I Can See Health

Chapter 359 The Change of Minus Sign

Soon, the results of the urgent blood test came out.

All of the patient's test results were normal.

At this time, Wang Xiaodong also came to the emergency rescue ward.

"How is the patient?"

Lu Chen said: "After the patient swallowed the battery, he developed abdominal discomfort, and the ST segment was elevated in the inferior leads of the electrocardiogram. In addition, the blood test results were normal, and there were no symptoms of chest tightness or chest pain."

"Please consult the Department of Cardiology, General Surgery, and Gastroenterology." Wang Xiaodong said.

"Already invited." Lu Chen replied.

"Okay." Wang Xiaodong nodded slightly. It was great to have Lu Chen in the team. It could save a lot of things.

In one week, Lu Chen will be transferred to another department. He will really not be used to it then!

"Lu Chen, what do you think of this electrocardiogram?" Wang Xiaodong looked at Lu Chen.

Ever since Lu Chen's reputation spread, whenever the department had an electrocardiogram that they couldn't read, everyone would come to him.

"The inferior leads are indeed elevated, but the reason for the elevation is not yet known." Lu Chen said solemnly, "At present, myocardial infarction can be ruled out. I think it may be due to the battery."

"You said it was caused by the battery?" Wang Xiaodong asked doubtfully.

"Well, that's all I can think about now." Lu Chen said.

At this time, the health value of the patient's head suddenly dropped again!

It became 64 (--).

"Doctor, my stomach is still very uncomfortable!" The patient said while lying on the bed, holding his stomach.

"Take some medicine to protect your stomach first." Wang Xiaodong did not dare to use other medicines hastily when encountering patients who swallowed batteries.

At this time, Cheng Peng said: "Brother Wang, the patient's chest X-ray image has come out."

Everyone immediately came to the computer to check the images.

Chest X-ray revealed the presence of a radiopaque metal body in the patient's gastric antrum.

This should be the battery he swallowed.

"It seems that he really swallowed the battery." Wang Xiaodong frowned and said, "Let's wait for the consultation opinion from the relevant departments first."

About five minutes later, the cardiologist came.

But this was the first time for everyone to encounter a patient who swallowed a battery, and there was no particularly good way to deal with it.

"Myocardial infarction is not considered for the time being." The opinion of the cardiology consulting doctor was very clear.

Judging from the patient's symptoms and blood test results, the diagnosis of myocardial infarction is definitely not established!

Lu Chen stood in front of the computer and carefully compared the patient's chest X-ray.

"If it is the battery that affects the changes in the electrocardiogram, then there is only one possibility!" Lu Chen thought to himself.

Batteries are, after all, foreign objects.

When a foreign body enters the human body, the first thing to consider is whether it may block the airway.

Judging from the patient's symptoms, it is definitely not the case.

Secondly, is whether the foreign body is toxic and how toxic it is!

Substances such as pesticides, rat poison, and metals can cause damage to the human body.

As for batteries entering the human body, this situation is relatively rare, and most doctors really don't understand it.

However, Lu Chen had obtained the skill card for emergency poisoning before and studied it after returning.

The hazard of a battery is that its surface may come into contact with the conductive tissue of the esophagus, causing severe burns.

This contact creates an electrical current and breaks nearby water into a highly corrosive liquid.

Looking at the chest X-ray in front of him and thinking of the location of the battery, Lu Chen suddenly had an idea.

"Junior Brother Lu, did you find anything?" Wang Xiaodong asked after seeing Lu Chen staring at the chest X-ray.

Lu Chen nodded slightly: "Brother, I think I understand why the patient's electrocardiogram looks like a myocardial infarction."

When Wang Xiaodong and Cheng Peng heard this, they immediately came together.

Lu Chen paused for a moment and then said: "Stomach acid has a corrosive effect on the battery, and the contents of the battery are strong acid and alkali substances. Once the battery skin is corroded and the contents leak, it will corrode the digestive tract. The stomach happens to be facing the heart. The lower wall may lead to ST segment elevation! "

"Actually, the ECG waveform feels weird. Not only is the inferior wall elevated, but the chest leads are also elevated!"

"This picture also needs to rule out the possibility of interference! According to Einthoven's triangle, the waveform of lead I is very good. We must rule out waveform changes caused by interference from the left lower limb!"

"..."

Lu Chen's explanation was simple. It was the corrosion of the battery by stomach acid. Its position was just opposite the lower wall of the heart, which caused changes in the electrocardiogram.

Cheng Peng suddenly realized: "Lu Chen, after hearing what you said, I understood. It seems that electrocardiogram is not only about the heart. As long as we know the principle of electrocardiogram, we can better understand these things."

"Yes, that's right." Lu Chen smiled.

Wang Xiaodong nodded slightly.

Lu Chen's explanation seemed very simple, with only a few sentences, but being able to explain an electrocardiogram from this level is not something ordinary people can do!

No wonder Lu Chen Nengdao achieved sixth place in the electrocardiogram competition. This is all because of his strength!

After initially clarifying the patient's condition, the next step is treatment.

The battery must be taken out!

But the method of removal, whether to use gastroscopy or surgery, depends on the judgment of general surgery and gastroenterology.

As for the method of excretion, it is unclear whether it can be excreted or not. Once the battery stays in the gastrointestinal tract for too long, it may cause corrosion in many parts of the intestinal tract.

Then the gain outweighs the loss!

Therefore, methods of inducing vomiting and excretion are not advisable.

"Doctor... I don't know how to open the abdomen, right?" The patient lay on the bed with a bitter look on his face.

I accidentally swallowed a button battery and got into so much trouble.

"Not necessarily." Lu Chen said, "Looking at the location of this chest X-ray, it may be possible to take it out with a gastroscope, but the specific method still needs to be judged by other professional departments."

Lu Chen didn't say anything.

Gastroscopy is only a minimally invasive procedure, but laparotomy is a major surgery.

"Doctor, if you can do a gastroscopy, just use a gastroscopy." The patient pulled Lu Chen's sleeves and said with a sad face, "I'm still young, I really don't want to do this kind of surgery!"

"This is determined by your condition. If the gastroscope cannot be taken out, surgical methods must be used." Lu Chen said seriously, "Once the battery stays in your body for a long time, the damage caused may become greater and greater. It’s not just the electrocardiogram that has changed!”

Although the patient seemed to be in a stable condition now, the two "--" after the health number on his head forced Lu Chen to be cautious in explaining his condition.

If this battery is not taken out as soon as possible, there will be big problems sooner or later!

After hearing Lu Chen's explanation, the patient could only sigh slightly and accept his fate.

After about a few minutes, both the gastroenterology department and the general surgery department came.

After comprehensive consideration, I still chose to remove the battery through gastroscopy.

However, if it fails, the endoscopic procedure is converted to surgery!

Before approaching the gastroscopy room, UU Reading www.uukanshu.net Lu Chen also treated the patient with "honey".

This method is not found in textbooks and was discovered by Lu Chen in a newly published document.

After accidentally swallowing a battery, the risk of tissue damage can be reduced by applying honey multiple times.

Regardless of whether it was useful or not, after obtaining the patient's consent, Lu Chen used honey on the patient.

About ten minutes later.

Lu Chen saw that the minus sign after the health number on the patient's head changed from "--" to "-"!

Sure enough, honey is effective in the early treatment of this kind of patient!

At this time, a prompt pops up on the system panel.

"Congratulations, you have achieved 1% system upgrade completion!"

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