I can see health

Chapter 56 Ventricular fibrillation!Ventricular fibrillation!Ventricular fibrillation again!
"Doctor Sun, something happened to bed 20!"

Liu Mei's eager cry shocked Lu Chen, and his heart rate rose to 120 beats per minute.

"Here we come!" Sun Guoguo and Lu Chen reacted the fastest. They grabbed their stethoscopes and ran out of the office.

Jiang Qingyan, Ke Yue and others followed closely behind.

……

"Doctor Sun, bed 20 fainted in the toilet, he locked the door behind him, and there is no movement at all now!"

Everyone quickly ran to the ward where the No. 20 bed was located.

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

"The patient in the next bed said that he went in 2 minutes ago, and then he heard a thud coming from inside, and then there was no movement, and no one responded after calling a few times. We have already called the family members, and the family members rushed to the hospital immediately. arrive."

Lu Chen immediately understood the urgency of the situation.

These 20-bed patients are most likely to defecate with force, which increases the load on the heart, induces acute heart failure, malignant arrhythmia, and even the possibility of sudden death!
In the Department of Cardiology, some patients with myocardial infarction died in the toilet, and the reason was "stretching to defecate"!
"Senior Sister, the door is locked, so I have to kick the door."

With Sun Guoguo's consent, the two boys, Lu Chen and Dong Hao, began to kick the door.

Sun Guoguo at the side looked extremely gloomy.

What doctors are most afraid of is not fear of critical illness.

They are afraid of disobedient patients and difficult family members.

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

But he completely ignored it!
……

Fortunately, the door of the hospital toilet is made of PVC plastic material!

Chen and Dong Hao kicked hard twice, then kicked the door open.

The smell 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 on his knees, completely unconscious.

The color of his head was, without a doubt, bright red!

"Defibrillator ready!"

Sun Guoguo shouted at the nurse.

"It's ready!"

Liu Mei had 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 hurried to the ward.

"Heart stopped!"

"Ready to defibrillate!"

"Liu Mei, push an adrenaline shot!"

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

"Ice bag head protection!"

"Balloon assisted breathing!"

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

"Roger that!"

After receiving the order, Lu Chen immediately ran out of the ward, came to the nurse's station, picked up the landline phone, and began to contact the CCU ward.

Sun Guoguo and Li Yao were on the scene at the same time, so he couldn't help.

……

"Beep beep..."

The CCU phone went through.

"Hello, Area A of the CCU ward."

"I'm in the eighth district of my heart. A patient with myocardial infarction has sudden cardiac arrest. He may need emergency surgery!"

"What is the specific situation? The age of the patient, which blood vessel is blocked? Did the family members agree to the operation?"

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

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

"OK, thanks."

After hanging up the phone, Lu Chen hurried back to the ward.

"Teacher, I have already contacted CCU."

"Okay." Li Yao nodded.

At this time, the patient's ECG monitor has been connected, showing a continuous ventricular fibrillation rhythm.

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, the sinus rhythm turned into ventricular fibrillation again in an instant!

"Continue CPR!"

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

Jiang Qingyan took Li Yao's place and immediately gave the patient chest compressions.

Ke Yue on the side was using a balloon to assist the patient to breathe.

"Second defibrillation!"

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

"Boom..."

Defibrillation successful!

After the ventricular fibrillation converted to sinus rhythm, it has been stable, and there is no sign of ventricular fibrillation again.

Quickly turn into sinus rhythm, that means hope for life.

Sustained ventricular fibrillation, continuous cardiac electrical storm, if the time is too long, even if it can be converted to sinus rhythm in the end, the prognosis is extremely poor due to the long-term ischemia and hypoxia of various organs!
"Zhang Guangming! Zhang Guangming! Can you hear me?"

Sun Guoguo moved closer to Zhang Guangming's ear and shouted loudly.

Zhang Guangming slowly opened his eyes and then closed them slowly.

Although there was no response, consciousness has been regained.

Everyone breathed a sigh of relief.

"Come on, lend a hand and move the patient to the bed."

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

There are many people and strength, and they moved Zhang Guangming to the hospital bed.

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

He looked flustered and held a bag of steamed buns in his hand.

"This...what's the matter?"

"Patient's family members, right? Come on, tell me outside."

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 head of the department. He glanced at his son on the bed, and followed Li Yao out of the ward.

Of course, the director of the department is responsible for communicating the situation in such a critical situation.

……

After the rescue was over, Lu Chen was not idle.

He pushed over the electrocardiogram machine and reexamined the 18-lead electrocardiogram for Zhang Guangming.

Compared with before, the electrocardiogram at this time showed that the ST segments of the entire chest V1-V6 leads were 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 occluded!
Holding the electrocardiogram, he walked out of the ward.

Lu Chen saw that Teacher 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 he can be rescued." Li Yao frowned tightly, "Now that the patient's condition is improving, an interventional operation should be performed immediately to open the blood vessel, so that we can recover." A ray of life."

The middle-aged uncle gritted his teeth.

"how much is it?"

"It depends on how many stents are placed. Judging from the current state of the patient, you need to prepare at least 5 yuan."

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

Li Yao shook her head slightly, "We can't guarantee that, any hospital can't guarantee the treatment effect, except the Putian hospital. You should be lucky now that your son has the opportunity to undergo emergency surgery! How many people die suddenly after a heart attack, want to do it? There is no chance of surgery!"

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

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

As soon as the words fell, Sun Guoguo's voice came from the ward.

"The patient has ventricular fibrillation again!"

(End of this chapter)