This Doctor is Great
Chapter 196: Critical, myocardial infarction!
"By the way, doctor, wait for the medicine, can you give me a cheap one?"
"Yes, try to use the super cheap domestically produced ones for you."
In fact, the efficacy of many domestic and imported drugs is similar, but the price can be multiplied.
And not only medicines, but many commodities are like this.
For example, two similar bags, one is a domestic brand, the other is a foreign luxury, the price difference between the two can be ten or even twenty times.
This means that foreign monks can recite sutras, and some Chinese people think that foreign products are lofty.
Hearing Zhou Mo's words, the patient Zhao Tiegang showed a grateful expression.
Dr. Zhou Mo is different from the doctors he met before. He always thinks of him and has a good attitude.
When he woke up the doctors on duty in the health center last night, their eyes widened, as if they were going to eat him alive.
And the doctors in the emergency department are also very busy and impatient.
soon,
The ultrasound machine has arrived.
Zhou Mo began to perform B-ultrasounds on patients.
During this period, the patient Zhao Tiegang suffered from pain many times, which lasted for a long time.
20 minutes later...
Zhou Mo: "????"
B-ultrasound result: everything is fine!
Appendicitis, pancreatitis... all kinds of situations are not!
"what is the problem?"
Zhou Mo was stunned.
"Is it a problem with the heart?"
Zhou Mo originally thought about the rest of the ECG project, but now it seems that he can't save it.
Although the patient has stomach pain, it is likely to have a heart attack.
"Beauty Lin, bring me the electrocardiograph..."
"OK."
In less than half a minute, nurse Xiaolin quickly brought an electrocardiograph to Zhou Mo.
Quickly connect the electrodes.
blah blah~~~~~
Zhou Mo saw the electrocardiogram that came out,
"I go!!"
His face changed!
Myocardial infarction!
A very typical ECG of myocardial infarction!
Zhou Mo couldn't believe his eyes, so he rubbed vigorously.
The performance of the electrocardiogram in front of me is too typical.
And it was inferior myocardial infarction.
"MMP, I actually encountered a myocardial infarction patient with abdominal pain as the main symptom!"
Zhou Mo has said many times that patients with abdominal pain must check the electrocardiogram, but this is the first time I have encountered it in person!
Zhao Tiegang saw Zhou Mo's expression and asked, "Doctor, what's wrong?"
Zhou Mo smiled: "It's okay, don't be nervous."
Then in addition to the duty room, he picked up his mobile phone and called Senior Brother Chen Bing:
"Senior brother, I have a patient with myocardial infarction here. Come here quickly... He has been in pain since yesterday, and his condition may have progressed very seriously, and an accident may happen at any time..."
"By the way, by the way, I'll ask a senior from the interventional diagnosis and treatment center to come over and take a look. You may want to consider thrombolysis or intervention..."
For acute myocardial infarction, the most important method is naturally thrombolysis and intervention.
All are within the scope of cardiology.
Then he came to the nurse's station and quickly said to Xiaomei, a computer nurse in the nurse's station, "80 beds, a patient with myocardial infarction, measure his blood pressure. If it is higher than 95, give him nitroglycerin immediately..."
"it is good!!"
Nitroglycerin is also a standing drug in gastroenterology. It's like an electrocardiograph. Although gastroenterology has nothing to do with the heart, it is still necessary to prepare it.
However, one thing to note is that
For patients with myocardial infarction, most of the oral nitroglycerin can not have obvious relief.
The best method is slow intravenous infusion of nitroglycerin to dilate the coronary arteries to relieve ischemia.
Because it dilates blood vessels, if the blood pressure is low, it is best not to use nitroglycerin, which will further reduce the blood pressure and may be at risk of shock.
soon,
Zhou Mo and the nurse quickly returned to the ward.
at this time,
The patient Zhao Tiegang was clutching his stomach and suffering from pain, apparently a new wave of pain was surging.
Sweat dripped down his forehead.
After about 10 seconds, it was over.
Guluo
Zhao Tiegang's expression softened again.
"I'll give you an injection later."
"What's wrong? Doctor?" Long-winded patient... No, the patient Zhao Tiegang was a little flustered when he saw Zhou Mo's expression was not right.
"You have a myocardial infarction now, which is the kind of disease that is broadcast on the TV station covering the heartache... I need to give you an injection to relieve it."
"Ah? My stomach hurts, how can I have a heart problem?" Zhao Tiegang suddenly became excited.
"This injection must be given!" Zhou Mo no longer wanted to talk to Zhao Tiegang, because the illness had dragged on for too long, and he might die at any time.
Zhao Tiegang saw Zhou Mo's serious expression and his respect for the doctor made him give in.
"it is good!"
The nurse started giving him needles.
"Doctor, does this medicine cost money? How much?"
"..., but let's talk about the injection! Hurry up!"
Zhou Mo felt that his mentality was a bit irritable, and he was in a hurry, but the patient was still long-winded.
soon,
The nurse took the blood pressure skillfully, 115/78, not bad.
Then open the venous channel and infuse intravenously.
Zhou Mo said to the nurse, "Give him an ECG monitor to prevent his blood pressure from falling..."
soon,
Get the ECG monitor on.
Zhou Mo looked at all the vital signs, and finally heaved a sigh of relief.
At this moment,
"Zhou Mo!"
Zhou Mo looked back and saw that it was Senior Brother Chen Bing and Senior Brother Zhen Zhihang from the Intervention Center.
"Come on, that's great."
Then Zhou Mo introduced the two of them in English about their illness.
"Myocardial infarction that started last night?"
"Hey... he can carry it up until now, he's really amazing."
"Yeah, so I think his condition may not be serious. When he came to the gastroenterology department, he had an attack every 10 minutes, about three or four minutes each time... At first, I was thinking about abdominal pain, so I didn't think it was myocardial infarction. ."
"Why didn't you take the ECG earlier? You came out of the Cardiology Department, so you shouldn't ignore this... And what do you eat in the emergency department? Why didn't the ECG be done?" Senior Brother Chen Bing blamed.
Zhou Mo explained: "It's not that he doesn't do it, it's that he doesn't want to, because he is afraid of spending money, and his family is too poor... Let me tell you, he has to ask how much for nitroglycerin just now."
Brother Chen Bing suddenly stopped talking.
Zhen Zhihang sighed, "Hey, this kind of patient is the one that bothers me the most?"
Just as the three of them communicated their illnesses,
At this moment, the patient Zhao Tiegang's complexion suddenly changed, and his originally **** face became extremely pale~www.readwn.com~ He bent over to cover his chest and spoke with difficulty.
"Doctor...doctor..."
"I suddenly felt tight in my chest and my heart was beating fast."
He now feels like a big rock is pressing on his chest, he can't breathe, and it's very uncomfortable.
Cold sweat soaked the clothes instantly.
The faces of Zhou Mo and the others suddenly changed drastically!
coming!
Chest pain!
Moved! !
Big trouble! !
At this time.
The patient Zhao Tiegang said with difficulty: "Doctor, my throat feels so uncomfortable, it's like a fire is burning."
He spoke very slowly, it took about a minute for these ten words.
And the most important thing is that his breath is not smooth, every word is like the last word.
"Don't talk...don't be afraid...slow down...relax..."
Zhou Mo looked at the ECG monitor.
The heart rate has soared to 140.
Zhou Mo took out the stethoscope and put it on the chest of the patient Zhao Tiegang.
The patient Zhao Tiegang's heartbeat is really abnormal, very fast, very fast. Like a lively rabbit.
Zhou Mo took off the stethoscope and spoke very fast:
"Senior brother, he must go to the Cardiology Department immediately. There is nothing here, so he can't do it!"
"be quick!"
Zhou Mo said to Senior Brother Chen Bing and Senior Brother Zhen Zhihang.
Brother Chen Bing did not hesitate, and made a decisive decision: "Okay!"
.
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