I Can See Health

Chapter 73: Myocardial ischemia at 10 years old

  Chapter 73 Myocardial Ischemia at Ten Years Old

   After dinner.

  The roommates all returned to the dormitory one after another.

  Lu Chen put aside the training of pericardiocentesis skills.

   Continue to build on your knowledge of ECG and cardiac anatomy.

   Knowledge of these two fields is the basis of cardiovascular, but also the top priority.

  The two major surgical operations in the Department of Cardiology at present, whether it is coronary intervention or electrophysiology, require the operator to have a solid knowledge of ECG reading and cardiac anatomy.

  Lu Chen must be exposed to interventional and electrophysiological surgery in the future.

   As the saying goes, sharpening knives does not cut firewood by mistake.

   Now Lu Chen is taking the time to prepare for the future.

  …

   It was time to sleep at night.

  Lu Chen closed his eyes and lay on the bed.

   Only then began to continue the training of the pericardiocentesis technique.

   After two hours of training, Lu Chen became more and more familiar with the operation of pericardiocentesis.

   "Congratulations, the completion of the pericardiocentesis skill is 64%!"

   In two hours, the completion rate of the skill was directly increased from 18% to 64%.

   However, it is very difficult to continue to improve and finish.

  It takes a lot of time to go from "familiar" to "proficient".

   That's it for today, Lu Chen slowly fell asleep.

  …

   was speechless all night.

   The next day.

  The first thing Lu Chen did when he woke up in the morning was not to touch the phone by the bed.

   It's a lucky draw!

   This has become a habit for him.

   Lay a solid foundation for a whole day's "Qi Luck".

   "Draw 1 time, consume 1 thank you point! The total thank you value is 6 points."

   The expected "Thank you for your patronage".

  Lu Chen took out his phone and flipped through today's almanac.

   "Nothing is right!"

   It seems that we need to stabilize our hands today, and we cannot draw for the time being.

  …

   came to the department.

   Just changed into a white coat and sat in the office.

  Lu Chen saw an "acquaintance" and hesitated at the door of the office.

   He is the family member of the previous 20-bed young myocardial infarction patient.

   "Doctor Lu, you have come to work."

   Zhang Jun walked into the office with a smile.

   "Uncle Zhang, you are..."

  Lu Chen glanced at Zhang Jun strangely.

   The patient himself should be in the CCU now, how did the family go back to the eight areas in their hearts?

   "Dr. Lu, this is the case. My son's condition is stable. I want to transfer it back to the general ward today." Zhang Jun said, "The cost of the downstairs intensive care unit is too high, our family can't afford it."

  Lu Chen frowned.

   Patients with myocardial infarction like this are at high risk of sudden death.

   In addition, the patient has only been in the CCU for less than a few days, so he was transferred back to the general ward in such a hurry, and the risk increased a lot.

   "Uncle, the matter of this transfer is that after the CCU doctor downstairs judges the condition, he will see if he can transfer to another department." Lu Chen said, "It's not that we can transfer if we can."

"Hey, I know." Zhang Jun smiled, "I'm not embarrassing you, I have signed with the CCU doctor to guarantee that if there is any problem, we will bear the consequences. When you start work, my son will be transferred from CCU. Come up."

  Lu Chen has nothing to do with this family.

   are willing to take the initiative to sign, willing to take all risks.

   "Uncle, then you just wait for the formalities to be handed over."

   The procedure for transferring from CCU to the general ward of the heart is relatively simple, after all, they all belong to the Department of Cardiology.

   Just finished class.

  Lu Chen heard the main nurse shout:

   "The doctor in the director's group took note. Patient Zhang Guangming went to the CCU a few days ago and will be transferred back later."

   "Understood." Sun Guoguo replied, and then said to the friends in the group, "Today, everyone raised their spirits, ready to fight."

   Today, half of the beds of the director's team are empty.

  According to the flow of patients in the Cardiology Department of Jinghua Second Hospital, that is how many are discharged and how many are hospitalized on the same day.

  The number of patients to be treated today is extremely large.

   Before the room inspection was over, the doctors and nurses from the CCU came pushing the hospital bed.

   Zhang Guangming was lying on the bed with various instruments strapped to his body.

   He looked a little decadent, and the "fearlessness" he had when he first arrived at the hospital had long since disappeared.

   "The patient has a total of three stents implanted. The IABP was removed yesterday. The vital signs are stable and the general condition is ok. The main thing is to pay attention to the review of ions, maintain the stability of the internal environment, and avoid the recurrence of acute heart failure."

  The CCU doctor simply handed over the shift with Sun Guoguo, and then pushed the hospital bed downstairs.

   This time, Zhang Guangming was still in bed 20.

   "Young man, did you put the stand?"

  The bed next to him is still the old man from before.

   Zhang Guangming also discussed with the old man about "waiting for the price of the bracket to drop before placing the bracket".

   "Well." Zhang Guangming nodded slightly.

   Thinking of his remarks about "waiting for the price of the bracket to drop", Zhang Guangming's face flushed.

  If there were any cracks in the ground, he would have gotten into it long ago.

  …

   "Zhang Guangming, how are you feeling now?"

  Sun Guoguo brought everyone in the group to the bed.

   Zhang Guangming opened his eyes and nodded.

   "This time, you must remember to urinate beside the bed and not get out of bed by yourself!"

  Sun Guoguo exhorted sternly.

"Um."

   This time, Zhang Guangming was very obedient and cooperated with all the treatments given by the doctors and nurses.

   Walking around the gate of **** made him really scared.

   "Doctor Sun, what else do I need to pay attention to? For example, in terms of diet, please tell me."

   "Let Dr. Lu talk to you later." Sun Guoguo said.

   Currently, Lu Chen is in charge of the patient mission.

   The precautions for patients during hospitalization are very important points in patient education.

   It is most appropriate to let Lu Chen do it.

"okay."

   Zhang Guangming glanced at Lu Chen with anticipation in his eyes.

  …

   Next, Lu Chen carefully shared with Zhang Guangming the relevant health education knowledge for patients with myocardial infarction.

   Zhang Guangming listened very carefully.

   "Doctor Lu, can you write all these things down on paper? You talk too much, and I can't remember it."

   "Well, good." Lu Chen nodded.

   There were still a lot of leaflets left in the last mission.

   There is a health education leaflet for patients with myocardial infarction.

   "Congratulations, +1 thanks to Zhang Guangming!"

As soon as the    voice fell, he received a prompt from the system.

   And successfully gained a little thank you!

  …

   After dealing with Zhang Guangming's affairs, Lu Chen also started the work of accepting patients.

Qu Yao, a training doctor in the    group, does not usually treat patients, and Sun Guoguo takes care of her patients.

   She basically came to the department occasionally to walk through the scene.

  All the patients were basically treated by Dong Hao, Lu Chen, Jiang Qingyan, and Ke Yue, four people took turns for treatment.

  Two other intern doctors helped with blood pressure measurements and electrocardiograms.

   Lu Chen's patient was a middle-aged man who came for a physical examination.

   seems to be the father of a nurse in Corey.

  This patient does not have any gold content, just simply write down the course of the disease.

   "Lu Chen, look at this electrocardiogram for me."

   A female voice came from his ear.

  Lu Chen subconsciously thought it was Ke Yue, but it felt wrong.

   looked back and found that Jiang Qingyan had walked beside her and handed over an electrocardiogram.

   "Oh, good."

   took the electrocardiogram, and Lu Chen looked at it intently.

   This ECG is simple.

Significant ST-segment depression in leads II, III, avF, and V4-V6.

   is a typical manifestation of myocardial ischemia.

   With Jiang Qingyan's ability, she should be able to decipher this electrocardiogram!

   Is there something else he didn't see?

   observed it carefully for a moment.

   There is still no other abnormality.

  Lu Chen looked up at Jiang Qingyan.

   "Significant ST segment depression in leads II, III, avF, V4-V6, myocardial ischemia?"

   Jiang Qingyan frowned and said, "The patient is 10 years old."

   (end of this chapter)

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