Doctor: start with the heart
Chapter 134 Acute Arrhythmia
Chapter 134 Acute Arrhythmia
"Put me down and go take a look."
Hearing the cry for help from the pavilion not far away, Zhang Guoer said to Zhao Xu.
She knew that with Zhao Xu's professional habits, she would not ignore such a thing.
Moreover, with Zhang Guoer's ability to recognize voices, she could easily recognize that the one who cried for help was the girl next to the fat man just now.
"Ah."
Zhao Xu put Zhang Guoer down and ran towards the pavilion, while Zhang Guoer followed closely behind Zhao Xu.
Soon, Zhao Xu rushed to the pavilion. At this moment, there were several people standing in the pavilion, all looking at the person lying on the ground.
Zhao Xu saw that the person lying on the ground with a pale complexion, weak breathing, and closed eyes was the fat man just now!
"Are you a doctor? You are a doctor! I beg you to save him, save him!"
Seeing Zhao Xu coming in, the girl, Xiao Rou, held onto Zhao Xu's arm tightly as if she had seen a life-saving straw, pleading with tears all over her face.
"What a pity!"
"Climbing mountains is like this!"
"There is no doctor in this barren mountain!"
Several people watching couldn't help whispering.
No one is a doctor. At this time, no one dares to step forward.
Although this is a scenic area, there are special rescue teams and medical teams, but this is halfway up the mountain, and there is no cable car on this mountain. When the rescue team arrives, I am afraid that everyone will already be cold.
"Don't worry."
Zhao Xu comforted the girl, then walked to the fat man's side and squatted down.
Soon, Zhao Xu checked the fat man's pulse and breathing.
Fortunately, although it is very weak, there is pulse and breathing, but the pulse is very chaotic.
This is emergency arrhythmia!
Zhao Xu judged it immediately.
"Is this young man a doctor?"
"Can he do it?"
"Doctors must have equipment too!"
The onlookers, seeing Zhao Xu squatting down and starting to examine the fat man, also said rustlingly.
"Can you stop pointing here!"
Feeling that everyone around was watching the fun, Zhang Guoer couldn't help it, she said a little angrily.
"Who is pointing, who are you, who is in the way when I speak!"
"That's right, it's so rude to look at a pretty little girl!"
The onlookers focused their firepower on Zhang Guoer again.
"Someone is sick now, and someone is saving someone. It's fine if you don't help. Pointing here is nothing. If you are the person lying on the ground, you want others to just stand and point?!"
Zhang Guoer said angrily again.
She said this, perhaps because she was too imposing, and the onlookers finally stopped talking.
No one knows what they will encounter in the future, and no one hopes that the person lying on the ground will be themselves in the future.
Zhao Xu, who was squatting on the ground, ignored the gossip of the crowd, but raised his head and said to Zhang Guoer, "Contact the rescue team and ask them to come with a defibrillator."
"Well, I see."
Zhang Guoer nodded, immediately took out her mobile phone and started making calls.
Zhao Xu looked again at the fat man with his eyes closed and his face pale, feeling very troublesome.
According to his judgment, the fat man now not only has sinus arrhythmia, but also has almost progressed to atrial fibrillation.
Atrial fibrillation is very dangerous. During atrial fibrillation, the atrium loses its systolic function, and the blood easily stagnates in the atrium to form a thrombus. After the thrombus falls off, it can travel to the whole body with the blood, leading to cerebral embolism (stroke) and limb arterial embolism (serious or even require amputation).
Moreover, once atrial fibrillation develops into ventricular fibrillation, if it cannot be intervened, ventricular fibrillation will soon lead to cardiac arrest.
Regardless of whether it is arrhythmia or atrial fibrillation, the clinical treatment method, in addition to drug therapy intervention, is to defibrillate with a defibrillator.
But now, on the middle of the mountain in the wilderness, there is neither medicine nor defibrillator.
No matter how high Zhao Xu's level was, without these medicines and equipment, it would be difficult for a smart woman to cook without rice.
"Doctor, can you save him? Why don't you save him! Aren't you a doctor!"
The girl Xiaorou looked at Zhao Xu squatting on the ground, just examining the fat man, without any other movements, she panicked instantly, and said impatiently when she thought that Zhao Xu was a doctor.
If something happened to Fatty because of her encouragement to lose weight, with Fatty's family background, he must be in big trouble.
Therefore, the current girl Xiao Rou is very urgent.
"Didn't he become like this because of you? Come and save him if you have the ability!"
Seeing the girl Xiaorou like this, Zhang Guoer said angrily.
"He has a very serious arrhythmia now, which cannot be dealt with without drugs and defibrillators."
Zhao Xu ignored the girl Xiaorou's panic and hysterical look, and explained.
"Then what should I do? It's not me, I didn't ask him to climb the mountain to lose weight, he insisted on coming, yes, he insisted on coming, I'll show you the chat records, he insisted on coming!"
When the girl Xiaorou heard Zhao Xu's words, she panicked completely. She took out her phone, opened the chat history, and raised the phone up in a panic, as if she wanted to explain that it had nothing to do with her that the fat man became like this!
"You little girl is too bad!"
"That's right, he obviously accompanied you to climb the mountain!"
"The world is getting worse, all the little girls are like this now!"
The inexplicable sense of justice of the onlookers erupted again, and they spoke in seven or eight words.
"What do you know, he just licks dogs, do you understand? I gave him a chance, you know, I kindly gave him a chance! It's not my fault, it's not my fault!"
Feeling that the fat man would die in front of her eyes in a few minutes, the girl Xiaorou's psychological defense completely collapsed, she shouted hysterically.
"Okay, calm down!"
Zhao Xu stood up and shouted coldly at the girl Xiao Rou.
"Is anyone with a spoon?"
Zhao Xu said to the crowd again.
"spoon?"
Hearing Zhao Xu's words, the crowd was puzzled.
This fat man looked like he was going to die soon, what's the use of asking for a spoon now?
Not only the onlookers, but even Zhang Guoer was very puzzled at this time, but out of trust in Zhao Xu, she also said to the onlookers: "He is a doctor and has a way to save people. Who brought a spoon?" Is it?"
Hearing Zhang Guoer, who looked as beautiful as a fairy, speak, the crowd finally came to their senses.
After a while, a young mother with a child on her back took the bag from the young husband standing aside, took out a children's spoon from the bag, handed it to Zhao Xu and said, "This is Xiaobao's, can I use it?" ?”
"can."
Zhao Xu took the spoon with a handle in the shape of a bear, a very cute children's spoon, looked at it carefully, and nodded.
"Ah That's good."
The young mother nodded.
I have just become a parent, and I still have a lot of feelings about many things, unlike many people, who are already very numb when facing many things.
"What are you doing with a spoon?"
"Yes, can a spoon also cure diseases?"
"I think it's a bit awkward!"
The constant discussion came out again.
At this moment, Zhao Xu didn't care about these discussions. As a professional doctor, he had to learn to rule out these influences at any time.
He squatted down, opened the fat man's buttocks with one hand, held the spoon in the other hand, put it into the fat man's mouth, and repeatedly probed towards the pharynx.
After repeating this process several times, the fat man slowly opened his eyes and looked at Zhao Xu blankly.
"Doctor, I... what's wrong with me?"
The fat man asked blankly.
He only remembers sprinting hard into the pavilion, and then collapsed unconscious.
"It's amazing!"
"It's really insightful, a spoon can also cure diseases!"
"so amazing!"
When the onlookers saw Fatty was rescued, they were in an uproar.
"Young man, why can this spoon cure diseases?"
A middle-aged uncle couldn't help asking, there is an old man in his family, and the old man often faints because of high blood pressure. Every time he faints, he is wandering in the gate of hell. Use it.
When the middle-aged uncle asked, the others looked at Zhao Xu curiously.
It seemed that everyone was very interested in Zhao Xu's move.
"This method can only be used in coma caused by arrhythmia. It cannot be used in other situations. The reason why the spoon is used is to stimulate his pharynx, thereby stimulating the vagus nerve, and then restoring sinus rhythm. Everyone will meet someone in the future. If you are in a coma, you still need to ask a doctor for help, and you cannot operate by yourself."
Seeing someone ask a question, Zhao Xu still explained that professional things should be done by professional people, and the operation of saving lives cannot be imitated casually.
Just like Zhao Xu's operation today, although it looks very simple and works quickly, it is based on Zhao Xu's understanding of human anatomy and pathology. If someone reads Zhao Xu's operation, he will blindly imitate it in the future If not, it will not only fail to save lives, but also delay the real treatment.
"I see, young man, which hospital are you from? It's amazing!"
The middle-aged uncle nodded and gave Zhao Xu a thumbs up.
At this time, the girl Xiaorou ran over from the side in three or two steps, helped the fat man up, and cried to the fat man with tears on her face, "Fatty, you are awake, great, if something happens to you What can I do!"
"Xiaorou, thank you. If you hadn't called the doctor, something might have happened to me here."
Seeing Xiaorou like this, Fatty felt very good in his heart and felt very sweet.
Xiaorou cares about me so much, the efforts of these years are not in vain!
Fatty couldn't help thinking in his heart.
"Fatty, I promise to be your girlfriend. For weight loss, you can lose weight if you want. I won't force you!"
The girl Xiaorou seemed to have made up her mind and said to the fat man.
Such obedient long-term meal tickets, if they are gone, where can I find them in the future?
"Really? Xiao Rou, you really agreed to be my girlfriend?"
The fat man said with a moved face.
"Well, I promise."
Xiaorou hugged the fat man's arm and said sweetly.
"I.."
Fatty was so moved that he wanted to cry at this moment, it was the moon that was so bright when the clouds opened. Moreover, Xiaorou hugged his arm, and he felt the touch of Xiaorou's body, which made him, who was a little weak at the moment, distracted.
"Young man, congratulations!"
At this time, an uncle said to the fat man.
"Thank you, thank you all."
The fat man said very moved.
At this time, the rescue team called by Zhang Guoer also arrived.
The rescue team quickly transported the fat man down the mountain.
Seeing the back of the rescue team carrying the fat man away, Zhang Guoer said with some annoyance: "You saved people, and they didn't even say thank you, really!"
"It's easy, don't think too much."
Zhao Xu didn't care about other people's thanks, it was just a professional habit of a doctor.
Do things for yourself, to implement and uphold a concept, not to win the gratitude of others.
Then you will fall behind.
"Hmph, licking a dog, I really look down on this kind of person!"
Zhang Guo'er also said that she is the kind of person who loves to be clear, as an artist, many people are like this.
"People are willing to enjoy themselves, so we won't comment."
Zhao Xu said calmly.
Whether to lick this kind of thing, only the person concerned knows, and only the person concerned knows whether it is worth it.
"Have you met many people like this before, and you saved him without even saying thank you?"
Seeing Zhao Xu's calmness, Zhang Guoer suddenly felt a little distressed. He must be so calm because he has met many people like Fatty before, so he is used to it.
"Being grateful is not just a trivial matter. There are also people who make a fuss. This world is ridiculous. There is nothing inevitable and certain. Just get used to it."
Zhao Xu said slowly.
If you help others, they may not necessarily thank you. This is just wishful thinking.
But those who have gone before have to persist. If there is no torch after that, I will be the only light!
"Suddenly I feel that you have experienced a lot of things!"
Zhang Guoer held Zhao Xu's hand tightly, and said with distress and admiration.
Her family background is very good, and her parents have brought her to see the world since she was a child, so it can be said that she is well-informed.
But it was very different from Zhao Xu who had experienced so many unspeakable things.
"It's over, it's over, that's all."
Zhao Xu shook his head slightly and said.
"By the way, we've known each other for so long, but you never seem to have mentioned anything about your family. Is it convenient for you to say so?"
It suddenly occurred to Zhang Guoer that Zhao Xu had never mentioned anything about his family after meeting Zhao Xu.
"When I was three years old, my parents divorced. I grew up with my grandparents. I just went to college and they went too."
Zhao Xu said calmly.
Speaking of these, the only sad thing about him is that he didn't spend a longer time with his grandparents.
As for his parents, when he was three years old, they had divorced and went their separate ways. They hadn't seen each other since he was three years old, so Zhao Xu had little impression of them.
Some marriages may be wrong from the beginning.
Now Zhao Xu was also very calm. There was no resentment or anything else. To Zhao Xu, they were just strangers by blood.
"It's okay, I'll stay with you from now on."
Hearing this, Zhang Guoer hugged Zhao Xu tightly, and said softly but firmly.
(End of this chapter)
"Put me down and go take a look."
Hearing the cry for help from the pavilion not far away, Zhang Guoer said to Zhao Xu.
She knew that with Zhao Xu's professional habits, she would not ignore such a thing.
Moreover, with Zhang Guoer's ability to recognize voices, she could easily recognize that the one who cried for help was the girl next to the fat man just now.
"Ah."
Zhao Xu put Zhang Guoer down and ran towards the pavilion, while Zhang Guoer followed closely behind Zhao Xu.
Soon, Zhao Xu rushed to the pavilion. At this moment, there were several people standing in the pavilion, all looking at the person lying on the ground.
Zhao Xu saw that the person lying on the ground with a pale complexion, weak breathing, and closed eyes was the fat man just now!
"Are you a doctor? You are a doctor! I beg you to save him, save him!"
Seeing Zhao Xu coming in, the girl, Xiao Rou, held onto Zhao Xu's arm tightly as if she had seen a life-saving straw, pleading with tears all over her face.
"What a pity!"
"Climbing mountains is like this!"
"There is no doctor in this barren mountain!"
Several people watching couldn't help whispering.
No one is a doctor. At this time, no one dares to step forward.
Although this is a scenic area, there are special rescue teams and medical teams, but this is halfway up the mountain, and there is no cable car on this mountain. When the rescue team arrives, I am afraid that everyone will already be cold.
"Don't worry."
Zhao Xu comforted the girl, then walked to the fat man's side and squatted down.
Soon, Zhao Xu checked the fat man's pulse and breathing.
Fortunately, although it is very weak, there is pulse and breathing, but the pulse is very chaotic.
This is emergency arrhythmia!
Zhao Xu judged it immediately.
"Is this young man a doctor?"
"Can he do it?"
"Doctors must have equipment too!"
The onlookers, seeing Zhao Xu squatting down and starting to examine the fat man, also said rustlingly.
"Can you stop pointing here!"
Feeling that everyone around was watching the fun, Zhang Guoer couldn't help it, she said a little angrily.
"Who is pointing, who are you, who is in the way when I speak!"
"That's right, it's so rude to look at a pretty little girl!"
The onlookers focused their firepower on Zhang Guoer again.
"Someone is sick now, and someone is saving someone. It's fine if you don't help. Pointing here is nothing. If you are the person lying on the ground, you want others to just stand and point?!"
Zhang Guoer said angrily again.
She said this, perhaps because she was too imposing, and the onlookers finally stopped talking.
No one knows what they will encounter in the future, and no one hopes that the person lying on the ground will be themselves in the future.
Zhao Xu, who was squatting on the ground, ignored the gossip of the crowd, but raised his head and said to Zhang Guoer, "Contact the rescue team and ask them to come with a defibrillator."
"Well, I see."
Zhang Guoer nodded, immediately took out her mobile phone and started making calls.
Zhao Xu looked again at the fat man with his eyes closed and his face pale, feeling very troublesome.
According to his judgment, the fat man now not only has sinus arrhythmia, but also has almost progressed to atrial fibrillation.
Atrial fibrillation is very dangerous. During atrial fibrillation, the atrium loses its systolic function, and the blood easily stagnates in the atrium to form a thrombus. After the thrombus falls off, it can travel to the whole body with the blood, leading to cerebral embolism (stroke) and limb arterial embolism (serious or even require amputation).
Moreover, once atrial fibrillation develops into ventricular fibrillation, if it cannot be intervened, ventricular fibrillation will soon lead to cardiac arrest.
Regardless of whether it is arrhythmia or atrial fibrillation, the clinical treatment method, in addition to drug therapy intervention, is to defibrillate with a defibrillator.
But now, on the middle of the mountain in the wilderness, there is neither medicine nor defibrillator.
No matter how high Zhao Xu's level was, without these medicines and equipment, it would be difficult for a smart woman to cook without rice.
"Doctor, can you save him? Why don't you save him! Aren't you a doctor!"
The girl Xiaorou looked at Zhao Xu squatting on the ground, just examining the fat man, without any other movements, she panicked instantly, and said impatiently when she thought that Zhao Xu was a doctor.
If something happened to Fatty because of her encouragement to lose weight, with Fatty's family background, he must be in big trouble.
Therefore, the current girl Xiao Rou is very urgent.
"Didn't he become like this because of you? Come and save him if you have the ability!"
Seeing the girl Xiaorou like this, Zhang Guoer said angrily.
"He has a very serious arrhythmia now, which cannot be dealt with without drugs and defibrillators."
Zhao Xu ignored the girl Xiaorou's panic and hysterical look, and explained.
"Then what should I do? It's not me, I didn't ask him to climb the mountain to lose weight, he insisted on coming, yes, he insisted on coming, I'll show you the chat records, he insisted on coming!"
When the girl Xiaorou heard Zhao Xu's words, she panicked completely. She took out her phone, opened the chat history, and raised the phone up in a panic, as if she wanted to explain that it had nothing to do with her that the fat man became like this!
"You little girl is too bad!"
"That's right, he obviously accompanied you to climb the mountain!"
"The world is getting worse, all the little girls are like this now!"
The inexplicable sense of justice of the onlookers erupted again, and they spoke in seven or eight words.
"What do you know, he just licks dogs, do you understand? I gave him a chance, you know, I kindly gave him a chance! It's not my fault, it's not my fault!"
Feeling that the fat man would die in front of her eyes in a few minutes, the girl Xiaorou's psychological defense completely collapsed, she shouted hysterically.
"Okay, calm down!"
Zhao Xu stood up and shouted coldly at the girl Xiao Rou.
"Is anyone with a spoon?"
Zhao Xu said to the crowd again.
"spoon?"
Hearing Zhao Xu's words, the crowd was puzzled.
This fat man looked like he was going to die soon, what's the use of asking for a spoon now?
Not only the onlookers, but even Zhang Guoer was very puzzled at this time, but out of trust in Zhao Xu, she also said to the onlookers: "He is a doctor and has a way to save people. Who brought a spoon?" Is it?"
Hearing Zhang Guoer, who looked as beautiful as a fairy, speak, the crowd finally came to their senses.
After a while, a young mother with a child on her back took the bag from the young husband standing aside, took out a children's spoon from the bag, handed it to Zhao Xu and said, "This is Xiaobao's, can I use it?" ?”
"can."
Zhao Xu took the spoon with a handle in the shape of a bear, a very cute children's spoon, looked at it carefully, and nodded.
"Ah That's good."
The young mother nodded.
I have just become a parent, and I still have a lot of feelings about many things, unlike many people, who are already very numb when facing many things.
"What are you doing with a spoon?"
"Yes, can a spoon also cure diseases?"
"I think it's a bit awkward!"
The constant discussion came out again.
At this moment, Zhao Xu didn't care about these discussions. As a professional doctor, he had to learn to rule out these influences at any time.
He squatted down, opened the fat man's buttocks with one hand, held the spoon in the other hand, put it into the fat man's mouth, and repeatedly probed towards the pharynx.
After repeating this process several times, the fat man slowly opened his eyes and looked at Zhao Xu blankly.
"Doctor, I... what's wrong with me?"
The fat man asked blankly.
He only remembers sprinting hard into the pavilion, and then collapsed unconscious.
"It's amazing!"
"It's really insightful, a spoon can also cure diseases!"
"so amazing!"
When the onlookers saw Fatty was rescued, they were in an uproar.
"Young man, why can this spoon cure diseases?"
A middle-aged uncle couldn't help asking, there is an old man in his family, and the old man often faints because of high blood pressure. Every time he faints, he is wandering in the gate of hell. Use it.
When the middle-aged uncle asked, the others looked at Zhao Xu curiously.
It seemed that everyone was very interested in Zhao Xu's move.
"This method can only be used in coma caused by arrhythmia. It cannot be used in other situations. The reason why the spoon is used is to stimulate his pharynx, thereby stimulating the vagus nerve, and then restoring sinus rhythm. Everyone will meet someone in the future. If you are in a coma, you still need to ask a doctor for help, and you cannot operate by yourself."
Seeing someone ask a question, Zhao Xu still explained that professional things should be done by professional people, and the operation of saving lives cannot be imitated casually.
Just like Zhao Xu's operation today, although it looks very simple and works quickly, it is based on Zhao Xu's understanding of human anatomy and pathology. If someone reads Zhao Xu's operation, he will blindly imitate it in the future If not, it will not only fail to save lives, but also delay the real treatment.
"I see, young man, which hospital are you from? It's amazing!"
The middle-aged uncle nodded and gave Zhao Xu a thumbs up.
At this time, the girl Xiaorou ran over from the side in three or two steps, helped the fat man up, and cried to the fat man with tears on her face, "Fatty, you are awake, great, if something happens to you What can I do!"
"Xiaorou, thank you. If you hadn't called the doctor, something might have happened to me here."
Seeing Xiaorou like this, Fatty felt very good in his heart and felt very sweet.
Xiaorou cares about me so much, the efforts of these years are not in vain!
Fatty couldn't help thinking in his heart.
"Fatty, I promise to be your girlfriend. For weight loss, you can lose weight if you want. I won't force you!"
The girl Xiaorou seemed to have made up her mind and said to the fat man.
Such obedient long-term meal tickets, if they are gone, where can I find them in the future?
"Really? Xiao Rou, you really agreed to be my girlfriend?"
The fat man said with a moved face.
"Well, I promise."
Xiaorou hugged the fat man's arm and said sweetly.
"I.."
Fatty was so moved that he wanted to cry at this moment, it was the moon that was so bright when the clouds opened. Moreover, Xiaorou hugged his arm, and he felt the touch of Xiaorou's body, which made him, who was a little weak at the moment, distracted.
"Young man, congratulations!"
At this time, an uncle said to the fat man.
"Thank you, thank you all."
The fat man said very moved.
At this time, the rescue team called by Zhang Guoer also arrived.
The rescue team quickly transported the fat man down the mountain.
Seeing the back of the rescue team carrying the fat man away, Zhang Guoer said with some annoyance: "You saved people, and they didn't even say thank you, really!"
"It's easy, don't think too much."
Zhao Xu didn't care about other people's thanks, it was just a professional habit of a doctor.
Do things for yourself, to implement and uphold a concept, not to win the gratitude of others.
Then you will fall behind.
"Hmph, licking a dog, I really look down on this kind of person!"
Zhang Guo'er also said that she is the kind of person who loves to be clear, as an artist, many people are like this.
"People are willing to enjoy themselves, so we won't comment."
Zhao Xu said calmly.
Whether to lick this kind of thing, only the person concerned knows, and only the person concerned knows whether it is worth it.
"Have you met many people like this before, and you saved him without even saying thank you?"
Seeing Zhao Xu's calmness, Zhang Guoer suddenly felt a little distressed. He must be so calm because he has met many people like Fatty before, so he is used to it.
"Being grateful is not just a trivial matter. There are also people who make a fuss. This world is ridiculous. There is nothing inevitable and certain. Just get used to it."
Zhao Xu said slowly.
If you help others, they may not necessarily thank you. This is just wishful thinking.
But those who have gone before have to persist. If there is no torch after that, I will be the only light!
"Suddenly I feel that you have experienced a lot of things!"
Zhang Guoer held Zhao Xu's hand tightly, and said with distress and admiration.
Her family background is very good, and her parents have brought her to see the world since she was a child, so it can be said that she is well-informed.
But it was very different from Zhao Xu who had experienced so many unspeakable things.
"It's over, it's over, that's all."
Zhao Xu shook his head slightly and said.
"By the way, we've known each other for so long, but you never seem to have mentioned anything about your family. Is it convenient for you to say so?"
It suddenly occurred to Zhang Guoer that Zhao Xu had never mentioned anything about his family after meeting Zhao Xu.
"When I was three years old, my parents divorced. I grew up with my grandparents. I just went to college and they went too."
Zhao Xu said calmly.
Speaking of these, the only sad thing about him is that he didn't spend a longer time with his grandparents.
As for his parents, when he was three years old, they had divorced and went their separate ways. They hadn't seen each other since he was three years old, so Zhao Xu had little impression of them.
Some marriages may be wrong from the beginning.
Now Zhao Xu was also very calm. There was no resentment or anything else. To Zhao Xu, they were just strangers by blood.
"It's okay, I'll stay with you from now on."
Hearing this, Zhang Guoer hugged Zhao Xu tightly, and said softly but firmly.
(End of this chapter)
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