgery!"

"This is determined by your condition. If the gastroscope cannot be removed, surgery must be used." Lu Chen said seriously, "Once the battery stays in your body for a long time, the damage caused may become greater and greater. By then It's not just the EKG that has changed!"

Although the patient seems to be in a stable condition now, but the two "--" after the number of HP on his head made Lu Chen have to explain his condition carefully.

If this battery is not taken out as soon as possible, sooner or later there will be a big problem!
Hearing Lu Chen's explanation, the patient could only sigh slightly and accepted his fate.

After about a few minutes, both gastroenterology and general surgery came.

After comprehensive consideration, I still chose the gastroscope to take the battery.

However, when it fails, the endoscopic procedure is converted to surgery!

……

Before approaching the gastroscopy room, Lu Chen also used "honey" treatment on the patient.

There is no such method in textbooks, but Lu Chen found it in a newly published document.

After swallowing a battery, the risk of tissue damage can be mitigated by repeated application of honey.

Regardless of whether it is useful or not, after obtaining the patient's consent, Lu Chen used honey for the patient.

After about 10 minutes.

Lu Chen saw that the minus sign after the HP number on the patient's head changed from "--" to "-"!
Sure enough, honey is effective in the early treatment of this patient!

At this point, a prompt pops up on the system panel.

"Congratulations, you have achieved 1% system upgrade completion!"

(End of this chapter)