I can see health

Chapter 718 What a Hard Stomach

The matter of Li Huiyan's cousin also caused quite a stir in the family.

Lu Chen naturally comforted everyone in the family WeChat group.

After expending a lot of energy, Lu Chen turned off his phone and slowly began to rest.

Compared with yesterday's busy, tonight seems to be extraordinarily quiet.

The mobile phone of the inpatient of the Cardiology Department has not rang.

Around ten o'clock in the evening.

Su Wenzheng from the ICU ward brought good news to Lu Chen.

"Brain-dead" girl, wake up!
After blood purification, the residual drug toxicity in the patient's body is also eliminated from the body.

Breathing, nerves, etc. that were suppressed by the drugs began to gradually recover.

This news made Lu Chen very excited.

I want that 17-year-old girl to be able to return to this world.

Lu Chen was full of joy.

"Doctor Su, please pay attention to this patient's mental state afterward." Lu Chen thought for a while and said.

For such short-sighted girls, in addition to the diagnosis and treatment of their own diseases, it is more important to pay attention to their mental state.

Otherwise, even if she is lucky enough to rescue her this time.

What about next time?

"Okay, don't worry, Mr. Lu, we will have a dedicated psychiatrist to take care of her."

For this type of special patients, Shanghai No. [-] Hospital has a special psychiatric department to take care of it.

At this time, a series of beeps came from the system panel.

Lu Chen received another wave of gratitude from the patient's family.

After dealing with this matter, he began to fall asleep.

……

However, no night is complete without an emergency consultation.

Around one o'clock in the morning, the familiar cell phone rang again.

The emergency consultation of the emergency department is here!
Lu Chen had already made enough preparations and slept for a long time in the first half of the night.

So he is not sleepy now, and he rushed to the emergency department immediately.

late at night.

There are basically no people on the road from CCU to the emergency department.

Feeling the cold wind blowing by, Lu Chen couldn't help shrinking his neck.

Most people are really afraid of walking on this kind of road, but Lu Chen is an atheist, so he is naturally fearless.

Came to the emergency department.

The emergency doctor on duty that day was a relatively young attending doctor, whom Lu Chen didn't know.

But the current nurses in the emergency department are all very familiar with Lu Chen.

In the past two days, Lu Chen went to the emergency department several times, and each time he stayed for a long time.

"Doctor Lu, the consultation patient is in the second emergency room!"

The nurse named Xiaoli smiled sweetly at Lu Chen.

These nurses now know that the new chief resident of the Department of Cardiology is not easy!

At a young age, he has an independent laboratory and can independently complete various interventional operations.

He is even more famous than many professors in Shanghai No. [-] Hospital!

"Thank you, Miss Li." Lu Chen nodded slightly in response, ignoring the nurse's eyes.

……

Came to the second rescue room.

The doctor on duty in the emergency department rushed over.

"Mr. Lu, this is a middle-aged man with chest pain. He was admitted to the hospital in a coma. His blood pressure is relatively low. The condition is serious and he is about to be sent to the CCU."

Only then did Lu Chen look towards the hospital bed.

On the hospital bed lay a middle-aged man with 45 HP (----)!
He closed his eyes tightly, not responding to external reactions.

The emergency doctor continued: "The patient became unconscious not long after he arrived in the emergency department."

"Are you conscious on the road?" Lu Chen wondered.

"Anyway, the family members said that the patient was still awake along the way, complaining of chest pains and discomfort. As soon as he arrived at the emergency department, he immediately had an electrocardiogram."

As he said that, the emergency doctor took out an electrocardiogram from the case and handed it to Lu Chen, "I didn't see any signs of acute myocardial infarction in the electrocardiogram, but when the blood was drawn, troponin was elevated."

Troponin is mainly in cardiomyocytes, and its increase often indicates that cardiomyocytes are damaged.

However, in the early stage of myocardial infarction, the myocardium is not completely necrotic, and the electrocardiogram is not necessarily typical.

"The family members said that the patient had a medical history of three highs, including high blood pressure, diabetes, and high blood lipids, and risk factors for myocardial infarction, so we couldn't rule out acute myocardial infarction, so we asked Mr. Lu to come and have a look."

"Okay, I see." Lu Chen nodded.

Judging from the current situation, acute myocardial infarction is indeed not excluded.

In addition, the patient was in a coma, and the emergency department considered severe myocardial infarction and cardiogenic shock.

But these are preliminary judgments.

Lu Chen came to the patient's bedside.

The man was close to 60 years old, and he was in a coma, lying on the hospital bed without any movement.

On the bedside ECG monitor, the heart rate was 120 beats/min, and the blood pressure was 80/40mmHg.

This blood pressure may not be much lower than normal blood pressure.

But don't forget that the patient has a history of hypertension in the past. If the blood pressure is 160/80mmHg for a long time, it will suddenly drop to 80/40mmHg.

Such blood pressure can't supply blood to his brain!

It's like if you live on a high floor, the water pump can't pump the water up, so there is no water to take a shower at night!

Once the blood supply to the brain is reduced, coma occurs.

In order to quickly rule out myocardial infarction, Lu Chen once again asked Gui Peisheng to do an electrocardiogram for the patient.

At the same time, he also found the patient's family members to ask what happened.

The patient's family member is a woman about 50 years old, who is the patient's wife.

Lu Chen frowned and said, "When did the patient start complaining of chest pain?"

"I remember it seemed like yesterday." The middle-aged woman thought for a while, "I started to complain of chest discomfort last night, but it was the worst in the early morning of this morning. I couldn't bear it anymore, so I came to the emergency room and vomited once on the way. When I arrived at the emergency room It didn't take long before the person passed out."

The middle-aged woman was talking, her voice was a little sobbing, and her expression was terrified.

A well-behaved person suddenly passed out like this.

Anyone else would be nervous.

Lu Chen understands middle-aged women very well, but he has no time to comfort her.

If it is really acute myocardial infarction, we must race against time to rescue and send it to the cath lab for intervention.

Otherwise, once the myocardial infarction lasts for a long time, the blood vessels of the heart will be blocked by the formed thrombus, and the blood flow will be blocked, and more and more myocardial cell necrosis will occur!

When the necrotic cells of the myocardium reach a certain level, the patient is very likely to suffer from heart failure, then go into shock, and finally die!
This process can happen in as little as a few minutes!
"Get ready to send to the CCU!" Lu Chen said to the emergency doctor beside him in a deep voice.

"Okay, I'm going to issue a hospital certificate now." The emergency doctor nodded and ran away.

However, after saying this, Lu Chen still checked the patient as usual.

Auscultation of the heart and lungs were generally normal.

However, when Lu Chen touched the patient's stomach, his brows frowned.

The patient's stomach is a little tight!
This is not normal!
When a normal person lies down, the abdomen should be loose.

No matter how big or hard your abs are, they should be soft.

However, this uncle, who is over half a century old, is in a coma, but his abdomen is tight and hard!
(End of this chapter)