Chapter 703 Professor Lu, Long Time No See!
First Hospital of Shanghai, Emergency Department.
"The patient is in critical condition. We have to intubate him first, put him on a ventilator, and then do a pulmonary artery CTA, otherwise there might be an accident on the way."
Wu Si said to the patient's two daughters in a serious tone.
The youngest daughter has started crying.
"Intubation is agreed, and ventilator is also agreed."
The eldest daughter immediately made a decision.
Both sons-in-law also expressed their opinions and actively rescued him.
The patient is now seriously hypoxic. Pulmonary embolism can cause hypoxia in the body, which will cause big problems.
Hypoxia can make the brain dull and even comatose. Hypoxia will reflexively make breathing more rapid, hoping to get more oxygen from the air.
"My dad is so hypoxic now, can't he increase the amount of oxygen he inhales?" One of the eldest sons-in-law suggested.
He is a pharmaceutical man and knows a little medical knowledge, but not much.
Wu Si shook his head and said, "It really doesn't work. Because the patient's alveoli are not lacking in oxygen! The reason for the difficulty in breathing is that the pulmonary artery is blocked!"
"No matter how much oxygen is inhaled at this time, it can't relieve the patient's lack of oxygen."
In fact, the reason is very simple.
What we need to do is to clear the road, dissolve the blood clot stuck in the pulmonary artery, or use interventional means to break up the clot or surgically remove the clot, so that blood can enter the lungs smoothly, get oxygen, and then bring it to the tissues for use.
"Then will the ventilator be useful?" The eldest son-in-law frowned.
Wu Si was preparing the equipment for tracheal intubation on the side and had no time to pay attention.
Lu Chen immediately explained: "Although the ventilator cannot reverse the condition, it can alleviate some hypoxia, because we can inject pure oxygen into the patient's lungs. If there is blood that can bypass the blood clot and enter the lungs by chance, it may bring more oxygen to the tissues. At the critical moment, it counts as a little more."
The eldest son-in-law nodded to Lu Chen and didn't say much.
At this time, Wu Si had prepared all the tracheal intubation equipment.
As a veteran in the emergency department, Wu Si intubated the patient in a few seconds.
The nurse quickly connected the ventilator and adjusted it to 100% oxygen inhalation. Watching the blood oxygen saturation rise from 82% to 90%, and then it couldn't go up.
"Oh, it seems really bad." Wu Si sighed.
On the other side, the nurse in the emergency department had already contacted the CT room and called the doctor from the respiratory department down again.
After the respiratory doctor saw it, he agreed to consider pulmonary embolism and agreed to CT pulmonary angiography.
It is so important to consult at this time!
First, more people have more ideas, and second, more people share responsibilities. This is to protect the patient and to protect yourself.
Wu Si personally escorted the patient to the CT room.
At this time, there was nothing for Lu Chen to do in the emergency department.
After Lu Chen completed his consultation opinion, he put the stethoscope in his pocket and left the emergency department ward.
…
The hospital path at night was somewhat quiet, forming a sharp contrast with the noisy ward not far away.
The weather was still cool, and the evening breeze made people feel a little chilly.
Lu Chen tightened his white coat slightly and walked back to the CCU lounge.
He had just sat in the lounge for five minutes.
The phone rang.
But this time it was Lu Chen's personal mobile phone, and it was Wu Si who called him.
"Mr. Lu, pulmonary embolism is confirmed!" Wu Si's tone was very solemn, "CT showed that there were thrombus embolism in many parts of the pulmonary artery, but it was not completely blocked. Fortunately, there was still a little blood that could pass, otherwise the patient would have died in the emergency department. We are so damn lucky!"
"This person is really lucky!" Lu Chen couldn't help but sigh, "Don't go back to the emergency department, send him to the ICU for thrombolysis!"
Now only if the thrombus is dissolved, the patient has a glimmer of hope.
"Okay, I'll send him there myself!"
Under Wu Si's escort, the patient was safely transferred to the ICU.
The senior doctor in the ICU also came back. It would be safer to have a senior doctor around when encountering such a critical and severe case.
…
Lu Chen had no time to take care of the remaining rescue.
As the chief resident of the Department of Cardiology, he was always ready for consultation and rescue from other departments.
However, after this rescue, Lu Chen was reminded that he must not be confused by the patient's performance.
After thinking about it, Lu Chen took off his white coat and lay on the bed to continue sleeping.
This time, Lu Chen couldn't sleep.
After the rescue just now, his spirit was quite excited.
So, Lu Chen took out his mobile phone and opened the WeChat group.
I found that there were many unread messages in the Jinghua Electrophysiology Exchange Group.
When I opened it, it turned out that there was a difficult electrocardiogram, and no one had interpreted it yet.
"We are all a bunch of night owls!" Lu Chen smiled.
Recalling the time when I helped everyone interpret electrocardiograms in the Jinghua Electrophysiology WeChat group.
It was really a wonderful experience.
But now Lu Chen rarely pops up in the group.
Firstly, everyone's level has improved significantly. The best one is Fan Zhiping, who can basically interpret most of the ECGs.
Secondly, Lu Chen has arrived in the Magic City and has little time to pay attention to these group messages.
But today when he encountered this difficult ECG, Lu Chen suddenly became interested.
Finding this ECG that no one in the group could interpret, Lu Chen carefully read it many times.
Finally made a diagnosis.
"Left posterior fascicular tachycardia, 1:1 ventricular retrograde conduction to atrium!"
As soon as Lu Chen's avatar appeared in the group, the Jinghua Electrophysiology Exchange Group went wild!
The focus of everyone's attention was no longer the electrocardiogram, but Lu Chen himself.
…
Fan Zhiping happened to be on night shift tonight, so he opened the electrophysiology WeChat group when he had nothing to do.
His biggest interest now is to discuss various electrocardiograms with everyone in the group.
However, this electrocardiogram tonight is really difficult!
Fan Zhiping thought for a long time, but he had no clue.
Suddenly, a message popped up in the group.
"Left posterior fascicular tachycardia, 1:1 ventricular retrograde conduction to atrium!"
Fan Zhiping frowned slightly. This diagnosis... seems unlikely, right?
However, when he saw the familiar avatar, he was stunned.
This is Lu Chen!
Professor Lu, finally popped up!
Then this electrocardiogram is beyond doubt, it must be left posterior fascicular tachycardia!
Fan Zhiping quickly sent a message.
"Professor Lu, long time no see."
Although he knew that Lu Chen was not a professor, he was still used to calling him "professor" in the WeChat group.
Other people in the group also echoed.
Messages greeting "Professor Lu" filled the screen.
Many newcomers who had just joined the group didn't quite understand what was going on.
After asking a little, they found out that he was a big shot.
……
Modu First Hospital, UU Reading wｗw.uuｋanshu.net ccu lounge.
Lu Chen looked at the WeChat group at this time and didn't know whether to laugh or cry.
He really underestimated his influence in Jinghua.
If he had known earlier, he would not have sent this message...
However, Lu Chen also harvested a wave of gratitude points from the Jinghua Electrophysiology Exchange Group.
Not a loss!
Lu Chen chatted with everyone for a while and then closed the WeChat group.
－－－－－－Off topic－－－－－－
Today's night shift was really busy, so I could only write as much as I could.
I will take a break tomorrow and update as much as I want.
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