I Can See Health

Chapter 714: So hard belly (Chapter 1)

The matter of Li Huiyan's cousin also caused quite a stir in the family.

Lu Chen naturally comforted everyone in the family WeChat group.

After spending a lot of energy, Lu Chen turned off his phone and slowly began to rest.

Compared with yesterday's busyness, tonight seems to be particularly quiet.

The cell phone of the chief resident in the cardiology department never rang.

Around ten o'clock in the evening.

Su Wenzheng from the ICU ward brought good news to Lu Chen.

The "brain dead" girl wakes up!

After blood purification, residual drug toxicity is also eliminated from the patient's body.

Respiration, nerves, etc. that had been suppressed by drugs began to gradually recover.

This news excited Lu Chen.

I want that seventeen-year-old girl to be able to return to this world.

Lu Chen was filled with joy.

"Dr. Su, please pay attention to this patient's mental state." Lu Chen thought for a while and said.

For this kind of short-sighted girls, in addition to the diagnosis and treatment of their own diseases, it is more important to pay attention to their mental state.

Otherwise, even if she is lucky enough to be rescued this time.

What about next time?

"Okay, don't worry, Mr. Lu, we will have a dedicated psychiatrist to take care of her."

For this special type of patients, the No. 1 Hospital in Shanghai has a dedicated psychiatric department to take charge.

At this time, a series of prompts also came from the system panel.

Lu Chen received another wave of gratitude from the patients’ families.

After dealing with this matter, he began to fall asleep.

However, no night is complete without an emergency consultation.

Around one o'clock in the morning, the familiar cell phone ringtone rang again.

The emergency consultation in the emergency department is here!

Lu Chen was fully prepared and slept for a long time in the first half of the night.

So he was not sleepy now and rushed to the emergency department immediately.

late at night.

Lu Chen felt the cold wind blowing by and couldn't help but shrink his neck.

Most people are really afraid of walking on this kind of road, but Lu Chen is an atheist, so he is naturally fearless.

Came to the emergency department.

The emergency doctor on duty that day was a relatively young attending doctor whom Lu Chen didn't recognize.

But the current emergency department nurses are all very familiar with Lu Chen.

In the past two days, Lu Chen went to the emergency department several times, and stayed for a long time each time.

"Doctor Lu, the consultation patient is in the second emergency room!"

The nurse named Xiaoli smiled sweetly at Lu Chen.

They nurses now all know that the new chief resident in the Department of Cardiology is not an easy person!

At a young age, he has an independent laboratory and can independently complete various interventional surgeries.

He is even more famous than many professors in the First Academy of Magic City!

"Thank you, Sister Li." Lu Chen responded with a slight nod, ignoring the nurse's eyes.

Come to the second rescue room.

The emergency department doctor on duty rushed over.

"Mr. Lu, this is a middle-aged man with chest pain. He is in a coma and is hospitalized. His blood pressure is currently relatively low. The situation is very serious. He is going to be sent to U."

Lu Chen then looked towards the hospital bed.

Lying on the hospital bed was a middle-aged man with a health value of 45 (---)!

He closed his eyes tightly and showed no response to the outside world.

The emergency doctor continued: "The patient became confused not long after arriving at the emergency department."

"Were you conscious on the road?" Lu Chen asked doubtfully.

"Anyway, the family members said that the patient was conscious all the way and complained of chest pain and discomfort. As soon as he arrived at the emergency department, an electrocardiogram was performed immediately."

As he said that, the emergency doctor took out an electrocardiogram from the case and handed it to Lu Chen, "The electrocardiogram didn't show signs of acute myocardial infarction, but when I took blood, the troponin was elevated."

Troponin is mainly found in myocardial cells, and its elevation often indicates that myocardial cells are damaged.

However, in the early stage of myocardial infarction, the myocardium is not completely necrotic, and the electrocardiogram is not necessarily typical.

"The family said that the patient had a history of high blood pressure, diabetes, and hyperlipidemia, and had risk factors for myocardial infarction, so we couldn't rule out acute myocardial infarction, so we asked Mr. Lu to come over and have a look."

"Okay, I understand." Lu Chen nodded.

Judging from the current situation, acute myocardial infarction is indeed not excluded.

In addition, the patient was comatose, and the emergency department considered severe myocardial infarction and cardiogenic shock.

But these are preliminary judgments.

Lu Chen came to the patient's bedside.

The man was nearly 60 years old and was in a coma. He was lying on the hospital bed without any movement.

On the bedside ECG monitor, the heart rate was 120 beats/min and the blood pressure was 80/40mmhg.

Compared with normal blood pressure, this blood pressure may not be much lower.

But don’t forget that the patient has a history of hypertension. If the blood pressure has been at 1hg for a long time, it suddenly drops to 80/40mmhg.

Such blood pressure cannot supply blood to his brain!

It's like if you live on a high floor, the water pump can't pump the water up, so there is no water for bathing at night!

Once the blood supply to the brain is reduced, coma will occur.

In order to quickly rule out myocardial infarction, Lu Chen asked Guipei Sheng to do an electrocardiogram on the patient again.

At the same time, he also called in the patient's family members to ask what happened.

The patient's family member is a woman about 50 years old, who is the patient's wife.

Lu Chen frowned and said, "When did the patient start complaining of chest pain?"

"I remember it like it was yesterday." The middle-aged woman thought for a while, "I started complaining about chest discomfort last night, but it was the worst early this morning. I couldn't stand it anymore, so I came to the emergency room and vomited once on the way. When I got to the emergency room It didn’t take long for the person to faint.”

The middle-aged woman spoke with a whimper in her voice and a very frightened expression.

A good-natured person suddenly fainted like this.

Anyone else would be nervous.

Lu Chen understood the middle-aged woman very well, but he had no time to comfort her.

If it is really an acute myocardial infarction, then we must race against time to rescue and send the patient to the catheterization laboratory for intervention.

Otherwise, once the myocardial infarction lasts for a long time, the heart blood vessels will be blocked by the thrombus formed, and the blood flow will be blocked, and the myocardial cells will become more and more necrotic!

When the necrotic cells in the myocardium reach a certain level, the patient is very likely to develop heart failure, then shock, and finally death!

This process can occur in as little as a few minutes!

"Get ready!" Lu Chen said in a deep voice to the emergency doctor on the side. UU Reading www.uukanshu.nett

"Okay, I'm going to issue a hospitalization certificate now." The emergency doctor nodded and ran away.

However, after saying this, Lu Chen still examined the patient as usual.

Auscultation of the heart and lungs were approximately normal.

However, when Lu Chen touched the patient's belly, his brows wrinkled.

The patient's stomach is a little tight!

This is not normal!

When a normal person lies down, his abdomen should be relaxed.

No matter how big or hard your abdominal muscles are, they should always be soft.

However, although this uncle, who was over fifty years old, was in a coma, his abdomen was very tight and hard!

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