I can see health

Chapter 483 Explosive Myocarditis
The upstairs mentioned by Zhou Bin is the general ward of the Department of Cardiology, from the first ward to the eighth ward.

Once a patient in the general ward becomes critically ill or suddenly deteriorates, they are usually transferred to the CCU ward for more detailed and specialized rescue.

Because many rescue equipment are not equipped in general wards, such as invasive ventilator, IABP machine, ECMO machine and so on.

"I just received a call from the 2nd area of ​​my heart. There is a little girl who was just admitted to the hospital today and suddenly had difficulty breathing..."

While explaining the cause of the disease to Lu Chen, Zhou Bin quickly walked to the gate of the CCU.

"Little girl with difficulty breathing? Come to the cardiology department?" Lu Chen followed closely behind.

The two opened the door of the CCU in advance and waited for the arrival of the patient.

……

The two didn't wait too long. About half a minute later, a rushing voice caught Lu Chen's attention.

In his sight, four doctors were pushing the ward towards the gate of the CCU ward.

Lu Chen was somewhat familiar with this scene, and it was very similar to the rescue of the pulmonary hypertension patient yesterday.

Yes, there is no doctor performing CPR on the hospital bed today.

Lu Chen looked at the patient on the hospital bed.

It was a very young girl, probably only.

The head of the bed has been shaken high.

The girl was leaning on the bed, panting continuously, her lips were cyanotic, and her eyes were very blurred.

And her health is only 32 (----)!
The change trend of life value is three minus signs!

"Hurry up, push it to the emergency room!" Zhou Bin shouted to everyone, "Grab 8!"

(Rush 8: No. 8 rescue room)
In Area A of the CCU ward, there is only the last emergency room No. 8 left.

The doctor accompanying the ward heard Zhou Bin's words and immediately pushed the hospital bed into the No. 8 emergency room.

"Brother Hua, what's the specific condition of the patient?" Zhou Bin asked immediately.

The accompanying doctor in charge is Lu Chen's old acquaintance, Li Qinghua.

He said in a deep voice: "The patient was originally admitted to the Department of Respiratory Medicine with pneumonia, but a routine electrocardiogram was performed on admission, which showed frequent premature ventricular premature beats and short bursts of ventricular tachycardia. The patient had symptoms of chest pain, and her kinase indicators increased. High, considering the possibility of myocarditis, so it was transferred to zone 2 of our heart."

"Less than half an hour after the transfer, the patient suddenly had difficulty breathing, which gradually worsened, blood pressure dropped to only 80/50mmHg, and blood oxygen dropped to about 90%..."

When Lu Chen heard all the descriptions, five characters popped up in his mind: "Explosive myocarditis!"

Explosive myocarditis, sudden onset, high fatality rate!
……

However, at this time, it was too late for everyone to think about it.

All the idle medical staff in the CCU came to the emergency room.

Zhou Bin is still the commander in chief of rescue.

"Push over the ventilator, open three venous channels first!"

"Full speed rehydration!"

"Brother Hui, help me with a central venous catheter!"

"The nurse checks a set of blood, takes blood gas, and then inserts a urinary catheter."

At this time, Lu Chen is already familiar with the rescue rhythm of the CCU. As a student, what he can do now, or what Zhou Bin asks him to do, is extremely limited, that is, do an electrocardiogram and measure blood pressure.

His movements were swift, and he immediately pushed the EKG machine over.

"Mr. Zhou, the patient's blood pressure is 75/62mmHg, which is almost the same on both sides. The electrocardiogram shows short bursts of ventricular tachycardia, and there are ST-T changes."

Zhou Bin briefly glanced at the electrocardiogram, then nodded, and continued to direct operations on the field.

Suddenly, an alarm sounded from the ECG monitor in the emergency room.

"The patient's ventricular fibrillation!" Li Qinghua exclaimed.

At this time, the patient stared forward to the right with both eyes, foamed from the corner of the mouth, and completely lost consciousness.

Li Qinghua rushed to the front, rushed to the bed immediately, and gave the patient chest compressions.

"Quick, endotracheal intubation!" Zhou Bin quickly got all the tools for endotracheal intubation.

Lu Chen cooperated with Zhou Bin.

Whatever tool Zhou Bin wanted, Lu Chen could quickly pass it over.

In less than 30 seconds, the patient had successfully inserted the tube.

"Ms. Li, the defibrillator is here!"

After inserting the tube, Lu Chen pushed the defibrillator over and adjusted it to the defibrillation mode.

Seeing this, Li Qinghua nodded slightly, "Look at my actions, after I withdraw, you will go up immediately!"

"Got it!" Lu Chen said.

……

Li Qinghua stepped back a little, and Lu Chen immediately stepped forward with the defibrillator in hand.

Charge!

Discharge!

beep beep...

On the ECG monitor, it was still ventricular fibrillation!

Lu Chen stepped aside, and Li Qinghua continued to perform chest compressions.

"Wait and prepare for the second defibrillation!"

Li Qinghua pressed a few more cycles, and Lu Chen defibrillated again!

Second defibrillation.

When the charging and discharging were over, the patient's ventricular fibrillation waveform had not disappeared for a second, but it reappeared!

Lu Chen's heart was already in his throat.

Everyone was also staring at the ECG monitor closely, wishing they could get rid of the ventricular fibrillation waveform with their own hands.

……

On the bedside ECG monitor, the beeping sound hit everyone's heart.

Defibrillation for the third time!
Charge!

Discharge!

Lu Chen stared at the monitor. When the chaotic ventricular fibrillation waveform suddenly disappeared and turned into a normal sinus heart rate, the big stone in his heart finally fell.

"Defibrillation succeeded!"

On the monitor, the patient's ventricular fibrillation waveform finally disappeared completely, and turned into a sinus rhythm representing "hope".

This also means that the patient's heart has resumed beating.

However, the change trend of the life value on the patient's head is still three minus signs!
……

At this time, Zhou Bin asked the nurse to push the ultrasound machine, and she quickly performed an emergency bedside ultrasound on the patient.

Through the screen of the ultrasound machine, Lu Chen saw the patient's entire heart, almost "squirming"!
A normal heart is a strong contraction, but hers is like an old man, unable to move.

"The end-diastolic diameter of the left ventricle is 40mm, the left atrium, right ventricle, and right atrium are not large, the left ventricular wall motion is weakened, and the segmental motion is abnormal. The EF value is about 30%, the left ventricular posterior wall is 12mm, and the pulmonary artery pressure is normal!"

Undoubtedly, the patient's echocardiography carried a diagnosis of "explosive myocarditis".

Although the rescue is over, for patients with fulminant myocarditis, the danger has only just begun!
When new myocarditis breaks out, there will be bursts of "storms" of inflammatory factors.

During this period, it will cause fatal blows to the fragile heart of the human body again and again.

As long as they cannot withstand any blow, the patient will not survive!
……

During the rescue, the faces of the doctors did not show the joy after the rescue was successful.

This rescue also alarmed Director Cao Zhiying.

He has rushed to the emergency room.

Cao Zhiying looked around at the crowd and said in a deep voice, "Get ready to communicate with the patient's family and go to ECMO."

Both Li Qinghua and Zhou Bin nodded at the side, and echoed: "It is necessary to go to ECMO. If this patient does not go to ECMO, the chance of survival is not high."

(End of this chapter)