I Can See Health

   Chapter 707 Professor Lu, long time no see!

  Modu First Hospital, Emergency Department.

   "The patient is currently in critical condition. We have to intubate his trachea and put him on a ventilator first, and then do pulmonary artery CTA, otherwise we are afraid of accidents on the road."

   Wu Si said solemnly to the patient's two daughters.

   The little girl was already crying.

   "The intubation agrees, and the ventilator agrees."

  The eldest daughter made a decision immediately.

  The two sons-in-law also expressed their stance and actively rescued them.

   The patient is now severely hypoxic. Pulmonary embolism will lead to hypoxia, which will cause major problems.

   Lack of oxygen can make the brain sluggish and even coma. Hypoxia reflexively makes breathing more rapid, hoping to get more oxygen from the air.

   "My dad is so hypoxic right now, can't he increase his oxygen intake?" the eldest son-in-law suggested.

   He deals in medicines and knows a little bit of medical knowledge, but not much.

   Wu Si hurriedly shook his head and said, "It's really not good. Because the patient's alveoli are not hypoxic! The reason for the difficulty in breathing is that the pulmonary artery is blocked!"

   "No matter how much you inhale oxygen at this time, there is no way to relieve the patient's hypoxia."

   Actually, the reason is very simple.

  What we need to do is to clean up the road, dissolve the thrombus stuck in the pulmonary artery, or use interventional methods to break the thrombus or remove the thrombus through surgery, so that the blood can smoothly enter the lungs, obtain oxygen, and then bring it to the tissue for use.

   "Is the ventilator useful?" The eldest son-in-law frowned.

   Wu Si was preparing the equipment for endotracheal intubation, but he didn't have time to pay attention.

Lu Chen immediately explained: "Although the ventilator can't reverse the disease, it can alleviate some hypoxia, because we can inject pure oxygen into the patient's lungs. If there is blood that can bypass the thrombus and enter the lungs, it may give more tissue to the lungs. Bring some oxygen, and at critical moments, bring a little more to count."

  The eldest son-in-law nodded to Lu Chen without saying much.

   At this point, Wu Si has all the equipment for endotracheal intubation ready.

  As a veteran of the emergency department, Wu Si intubated the patient in two or three times.

  The nurse quickly connected the ventilator and adjusted it to 100% oxygen inhalation. Seeing that the blood oxygen saturation has risen from 82% to 90%, and then it can't go up.

   "Ah, it seems really boring." Wu Si sighed.

   On the other hand, the emergency department nurse has already contacted the CT room and called the respiratory medicine doctor again.

  The respiratory physician agreed to consider pulmonary embolism and agreed to CT pulmonary angiography.

   Consultation is very important at this time!

   First, there are multiple people with multiple ideas, and second, multiple people share the responsibility. This is to protect the patient, but also to protect yourself.

   Wu Si personally escorted the patient to the CT room.

   At this time, there was nothing to do with Lu Chen in the emergency department.

  Lu Chen perfected his consultation opinion, put the stethoscope in his pocket, and left the emergency department ward.

  …

   The hospital path at night is somewhat quiet, forming a strong contrast with the noisy ward not far away.

  The weather is still cold, and the night wind comes out, making people feel a bit chilly.

  Lu Chen tightened his white coat slightly and walked back to the CCU lounge.

   Just sat in the lounge for five minutes.

   The phone rang.

   But this time, it was Lu Chen's personal mobile phone, and it was Wu Si who called him.

"Mr. Lu, pulmonary embolism has been diagnosed!" Wu Si's tone was very solemn, "CT showed that there were many thromboembolisms in the pulmonary artery, but it was not completely stuck. Fortunately, there was still a little blood that could pass through, otherwise the patient would be gone in the emergency department. We are so lucky!"

   "This man is really dead!" Lu Chen couldn't help but sigh, "Don't go back to the emergency department, hurry up and send it to the ICU for thrombolysis!"

   Now only by dissolving the thrombus, the patient has a chance of life.

   "Okay, I'll take him there myself!"

  Under the **** of Wu Si, the patient was safely transferred to the ICU.

   The superior doctor in the ICU has also returned. In such a critical condition, it will be safer to have a superior doctor there.

  …

   Lu Chen had no time to take care of the rest of the rescue.

   As the resident chief of the Cardiology Department, he is always ready for consultation and rescue in other departments.

   However, after this rescue, it still reminded Lu Chen that he must not be confused by the symptoms of the patient.

  Thinking about it, Lu Chen took off his white coat and continued to sleep on the bed.

   This time, Lu Chen couldn't sleep.

   After the rescue just now, his spirit is quite high now.

   So, Lu Chen took out his phone and opened the WeChat group.

   I found that there are many unread messages in the Jinghua Electrophysiology Exchange Group.

   When I opened it, it turned out to be a very difficult electrocardiogram, but no one has yet decoded it.

   "It's all a bunch of night owls!" Lu Chen smiled.

   Recalling the time when I helped everyone interpret electrocardiograms in the Jinghua Electrophysiology WeChat group.

   It was a really nice experience.

   But now Lu Chen rarely bubbles in the group.

   As soon as everyone's level has improved a lot, the most powerful is Fan Zhiping, who can basically judge most of the electrocardiograms.

  Secondly, when Lu Chen arrived in the magic capital, he rarely had time to pay attention to these group news.

   But today, when he encountered this difficult electrocardiogram, Lu Chen suddenly became interested.

   To find this electrocardiogram that no one in the group can interpret, Lu Chen carefully studied it many times.

   Finally got a diagnosis.

   "Left Posterior Branch VT, Ventricular 1:1 Retrograde Atrial!"

As soon as   Lu Chen's avatar appeared in the group, the Jinghua Electrophysiology Exchange Group was in a frenzy!

   The focus of everyone's attention was no longer the ECG, but Lu Chen himself.

  …

  Fan Zhiping happened to be on night shift tonight, so he opened the electrophysiology WeChat group when he had nothing to do.

   His biggest interest now is to discuss various electrocardiograms with everyone in the group.

   However, tonight's ECG is really difficult!

  Fan Zhiping thought for a long time, but he didn't have any clue.

   Suddenly, a message popped up in the group.

   "Left Posterior Branch VT, Ventricular 1:1 Retrograde Atrial!"

  Fan Zhiping frowned slightly, this diagnosis... seems unlikely, right?

   However, when he saw the somewhat familiar head portrait, he was stunned.

   This is Lu Chen!

  Professor Lu, finally bubbling up!

   There is nothing to say about this electrocardiogram, it must be left posterior fascicular ventricular tachycardia!

  Fan Zhiping hurriedly sent a message.

   "Professor Lu, long time no see."

  Although he knew that Lu Chen was not a professor, he was still used to using the title "professor" in the WeChat group.

   Others in the group also chimed in.

   One after another, greetings to "Professor Lu" immediately swiped the screen.

  Many newcomers who have just joined the group do not quite understand what is going on.

   After a little inquiries, I found out that he was a big boss.

  …

   Magic City No. 1 Hospital, CCU lounge.

  Lu Chen looked at the WeChat group and couldn't help laughing.

   He really underestimated his influence in Jinghua.

  If I knew earlier, I would not send this message...

   However, Lu Chen also received a wave of thanks from the Jinghua Electrophysiology Exchange Group.

   No loss, no loss!

  Lu Chen chatted with everyone for a while, and then closed the WeChat group.

   Today’s night shift is really busy, so I can only write as much as I can.

   We will rest tomorrow and update as much as you like.

   Looking for a wave ticket, the current monthly ticket goal is only half completed.

   (end of this chapter)