I Can See Health

In the blink of an eye.

It has been four months since Lu Chen came to Guanghai.

He has thoroughly integrated into this environment and is familiar with the role of deputy director of the department.

As for Lao Gu, although he came later than Lu Chen, he has integrated better than Lu Chen!

And his relationship with Xu Shan...

This problem is very serious. Lu Chen finds that Lao Gu has fallen into the quagmire of love.

Every day after get off work or when he has private time, he would run to Xu Shan's place.

The euphemistic name is for discussing scientific research.

Sima Zhao's heart is known to everyone on the road.

Whenever Gu Xinyue talked about this, Lu Chen could only roll his eyes at him.

If we really discussed scientific research issues all day long, we wouldn’t have written a national natural bid document by now, right?

However, everyone is a Ben San person.

This is the target.

Xu Shan's identity and background match well with Gu Xinyue's.

The only drawback is that both of them are doctors and may not have much time to take care of their families.

…

Gu Xinyue took a day off today and was preparing to go out on a date with Xu Shan.

Lu Chen, a senior physician, could only temporarily take over Gu Xinyue's position, and led a group of graduate students and graduate students on ward rounds in the morning.

Everyone was very excited when they saw Director Lu Chen making rounds.

However, as soon as they arrived in the ward, the students stopped laughing.

Director Lu Chen has so many problems!

Moreover, he has a lot of sisters who ask all kinds of difficult and tricky questions.

Every time after checking a patient, everyone is frightened.

Lu Chen can be regarded as inheriting the habits of his mentor Li Yao when he was in Beijing.

When asking questions during ward rounds, be sure to stump the students!

When Lu Chen's ward rounds were over, everyone breathed a sigh of relief.

It’s finally over!

"Everyone needs to go back and revise the medical orders that need to be adjusted just now, as well as the medical records that need to be rewritten." Lu Chen ordered everyone.

All the students stumbled back to the doctor's office.

Lu Chen returned to his deputy director's office.

Although Guo Tian's application was unsuccessful, he still has many other things to do.

The idea of ​​creating tavr data must be gradually improved.

…

Just as Lu Chen was browsing through TAVR's latest documents, there was a sudden knock on the office door.

"Director Lu! Rescue the 26th bed in the ward!"

Following the sound, Lu Chen immediately stood up, put on his white coat, and quickly opened the office door.

At the door, a young nurse from the department stood with an anxious look on his face.

Seeing Lu Chen come out, she quickly said: "Director Lu, 26 beds for rescue! Cardiac arrest, blood pressure and pulse can't be felt. Doctor Hua asked me to come to you!"

"Let's go!" Lu Chen immediately ran towards the ward without saying anything else.

Doctor Hua, as the nurse calls him, is the attending physician of other groups in the department.

As the deputy director of the department, Lu Chen must promptly participate in any rescue incident.

Came to bed 26.

As soon as he walked into the room, he saw a group of doctors and nurses surrounding the bed.

Lu Chen frowned. If the heart arrests, then cardiopulmonary resuscitation should be performed, right? !

A group of people are surrounding us now. What are they doing?

When I walked in, I saw that the patient was lying on the hospital bed well. Although his face didn't look good, his heart definitely didn't stop!

The ECG monitoring also showed that the heart rate was only over 100 times.

Lu Chen was confused by everything in front of him.

On the hospital bed, the patient was young, less than thirty years old.

The health value on her head is 67 (--).

He was definitely sick, but not to the point where he would need a cardiac arrest.

"What's going on? Isn't it a cardiac arrest? Your blood pressure and pulse are gone?" Lu Chen lowered his voice and asked the young nurse beside him.

At this time, the young nurse was also confused.

She only knew that Dr. Hua said that the patient's heart had stopped and asked her to go to Director Lu. She didn't know anything else about the situation.

Beside the hospital bed, a more senior nurse hurriedly said: "Director Lu, this is it. We just measured the patient's blood pressure. We measured her blood pressure in both arms. The blood pressure could not be measured. We touched the radial artery. They couldn't feel the pulse either. We tried several people to feel it, but they couldn't find it, so Dr. Hua asked Xiao Fang to go find you."

Lu Chen now understood the situation.

Not long after the young nurse came to the department, she said that the patient had no blood pressure and pulse, but in fact it was impossible to measure it.

It's just that it can't be measured.

It does not mean that the patient's heart has stopped, nor does it mean that the patient is dead, so there is no need for rescue or cardiopulmonary resuscitation.

The little nurse lowered her head in shame.

Lu Chen didn't mean to blame her, but instead looked at the patient on the bed.

How can a person's blood pressure not be measured if he is perfectly fine?

How is it possible that the radial artery cannot be felt?

"Have you touched it carefully?" Lu Chen asked as he started to do it himself.

"Everyone touched it, but none of them touched it." Dr. Hua whispered.

As soon as Lu Chen got started, it was strange that there was really no beating feeling at all.

Lu Chen gently pressed his fingers on the patient's left radial artery, but could not feel the pulse. He pressed harder, but still did not feel the pulse.

The patient's palms were cold, as was his right hand.

In this case, it is normal if the cuff tied to the upper limb cannot measure blood pressure.

Lu Chen frowned, why is this happening?

He raised his head and looked at the ECG monitor. The heart rate was obviously 110 beats/min, and the heart beat was OK, but the blood pressure was indeed not measured!

For such a young man, there are no symptoms of cerebral ischemia such as dizziness, and he should not suffer from hypotension.

"Test the blood pressure of the lower limbs." Lu Chen thought for a while and said.

The young nurse immediately brought a large cuff and tied it directly to his leg.

…

This time, the blood pressure was finally measured.

However, this blood pressure is the blood pressure of the popliteal artery of the thigh and does not represent the blood pressure of the upper limbs.

Lu Chen reacted immediately, UU reading www. uukanshu.netｔThis can only explain one problem!

The patient had a problem with the blood vessels of his upper limbs, not his heart.

Back to the doctor's office.

Dr. Lu Chenchaohua said: "It is very likely that the blood vessels in the patient's upper limbs are occluded and blood cannot pass through, so the pulse cannot be felt, the blood pressure cannot be measured, and the limbs are cold."

"Yeah." Dr. Hua nodded quickly, "After Director Lu reminded me just now, I also figured it out. It is probably thromboangiitis obliterans. This is an inflammatory disease of blood vessels that may cause blood vessels to rupture. Chronic occlusion is characterized by lowered skin temperature and paleness, and limbs are afraid of cold. In severe cases, limbs may feel pain, the pulse becomes weak or even disappears, and blood pressure cannot be measured. "

Dr. Hua's basic knowledge is good and he thought of many things at once.

"Well, it's possible." Lu Chen nodded slightly, and then added, "But your thromboangiitis obliterans is more common in young men who like to smoke."

"This patient is probably not that simple!" 16377/10546902