Start From Emergency Doctor

Chapter 46

Sun Meng immediately became vigilant: “Do you want to call Director He and the others?”

“No. If you call Director He, Brother Haiyang will be scolded to death.”

Zhou Yuan is 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 startled: “Zhou Yuan, Wang Chun fainted!”

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

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

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

“Charge 200 joules.” Zhou Yuan said calmly.

Sun Meng immediately started charging. “Charging is complete!”

“Defibrillation.” Zhou Yuan said.

Sun Meng holds the defibrillator and gently presses the electrodes on the apex and bottom of the heart.

boom.

Wang Chun’s body shook.

Zhou Yuan stepped forward and immediately pressed the base of his palm against the middle and lower 1/3 of Wang Chun’s sternum, and began chest compressions.

“1001, 1002, 1003…”

Thirty chest compressions and two artificial respirations.

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

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

Zhou Yuan breathed a sigh of relief.

“Arrange an ECG, chest X-ray.”

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

“Go and call Senior Brother Haiyang.”

Sun Meng also lowered her voice subconsciously: “What happened to Wang Chun?”(Read more @ wuxiax.com)

“I suspect it is viral myocarditis.” Zhou Yuan’s expression sank.

“Viral myocarditis?!”

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

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

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

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

As mentioned in the case of this chapter in the medical textbook, there was a nine-year-old girl who had a fever for several weeks. The doctors at the local county hospital had been treating the common cold with medicines and infusions, but did not get better. , Finally delayed the golden period of treatment, leading to sudden cardiac death of the little girl.

Zhou Yuan said: “Prepare some lidocaine, propranolol, and amiodarone in advance.”

“Once Wang Chun develops arrhythmia, immediately give lidocaine an intravenous bolus of 80 mg, and repeat it after 30 minutes. If it is repeated twice, it will not be effective. Then switch to propranolol 2 mg intravenous bolus and amiodarone 100 mg intravenous Bolus.”

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

By the time the ocean arrived, the ECG and chest X-ray had already produced results.

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

Zhou Yuan smiled and said, “Don’t worry, the patient is fine at present.”

With that, he handed the results of his electrocardiogram and chest CT to Ocean, saying: “The patient’s electrocardiogram is abnormal. ST-T changes, the common t wave is inverted, and the st segment is severely displaced. X-rays show that the patient’s heart shadow is slightly enlarged.”

After saying this, Zhou Yuan can be considered relieved: “Fortunately, it is not particularly serious. It is still the first and mid-stage of viral myocarditis.”

Hai Hai’s hand was shaking a little while holding the inspection result. After a long time, he raised his head and looked at Zhou Yuan gratefully: “Junior Brother, thank you!”

If Zhou Yuan did not find out in time, the ocean might really have died in this pit!

Zhou Yuan waved his hand indifferently.

“The pre-symptoms of myocarditis are no different from those of a cold. It is generally difficult to find out. I also thought of this suddenly. I can’t blame you.”

The ocean lowered its head. “Brother, I will apologize to the patient later. Then take the initiative to admit the mistake to the master. I will only make this kind of mistake once!”

Zhou Yuan was a little surprised.

“it is good.”

After speaking, the three of them came to Wang Chun’s side together. ,

“Haha, three doctors actually came this time! My body is so cheap, how can I be so golden!” Although Wang Chun had pale lips, she still liked to joke.

The more such a patient who trusts the doctor, the more painful it will be when a doctor with a conscience makes a mistake.

The ocean paused and bowed to Wang Chun: “I’m very sorry! I am your doctor. Because of my carelessness, I didn’t judge your specific condition!”

Wang Chun was taken aback, and then grinned: “I’m fortunate to pinch here! Doctor Hai, what kind of disease is this? You quickly prescribe me a medicine!”

“Prescribe…prescribe medicine?” The ocean was stunned.

Let him prescribe medicine? !

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

Ocean was stunned for several seconds, and his face reappeared with a smile.

“Cytochrome C 15mg intramuscular injection, once a day in the morning and evening. Oral coenzyme Q10, three times a day, 30mg each time. There is also an intramuscular injection of 10mg thymosin.”

Wang Chun lay down with peace of mind: “I’m okay, so go ahead! Don’t be exhausted!”

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

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The eighth watch is sent, and the ninth watch is started! .