medical road high rise

Chapter 353 The child who fell from the third floor

Chapter 355 The Child Who Falls from the Third Floor

Abnormal ventricular wall motion means that the patient's myocardium is no longer contracting and relaxing as a whole, but a few parts have lost their ability to move and are motionless.

Those parts that don't move have a high probability of being dormant or dead.

At the same time, the patient's left ventricular systolic function is reduced because of the death of the heart muscle.

Taken together, the patient's situation is definitely a big trouble.

"Zhang Yao, call the interventional department and say that a patient on my side has suffered a myocardial infarction and needs to be rescued." Qin Feng said.

Soon, the interventional department prepared an operating room for Qin Feng.

Mr. He has already explained in the Intervention Department that if Qin Feng has any request, the Intervention Department must satisfy it as much as possible. If it is an operation, unless Qin Feng does not want to do it himself, no one is allowed to take the stage.

The current Mr. He is No. 1 in the Interventional Department of Ruijin Hospital. Doctors in the Interventional Department would not dare to listen to his words.

To be on the safe side, there are still interventional doctors watching the stage.

Entering the operating room, Qin Feng has already put on the lead suit.

Qin Feng's assistant was a deputy director of the Intervention Department, named Qian Zhongqiang, who had studied with Mr. He in his early years and was considered one of Mr. He's students.

In his eyes, Qin Feng is just like his junior brother. He happened to be on duty today, so he came to support his junior brother.

Both He Lao and Qin Feng didn't say it clearly, but everyone regarded Qin Feng as He Lao's closed disciple.

Qin Feng didn't have too much conversation with Qian Zhongqiang, and started the radiography directly.

The contrast agent entered the patient's body along the blood vessels, all the way to the coronary artery, and when the image appeared, Qian Zhongqiang gasped.

The angiography showed that the patient's anterior descending artery had severe stenosis, and the main path of the stenosis was the proximal end. No wonder it would lead to a large area of ​​myocardial blood.

Qian Zhongqiang glanced at Qin Feng, and found that Qin Feng said calmly: "Use the IABP pump."

The full name of this pump is called the intra-aortic sac counterpulsator, and the operation is fully automated.

Qin Feng mainly needs this machine to assist the patient's heart. Every time the heart beats, the pump will work.

In this way, part of the dying myocardium can have a buffer to recuperate.

After the pump was connected, Qin Feng began to intervene.

Insert the guide wire catheter, send in the stent, and stretch the anterior stenosis, step by step.

Finally, without Qian Zhongqiang saying a word, the operation was completed.

This made Qian Zhongqiang seem a little silent. He was the director of a tertiary hospital, but he couldn't understand the operation of young people.

This was his first time participating in Qin Feng's interventional surgery, and he finally understood why Mr. He said that they would not be allowed to grab the stage.

It takes strength to grab the stage. If they have this kind of strength to grab Qin Feng's stage, they are playing big swords in front of Guan Gong!
After the operation, Qin Feng contacted the CCU to take the patient away.

Qian Zhongqiang wanted to ask Qin Feng to chat more, but Qin Feng directly refused. Qin Feng claimed that he still had something to do, so Qian Zhongqiang didn't force it.

Sitting in the office, Qin Feng shook his head.

Because of the myocardial infarction patient in the morning, Qin Feng felt that it was a pity. Although he was rescued, he was left with permanent trauma. Myocardium is necrotic.

For example, ten processors used to work together, and five of them failed, but now five processors work together, which is definitely not comparable to the previous ten.

The most important point is that patients with myocardial infarction like this can be seen every day in the hospital, and there will be many tragedies in the hospital about this kind.

In fact, this kind of myocardial infarction is very avoidable.

This myocardial infarction, the more tired you are, the easier it is to induce.

In terms of medication, there are mainly two kinds of drugs, one is nitroglycerin lozenges, and the other is Suxiao Jiuxin Pills.

Angina pectoris is a kind of coronary heart disease. When the patient is tired or excited, the blood vessels are prone to narrow and blood supply is insufficient, and the myocardial ischemia will occur, resulting in angina pectoris.

Both drugs can dilate blood vessels, temporarily clear blocked blood vessels, and relieve chest pain symptoms.

The priority of these two drugs is definitely nitroglycerin lozenges. As long as the patient has symptoms of angina, let the patient take them under the tongue. Never lie down or stand while sitting.

This medicine has the effect of lowering blood pressure. Standing will cause insufficient blood supply to the brain, and lying down will increase the burden on the heart.

As for Suxiao Jiuxin Pills, this stuff is the most publicized. It is a Chinese patent medicine. It has the effect of promoting qi, activating blood, and dilating blood vessels.

If the situation is not serious, you can choose Suxiao Jiuxin Pill.

After taking these two drugs, if there is no relief for more than 15 minutes, there may be a myocardial infarction, and you should be sent to the doctor in time.

"Ding ding ding."

"Hello, what? The child fell from the building? Okay, I'll arrange it right away." Qin Feng became short of breath, and called the Department of Brain and Orthopedics respectively, asking them to send doctors over for consultation and treatment.

I also called the hospital chief to arrange the operating room, make preoperative preparations, and prepare beds in the emergency room.

After finishing everything, Qin Feng brought the hospital manager to the emergency room and waited for the ambulance to arrive.

A few minutes later, the ambulance stopped at the door, and Qin Feng and others immediately pushed the flat bed under the back door of the ambulance.

The back door opened, and a boy covered in blood was carried onto the flat bed.

"What's the patient's condition?" Qin Feng looked at the doctor following the car.

"The patient, eight years old, fell from the balcony on the third floor. Due to the concrete floor below, the patient suffered a broken right leg, multiple fractures of the right arm and ribs. I suspect that the patient's spine may also have problems..."

"Did the patient become comatose after you passed, or was he already unconscious when you passed?" Qin Feng asked.

"According to onlookers, the patient had already fallen into a coma when he fell. I suspected that there might be intracranial hemorrhage. I performed a series of cardiopulmonary resuscitation measures in the car, but the patient still had no reaction," said Dr. Zuoche. , "Currently, the patient's blood pressure, respiration, and pulse are all on the dangerous line, and there is a possibility of shock at any time."

Followed by a white-haired old lady, the old lady kept wiping away her tears.

Qin Feng glanced at the old lady. As a family member of the patient, it is necessary for Qin Feng to understand the situation.

After a brief questioning, Qin Feng knew the situation, and it was purely because the elders in the family didn't pay attention to the child's care, which led to the tragedy.

Qin Feng asked the hospital chief to immediately push the patient into the emergency room, and at the same time told Zhang Yao to prepare the ventilator.

"Connect to the ECG monitor and increase the oxygen content. Doctor Wang, go and check the patient's chest to see if you can perform cardiac compressions." Qin Feng commanded.

Qin Feng checked the patient's throat to see if there was any foreign object blocking it.

(End of this chapter)