Chapter 103: Consultation with Cardiology Department
Wu Xiangdong looked at the admiration in their eyes and was speechless.
After all, I just talked about some very superficial things, and I haven't even started to talk about them at a deeper level yet. Why is it that everyone is as excited as if they were given a shot of chicken blood?
But at this time, Wu Xiangdong's attention was entirely focused on the 18-lead electrocardiogram he had just made.
"Sure enough." Wu Xiangdong picked up the electrocardiogram, pointed to the 2, 3, and avf lead wires on it, and said to everyone: "Did you see that the ST segments of these three leads are elevated by a millivolt, and the T wave is inverted?
, indicating that the patient may have inferior wall myocardial infarction."
"And judging from the 18-lead electrocardiogram, it has accumulated to the back wall of the patient's heart."
At this time, Wu Xiangdong's mind came to the new diagnostic guidelines for myocardial infarction in recent years, and he immediately said to Li Yanan on the side: "Go to the laboratory first and send the blood drawn, and then tell the staff to check the cardiac enzymes urgently."
, three-in-one myocardial infarction and other related projects, which will have a great impact on the later treatment of patients."
"Okay." Li Yanan nodded, and then asked: "Doctor Wu, do you have any other instructions?"
Faced with the inquiry, Wu Xiangdong thought for a moment and said: "Call the cardiology department again, ask which doctor is on duty, and ask him to come to the emergency room for consultation."
After receiving Wu Xiangdong's instructions, Li Yanan took a handful of blood collection tubes and ran towards the laboratory outside the emergency room.
"Lao Wan, you keep an eye on the patients in the emergency room, and I'll go talk to the family members at the door about their condition."
"No problem, leave this place to me. If anything happens, I will call you." Wan Zhihua agreed immediately.
Wu Xiangdong nodded when he heard this. After all, Wan Zhihua was sitting in the rescue room, so he was very relieved.
So Wu Xiangdong pushed open the door of the rescue room and walked out.
At this time, the family members outside the door were waiting anxiously. When she saw Wu Xiangdong coming out, she had already come to greet him.
"Doctor, how is my father?" The girl grabbed Wu Xiangdong's arm, her eyes full of anxiety and fear.
After all, for a girl who had just turned twenty and had little social experience, it was pretty good that she didn't collapse when she encountered her father being ill in the middle of the night.
"The patient has been rescued." As soon as Wu Xiangdong finished speaking, the girl could not help but shed tears.
Although there was only a door between them, the test of life and death almost caused the girl to collapse. During the rescue, she stayed at the door, gritting her teeth and persisting even though her whole body was shaking with fear.
Because she believed that her father would not abandon her so easily, since she was her father's only remaining relative.
"Thank you, doctor, for saving my father's life. Without you tonight, I really don't know what I would have done." The girl wiped her tears, her excitement beyond words.
Faced with the girl's thanks, Wu Xiangdong felt like a lump in his throat for a moment and was speechless.
"There is something I need to explain to you clearly." Although the girl was crying so distressingly, Wu Xiangdong, as a doctor, still wanted to explain the current situation clearly to her.
"Your father suddenly lost consciousness and became comatose because the coronary artery supplying his heart was suddenly blocked by a thrombus. This is called myocardial infarction in our medicine." Wu Xiangdong tried to keep his tone calmer to avoid irritating the girl.
.
After hearing about her father's condition, the girl only had a flash of panic in her eyes. Then she took a deep breath and asked Wu Xiangdong: "Doctor, I understand what you said. Now I want to ask."
,is there anything I can do?”
The girl's reaction really surprised Wu Xiangdong. He didn't expect that the girl would mature at a speed visible to the naked eye after experiencing this ordeal.
You must know that when most people experience such changes, they often suffer from emotional breakdown or mental disorder.
But from the girl's eyes, Wu Xiangdong clearly saw only strength. Even he admired this kind of perseverance.
"Okay, then you go to the registration room first and complete your father's information, because according to his current situation, he will definitely be hospitalized soon."
Wu Xiangdong thought for a while and continued: "As for your father's next diagnosis and treatment plan, I will wait for the cardiology doctor to come for consultation later, and then we will agree on a treatment plan for you."
After all, there are many treatment options for patients with myocardial infarction.
First of all, thrombolytic therapy is given priority. It can be administered orally or intravenously, and after absorption into the patient's blood, it can dissolve the clogged thrombus in the coronary arteries, thereby improving myocardial ischemia, necrosis and other related symptoms.
Of course, surgical treatment can also be performed, such as emergency PCI and percutaneous coronary intervention, which can be performed minimally invasively through balloon dilation, stent placement and other means.
However, if the patient's heart condition is very poor and cannot be treated by the first two operations, the patient can only undergo emergency surgery and perform emergency CABG surgery, which is also known as coronary artery bypass grafting.
It is commonly known as coronary artery bypass grafting and is currently one of the main treatments for coronary atherosclerotic heart disease.
However, before Wu Xiangdong could wait for the cardiologist to come over, he heard Wan Zhihua's urgent voice coming from the emergency room.
"Xiangdong, come here quickly for rescue. The patient is suffering from ventricular fibrillation again."
Wu Xiangdong's heart skipped a beat when he heard this. The patient had just returned to sinus rhythm, but a short while later he developed ventricular fibrillation again. This meant that there must be a major problem with the patient's heart.
"I'll be right over." Wu Xiangdong cast a reassuring look at the girl, immediately turned around and ran into the emergency room again.
…
In the emergency room, Wan Zhihua was extremely busy. He watched helplessly as the patient fell into ventricular fibrillation again. The sight of his whole body stiffening as if he had been electrocuted lingered in his mind.
Due to ventricular fibrillation, not only the patient's heartbeat disappeared, but also his spontaneous breathing. While Wan Zhihua squeezed the balloon to ventilate the patient, he turned around and began to perform chest compressions on the patient.
The ear was filled with the sharp and piercing alarm sound, and the flashing red light on the monitor screen continued to stimulate Wan Zhihua's eyeballs.
This feeling of being overwhelmed made Wan Zhihua feel the frustration of being powerless for the first time. It turned out that emergency rescue was not as simple as he imagined. No wonder the hospital took so long to issue a notice and not even a single person came to the emergency room to sign up.
This kind of intensity makes people breathless just by watching it.
Just when Wan Zhihua was feeling desperate, Wu Xiangdong pushed open the door of the emergency room and ran in.
Chapter completed!