I Can See Health

"Dr. Sun, something happened to bed 20!"

Liu Mei shouted urgently, which shocked Lu Chen and caused his heart rate to rise to 120 beats/min.

"Here we come!" Sun Guoguo and Lu Chen reacted the fastest. They grabbed their stethoscopes and ran out of the office.

Jiang Qingyan, Ke Yue and others followed closely behind.

…

"Dr. Sun, 20 Bed passed out in the bathroom. He locked the door. There is no movement at all now!"

Everyone quickly ran to the ward where bed No. 20 was located.

Liu Mei stood at the door of the toilet, looking anxious.

"The patient in the next bed said that he went in two minutes ago, and then he heard a thud from inside and then there was no movement. He shouted several times but no one responded. We have called the family members, and they rushed to the hospital immediately. arrive."

Lu Chen immediately understood the urgency of the situation.

The patients in these 20 beds were most likely forced to defecate, which increased the load on the heart, induced acute heart failure, malignant arrhythmia, and even the possibility of sudden death!

In the cardiology department, some patients with myocardial infarction died in the toilet because of "forced defecation"!

"Senior sister, the door is locked, so we have to kick it in."

After getting Sun Guoguo's permission, the two boys, Lu Chen and Dong Hao, started to kick the door.

Sun Guoguo's expression on the side was extremely gloomy.

What doctors are most afraid of is not the seriousness of their illness.

Rather, they are afraid of disobedient patients and difficult family members.

She has warned the 20-bed patient many times that he must urinate and defecate next to the bed.

But he just turned a deaf ear!

…

Fortunately, the door of the hospital bathroom is made of PVC plastic!

Chen and Dong Hao kicked the door open twice.

The smell is mixed with the smell of toilet disinfectant, which is extremely unpleasant.

I saw Zhang Guangming lying in the middle of the toilet, his pants at his knees, and he was completely unconscious.

The color on his head is undoubtedly bright red!

"Defibrillator ready!"

Sun Guoguo shouted to the nurse.

"It's ready!"

Liu Mei has already pushed the ambulance and defibrillator into the ward.

At the same time, Lu Chen and Dong Hao worked together to take Zhang Guangming out of the toilet and put him on the open space of the ward.

At this time, Li Yao also rushed to the ward.

"Heartbeat stopped!"

"Prepare for defibrillation!"

"Liu Mei, give me an adrenaline shot!"

After auscultating the heart, Li Yao quickly judged the condition and immediately knelt on the ground and started chest compressions.

"Ice brain protection!"

"Balloon assisted breathing!"

"Lu Chen, notify the CCU cath lab to prepare. The patient may need to go on stage for emergency intervention at any time!"

"receive!"

After receiving the order, Lu Chen immediately ran out of the ward, came to the nurse's station, picked up the landline phone, and started to contact the CCU ward.

Sun Guoguo and Li Yao were at the rescue at the same time, so he couldn't help much.

…

"Dududu..."

The CCU phone call went through.

"Hello, CCU Ward A."

"I am in the eighth district of the heart. A patient with myocardial infarction has suffered a sudden cardiac arrest. He may need emergency surgery!"

"What is the specific situation? The age of the patient, which blood vessel is considered to be blocked? Do the family members agree to the surgery?"

Lu Chen immediately said: "The 31-year-old male patient is considered to have anterior descending artery occlusion. His family is currently on the way."

"Okay. If the family agrees to the operation, they can be transferred to another department and I will contact the doctor in the cath lab."

"OK, thanks."

After hanging up the phone, Lu Chen quickly returned to the ward.

"Teacher, we have already contacted CCU."

"Okay." Li Yao nodded.

At this time, the patient's ECG monitor has been connected, showing a heart rhythm of continuous ventricular fibrillation.

Sun Guoguo was half-kneeling on the ground, defibrillating the patient.

"Boom..."

The first defibrillation is over.

The ventricular fibrillation on the monitor immediately changed to sinus rhythm, but before everyone could be happy, the sinus rhythm instantly changed to ventricular fibrillation!

"Continue CPR!"

Two defibrillations cannot be performed consecutively, and cardiopulmonary resuscitation is required in between.

Jiang Qingyan took over Li Yao's position and immediately performed chest compressions on the patient.

Ke Yue on the side is using a balloon to assist the patient in breathing.

"Second defibrillation!"

Everyone stayed away from the patient. Sun Guoguo adjusted the energy of the defibrillator, applied conductive paste, and aimed it at the right subclavicle and below the apex of the heart.

"Boom..."

Defibrillation successful!

After ventricular fibrillation converted to sinus rhythm, it remained stable with no signs of converting to ventricular fibrillation again.

Rapid conversion to sinus rhythm means hope of life.

Sustained ventricular fibrillation and sustained cardiac electrical storm, if the time is too long, even if it can eventually be converted to sinus rhythm, long-term ischemia and hypoxia in various organs, the prognosis will be extremely poor!

"Zhang Guangming! Zhang Guangming! Can you hear me?"

Sun Guoguo came close to Zhang Guangming's ear and shouted loudly.

Zhang Guangming slowly opened his eyes, and then slowly closed them.

Although there was no response, he had regained consciousness.

Everyone breathed a sigh of relief.

"Here, help me move the patient to the bed."

The situation was critical just now, and there was no time to move the patient to bed.

There is strength in numbers, and everyone moved Zhang Guangming to the hospital bed.

At this time, Zhang Guangming's father finally arrived.

He looked panicked and was holding a big bag of steamed buns in his hand.

"What...what's going on?"

"Family members of the patient, right? Come on, follow me outside to talk."

Li Yao looked serious, pointed outside the ward, and walked out first.

Zhang Huaming's father also knew that the female doctor in front of him was the director of the department. He glanced at his son on the bed, UU reading www.uukanshu.net and then followed Li Yao out of the ward.

Of course, the department director is responsible for communicating the situation in such critical situations.

…

After the rescue, Lu Chen was not idle.

He brought over an electrocardiogram machine and reviewed Zhang Guangming's 18-lead electrocardiogram.

Compared with before, the electrocardiogram at this time showed that the entire chest ST segment in leads V1-V6 was elevated!

Now it may not only be a problem with the anterior descending blood vessels, but other cardiac blood vessels may also be blocked!

Take the electrocardiogram and walk out of the ward.

Lu Chen saw Teacher Li Yao communicating with the patient's family about the condition.

"The patient may have cardiac arrest again at any time, and next time he may not be as lucky as he is now to be rescued." Li Yao frowned, "Now that the patient's condition is improving, interventional surgery should be performed immediately to open the blood vessels, so that he can have A glimmer of hope.”

The middle-aged uncle gritted his teeth.

"how much is it?"

"It depends on how many stents are placed. Judging from the patient's current condition, you will need to prepare at least 50,000 yuan."

"Fifty thousand..." The middle-aged uncle looked hesitant, "This... can he be okay?"

Li Yao shook her head slightly, "We cannot guarantee, and no hospital can guarantee the treatment effect, unless it is a Putian hospital. You should be lucky now that your son has the opportunity to undergo emergency surgery! How many people have died suddenly after heart infarction, and want to do it?" There is no chance of surgery!”

"Director Li, let me think about it!" the middle-aged uncle paused and said.

"There's no time to think about it!" Li Yao frowned, "Every minute that passes, the patient becomes more dangerous!"

As soon as he finished speaking, Sun Guoguo's voice came from the ward.

"The patient has ventricular fibrillation again!"