Chapter 956 [956] It's Really Effective

Thinking about these preparatory measures, we all know how high the risk of this operation is.

The diagnosis of paroxysmal supraventricular tachycardia itself requires an electrocardiogram to confirm the diagnosis. As a result, she didn't even have a stethoscope at the scene. How can she judge that this patient really needs emergency carotid sinus massage?

Is she a dead horse as a living horse doctor?

Is it a blind cat that kills a mouse?

Out of luck?

No one was killed and people were saved.

Zhou Junpeng's eyes looked hard at Xie Wanying's face again, he felt that her operation this time was a little better than the puncture in the emergency room last time, which was completely confusing.

Faced with the puzzled 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 might have died suddenly.

Twitching of the limbs can be a characteristic of the A-S syndrome performance, 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 quickly lower the heart rate, the heart will suddenly fail.

Based on her previous observation and judgment of the patient, the patient was either suffering from myocardial infarction or heat stroke, which is an important differential diagnosis. In the relevant literature, there are high temperature heatstroke accompanied by paroxysmal supraventricular tachycardia, and there are many cases. Furthermore, she knows that the most terrible complication of carotid sinus massage is stroke or infarction caused by carotid plaque loss. This incidence rate is really very low. According to foreign statistics, it is only about 0.5%.

Compared with waiting for the patient's heartbeat to stop before performing cardiac massage or precordial hammering, massage of the carotid sinus is undoubtedly a better treatment method. This type of treatment can cause damage to the patient's ribs.

In the face of patients who are in urgent need of rescue, doctors sometimes have extremely limited options. It can be said that they can only use all they have on the scene to rescue them. Xie Wanying thought so, so she did it.

Of course, her choice may have been reckless and hasty in the eyes of her predecessors compared with the recommendations of the Medical Association.

"Auscultate him." Fu Xinheng finally opened his mouth, probably after he had recovered his breath.

After receiving the order, Zhou Junpeng took out the stethoscope, put earplugs on both ears, put the listening head into the patient's clothes, and listened carefully to the apex of the patient's heartbeat.

Now the patient's heart rate is about 90 beats per minute. From this figure, it can be inferred that the patient's heart rate exceeded 200 beats per minute when the patient was in critical condition. Because if it is effective, the number of times the carotid sinus massage lowers the heart rate will be very significant. Moreover, they also saw it when they ran, and the patient had obvious symptom relief.

It means that Xie Wanying's operation is effective, and her judgment is correct?

Zhou Junpeng had to think about how she got this luck.

In medicine, the luck of doctors and patients is often called a miracle. However, teachers generally do not agree with this statement. I will do after-the-fact deliberation to determine what is going on and explain it clearly with science. It is equivalent to saying that as long as it is a good teacher, it will never admit that it is lucky to save people.

Taking back the stethoscope, Zhou Junpeng turned his head, and waited for Fu Xinheng's next instructions.

In short, Fu Xinheng didn't scold people immediately, which was beyond his expectation.

Two sets of cold eyes scanned Xie Wanying's face.