I Can See Health

Chapter 73 Myocardial ischemia in a 10-year-old

After dinner.

The roommates returned to the dormitory one after another.

Lu Chen put aside the training of pericardiocentesis skills.

He continued to consolidate his knowledge of electrocardiogram and cardiac anatomy.

Knowledge in these two fields is the foundation of cardiovascular, but also the most important.

At present, the two major surgical operations in the Department of Cardiology, whether it is coronary intervention or electrophysiology, require the operator to have a solid foundation of electrocardiogram reading and cardiac anatomy knowledge.

Lu Chen will definitely be exposed to interventional and electrophysiological operations in the future.

As the saying goes, sharpening the knife does not delay the chopping of wood.

Now Lu Chen is seizing the time to prepare for the future.

It was time to go to bed at night.

Lu Chen closed his eyes and lay on the bed.

Then he continued to train the pericardiocentesis skills.

After two hours of training, Lu Chen became more and more familiar with the operation of pericardiocentesis.

"Congratulations, the completion rate of pericardiocentesis skills is 64%!"

In two hours, the completion rate of the skill was directly increased from 18% to 64%.

However, it is very difficult to continue to improve the completion.

It will take a long time to go from "familiar" to "proficient".

That's all for today, Lu Chen slowly fell asleep.

...

No words all night.

The next day.

The first thing Lu Chen did when he woke up in the morning was not to touch the mobile phone on the bedside.

But to draw a lottery!

This has become a habit of his.

Lay a solid foundation for the "luck" of the whole day.

"Draw a lottery once, consume 1 point of gratitude! The total gratitude value is 6 points."

"Thank you for your patronage" as expected.

Lu Chen then took out his mobile phone and looked at the almanac for today.

"Everything is not suitable!"

It seems that I have to be cautious today, and I can't draw a lottery for the time being.

...

Came to the department.

Just put on a white coat and sat in the office.

Lu Chen saw an "acquaintance" hesitating at the door of the office.

He was the family member of the young myocardial infarction patient in bed 20 before.

"Doctor Lu, you are here to work."

Zhang Jun walked into the office with a smile.

"Uncle Zhang, what are you doing..."

Lu Chen glanced at Zhang Jun in surprise.

The patient should be in the CCU at present, why did the family members run back to their heart zone eight?

"Doctor Lu, it's like this. My son's condition has stabilized, and I want to transfer him back to the general ward today." Zhang Jun said, "The cost of the ICU downstairs is too high, and our family can't afford it."

Lu Chen frowned.

For patients with myocardial infarction like this, the risk of sudden death is very high.

And the patient has only been in the CCU for less than a few days, and he is so anxious to transfer back to the general ward, which increases the risk a lot.

"Uncle, the transfer of the department is determined by the CCU doctor downstairs after judging the condition." Lu Chen said, "It's not that we can transfer it if we say it can be transferred."

"Hey, I know." Zhang Jun smiled, "I won't embarrass you. I have signed a guarantee with the CCU doctor. If there is any problem, we will bear the consequences. When you go to work, my son will be transferred from the CCU."

Lu Chen has no way to deal with this family.

They all signed voluntarily and are willing to take all risks.

"Uncle, then you just wait for the handover procedures."

The procedures for transferring from CCU back to the general cardiology ward are relatively simple, after all, they all belong to the cardiology department.

Just after the handover.

Lu Chen heard the head nurse shout:

"Attention, doctors in the director's group, patient Zhang Guangming, who went to CCU a few days ago, will be transferred back later."

"Got it." Sun Guoguo replied, and then said to the team members, "Everyone cheer up today and get ready to work hard."

Half of the beds in the director's group are empty today.

According to the patient flow of the cardiology department of Jinghua Second Hospital, there are as many discharged patients as there are hospitalized on the same day.

There are a lot of patients to be admitted today.

Before the rounds were finished, the doctors and nurses of CCU came in with the bed.

Zhang Guangming was lying on the bed with various instruments tied to his body.

He looked a little decadent, and he had long lost the "fearlessness" when he first arrived at the hospital.

"The patient has three stents implanted in total. The IABP was just removed yesterday. His vital signs are stable and his general condition is OK. The main thing is to pay attention to rechecking ions, maintaining a stable internal environment, and avoiding another acute heart failure." The doctor of the CCU briefly handed over the shift to Sun Guoguo, and then pushed the bed downstairs again. This time, Zhang Guangming was still in bed 20. "Young man, did you put in a stent?" The bed next to him was still the old man. Zhang Guangming had discussed with the old man "waiting for the price of stents to drop before putting in stents." "Yeah." Zhang Guangming nodded slightly. Thinking of his original remarks of "waiting for the price of stents to drop", Zhang Guangming's face flushed. If there was a crack on the ground, he would have crawled into it long ago. ... "Zhang Guangming, how do you feel now?" Sun Guoguo brought everyone in the group to the bedside. Zhang Guangming opened his eyes and nodded. "This time, you must remember that you can't get out of bed without permission when you urinate or defecate next to the bed!" Sun Guoguo sternly instructed. "Yes."

This time, Zhang Guangming was very obedient and cooperated with all the treatments from the doctors and nurses.

After walking through the gates of hell, he was really scared.

"Dr. Sun, what else do I need to pay attention to in daily life? For example, in terms of diet, please tell me."

"Let Dr. Lu talk to you later." Sun Guoguo said.

Currently, Lu Chen is in charge of the Patient Evangelism Association.

What patients should pay attention to during hospitalization is a very important point in patient education.

It would be most appropriate to let Lu Chen do it.

"okay."

Zhang Guangming glanced at Lu Chen, his eyes full of expectation.

Next, Lu Chen carefully shared with Zhang Guangming the relevant health education knowledge for patients with myocardial infarction.

Zhang Guangming listened very carefully.

"Dr. Lu, can you write all these things on paper? You said too much at once, and I can't remember it."

"Yeah, okay." Lu Chen nodded.

From the last missionary meeting, there were still many flyers left.

Among them happened to be a health education leaflet for patients with myocardial infarction.

"Congratulations, I received +1 gratitude from Zhang Guangming!"

As soon as he finished speaking, he received a prompt from the system. UU read www.uukanshu.net

Another successful harvest of some gratitude points!

After dealing with Zhang Guangming's matter, Lu Chen also began to accept patients.

Qu Yao, a training doctor in the team, does not usually treat patients, so Sun Guoguo takes care of her patients.

She basically comes to the department occasionally to go through the motions.

All patients are basically treated by Dong Hao, Lu Chen, Jiang Qingyan and Ke Yue in turns.

Two other intern doctors helped take blood pressure and perform electrocardiograms.

The patient Lu Chen admitted was a middle-aged man who came for a physical examination.

He seemed to be the father of a nurse in Corey.

This patient has no real value, he just writes a record of his illness.

"Lu Chen, help me look at this electrocardiogram."

A female voice came from next to her ear.

Lu Chen subconsciously thought it was Ke Yue, but he felt something was wrong.

Looking back, she found Jiang Qingyan walking beside her and handing over an electrocardiogram.

"Oh, okay."

After receiving the electrocardiogram, Lu Chen looked at it intently.

This EKG is simple.

The ST segment depression in leads II, III, avF, and V4-V6 is obvious.

It is a typical manifestation of myocardial ischemia.

With Jiang Qingyan's ability, she should be able to interpret this electrocardiogram!

Is there anything else that he didn't see?

Observed carefully for a moment.

There is still no other abnormality.

Lu Chen raised his head and glanced at Jiang Qingyan.

"The ST segment depression in leads II, III, avF, and V4-V6 is obvious. Myocardial ischemia?"

Jiang Qingyan frowned and said, "The patient is 10 years old."

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