I Can See Health

   Chapter 718 Such 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    spent a lot of energy, Lu Chen turned off his phone and slowly began to rest.

  Compared to yesterday's busyness, this night seems to be extraordinarily quiet.

   The cell phone of the general inpatient of the Cardiology Department never rang.

   Around ten in the evening.

  Su Wenzheng in the ICU brought good news to Lu Chen.

   "brain dead" girl, wake up!

  After the blood purification, the residual drug toxicity in the patient was also excluded from the body.

  Respiration, nerves, etc., which were suppressed by the drug, began to recover gradually.

   This news made Lu Chen excited.

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

  Lu Chen was full of joy.

   "Doctor Su, please pay attention to the mental state of this patient afterward." Lu Chen thought about it and said.

   This kind of 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 be rescued this time.

   What about next time?

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

   For this type of special patient, the First Hospital of Magic City has a special psychiatry department to take care of it.

   At this time, a series of prompt tones also 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.

  …

   But a night is certainly not complete without an emergency consultation.

   Around one o'clock in the morning, the familiar ringtone of the mobile phone rang again.

   The emergency consultation of the emergency department is here!

  Lu Chen was already fully prepared and slept for a long time in the first half of the night.

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

   Late at night.

  The road from CCU to the emergency department is basically empty.

  Lu Chen felt a cold wind blowing, and could not help shrinking his neck.

   Most people are really afraid to walk 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 did not know.

   But the 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 patient is in the second emergency room!"

  The nurse named Xiaoli smiled sweetly at Lu Chen.

   These nurses now all know about the new inpatient chief of the Cardiology Department. That's not easy!

   He is young, has an independent laboratory, and can complete various interventional procedures independently.

   is even more famous than many professors in the First Academy of Magic City!

   "Thanks, Sister 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 and his condition is very serious. He is going to be sent to CCU."

  Lu Chen looked towards the hospital bed.

   On the hospital bed, lies a middle-aged man with 45 health (---)!

   He closed his eyes tightly, not responding to the outside reaction.

  The emergency doctor continued: "The patient became confused shortly after arriving at 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, saying that he had chest pains and was uncomfortable. As soon as he arrived at the emergency department, he immediately had an electrocardiogram."

   After saying that, the emergency doctor took an electrocardiogram from the case and handed it to Lu Chen, "The electrocardiogram didn't show any signs of acute myocardial infarction, but the blood was drawn, and troponin was elevated."

   Troponin is mainly found in cardiomyocytes, and its increase often indicates that the 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 said that the patient has a history of three highs, hypertension, diabetes, hyperlipidemia, and has risk factors for myocardial infarction, so we can't rule out acute myocardial infarction, so we asked President Lu to come and take 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 is nearly 60 years old, has been in a coma, and is lying on the hospital bed without any movement.

   On the bedside ECG monitor, the heart rate is 120 beats/min and the blood pressure is 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. If the blood pressure is 160/80mmHg for a long time, it suddenly drops to 80/40mmHg.

   Such blood pressure cannot supply blood to his brain!

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

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

   In order to quickly rule out myocardial infarction, Lu Chen asked Gu Peisheng to perform an electrocardiogram on the patient again.

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

   The patient's family is a woman in her 50s who is the patient's wife.

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

"I remember like it was yesterday." The middle-aged woman thought for a while. "Last night, she started to say that her chest was uncomfortable, but it was the worst in the early hours of this morning. I couldn't bear it anymore, so I came to the emergency room and vomited once on the way. It didn't take long for people to faint."

   The middle-aged woman was talking, her voice was a little whimpering, and her expression was extremely frightened.

   A good-natured 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, then we must race against time to rescue and send it to the cath lab for intervention.

  Otherwise, once the myocardial infarction is prolonged, the blood vessels of the heart are blocked by the formed thrombus, the blood flow is blocked, and the myocardial cell necrosis will increase more and more!

  When the myocardial necrosis reaches a certain level, the patient is very likely to develop heart failure, then shock, and finally die!

   This process may occur in as little as a few minutes!

   "Get ready to send to CCU!" Lu Chen said in a deep voice to the emergency doctor beside him.

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

   However, after saying this, Lu Chen still conducted a physical examination for the patient as usual.

   Auscultation of the heart and lungs was generally normal.

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

   The patient's stomach is a little tight!

   This is not normal!

   When a normal person lies flat, the abdomen should be relaxed.

   No matter how hard or hard your abdominal muscles are, they should be soft.

   However, this uncle, who is over 500 years old, is in a coma, but his abdomen is very tight and hard!

   (end of this chapter)