347 Repeater
Director Lei doesn't know how to check the electrocardiogram.
Of course, you can read it simply, but the cardiac electrocardiogram is extremely complicated. No one in the Third Hospital dares to say that he can read it except those in the Circulation Department.
The patient had just had a mess of supraventricular tachycardia, but now it is much more regular.
But... although it can't be said to be a complete straight line, the normal qrs-t waveform on the electrocardiogram disappeared completely...
Director Lei's brain went blank in an instant, and the patient's heartbeat really stopped!
The monitor just called the police, but she was not afraid. She could see several patients with supraventricular tachycardia every year.
Generally, similar patients do not need any treatment, and they will recover by themselves after recovering for more than ten or twenty minutes.
Director Lei has no idea why, as these are clinical experience for her.
But what does the disappearance of the qrs-t wave mean? Director Lei understands that the textbook writes, and the waveform is also very simple - ventricular fibrillation, and one foot of the patient has already entered the gates of hell.
"Lidocaine 100mg, vein, push!" Zhou Congwen said coldly, holding his mask.
The anesthesiologist next to him was stunned and subconsciously glanced at Director Lei.
"Bang~" Liu Wei took advantage of the interval of cardiopulmonary resuscitation and kicked the anesthesiologist in the calf, "Hurry up and rescue it!"
“Oh oh oh.”
"Prepare amiodarone, 300mg intravenous infusion, every minute... start the dose to be larger."
"Erepinephrine 1mg, vein, push."
“…”
After orders were issued one by one, the doctors in the anesthesiology department had forgotten Director Lei aside and seized the time to rescue him.
The clock hanging on the lintel rings driply, and the second hand moves 162 times. When the ventricular fibrillation is in the face of vasometer, the qrs-t wave finally appears again on the electrocardiogram monitoring.
Liu Wei was so tired that he ran 3,000 meters. There was sweat on his forehead and sideburns and wet his sterile cap.
"Director, why haven't the director come yet!" Liu Wei finally had time to find someone to take the blame. After shouting, he asked in a low voice, "Xiao Zhou, what else do you need?"
Zhou Congwen did not communicate with Liu Wei, but removed the oxygen mask and asked questions loudly in the patient's ear.
The patient recovered his effective heart rate and his consciousness gradually recovered, but he still had hypoxemia.
Zhou Congwen asked the question and found that the patient was not conscious and was in a state of drowsiness, but responded to simple instructions and still said that he had chest pain and headaches.
"I'm ready to raise my blood pressure by norepinephrine, and now I'm fine for the time being." Zhou Congwen said.
Liu Wei let out a sigh of relief.
"I suspect the patient has a myocardial infarction, and the artery is catheterized and ready to be rescued at any time. Can Director Li of the People's Hospital perform an angiography?" Zhou Congwen asked.
"Mystomia? The patient seems to have no history of cardiovascular and cerebrovascular disease." Liu Wei said in a low voice.
"Acute coronary syndrome after injection of carbetoxin."
“…”
“…”
“…”
Everyone in the operating room was stunned.
Acute coronary syndrome of oxytocin? What is this hell?!
The Third Hospital focuses on obstetrics and neurosurgery, and the children delivered every year rank second in the city. The number of surgeries can be said to be large, which is not comparable to those of a minor department like thoracic surgery.
But obstetricians have never heard of strange things that oxytocin can also cause myocardial infarction.
"Zhou Congwen, where is your director." Director Lei also changed his energy and asked coldly.
"It's not a thoracic department." Liu Wei turned sideways, blocking between Director Lei and Zhou Congwen. "Director Lei, our anesthesiology department has been rescuing it. Now it is suspected that it is acute coronary syndrome of cabernet oxytocin."
"..." Director Lei was stunned.
She knows Liu Wei very well. He is the backbone of the anaesthesiology department and is usually willing to play mahjong.
Although he is willing to play, he is indeed a good player on the operating table.
Many technologies were first learned and applied by Liu Wei, such as arterial cannulation, such as single-cavity ventilation.
Director Lei is usually willing to work with Liu Wei, but who doesn’t want to cooperate with an anesthesiologist with high level?
But why did Liu Wei repeat Zhou Congwen's words like a repeater now? He talks lies with his eyes open?
"Prepare the defibrillator." Zhou Congwen's voice came coldly behind Liu Wei.
"Hmm? The ventricular fibrillation just now, the defibrillator is not ready yet?!" Liu Wei glared at the anesthesiologist who was already stunned.
"I'll go now, I'll go now."
"Hurry up and prepare, Xiao Zhou, is the patient's problem a big deal?" Liu Wei asked in front of Director Lei.
"Many examinations in our hospital cannot check them." Zhou Congwen answered the question irrelevantly.
Liu Wei understood what Zhou Congwen meant. Without objective examination, it was useless to say anything. He knew all kinds of clinical methods of trumping the blame and was easy to use.
"What's going on?" The director of the anesthesia department strode in, asking while taking a look at the patient's electrocardiogram monitoring.
"Director, the patient has sudden ventricular fibrillation and has been rescued. I don't know how it happened. The patient's condition is relatively critical. It is recommended..."
As he said that, Liu Wei glanced at Zhou Congwen.
"Snap the time to take the surgery and go to the circulatory department."
"It is recommended to hurry up and move to the circulatory department after the operation."
"..." Director Lei was speechless, and Liu Wei was willing to turn into a repeater.
Although he did not say that it was the oxytocin problem when he reported to the director of the Department of Anesthesiology, it was obvious that Liu Wei had become Zhou Congwen's phondi.
It's so fucking. An old doctor doesn't even want a face, Director Lei cursed in his heart.
"Are you sure?" the director of the Department of Anesthesiology looked at Liu Wei and asked.
Liu Wei did not speak, but looked at the anesthesiologist responsible for the caesarean section.
"Director, routine lumbar anesthesia, I made sure it was done with the medicine, it was okay." The anesthesiologist said carefully.
"Snap the time to operate. Haven't the child finished giving birth? Hurry up and get out of the sewing." The director of the anesthesia department waved his hand.
He turned around and wanted to leave, but hesitated for a while but still did not leave. Instead, he carried the small round stool where the anesthesiologist was sitting on the patient's head to the corner and sat on the stool and looked coldly.
Director Lei is the newly mentioned obstetrics director, and she is incomparable to the powerful director of anesthesiology, so she dares to yell with Zhou Congwen and Li Qinghua.
While the patient is in good condition, hurry up and take the time to operate. Don’t die on the operating table. Director Lei also agrees with this plan.
However, after ventricular fibrillation, Director Lei's hand trembled slightly, and the simple operation ended for 20 minutes before it ended.
The patient's blood pressure has gradually increased under the action of norepinephrine, but the blood oxygen saturation is not ideal.
The waveform of ECG monitoring changes from supraventricular tachycardia and ventricular fibrillation. After rescue, waveforms of the st segment of the left anterior wall lead shift downward.
Although Liu Wei couldn't understand how a oxytocin could cause myocardial infarction, he still tended to believe Zhou Congwen's view after seeing the st section of the left anterior wall lead shift downward.
Looking back, I wanted to ask, but Liu Wei didn't see Zhou Congwen. He didn't know when he had left.
7017k
Chapter completed!