Chapter 330 Disappearing Heart?
Rescue is a battle against time!
Every minute of time is precious.
No one dares to let their guard down!
Chen Cang pushed the car, Qin Yue rode on the narrow car, stretched his arms and pressed, CPR never stopped.
The big man who got off the bus did not leave, and helped Chen Cang to hold the cart.
The sun at 3 o'clock in the afternoon was very violent, but the three of them still felt a little chill down their spines.
Qin Yue's chest compressions never stopped.
Soon, the trio entered the emergency room.
Chen Cang shouted to the nurse station: "Xiao Lin is preparing for ECG monitoring, call the bedside B-ultrasound..."
Rescue is imminent!
Qin Yue felt that her arms were about to lose her intuition, but she didn't dare to stop. This is... the baton of life, who dares to stop?
At this moment, Qin Yue suddenly felt that her heartbeat slowly recovered...
Cardiac monitoring on!
The patient's vital signs came out quickly.
Nurse Kobayashi called out!
"Blood pressure: 60/30mmHg!"
"Heartbeat 120 beats per minute!"
"32 breaths per minute!"
With a heartbeat, it's good, it's good, Qin Yue is sweating profusely, her hair is sticking to her face, a little messy, the white coat on her chest is soaked, sticking to her body, and for the first time outlines a rare curve.
Soon, the electrocardiogram results came out, and Qin Yue handed it to Chen Cang: "Chen Cang, electrocardiogram!"
Chen Cang took a look and immediately frowned!
S-T irregular changes!
Ischemia for sure!
Acute myocardial infarction also has!
but……
This is not the most important, what is the most important?
It is the offset of the cardiac axis that is strange.
Chen Cang's expression changed suddenly, this kind of cardiac axis may be a bad thing!
In the rescue room, there were not only Chen Cang and Qin Yue, but the Cardiology Department's level of rescue for heart disease patients was stronger than that of surgery. At this time, Zhang Tao, a doctor from the Emergency Department of Internal Medicine, also hurried in.
After seeing the symptoms, he saw Chen Cang holding the ECG in a daze: "Xiao Chen, give me the ECG!"
Chen Cang nodded and handed it to Zhang Tao.
Chen Cang turned and looked at Xiao Lin: "Go, take the patient with me, and go get a chest X-ray quickly to see if there is any trauma or pericardial effusion."
Chen Cang has seen more cardiac tamponade recently, and he felt that the electrocardiogram did not look like an acute myocardial infarction.
Of course, there is no obstruction, yes!
But it's not a myocardial infarction like coronary atherosclerotic heart disease.
Cardiac tamponade?
possible?
But it's really unlikely.
what is the problem?
The information from an EKG is too limited.
How to do?
Taking advantage of the patient's condition at this time, it is necessary to improve the relevant examinations before the next rescue work can be carried out!
Chest X-ray is different from CT. It doesn't take too much time, and the results can be obtained in an instant. Even Chen Cang is willing to follow it.
When Zhang Tao saw Chen Cang, he was about to push the patient away.
His face changed suddenly: "Xiao Chen, what are you doing?"
Chen Cang looked at Zhang Tao, but it was too late to explain completely: "Mr. Zhang, it's too late, we must complete the inspection and determine the rescue method."
Zhang Tao looked at the electrocardiogram and was a little flustered to be honest!
He had never seen such an electrocardiogram, really!
I have never seen such a bizarre electrocardiogram.
Mixed feelings.
Feeling apprehensive!
Anxiety!
Complicated emotions appeared in his heart, which was the most terrifying feeling of a doctor at this time: there is no bottom!
Just bottomless!
He doesn't know what to do!
Just have to check it out.
But...isn't there a problem?
As the saying goes, there are not a few heart disease patients who die in the radiology department.
Accidentally gone.
But...the diagnosis cannot be made without examination.
How to do?
Follow the patient to check?
There is only one way to bring the patient into the radiology examination room for examination.
Where is the radiology department?
This is definitely not a paradise.
Chen Cang and Xiao Lin pushed Sun Baomin to the radiology department, and said, "Emergency, cardiogenic shock, urgent examination of a chest X-ray!"
Green channel is so fast!
Soon, with the help of Chen Cang and Xiaolin, the patient was already in position.
The radiology doctor said, "Okay, come out."
When the film is taken, the doctor is usually not present. After all, there are rays inside, and if you stay inside, you must eat rays, so most people will not stay inside.
Chen Cang looked at Xiao Lin and hesitated for a moment: "Xiao Lin, go out!"
Xiao Lin was stunned: "I... Doctor Chen, you go out, I'll come."
Chen Cang's expression was solemn and solemn: "You go to the doctor at the bedside of the B-ultrasound first, and wait for me in the emergency room! I will go back immediately and do the relevant examinations, hurry up, I will be delayed."
Xiao Lin's expression changed, and he hurriedly ran outside.
Chen Cang gestured towards the doctor who was filming: "OK!"
The radiologist was taken aback for a moment, and asked with the microphone, "Aren't you coming out?"
Chen Cang shook his head: "Heart patients, the situation is unstable, I have to watch for an examination, and by the way, put in a few more positions, you can take more pictures, it's troublesome!"
The radiologist took a deep breath and said nothing, giving Chen Cang a thumbs up through the glass.
Awesome!
Chen Cang took a deep breath and started to pose.
Generally speaking, the radiation level ranking of the radiology department is as follows: CT radiation is much larger than X-ray radiation than nuclear magnetic.
Of course, there are specific radiation units, so I won't go into details.
This radiation is imperceptible.
In many grass-roots hospitals, county-level hospitals, and city-level hospitals, radiologists basically have to rest for half a month, just because they are worried about eating too much radiation. Adequate rest time for doctors, as well as some special post allowances.
Don't underestimate radiation.
Pregnant women are not allowed to do CT, because it is likely to affect the child.
With the help of Chen Cang and the radiologist, the results came out soon.
Chen Cang looked at the X-ray examination results.
Suddenly stunned!
He saw a partial raised shadow outside the outline of the heart. Is the heart swollen?
Suddenly, a terrible thought appeared in Chen Cang's mind.
Chen Cang anxiously looked at the doctor in the radiology department. Before he could say thanks, he nodded and pushed the patient away.
The radiologist looked at Chen Cang and couldn't help taking a deep breath, with admiration on his face, and respect in his eyes.
Eat rays for the patient.
real man!
Really cool!
In a hurry, I returned to the emergency department, and the color Doppler ultrasound was already in place.
2D echocardiography begins!
Soon, the picture of B-ultrasound results also appeared.
And everyone looked at the result and was stunned.
Hold the grass!
Where has the heart gone?
The heart in the pericardial cavity doesn't seem to be where it used to be anymore!
lost?
Where did you run away?
And at this time, Chen Cang knew what was going on!
His face changed, and he said to Xiao Lin, "Xiao Lin, prepare for emergency room surgery!"
ps: Hey, the fifth watch is delivered. Guess where did the disappeared heart go? Announced at 12 in the morning!