Start with the emergency physician

Sun Meng also immediately became vigilant: “Do you want to call Director He and them over?” ”

“No need. It is estimated that if Director He is called, Senior Brother Ocean will be scolded to death. ”

Zhou Yuan was about to walk out of the ward.

At this moment, Wang Chun on the hospital bed suddenly twitched, then tilted his head and fainted.

Sun Meng was taken aback: “Zhou Yuan, Wang Chun fainted!” ”

“It’s too late to check the electrocardiogram, send it to the rescue room immediately!”

Zhou Yuan pushed the emergency emergency bed next to him, moved Wang Chun to the emergency bed with Sun Meng, and hurriedly ran towards the rescue room.

“The patient has ventricular fibrillation!” The little nurse said eagerly.

“Two hundred joules on a charge.” Zhou Yuan said calmly.

Sun Meng immediately began to charge. “Charging complete!”

“Defibrillation.” Zhou Yuandao.

Sun Meng held the defibrillator and gently pressed the electrodes to the tip of the heart and the bottom of the heart.

Bang.

Wang Chun’s body shook.

Zhou Yuan stepped forward, immediately put the palm root into Wang Chun’s sternum, 1/3 lower, and began chest compression.

“1001、1002、1003……”

Thirty chest compressions, two rescue breaths.

After repeating three or four times, Wang Chun’s cough sounded.

“Wake up!” Sun Meng wiped his sweat and said in surprise.

Zhou Yuan breathed a sigh of relief.

“Schedule an electrocardiogram, chest X-ray.”

After Zhou Yuan finished speaking, he took Sun Meng to the side.

“Go and call Senior Brother Haiyang over.”

Sun Meng also subconsciously lowered his voice: “What’s wrong with Wang Chun?” ”

“I suspect viral myocarditis.” Zhou Yuan’s face sank.

“Viral myocarditis?!”

Viral myocarditis refers to localized or diffuse acute or chronic inflammatory lesions of the myocardium caused by viral infection.

Because viral myocarditis is very similar to the clinical symptoms of common fever and cold, they are fever, body aches, sore throat, fatigue, nausea, vomiting, etc., and are particularly easy to be misdiagnosed as common colds.

This is a disease that needs special attention in the emergency department and also in internal medicine, once viral myocarditis is not treated in time, heart failure, dilated cardiomyopathy, and even sudden death may occur after severe disease.

Similarly, it can cause arrhythmias, heart failure, sudden cardiac death, dilated cardiomyopathy, and so on.

It is mentioned in the case of this chapter in medical textbooks that a nine-year-old girl had a fever for several weeks, and the doctors at the local county hospital have been treating it as a common cold, taking medicine and infusions without improvement, and finally delaying the golden period of treatment, resulting in sudden cardiac death of the little girl.

Zhou Yuan said: “Prepare some lidocaine, propranol, and ethylamiodarone in advance.” ”

“Once Wang Chun developed an arrhythmia, he immediately gave lidocaine 80 mg intravenous bolus, repeated once 30 minutes later, and then switched to propranolol 2 mg intravenous bolus and amiodarone 100 mg intravenous bolus.”

Sun Meng realized the seriousness of the problem and immediately pushed the door and walked out.

By the time the ocean arrived, the ECG and chest X-ray were already available.

“Junior Brother…” Haiyang hurriedly walked over, his face pale.

Zhou Yuan smiled and said, “Don’t worry, the patient is not a big problem at present.” ”

Saying that, he handed the ECG and chest CT results to the ocean, and said, “The patient’s ECG is abnormal.” ST-T changes, common T wave inversion, severe shift in the ST segment. X-rays show a slight enlargement of the patient’s cardiac shadow. ”

After saying this, Zhou Yuan also breathed a sigh of relief: “It’s okay, it’s not particularly serious.” It is still the pre- and mid-stage of viral myocarditis. ”

Haiyang’s hand holding the test results was a little trembling, and after a long time, he raised his head and looked at Zhou Yuan gratefully: “Junior brother, thank you!” ”

If Zhou Yuan hadn’t found out in time, the ocean might really have died in this pit!

Zhou Yuan waved his hand indifferently.

“The early symptoms of myocarditis are no different from colds, it is generally difficult to find, I also suddenly thought of this, I can’t blame you.”

The ocean bowed its head. “Junior Brother, I’ll apologize to the patient later. Then take the initiative to admit the mistake to the master. I will only make this mistake once! ”

Zhou Yuan was a little surprised.

“Good.”

After that, the three of them went to Wang Chun’s side together. ，

“Haha, there are actually three doctors here this time! This body is very cheap, how can it be so expensive! Although Wang Chun has pale lips, he still likes to joke.

The more such a patient trusts a doctor, the more painful his heart is when a doctor with a conscience makes a mistake.

Haiyang paused and bowed to Wang Chun: “I’m sorry!” I am your doctor because of my carelessness and did not judge your specific condition! ”

Wang Chun was stunned, and immediately grinned: “My person is still good here!” Doctor Hai, then what kind of disease am I, you quickly prescribe a medicine for me! ”

“On… Prescribe medication? Ocean was stunned.

And let him prescribe medicine?!

Wang Chunyi frowned: “You are my doctor, how can I cure the disease if you don’t prescribe medicine to me!” ”

Ocean was stunned for several seconds, and a smile appeared on his face again.

“Cytochrome C15mg intramuscularly, once a day in the morning and once in the evening. Take CoQ10 orally at 30 mg three times daily. There is also 10 mg of thymosin intramuscularly injected once. ”

Wang Chun lay down with confidence: “It’s okay, you guys go and get busy!” Don’t get tired! ”

After a pause, Wang Chun noticed Zhou Yuan’s badge and encouraged: “Especially you, an intern doctor, must study hard and become a good doctor in the future!” ”

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The eighth more is sent, and the ninth more is started!