Chapter 2376 【2376】Not a Good Sign

If some patients may experience transient arrhythmia, basically the human body adjusts itself and does not need to be dealt with at all.

On the other hand, electric injury may damage the human heart in a more hidden state, making it difficult for doctors to detect it clinically. In some cases of delayed death, it is only after the death that the autopsy finds out where the problem is.

You think to yourself, if there is no abnormality in the electrocardiogram, the myocardial enzymes are not high, and the doctor cannot diagnose myocardial infarction, do you think the doctor should prescribe some treatment method?

Note that ST-segment elevation generally only represents myocardial ischemia, not certain myocardial infarction.

Xie's argument not only directly pointed to the patient's myocardial infarction but also directly pointed to the very serious "Ru" head muscle rupture.

this? How can a doctor in charge of clinical practice easily believe in the "wonderful fantasy" said by a medical student?

Luo Jingming's head was facing the pressure from the other party's leader's eyes. Cao Zhao should understand what he said. He is from the National Association, and he knows his junior sister better than Cao Zhao and the others, and he believes that classmate Xie is affirmative than Cao Zhao and the others.

Beep, beep.

The electrocardiogram that appeared on the child's ECG monitor was floating, showing that the child's heart rhythm seemed to be directed at the tendency of arrhythmia. The room speed has reached more than one hundred times per minute. Children's heart rate can be relatively fast. However, this child is an older child, and this heart rate is obviously abnormal. Moreover, premature beats appeared in the electrocardiogram, which is definitely not a good sign.

Cao Zhao held out his hand.

Classmate Pan, who was stared at by him, quickly handed over the ECG blueprint in his hand. No matter how much the man on the other side looks like the hero of an idol drama, he is essentially a doctor like his classmate Pan, and he is a real technical master, and he has never been a movie star.

In fact, the characteristics of the electrocardiogram reported by Pan just now are also correct. The only problem is that children's conditions change quickly and heart disease patients themselves change quickly.

Luo Jingming was so vigilant that someone pushed the defibrillator over, and was ready to defibrillate at any time.

What is the problem with the patient's current heart rhythm? Is there something wrong with the head muscle of "Ru".

The last surgery in Guozhi actually mentioned the internal structure of the heart called "Ru" head muscle. It is the heart muscle attached to the chordae, which end at the valves. It can be seen that the head muscle of "Ru" connects the valve through the chordae, which is like a mechanical conduction, which provides a continuous source of biopower for the opening and closing of the valve.

What the head muscle of the left ventricle finally supports is the mitral valve, the most important valve of the heart. Once it has an accident, it will affect the activity of the mitral valve without exception, and the immediate clinical symptoms will be acute pulmonary edema and heart failure of mitral regurgitation.

In fact, if the left ventricle "ru" head muscle is completely ruptured, one-third of the patients will die immediately, and more than half of the patients will not last for 24 hours. Without surgical correction, it can be said that there is no doubt about death.

"Are you talking about a partial fracture?" Cao Zhao glanced at the EKG drawing, and then asked the students their point of view.

"Yes." Xie Wanying said, "Teacher, you know. The left ventricle is divided into two groups. Anatomically, the front group is like an integrated muscle. Once it breaks, it will be completely broken, and patients are prone to sudden death. The posterior group is not, it is combined, and it is difficult to completely rupture when it breaks, and it usually appears as a partial rupture. The electrocardiogram corresponding to the anterior group of the rucephalus appears on the front wall, and the electrocardiogram of the posterior group shows the lower wall.”

It just corresponds to the electrocardiographic feature of inferior wall myocardial ischemia mentioned by Pan.