Doctor: I picked up attributes in the hospital

Chapter 207 Acute Inferior Myocardial Infarction? !Almost OVER!

Tian Zhen moved very quickly, and after a while, both adrenaline and dopamine were given to the patient.

5 minute later.

Didi Didi's alarm sound disappeared.

"Doctor Zhao, the patient's blood pressure is 100/50mmHg."

Tian Zhen said.

"Ah."

Zhao Heng nodded and heaved a sigh of relief. In addition to the time when the ambulance arrived at the scene, this was the second time the old man had gone into shock.

Although Zhao Heng has now confirmed that the patient is not allergic to cough syrup, but allergic to cephalosporins, this information was obviously not remembered by the patient's family members when the ambulance arrived.

In clinical practice, this is sometimes the case. An important and crucial piece of information is missed, and sometimes it can be fatal.

But if it is just a cephalosporin allergy, the emergency doctor also treated it as anaphylactic shock during the on-site first aid, and it should be under control by now, and there will never be a second shock like just now.

This patient must not be caused by shock!
Zhao Heng thought with certainty.

But what could be the problem?

Thinking of this, Zhao Heng looked at the patient lying on the transfer bed who had been rescued again, and stood in front of the old lady.

"Doctor, how is the old horse? Will he be okay?"

The old lady asked in a dazed and flustered manner.

"Now that he has been rescued, please recall carefully, this morning, apart from breathing difficulties and chest tightness, did he say he had any other discomfort?"

Zhao Heng asked.

"others?"

The old lady tried hard, but obviously she couldn't think of anything. The memory of the elderly is not very good, let alone in such a state of panic now, it is even more difficult to remember anything.

"This is very important. Now he is in shock for the second time. If it happens again, it is very likely that his life will be in danger."

Zhao Heng saw the old lady who was thinking hard and said.

At this time, it is necessary to use an unconventional method to give the old lady a little stimulation, maybe he will be able to remember.

"Doctor, I remembered. When I woke up in the morning, the old horse said that he was a little flustered. I really can't remember the rest."

The old lady was about to cry at this moment, and said in a crying voice.

"Panic?!"

Hearing these two words, a flash of lightning flashed across Zhao Heng's mind.

Yes, an elderly person with a history of hypertension may induce acute myocardial infarction due to anaphylactic shock, epinephrine and other reasons!
Thinking of this, Zhao Heng immediately turned around and said to Tian Zhen, "Take an electrocardiogram, draw a tube of blood, and check cardiac enzymes and troponin."

"it is good."

Tian Zhen nodded without any hesitation.

After a while, Tian Zhen drew the blood, and after sending the other nurses to the laboratory, he immediately pushed over the bedside electrocardiogram machine and performed a bedside electrocardiogram for the patient.

The ECG drawing came out slowly from the machine, Zhao Heng just glanced at it, and immediately realized the seriousness of the problem.

ST segment elevation!
This is a very typical myocardial infarction graphic!
"Go and call the Cardiac Surgery Department immediately, please consult urgently, and say that there are patients with myocardial infarction here."

Zhao Heng said to Tian Zhen.

Tian Zhen responded immediately, and trotted to make a call.

Almost ignored it!

When Tian Zhen went to make a phone call, Zhao Heng felt a cold sweat in his heart.

If he hadn't questioned the old lady again and found out the hidden symptom of the patient's palpitation, he would have been treating the patient with the method of treating anaphylactic shock, and he would not have discovered the patient's myocardial infarction at all.

If the best treatment time for myocardial infarction is delayed, the consequences will be unimaginable.

Thinking of this, Zhao Heng couldn't help breaking into a cold sweat.

After a while, Jiang Rui, the on-duty attending doctor of the Cardiac Surgery Department, arrived.

And at this time, the results of the urgent cardiac enzymes and troponin sent to the laboratory also came out.

Jiang Rui looked at the electrocardiogram, then looked at the results of myocardial enzymes and troponin, and said to Zhao Heng with certainty: "Dr. Interventional surgery to open the coronary artery."

"Ah."

Zhao Heng heaved a sigh of relief and nodded.

Almost, just a little bit, the patient's myocardial infarction went undetected.

If the patient's myocardial infarction had not been discovered, it would have been a serious medical accident today.

It's too risky, so I'd better ask one more question.

Zhao Heng thought to himself.

No matter how high the level is, there will be times when the car overturns. At any time, you must be cautious!
"Doctor, how is the old horse?"

The old lady had recovered at this moment, stood up, and asked Zhao Heng and Jiang Rui.

"Now it has been confirmed that the patient has a myocardial infarction, and his life is in danger. He must be operated on immediately. This is Dr. Jiang from the Department of Cardiac Surgery. He will preside over the operation."

Zhao Heng spoke briefly.

"Well, well, doctor, let's do the surgery."

The old lady nodded repeatedly when she heard this.

Next, Zhao Heng and Jiang Rui briefed the old lady on some precautions about the operation. After signing the consent form for the operation, the patient was transferred to the Department of Cardiac Surgery to prepare for the operation.

It wasn't until the patient was transferred to the Department of Cardiac Surgery that Zhao Heng really relaxed.

"Doctor Zhao, it's dangerous."

Tian Zhen said with a look of shock.

If Zhao Heng hadn't discovered that the patient had myocardial infarction in time, she and Zhao Heng would have suffered a serious medical accident today.

Any serious medical accident, whether it is a doctor or a nurse, is a very heavy or even a devastating blow.

"Be careful sailing for thousands of years."

Zhao Heng also murmured.

Originally, he thought that his level was high enough, but if he encountered an unexpected situation like today, he would really fail without knowing why.

Today's patient came because of an allergy to cough syrup. If it was a general doctor, it must be treated as anaphylactic shock.

A more cautious doctor may ask that the patient has taken cephalosporins, and he will pay more attention to the severity of anaphylactic shock.

But that's it.

If the third layer is not asked, the patient had symptoms of palpitation after waking up, and then thought of the possibility of myocardial infarction, and checked the electrocardiogram, cardiac enzymes, and troponin, then the attending doctor must have fallen on this patient.

Because if you have been treating according to anaphylactic shock, you will miss the best treatment time for myocardial infarction. Once the patient suffers from cardiac arrest due to infarction, it is really hopeless!

"It's scary."

Tian Zhen continued.

"Doctor Zhao, you are the best, you can discover all of this."

After a pause, Tian Zhen looked at Zhao Heng with great admiration and said.

(End of this chapter)