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 treating a dead horse as a living horse doctor?
Was it a blind cat that killed a mouse?
Lots of luck?
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 ability to calculate and generate images. But just now she could feel very strongly 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 just jumped to nearly 240 beats per minute, which is the limit. If you don't lower the heart rate quickly, the heart will
suddenly failed.
Based on her previous observation and judgment of the patient, the patient was not suffering from myocardial infarction but high temperature heat stroke, which is very important in differential diagnosis. In the relevant literature, there are cases of high temperature heat stroke accompanied by paroxysmal supraventricular tachycardia, and the number of cases is not large.
Less. Furthermore, she knew that the most terrifying complication of carotid sinus massage is stroke or infarction caused by carotid plaque shedding. The incidence rate is really very low. According to statistics compiled abroad, it is only about 0%.
five.
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.
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 listening head into the patient's clothes and listened carefully to his apical pulse.
The patient's current heart rate is about 90 beats per minute. From this number, it can be roughly inferred that the patient's heart rate would have exceeded 200 beats 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
It was very obvious. Moreover, they saw when they came over that the patient had obvious relief of symptoms.
Does this mean that Xie Wanying's operation is effective and her judgment is correct?
Zhou Junpeng had to wonder 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. They will think about it afterwards to determine what happened and use science to explain it clearly. This is equivalent to saying that as long as it is amazing,
The teacher will never admit that there is such a thing as luck saving people.
Withdrawing the stethoscope, Zhou Junpeng turned around and waited for Fu Xinheng's next instructions.
In short, Fu Xinheng didn't curse immediately, which was beyond his expectation.