Chapter 714: A Hard Stomach (Chapter 1)
The matter of Li Huiyan's cousin also caused quite a stir in the family.
Lu Chen naturally comforted everyone in the family WeChat group.
After expending some energy, Lu Chen turned off his phone and slowly began to rest.
Compared with the busyness of yesterday, tonight seems to be particularly quiet.
The phone of the chief resident of the Department of Cardiology has not been ringing.
Around ten o'clock in the evening.
Su Wenzheng in the ICU ward brought Lu Chen good news.
The "brain-dead" girl has woken up!
After blood purification, the residual drug toxicity in the patient's body was also eliminated from the body.
The breathing, nerves, etc. suppressed by the drugs began to gradually recover.
This news made Lu Chen excited.
I want that 17-year-old girl to return to this world.
Lu Chen was full of joy.
"Doctor Su, please pay attention to the patient's mental state in the future." Lu Chen thought about it and said.
For girls who commit suicide, in addition to the diagnosis and treatment of their own diseases, it is more important to pay attention to their mental state.
Otherwise, even if she can be saved by luck this time.
What about next time?
"Okay, don't worry, Mr. Lu, we will have a special psychologist to take care of her."
For this kind of special patients, the First Hospital of Magic City has a special psychiatric department to take care of them.
At this time, a series of prompts came from the system panel.
Lu Chen received another wave of gratitude from the patient's family.
After dealing with this matter, he began to fall asleep.
...
However, a night without an emergency consultation is definitely incomplete.
At about one o'clock in the morning, the familiar mobile phone ring sounded again.
The emergency consultation of the emergency department is here!
Lu Chen has made enough preparations and slept for a long time in the first half of the night.
So he is not sleepy now, and he immediately rushed to the emergency department.
Late at night.
Lu Chen felt a cold wind blowing, and couldn't help shrinking his neck.
Most people are really afraid to walk on this kind of road, but Lu Chen is an atheist, so he is naturally fearless.
Came to the emergency department.
The emergency doctor on duty that day was a relatively young attending physician, whom Lu Chen did not know.
But now the nurses in the emergency department are all very familiar with Lu Chen.
In the past two days, Lu Chen has been to the emergency department several times, and each time he has stayed for a long time.
"Doctor Lu, the patient is in the second emergency room!"
The nurse named Xiaoli smiled sweetly at Lu Chen.
All the nurses now know that the new resident chief of the cardiology department is not simple!
At a young age, he has an independent laboratory and can independently complete various interventional surgeries.
He is even more famous than many professors in the First Hospital of Magic City!
"Thank you, Sister Li." Lu Chen nodded slightly in response, ignoring the nurse's eyes.
...
Came to the second emergency room.
The doctor on duty in the emergency department rushed over.
"Boss Lu, this is a middle-aged man with chest pain, who was admitted to the hospital in a coma. His blood pressure is currently low and the condition is very serious. He is ready to be sent to the hospital."
Lu Chen then looked at the bed.
On the bed, there was a middle-aged man lying, with a life value of 45 (---)!
He closed his eyes tightly and did not respond to the outside world.
The emergency doctor continued: "The patient had just arrived at the emergency department and lost consciousness not long after."
"Was he conscious on the way?" Lu Chen asked in confusion.
"Anyway, the family said that the patient was still conscious along the way, saying that he had chest pain and discomfort. As soon as he arrived at the emergency department, he immediately did an electrocardiogram."
As he spoke, the emergency doctor took out an electrocardiogram from the case and handed it to Lu Chen, "The electrocardiogram did not show the manifestation of acute myocardial infarction, but the blood was drawn and troponin was elevated."
Troponin is mainly in myocardial cells. Its increase often indicates that myocardial cells are damaged.
However, in the early stage of myocardial infarction, the myocardium has not completely necrotized, and the electrocardiogram may not be typical.
"The family said that the patient had a history of three highs, hypertension, diabetes, and hyperlipidemia, and had risk factors for myocardial infarction, so we cannot rule out acute myocardial infarction, so we asked Mr. Lu to come and take a look."
"Okay, I understand." Lu Chen nodded.
Judging from the current situation, acute myocardial infarction is indeed not ruled out.
In addition, the patient was in a coma, so the emergency department considered that the myocardial infarction was severe and the patient was in cardiogenic shock.
But these were all preliminary judgments.
Lu Chen came to the patient's bedside.
The man was nearly 60 years old and had already fainted, lying on the bed without any movement.
On the bedside ECG monitor, the heart rate was 120 beats/minute and the blood pressure was 80/40mmhg.
Compared with normal blood pressure, this blood pressure may not be much lower.
But don't forget that the patient has a history of hypertension. If the blood pressure has been at 1hg for a long time, it suddenly dropped to 80/40mmhg.
Such blood pressure cannot supply blood to his brain!
It's like you live on a high floor, and the water pump can't pump the water up, so there is no water to take a shower at night!
Once the blood supply to the brain is reduced, coma will occur.
In order to quickly rule out myocardial infarction, Lu Chen asked the trainee to do an electrocardiogram for the patient again.
At the same time, he also found the patient's family and asked what happened.
The patient's family is a woman about 50 years old, the patient's wife.
Lu Chen frowned and said, "When did the patient start to complain about chest pain?"
"I think it was yesterday." The middle-aged woman thought for a while, "She started to complain about chest discomfort last night, but it was the worst this morning. I couldn't stand it anymore, so I came to the emergency room. I vomited once on the way. Not long after arriving at the emergency room, she fainted."
As the middle-aged woman spoke, her voice was a little sobbing, and her expression was extremely scared.
A perfectly normal person suddenly fainted like this.
Anyone else would be nervous.
Lu Chen understood the middle-aged woman very well, but he didn't have time to comfort her.
If it was really an acute myocardial infarction, then every second must be saved and sent to the catheterization room for intervention.
Otherwise, once the myocardial infarction lasts for a long time, the heart vessels are blocked by the formed blood clots, blood flow is blocked, and myocardial cell necrosis will increase!
When the myocardial necrosis cells reach a certain level, the patient is very likely to suffer from heart failure, then shock, and finally death!
This process can occur in as short as a few minutes!
"Get ready!" Lu Chen said solemnly to the emergency doctor beside him. UU Reading www.uukanshu.net
"Okay, I'll go get the admission certificate now." The emergency doctor nodded and ran away.
However, after saying this, Lu Chen still examined the patient as usual.
The heart and lung auscultation were generally normal.
However, when Lu Chen touched the patient's stomach, his brows frowned.
The patient's stomach is a little tight!
This is not normal!
When a normal person lies flat, the abdomen should be relaxed.
No matter how many and how hard your abdominal muscles are, they should be soft.
However, this uncle who is over 50 years old, although he is in a coma, his abdomen is very tight and hard!
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