Path of Medicine With a System

There are actually many kinds of consultations in hospitals, such as urgent consultations that require a doctor to arrive quickly in the shortest possible time.

When encountering such a situation, the representative is the invited doctor, who must arrive at the invited department as soon as possible, even if there is a sick number in hand, he must deal with it accordingly.

There are many cases like this in hospitals, especially in the Department of Cardiology. There must always be a doctor who spares time to prepare for emergencies.

To be honest, among the internal medicine, the emergency in the heart is the most and the most dangerous, and it is often life and death in seconds.

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

If there is hemorrhage or infarction in a certain part of the brain, there is often a certain choice between whether surgery or conservative treatment is required, but the heart is different. Once a problem occurs, the corresponding symptoms must be dealt with first before other considerations can be considered.

The reason why the heart is changeable is that this thing is driven by two systems.

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

Fluid viscosity, electrical signals, turbulent flow, there are too many physical problems that depend on the heart, making it difficult for doctors.

When Zhang Fan saw Xu Lili's flushed face, he didn't even need to do a physical examination to know that there was something wrong with Xu Lili's heart. As for which part of the heart was the problem.

If Zhang Fan could be given a little longer time, maybe he could figure it out by relying on his anatomy, physiology, pathology and other relevant knowledge, but he knew that he was not very capable of confirming the diagnosis in seconds.

Medicine is a very strange thing. It seems that it is all about the organs of the human body and basic physiology. No matter what discipline a doctor is in, he must master it.

With a slight upgrade, a department and a department are directly like two disciplines in different fields that collapse the discipline.

If a doctor wants to go further, these interdisciplinary knowledge must be tied together to be overcome. Therefore, if you want to become an authoritative doctor, you must work hard for decades before you have any hope.

Heart disease, it will not give you time to deliberate, it must be like eating dumplings, one bite, no need to think, rely on taste buds to tell what disease is, when you say it, you must give relevant information at the same time Process, like to eat or not to like to eat.

Therefore, Zhang Fan asked the nurse to call the Cardiology Department as an urgent call, and he specially instructed that it is best to ask the director of the department, 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 Cardiology Department, but now also serves as a senior official of the hospital. She was recruited by Ouyang from the Bird City Hospital. She is currently in the Chasu area. It's the first person.

Like Zhang Fan, she was treated differently by Ouyang. Ouyang handed over surgery to Zhang Fan, and internal medicine to Ren Li.

After receiving an urgent emergency call, Ren Li took Naduo and rushed to the hospital.

When the male doctor got angry and ran faster, like Huang Feihong in the movie, he picked up his coat and ran in a big stride, because the white coat was too long, which affected the span of his legs.

And when the female doctors are running faster in white coats, for some reason, they don't lift the corners of the coats, but put one hand on their waist and one hand to cover their mouths, which is a very peculiar movement. Is it too windy to cover your mouth?

However, this does not affect their running speed. The little white shoes are swishing, and the steps are fast, which is still very fast. If it is less than three minutes, it 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 is no wind, he is not curious, so he pulls her and asks why she covers her mouth.

Ren Li took Naduo to the emergency center in two minutes. Before she got to the patient, Zhang Fan began to report the patient's initial situation loudly to the two people in the distance.

"quick,

The electrocardiogram came out. That stethoscope auscultation! "The person hasn't arrived yet. After hearing Zhang Fan's report, Ren Li has already started to deal with it accordingly.

"The electrocardiogram is out!" Just as Ren Li finished speaking, the doctor in the emergency center had already handed the paper to Ren Li.

Rescue is like this, who takes the lead and who cooperates, everyone knows very well, and there is no need to temporarily assign.

"Approximate syncope once, syncope once, the electrocardiogram clearly showed a rapid heart rate, how is that heart rhythm?"

In medicine, a word and a word often represent different meanings and consequences. For example, heart rate, in layman's terms, is the speed of the heartbeat, while heart rhythm is the regularity of the heartbeat.

Syncope, let alone ordinary people, even some surgeons are not very clear about the definition of this word.

When the patient suddenly loses consciousness, it is syncope, and dizziness is near syncope. The definition is like this, but it is really difficult to quickly distinguish clinically.

And this syncope and near-syncope represent different diseases, one ring is one ring, and the heart disease is like this.

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

"Irregular rhythm, too fast!" Na Duo lay beside the patient, and gave the result of the auscultation within a few seconds. The girl's basic knowledge is quite solid.

As she spoke, Renli jumped to Xu Lili's side with a swipe like a female leopard.

Putting his hands on the patient's neck, he said, "Yuan Zhang, hurry up, get ready for electrical cardioversion."

"it is good!"

In this way, those who are not engaged in medical treatment do not understand it at all, so let me explain it in layman's terms.

Xu Lili was overwhelmed by anger, and then hormone secretion caused problems with the electrophysiology of the heart, just like radio waves. It used to be tick-tock, tick-tock, just like an elderly prostate patient, very regular.

But when there is too much hormone, the brain is stimulated, the brain drinks too much hormone, and then gets angry and utters chaos, the heart's electric waves become urgent like a law, biu! Biu! Biu!

The signal was messed up, and the heart muscle also started to mess up. It was originally contracting regularly, but because of a problem with the signal, the contraction did not seem to contract, and the contraction did not seem to contract.

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

The originally smooth blood, like a child spitting, is very smooth.

And this very irregular contraction will cause countless eddies to appear in the blood of the blood vessels, which is turbulent flow.

When the turbulent flow appears, the blood can’t flow out, and they all gather together to play in circles. If the blood vessels are enlarged, the blood at this time is like the spins on the human head, with countless spins, one after another.

The blood starts to spin in circles, then the body begins to experience ischemia, and then the brain becomes even more anxious. Originally, it was just a little too much hormone, but now it is not only the hormone, but also lack of oxygen, blood, and energy.

At this time, the brain is like a deranged person, talking nonsense when opening its mouth.

The order, which was already chaotic, became even more chaotic at this time.

In blood vessels, the blood pressure in circles will dislodge the thrombus originally attached to the blood vessel wall, and more serious consequences will follow.

Moreover, if this messed up command cannot be corrected in a short time, the muscles of the heart will not know what to do, so, as long as they are doing it, these muscular men will go on strike. This is the so-called cardiac arrest, Lao Tzu quit!

After cardiac arrest, heart failure, kidney failure, electrolyte imbalance, and multiple organ failure followed, just like a big rout, and people died.

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

Many people may have this experience. Sometimes, without knowing the reason, they will suddenly feel flustered, feeling that the heart is beating very hard, as if it is about to jump out.

This is heart palpitations, no matter how old or young, many people will have heart palpitations, the heart can adjust itself in a short period of time, when there are long-term palpitations, problems will occur, and arrhythmias will appear.

Therefore, when encountering this kind of situation, ordinary people can cough like an embarrassing cough, or take a deep breath and then hold it, and then spit it out suddenly, or massage the eyeballs. Then, don't think about it, and rush to the hospital.

While massaging, Ren Li gave verbal doctor's instructions: "360J single wave electric shock preparation, 1mg epinephrine intravenous injection, amiodarone and lidocaine ready!"

Ren Li gave the doctor's order, and the monitor was installed on Naduo. In an instant, Xu Lili's chest was covered with wires, and Zhang Fan was ready for electric shock.

Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father stared at each other with bruised noses and swollen faces, but when they heard the nervous and hurried voices of the doctors and nurses inside the hospital, they couldn't care less.

When Xu Lili's boyfriend saw the doctors looking like an enemy, his heart skipped a beat. He knew that something was wrong with his girlfriend.

"Doctor, doctor!" An anxious voice yelled, and a doctor from the emergency center came out with a medical condition notice like a book.

"Who are you to the patient?"

"I'm her boyfriend!"

"It's best to contact her immediate family members. Now you sign it first. The patient has reported that she is in critical condition. The situation is very serious, and there is a possibility that the rescue may fail."

"Ah!" This voice was not made by Xu Lili's boyfriend, but by Wang Xiaohu's father. He never expected that his boy would cause such a serious disaster.

"It's over! It's over!" Although he is a demolition household, he is still an ordinary person. In his mind, what he thinks about is not whether his son is over 14 years old, but about saving his life!

When Xu Lili's boyfriend heard it, his heart felt like a knife was stirring, and he took out the phone tremblingly, and he wanted to notify Xu Lili's parents.

After making the phone call, the young man looked at Xu Lili in the emergency room in dismay, but when he turned his head, he saw Wang Xiaohu's parents.

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

"No, I didn't kill him, I didn't, I didn't!" Wang Xiaohu's father burst into tears, waving his hands, begging.

Xu Lili's boyfriend, with a vindictive gaze, stared at...

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

Electric shocks, drugs, when the doctor has not been treated after five cycles, it can mean that the rescue failed, and this time is the so-called golden six minutes.

Doctors and nurses are getting more and more involved. Ren Li gave the doctor's orders verbally almost without stopping.

"Please anesthesiologist, prepare for intubation if necessary!" This is about to be put on a ventilator.

"it is good!"

As the sun set, Xu Lili's pale face was illuminated by a faint halo of light.

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