Thinking about these preparation measures, we all know how risky this operation is.
The diagnosis of paroxysmal supraventricular tachycardia itself requires an electrocardiogram to confirm the diagnosis. As a result, she didn¡¯t even have a stethoscope at the scene. How to determine that this patient really needed emergency treatment by massaging the carotid sinus.
Is she trying to be a living doctor?
Is it a blind cat that kills a mouse?
Extremely lucky?
No one was killed and he was saved.
Zhou Junpeng's eyes looked hard at Xie Wanying's face, and he felt that her operation this time was more amazing than the last puncture in the emergency room, which was completely confusing.
Facing the confused gazes of her seniors, Xie Wanying didn¡¯t know how to explain her brain¡¯s computational ability to generate images. It's just that she could feel very strongly just now that if she didn't do this, the patient would probably die suddenly in an instant.
Twitching of the limbs can be a symptom of Alzheimer's syndrome, and the most terrifying consequence is sudden death. What's more, the patient's pulse had jumped to nearly 240 beats per minute, which was the limit. If he didn't lower the heart rate quickly, his heart would suddenly fail.
Based on her previous observations and judgments about the patient, the patient had either a myocardial infarction or a high temperature heat stroke. This differential diagnosis is very important. In the relevant literature, there are many cases of high-temperature heatstroke accompanied by paroxysmal supraventricular tachycardia. Furthermore, she knew that the most terrifying complication of massaging the carotid sinus is stroke or infarction caused by shedding of carotid plaque. The incidence rate is really very low. According to statistics from foreign countries, it is only about 0.5%.
Compared with waiting for the patient's heart to stop before performing cardiac compressions or performing precordial hammering, there is no doubt that massaging the carotid sinus is a better treatment method. It is highly targeted for this disease and is not as effective as the first two treatments. This treatment can cause damage to the patient's ribs.
Faced with patients in urgent need of rescue, doctors sometimes have extremely limited options. It can be said that they can only use all the resources on site to rescue. Xie Wanying thought so, so she did this.
Of course, in the eyes of her predecessors, her choice may be reckless and hasty compared with the recommendations of the medical association.
"Auscultate him." Fu Xinheng finally spoke, probably because he had taken a breath and calmed down.
After receiving the order, Zhou Junpeng took out his stethoscope, put on earplugs in both ears, put the earpiece into the patient's clothes and listened carefully to his apical pulse.
The patient¡¯s current heart rate is approximately 90 beats per minute. From this number, it can be roughly inferred that the patient's heart rate will exceed 200 beats per minute in critical situations. Because if effective, the number of times carotid sinus massage reduces the heart rate will be very significant. Moreover, they also saw when they came that the patient's symptoms were significantly relieved.
It is equivalent to saying that Xie Wanying¡¯s operation is effective and her judgment is correct?
Zhou Junpeng had to think about how she got her luck.
In medicine, the luck of doctors and patients is often called a miracle. However, teachers generally do not agree with this statement. I will do some post-mortem analysis to determine what happened and use science to explain it clearly. This is equivalent to saying that any great teacher will never admit that luck can save people.
Withdrawing the stethoscope, Zhou Junpeng turned around and waited for Fu Xinheng's next instructions.
In short, Fu Xinheng did not curse immediately, which was beyond his expectation.
Two cold and faint eyes glanced at Xie Wanying's face. (Remember the website address: www.hlnovel.com