Chapter 454
"Lu Zhiwei is not good now. Since it has been brought to our hearts, we will never be allowed to go out sideways."
Xu Dao suddenly slapped the table, his tone instantly a little serious.
The few low-age doctors present were so scared that they almost got tinnitus.
Especially the middle-aged attendant Zhang Huateng who was drinking water almost choked.
The atmosphere suddenly became serious.
"It's up, Lao Xu." Zhang Huateng covered the cup in his hand, afraid that Xu Dao would slap the table again, and his little heart would not be able to stand it after he waited.
Xu Dao's originally serious face suddenly became kind and cute again: "I accidentally used too much force just now... I have been doing fitness exercises a bit fierce recently..."
Xu Dao raised his palm and looked at his hand in disbelief.
It seems that the money is worth paying.
After walking in the gym, the old man became more vigorous and yang.
...
Xu Dao cleared his throat and coughed, trying to bring everyone back to the topic: "Cough cough cough... Everyone should pay attention to this Lu Zhiwei. The patient is still in a crisis and may suffer from shock at any time. I have not figured out the cause of the shock several times before."
The office was slightly silent.
Zhang Huateng carefully placed the cup in his hand on the table, leaning against the corner of the table, frowned slightly.
"Yes, what is the reason why Lu Zhiwei's several times are about to go into shock?"
After Zhang Huateng finished speaking, he glanced at the people around him.
When his eyes touched Zhou Yewu's face, he hesitated for a while, as if he was about to open his mouth, but he still didn't.
Zhou Yewu was also in a cold behind his back.
Fortunately, he just shot a fake, otherwise Zhou Yewu would not be able to tell any accurate diagnosis if he really asked himself.
Who knows what happened to Lu Zhiwei?
Nowadays, Lu Zhiwei is like a time bomb. It's too dangerous to see, why does shock occur?
The people in the office talked and held an urgent discussion. Even an old doctor like Xu Dao, who had been through sand city, frowned unconsciously: "It's hard to fix it."
Zhou Yewu: "Do you want to check again?"
Xu Dao nodded: "At present, this is a good idea, otherwise there will be no other better solution. Improving auxiliary inspections is still the top priority of current work."
...
Zhou Yewu thought of Lu Zhiwei's various strange shapes, and his thoughts were like the waves surging after heavy rain. They were extremely uneasy, but they could not cause any turmoil.
"What exactly causes this repeated hypotension? Intervention? Improper treatment?"
Just as Zhou Yewu was still thinking hard, the sound of tight footsteps came from his ears.
He had a very sensitive hearing, and no one in the entire office paid attention, but he noticed the footsteps that suddenly broke into the office.
He looked closely at the direction of the office door, and there was no one.
Xu Dao was standing at the door, looking at Zhou Yewu with confusion, and the two of them looked at each other affectionately...
...
"What's the matter?" Xu Dao asked.
Zhou Yewu was a little confused and saw a nurse running out of the door at this time.
It is their cardiology department on duty nurse.
"Doctor Xu, Dr. Zhang, you are all here... That guy Lu Zhiwei has a chest pain again, you can go and have a look." The nurse said anxiously.
Zhou Yewu reacted and ran into the ward with one step.
"How are the patient's vital signs now?" Zhou Yewu looked at the nurse who was taking Lu Zhiwei's temperature.
The nurse picked up the thermometer, looked at the hand-in-hand book, and replied: "Body temperature is 36.4, blood pressure is 63/34, pulse rate and heart rate are 80, and blood oxygen saturation is 95%.
Zhou Yewu sighed.
Facing Lui Zhiwei, he patted the man on the shoulder with his palm: "How are you? I heard a reply."
There was a silence in the room.
Lu Zhiwei was in a coma...
Zhou Yewu shouted loudly several times, but Lu Zhiwei did not respond...
This scene made Zhou Yewu really panicked.
It won't be cold, right?
He remembered the vital signs tested by the nurse and shook his head again: "It's a coma. With such low blood pressure, the patient will be unconscious, and his brain cannot provide blood."
Soon Xu Dao, Zhang Huateng, and several other young doctors were also present.
Zhou Yewu was extremely calm. He carefully checked his body and pointed at Lu Zhiwei's neck, which was probably the location of the internal jugular vein.
Everyone's eyes followed Zhou Yewu's fingertips.
"What a full vein, is it heart failure?" Zhang Huateng reacted first, and came forward with a stethoscope to check his body.
Lui Zhiwei's oxygen has been connected by the nurse, and the basic electrocardiogram monitoring is ready to be in place, waiting for the next step of medication treatment.
Zhou Yewu retreated to the back and made some seats for other doctors.
Xu Dao patted Zhou Yewu on the shoulder: "How is it? Do you see any name?"
Zhou Yewu: "You see that the patient's internal jugular vein is so full and angrily, there must be a problem. Either it is right heart failure or there is a large amount of pericardial effusion."
He told all his guesses.
After finishing the talk, I felt something was wrong.
He remembered that when he came to check in the morning, Lu Zhiwei's internal jugular vein just now was not so obvious.
But the current situation is that Lu Zhiwei is indeed full of jugular veins!
The internal jugular vein collects blood from the brain and then flows back into the heart.
If there is a heart problem, you cannot pump blood pressure out in time, such as right heart failure or a large amount of pericardial effusion, the blood will accumulate in the internal jugular vein, causing the internal jugular vein to expand significantly, which is the angrily opening of the internal jugular vein.
"You're right. This patient has a big heart problem." Xu Dao said in a deep voice.
"Get out of the way...get out of the way, let me listen too." Xu Dao stepped forward and rubbed his stethoscope to warm up, and was also full of interest in this Lui Zhiwei.
But at this moment, Zhang Huateng suddenly shouted: "I still listen to your mother's heart, the patient's heartbeat stopped!"
"ah!"
"Come on, prepare for rescue, CPR and tracheal intubation!"
...
Everything changed too quickly.
Xu Dao and Zhang Huateng quickly moved to the patient's bedside and immediately took over the rescue site.
"Cytopulmonary resuscitation is coming soon." Commander Xu Dao said.
Zhou Yewu glanced at the people around him and pressed them up without saying a word.
“1001,1002,1003…”
"I'll go up and take over Xiaowu, don't let him press it alone, you can't stand it."
The sounds of rescue in the room were heard one after another, and they were obviously restless, but they were extremely silent.
Xu Dao: "I got the tracheal intubation stuff, I can't wait for the anesthesia department."
While wearing gloves quickly, Xu Dao asked the nurse to put the things next to Lu Zhiwei.
He was preparing for tracheal intubation directly.
A maneuver is as fierce as a tiger...
He inserted a tracheal intubation into Lu Zhiwei after a few seconds.
Then Zhang Huateng pushed the ventilator and connected it to ensure basic ventilation and oxygenation.
Chapter completed!