BXBX NOVEL Chapter 956: 【956】It is really effective
The diagnosis of paroxysmal supraventricular tachycardia itself requires an electrocardiogram to confirm the diagnosis. As a result, she did not even have a stethoscope at the scene. How to judge that this patient really needs emergency carotid sinus massage.
Is she a dead horse as a living horse doctor?
A blind cat killed a mouse?
Breakthrough of luck?
didn't kill people and brought them back to life.
Zhou Junpeng's eyes squinted **** Xie Wanying's face again, because she felt that her operation this time was more amazing than the last puncture in the emergency room, which was completely confusing.
Facing the doubtful eyes of her seniors, Xie Wanying didn't know how to explain her brain's ability to generate images by computing. It's just that she could feel very strongly just now that if she didn't do this, the patient was likely to die suddenly.
Limb twitching can be a feature of Alzheimer's syndrome, and the most terrible consequence is sudden death. What's more, the patient's pulse just jumped to nearly 240 beats per minute, which is the limit. If you don't rush to lower the heart rate, the heart will suddenly fail.
Based on her previous observations and judgments on the patient, the patient was not suffering from myocardial infarction or high temperature and heatstroke, which is very important for differential diagnosis. In the relevant literature, paroxysmal supraventricular tachycardia associated with high temperature heatstroke is present, and there are many cases. Besides, she knows that the most terrible complication of massaging the carotid sinus is stroke or infarction caused by carotid plaque shedding.
Compared with waiting for the patient's heartbeat to stop before doing cardiac compressions or doing precordial hammering, there is no doubt that massaging the carotid sinus is a better treatment method. This treatment can cause damage to the patient's ribs.
In the face of patients in urgent need of rescue, doctors sometimes have extremely limited options. It can be said that they can only use all the resources on the scene to rescue them. Xie Wanying thought so and did so.
Of course, her choice may be reckless and sloppy in the eyes of her predecessors compared to the recommendations of the Medical Association.
"Auscultate him." Fu Xinheng finally opened his mouth, perhaps after gasping for breath.
After receiving the order, Zhou Junpeng took out the stethoscope, put earplugs on both ears, and put the earpiece into the patient's clothes to listen carefully to the apex of the heart.
Now the patient's heart rate is about 90 beats per minute. From this figure, it can be inferred that the heart rate of the patient in critical condition was more than 200 beats per minute. Because if effective, the number of times the carotid sinus is massaged to lower the heart rate can be very significant. Moreover, they also saw it when they came, and the patient had obvious symptom relief.
is equivalent to saying that Xie Wanying's operation is effective, is the judgment correct?
Zhou Junpeng had to wonder how she got this luck.
In medicine, the luck of doctors and patients is often called a miracle. However, teachers generally disagree with this statement. I will do hindsight to determine what is going on and explain it clearly with science. It is equivalent to saying that as long as the teacher is a good teacher, he will never admit that there is luck in saving people.
retracted the stethoscope, Zhou Junpeng turned his head, and waited for Fu Xinheng's next instructions.
In short, Fu Xinheng didn't curse immediately, which was beyond his expectations.
Two cold and faint gazes glanced at Xie Wanying's face.
(end of this chapter)