I can see health

Chapter 707 Professor Lu, long time no see!

First Hospital of Shanghai, Emergency Department.

"The patient is currently in critical condition. We have to intubate him first, put him on a ventilator, and then do pulmonary artery CTA, otherwise we are afraid of accidents on the road."

Wu Si said to the patient's two daughters in a solemn tone.

The little girl was already crying.

"The intubation is agreed, and the ventilator is also agreed."

The eldest daughter made a decision immediately.

The two sons-in-law also expressed their views and actively rescued them.

The patient is now severely hypoxic, and pulmonary embolism will lead to hypoxia in the body, which will cause major problems.

Lack of oxygen can make the brain dull and even coma.Lack of oxygen reflexively makes breathing more rapid, hoping to get more oxygen from the air.

"My dad is so hypoxic now, can't we increase the oxygen intake?" the eldest son-in-law suggested.

He works in medicine and knows a little medical knowledge, but not much.

Wu Si quickly shook his head and said, "It's really not good. Because the patient's alveoli are not hypoxic! The reason for breathing difficulties is that the pulmonary artery is blocked!"

"No matter how much oxygen is inhaled at this time, there is no way to relieve the patient's hypoxia."

In fact, the reason is very simple.

What we have to do is to clear the road, dissolve the thrombus stuck in the pulmonary artery, or intervene to break the thrombus or remove the thrombus through surgery, so that the blood can enter the lungs smoothly, obtain oxygen, and then bring it to the tissue for use.

"Is the ventilator useful?" The eldest son-in-law frowned.

Wu Si was preparing equipment for endotracheal intubation and had no time to pay attention to it.

Lu Chen immediately explained: "Although the ventilator can't reverse the condition, it can relieve some hypoxia to some extent, because we can inject pure oxygen into the patient's lungs. If there is blood that can bypass the thrombus and enter the lungs by chance, it may give the tissue more Bring some oxygen, at critical moments, bring more and count.”

The eldest son-in-law nodded towards Lu Chen and didn't say much.

At this time, Wu Si had prepared all the equipment for endotracheal intubation.

As a veteran of the emergency department, Wu Si intubated the patient in twos and twos.

The nurse quickly connected the ventilator and adjusted it to 100% oxygen inhalation.Seeing that the blood oxygen saturation rose from 82% to 90%, and then it couldn't go up.

"Oh, it seems really choking." Wu Si sighed.

On the other side, the nurse in the emergency department had already contacted the CT room and called the doctor in the Department of Respiratory Medicine.

After seeing the respiratory physician, he agreed to consider pulmonary embolism and agreed to CT pulmonary angiography.

It is very important to ask for a consultation at this time!

First, multiple people have multiple ideas, and second, multiple people share responsibilities.This is to protect patients, but also to protect themselves.

Wu Si personally escorted the patient to the CT room.

At this time, Lu Chen didn't have anything to do in the emergency department.

After completing his consultation opinion, Lu Chen put the stethoscope in his pocket and left the emergency room.

……

The hospital alley at night was somewhat quiet, in sharp contrast to the noisy ward not far away.

The weather is still cool, and the evening wind comes out, making people feel a bit chilly.

Lu Chen tightened his white coat slightly, and walked back to the CCU lounge.

Just sat in the lounge for 5 minutes.

The phone rang.

But this time it was Lu Chen's personal cell phone, and it was Wu Si who called him.

"Mr. Lu, pulmonary embolism has been diagnosed!" Wu Si said in a serious tone, "CT showed multiple thromboembolisms in the pulmonary arteries, but they were not completely stuck. Fortunately, there was still a little blood passing through, otherwise the patient would have died in the emergency department. How lucky we are!"

"This man is really lucky!" Lu Chen couldn't help sighing, "Don't go back to the emergency department, hurry up and send him to the ICU for thrombolysis!"

Now only by dissolving the thrombus can the patient have a chance of survival.

"Okay, I'll take him there myself!"

Under the escort of Wu Si, the patient was safely transferred to the ICU.

The senior doctor in the ICU has also returned. It will be safer to have a senior doctor in such a critical situation.

……

Lu Chen had no time to take care of the rest of the rescue.

As the chief resident of the Department of Cardiology, he is always ready for consultation and rescue from other departments.

However, after this rescue, Lu Chen was reminded that he must not be confused by the patient's behavior.

After thinking about it, Lu Chen took off his white coat, lay down on the bed and continued to sleep.

This time, Lu Chen couldn't sleep.

After the rescue just now, his spirit is quite excited now.

So, Lu Chen took out his phone and opened the WeChat group.

I found that there are many unread messages in the Jinghua electrophysiology exchange group.

When I opened it, it turned out that there was a difficult electrocardiogram, which no one had interpreted yet.

"They're all night owls!" Lu Chen smiled.

Recalling back then, when I was helping everyone interpret electrocardiograms in Jinghua Electrophysiology WeChat group.

It was a really nice experience.

But now Lu Chen rarely bubbles up in the group.

First of all, everyone's level has made great progress. The most powerful is Fan Zhiping, who can basically interpret most of the electrocardiograms.

Secondly, when Lu Chen arrived in Shanghai, he rarely had time to pay attention to these group news.

But when encountering this difficult ECG today, Lu Chen suddenly became interested.

Finding this electrocardiogram that no one in the group could interpret, Lu Chenzai studied it carefully many times.

Finally got a diagnosis.

"Left posterior branch ventricular tachycardia, ventricle 1:1 retrograde atria!"

As soon as Lu Chen's profile picture appeared in the group, the Jinghua electrophysiology communication group exploded!
The focus of everyone's attention was no longer on the electrocardiogram, but on Lu Chen himself.

……

Fan Zhiping happened to be on the night shift tonight, so he opened the electrophysiology WeChat group when he had nothing to do.

His biggest daily interest now is to discuss various electrocardiograms with everyone in the group.

However, tonight's electrocardiogram is really a bit difficult!
Fan Zhiping thought for a long time, but he didn't have any clue.

Suddenly, a message popped up in the group.

"Left posterior branch ventricular tachycardia, ventricle 1:1 retrograde atria!"

Fan Zhiping frowned slightly. This diagnosis... seems unlikely, right?

However, when he saw the somewhat familiar head portrait, he was shocked.

This is Lu Chen!

Professor Lu, finally bubbling!
Then there is nothing to say about this electrocardiogram, it must be left posterior branch ventricular tachycardia!
Fan Zhiping quickly sent a message.

"Professor Lu, long time no see."

Although he knew that Lu Chen was not a professor, he was still used to calling him "professor" in the WeChat group.

Others in the group also echoed.

Messages of greetings to "Professor Lu" swiped the screen.

Many newcomers who have just joined the group don't quite understand what's going on.

After a little questioning, I found out that it turned out to be a boss-level figure.

……

Shanghai No. [-] hospital, CCU lounge.

Lu Chen looked at the WeChat group at this time, and couldn't laugh or cry.

He really underestimated his influence in Jinghua.

If I had known earlier, I would not have posted this message...

However, Lu Chen also reaped a wave of gratitude from the Jinghua electrophysiology exchange group.

No loss or loss!

After chatting with everyone for a while, Lu Chen closed the WeChat group.

　Today's night shift is really a bit busy, so I can only write as much as I can.

　　Take a break tomorrow and update as much as you want.

　　Seeking wave tickets, the current monthly ticket goal is only half completed.

　　
　
(End of this chapter)