【956】is really effective
Thinking about these preparatory measures, we all know how risky this operation is.
The diagnosis of paroxysmal supraventricular tachycardia requires an electrocardiogram to confirm the diagnosis. As a result, she didn’t even have a stethoscope on the spot. How to determine that this patient really needs to use carotid sinus massage for emergency treatment.
Is she accused of death?
Is it a blind cat who kills a mouse?
Lucky?
He didn't kill anyone and saved him.
Zhou Junpeng looked at Xie Wanying's face again with his eyes. He felt that her operation this time was more exciting than the last time she had a puncture in the emergency room, and it was completely inconspicuous.
Facing the confusing gaze of her senior, Xie Wanying didn't know how to explain the calculation and image generation ability of her brain. But just now she could feel very strongly that if she didn't do this, the patient would probably die suddenly.
Twitching limbs can be a characteristic of A-S syndrome, and the most terrible consequence is sudden death. Moreover, the patient's pulse just jumped to nearly 240 times per minute, which is the limit. If you no longer lower your heart rate quickly, your heart will suddenly fail.
Based on her previous observations and judgments of the patient, the patient is not a myocardial infarction or a high temperature heatstroke, which is very important. In the relevant literature, there are some high temperature heatstroke and paroxysmal supraventricular tachycardia, and there are many cases. She also knows that the most terrible complication of massaging the carotid sinus is stroke or infarction caused by carotid plaque loss. The incidence rate is really very low. Statistics have been conducted abroad, and only about 0.5%.
Compared to waiting for the patient's heartbeat to stop before undergoing a heart compression or a precordial hammer, massaging the carotid sinus is undoubtedly a better treatment method. Not only is it more targeted for this disease, but unlike the first two treatment methods, it will cause harm to the patient's ribs.
Faced with patients who need rescue in urgent need of rescue, sometimes the doctor can choose extremely limited methods, and it can be said that he can only use up all the on-site rescue. Xie Wanying thought so, so she did this.
Of course, her choice in the eyes of the predecessors may be a reckless and sloppy element compared to the Medical Association's advice.
"Give him auscultation." Fu Xinheng finally spoke, perhaps because he had breathed and calmed down.
After receiving the order, Zhou Junpeng took out the stethoscope, put earplugs on both ears, and listened to his head in the patient's clothes and listened to his heart's pulsation.
Now the patient's heart rate is about 90 times per minute. From this number, it can be inferred that the patient's heart rate had exceeded 200 times per minute in critical situations. Because if it is effective, the number of times the carotid sinus massage will reduce the heart rate will be very significant. Moreover, they also saw that the patient had obvious symptoms when they came.
It means that Xie Wanying's operation is effective and the judgment is correct?
Zhou Junpeng had to wonder how she got her luck.
In medicine, the luck of doctors and patients is often called miracles. However, teachers generally do not agree with this statement. They will think about it afterwards and determine what is going on to explain it clearly with science. It is equivalent to saying that as long as a powerful teacher, they will never admit that they have the luck to save people.
After retracting the stethoscope, Zhou Junpeng turned around and waited for Fu Xinheng's next instructions.
In short, it was beyond his expectations that Fu Xinheng did not immediately swear.
Chapter completed!