Start with an emergency physician

Sun Meng also immediately became alert:"Should we ask Director He and the others to come over?"

"No need. I guess if I call Director He, Senior Brother Haiyang will be scolded to death."

Zhou Yuan was about to leave the ward.

At this moment, Wang Chun on the bed suddenly twitched, then tilted his head and fainted.

Sun Meng was shocked:"Zhou Yuan, Wang Chun fainted!"

"There's no time to check the electrocardiogram. Send him to the emergency room immediately!"

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

"The patient is in ventricular fibrillation!" the nurse said anxiously.

""Charge 200 joules." Zhou Yuan said calmly.

Sun Meng started charging immediately."Charging completed!"

"Defibrillation." Zhou Yuan said.

Sun Meng held the defibrillator and gently pressed the electrodes on the apex and bottom of the heart.

Bang.

Wang Chun's body shook.

Zhou Yuan stepped forward and immediately placed his palms on the middle and lower thirds of Wang Chun's sternum and began chest compressions.

"1001, 1002, 1003……"

Thirty chest compressions, two artificial respirations.

After repeating this three or four times, Wang Chun began to cough.

"Wake up!"Sun Meng wiped the sweat off his face and said in surprise.

Zhou Yuan breathed a sigh of relief.

"Arrange an electrocardiogram and chest X-ray."

Zhou Yuan said, and walked to the side with Sun Meng.

"Go call Senior Brother Haiyang over."

Sun Meng also subconsciously lowered his voice:"What happened to Wang Chun?"

"I suspect it's viral myocarditis." Zhou Yuan's face darkened.

"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 extremely similar to those of common fever and cold, both are fever, body aches, sore throat, fatigue, nausea, vomiting, etc., it is particularly easy to be misdiagnosed as a common cold.

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

Similarly, it can also cause arrhythmia, heart failure, sudden cardiac death, dilated cardiomyopathy, etc.

In the case of this chapter in the medical textbook, it is mentioned that there was a nine-year-old girl who had a fever for several weeks. The doctors in the local county hospital had been treating it as a common cold. Taking medicine and infusion did not improve, and finally the golden period of treatment was delayed, resulting in the sudden cardiac death of the little girl.

Zhou Yuan said:"Prepare some lidocaine, propranolol, and etamidocarb in advance"

"Once Wang Chun developed arrhythmia, he was given 80 mg of lidocaine intravenously, and repeated 1 time after 30 minutes. If it was ineffective after 2 times, he was given 2 mg of propranolol intravenously and 100 mg of amiodarone intravenously."

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

When Haiyang arrived, the results of the electrocardiogram and chest X-ray were already out.

"Junior……"Haiyang came over in a hurry, his face pale.

Zhou Yuan smiled and said,"Don't worry, the patient is fine at the moment."

He handed the ECG and chest CT results to Haiyang and said,"The patient's ECG is abnormal.ST-T changes, common T wave inversion, severe ST segment displacement. X-rays show a slight enlargement of the patient's heart shadow."

After saying this, Zhou Yuan breathed a sigh of relief:"Fortunately, it's not particularly serious. It's still in the early and middle stages of viral myocarditis."

Haiyang's hands were shaking as he held the test results. After a long time, he raised his head and looked at Zhou Yuan gratefully:"Junior brother, thank you!"

If Zhou Yuan hadn't discovered it in time, Haiyang might really have died in this pit!

Zhou Yuan waved his hand indifferently.

"The early symptoms of myocarditis are no different from those of a cold and are generally difficult to detect. I just thought of this suddenly, so I can’t blame you."

Haiyang lowered his head."Junior brother, I will apologize to the patient later. Then I will take the initiative to admit my mistake to the master. I will only make this mistake once!"

Zhou Yuan was a little surprised

""Okay."

After that, the three of them came to Wang Chun together.，

"Haha, three doctors came this time! My body is cheap, how can it be so precious!" Although Wang Chun's lips were pale, he still liked to joke.

The more patients trust doctors, the more painful it is when a conscientious doctor makes a mistake.

Haiyang paused and bowed to Wang Chun:"I'm very sorry! I am your doctor, because of my carelessness, I did not judge your specific condition!"

Wang Chun was stunned, then grinned:"I'm still fine here! Doctor Hai, what disease do I have, please prescribe me some medicine!"

"Prescribe...prescribe medicine?" Haiyang was stunned.

He was asked to prescribe medicine?!

Wang Chunyi frowned:"You are my doctor. How can I cure my illness if you don't prescribe medicine for me!"

Haiyang was stunned for several seconds, and a smile appeared on his face again.

"Cytochrome C 15mg intramuscular injection, once in the morning and once in the evening. Oral coenzyme Q10, three times a day, 30mg each time. And 10mg thymosin intramuscular injection once."

Wang Chun lay down with relief:"I'm fine, you guys go and get busy! Don't get too tired!"

After a pause, Wang Chun noticed Zhou Yuan's name tag and encouraged:"Especially you as an intern, you must study hard and become a good doctor in the future!"

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The eighth update is here, and the ninth update is about to begin!