Chapter 668

In fact, there are many kinds of consultation in hospitals, such as urgent consultation, which requires doctors to arrive quickly in the shortest time.

In this case, the invited doctor must arrive at the invited department at the first time, and make corresponding treatment even if there is a patient in hand.

There are many such situations in hospitals, especially in the Department of Cardiology. A doctor should spare time to prepare for emergencies all the time.

To tell the truth, in internal medicine, there are the most and most dangerous emergency cases in the heart, which often determine life and death between minutes and seconds.

The complexity of the heart is different from that of the brain. The complexity of the heart lies in variability, while the complexity of the brain lies in the unknown.

There is often a certain choice between surgery and conservatism when there is bleeding or infarction in a certain part of the brain, while the heart is different. Once there is a problem, we must first deal with the corresponding symptoms before we can consider others.

The heart is changeable because this thing moves together with two sets of systems.

One set of electrophysiology, one set of fluid mechanical physiology. To be honest, if you want to be a great cardiologist, you must pass physics first.

What fluid viscosity, electrical signal, turbulence, there are too many physical problems attached to the heart, which is difficult for doctors.

As soon as Zhang Fan saw Xu Lili's face, he didn't have to check his body. He could make it clear that Xu Lili had a heart problem. As for the part of her heart that had a problem.

If you can give Zhang Fan a longer time, maybe he can figure it out by relying on anatomy, physiology, pathology and other related knowledge, but between minutes and seconds, let him determine the diagnosis. He knows that he doesn't have any ability.

Medicine is a wonderful thing. It seems that it is all about studying human organs and basic physiology. Doctors in any discipline should master it.

With a slight upgrade, one department and one department are directly like two disciplines in different fields of discipline.

If doctors want to go up again, these are like interdisciplinary knowledge, which must be tied together to overcome. Therefore, if they want to become an authoritative doctor, they must work diligently for decades, maybe they can have some hope.

For heart disease, it will not give you time to deliberate. It must be the same as eating dumplings. If you take a bite, you don't have to think. You have to say what disease depends on your taste buds. When you say it, you have to deal with it at the same time, whether you like it or not.

Therefore, the call Zhang Fan asked the nurse to call the cardiology department was an urgent call. In particular, it was best to ask the Department Director to come, because young people generally do not have heart symptoms, but once they do, it is more dangerous.

Ren Li is not only the director of the Department of Cardiology, but also a senior official of the hospital. She was recruited by Ouyang from niaoshi hospital. At present, in the tea vegetable area, it is estimated that Ren Li is the first person in the Department of Cardiology.

Like Zhang Fan, she is Ouyang's special person. Ouyang handed over surgery to Zhang Fan and internal medicine to Ren Li.

After receiving an urgent emergency call, Ren Li rushed to the hospital with the flower.

When the male doctor was anxious to get angry and speed up the run, like Huang Feihong in the film, he lifted up his coat and strode, because the white coat was too long, which affected the crossing of his legs.

When women doctors run faster in white coats, they don't know why. Instead, they press one hand on their waist and one hand often covers their mouth. It's a strange action. Should the wind cover your mouth?

However, this does not affect their running speed. The little white shoes are swishing, the broken steps are fast, and they are still very fast. Less than three minutes is an accident!

Therefore, when you see a female doctor running with her mouth covered in the hospital, you must avoid it. Even when there was no wind, it was not curious. He took her and asked why she covered her mouth.

Ren Li took the flower and ran to the emergency center in two minutes. Before the person came to the patient, Zhang Fan began to report the preliminary situation of the patient loudly to the two people in the distance.

"Come on, is the ECG out yet. That stethoscope People haven't arrived yet. After hearing Zhang Fan's report, Ren Li has begun to deal with it accordingly.

"ECG out!" When Ren Li had just finished speaking, the doctor in the emergency center had taken the paper to Ren Li.

The rescue is like this. Everyone knows who leads and who cooperates. There is no need to assign temporarily.

"Almost syncope once, syncope once, the ECG obviously has a rapid heart rate. What about the heart rate?"

In medicine, one word of a word often represents different meanings and consequences. For example, heart rate, in popular terms, is the speed of heart beat, while heart rhythm is the irregularity of heart beat.

Syncope, not to mention ordinary people, is that some surgeons don't know the definition of this word very well.

When a patient suddenly loses consciousness, it is syncope, while dizziness is similar to syncope. The definition is so defined, but it is difficult to really identify it quickly in clinic.

This syncope and similar syncope represent different diseases, one ring after another, such as heart diseases.

If one link is wrong, the treatment method is wrong. This treatment must take effect within a few minutes. If it is wrong, it means failure.

"Uneven law, over speed!" The flower lay beside the patient and gave the auscultation results in a few seconds. The girl's basic knowledge is quite solid.

As she spoke, Ren Li, like a female leopard, brushed and rushed to Xu Lili's side.

Put your hands on the patient's neck and say, "Zhang Yuan, come on, get ready for cardioversion."

"Good!"

So, those who are not engaged in medical treatment simply don't understand. Let's say it in popular words.

Xu Lili was attacked by anger, and then hormone secretion led to problems in the electrophysiology of the heart. Like electric waves, it used to tick and tick. It was very regular, just like the elderly prostate patients.

But more hormones stimulate the brain. The brain drinks too much hormones, and then gets angry in a hurry and sends out chaos. The radio waves of the heart become urgent, such as laws and regulations, BIU! Biu！ Biu！

When the signal is disordered, the muscles of the heart also begin to be disordered. It was originally a regular contraction, because there is a problem with the signal, whether it is retracted or not, whether it is retracted or not.

What is the heart? The heart is a pump. If the contraction is disordered, there is a problem with the blood pumped out.

The original smooth blood, like children spitting, is very smooth.

This very irregular contraction will lead to countless eddies in the blood of blood vessels, which is turbulence.

When turbulence occurs, the blood can't flow out. They all get together to play in circles. If the blood vessels are enlarged, the blood will be like the spin on the human head, countless spin, one after another.

The blood began to play around, then the body began to suffer from ischemia, and then the brain became more anxious. Originally, it only ate a little too much hormone. As a result, it is not only hormone, but also hypoxia, ischemia and lack of energy.

At this time, the brain is like a deranged person. Opening his mouth is nonsense.

Orders that were originally chaotic are even more chaotic at this time.

In the blood vessel, the blood pressure in circles will peel off the thrombus originally attached to the blood vessel wall, followed by more serious consequences.

Moreover, if this disordered order can't be corrected in a short time, the heart muscle doesn't know what to do. Therefore, keep working, these muscle men will strike. This is the so-called cardiac arrest. I quit!

After cardiac arrest, followed by heart failure, kidney failure, electrolyte disorder, multiple organ failure, just like the great rout, people hang up.

Ren Li put her hands on the patient's neck. This is a carotid sinus massage.

Many people may have this experience. Sometimes, without knowing the reason, they will have a sudden panic and feel that their heartbeat is particularly strong, as if they want to jump out.

This is palpitation. No matter how old or young, many people will have palpitations. The heart can adjust itself in a short time. When there are long-term palpitations, there will be problems and arrhythmias.

Therefore, in general, in this case, ordinary people can cough, just like an embarrassing cough, or take a deep breath, then shut up, and then spit out suddenly, or massage their eyes. These actions can correct palpitations. However, as there are already basic heart diseases, don't think about it and send them to the hospital.

Ren Li gave oral medical advice while massaging: "360j single wave electric shock preparation, 1mg adrenaline static push, prepare amiodarone and lidocaine!"

Ren Li gave the doctor's advice. The flower was installed with a monitor. In an instant, Xu Lili's chest was full of lines, and Zhang Fan was ready for electric shock.

Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father are eyeing each other. But when they hear the nervous and urgent voices of doctors and nurses in the hospital, they can't care.

Xu Lili's boyfriend's heart pounded when he saw that the doctors were facing great enemies. He knew that his girlfriend had a big problem.

"Doctor, doctor!" An anxious voice shouted. A doctor in the emergency center came out with a book like illness notification.

"Who are you?"

"I'm her boyfriend!"

"It's best to contact her immediate family. Now you sign first. The patient has been reported as critically ill. The situation is very serious and there is a possibility of rescue failure."

"Ah!" This voice was not made by Xu Lili's boyfriend, but Wang Xiaohu's father. He never thought that his son had caused such a serious disaster.

"It's over! It's over! " Although it is a relocated household, it is still an ordinary person. In his mind, what he thinks is not whether his son has passed the age of 14, but that he should be saved!

As soon as Xu Lili's boyfriend heard it, his heart was like stirring with a knife. He took out the phone and wanted to inform Xu Lili's parents.

After the call, the young man looked at Xu Lili in the rescue room. As a result, he saw Wang Xiaohu's parents.

In an instant, the original despondent appearance changed into a fire in his eyes. He stopped calling and making trouble, and directly took out the phone, "I want to call the police. Wang Xiaohu of XX village and his father killed the school teacher!"

"No, no, no, no, no!" Wang Xiaohu's father cried directly, put his hands and prayed.

Xu Lili's boyfriend, with a vengeful eye, stared at

The rescue of arrhythmia is effective, just like a broken dam. If it cannot be intercepted in the early stage, it will bring disastrous consequences.

Electric shock and medicine, when the five cycles fail to see a doctor, it can represent the failure of rescue, and this time is the so-called Golden six minutes.

Doctors and nurses, more and more involved. Ren Li almost kept giving oral medical advice.

"Please anesthesiology department, prepare intubation when necessary!" This is ready for the ventilator.

"Good!"

At sunset, Xu Lili's pale face was illuminated with a faint aperture by the afterglow.