This Doctor is Great

Watching the little girl escaped danger, Zhou Mo breathed a sigh of relief.

"How is it? Did you just suddenly feel that you can become a hero?" Senior Brother Chen Bing laughed.

Zhou Mo immediately blushed.

really,

Just now, he still thought about becoming a hero, stepping on colorful clouds, and saving that little girl at a critical juncture.

This may be every doctor's dream.

Every doctor wondered whether he would suddenly encounter someone critically ill. He stepped forward as a doctor and received a round of applause to satisfy the young man's little vanity.

but,

This kind of thing is relatively rare. Only when I went to dinner with Huang Yiming last time, I saved a patient from cardiac arrest.

And this time, the mvp in the audience is the little girl's father!

Excellent!

Although it is not standard, the little girl was successfully rescued!

Here, there should be applause for the little girl's father!

Heimlich maneuver and cardiopulmonary resuscitation are both important first aid methods in daily life. Many people should take the initiative to learn these two skills.

Perhaps, one day it can save a life.

……

the next day,

Director Niu didn't come in the morning, so this morning's ward rounds within the group were not done.

Zhou Mo finished his room inspection (29 beds with X syndrome patient Li Mei, 28 beds with hypertension and chronic kidney Wu Xi), and then began to follow Brother Chen Bing to receive his patients.

34 beds, the patient suffered from conventional myocardial infarction and was hospitalized for observation.

There are 35 beds, and the patient is hospitalized for observation after interventional surgery.

These two don't need to be paid much attention. After Zhou Mo got a detailed understanding of the situation, he started to follow Senior Brother Chen Bing to bed 36.

36 by the bedside,

Zhou Mo observed the patient in front of him.

The patient is still young and strong, but his face is rather dull, and he is tired and lacking in energy.

And the one who accompanies the bed is his wife, a more fashionable woman.

"Hello Dr. Chen..." The patient and his wife greeted Chen Bing and Zhou Mo politely when they saw Chen Bing and Zhou Mo walk in.

Chen Bing: "This is Dr. Zhou, and he will be in charge of managing your condition these two days..."

Zhou Mo: "Hello, my name is Zhou Mo. You can call me Doctor Zhou in the future."

The husband and wife hurriedly said, "Hello Dr. Zhou..."

Brother Chen Bing introduced the patient to Zhou Mo.

"His name is - Liu Mo."

"34 years old, male."

"Chest tightness and shortness of breath for two months."

"Then the day before yesterday, I was admitted to the Cardiology Department."

"When I was admitted to the hospital, I checked his body: his body temperature was normal, his abdomen was soft, his bowel sounds were normal, his heart sounds were normal, his lungs were normal..."

"Then, the day before yesterday, I did a blood routine and myocardial enzyme spectrum for the patient, and found that the indicators about the heart were all normal."

"what?"

Zhou Mo was surprised.

The patient has had chest tightness and shortness of breath, and it has been 2 months. How can there be no problem with the myocardial enzyme spectrum?

It doesn't make sense!

Even if it's a little higher, it's fine.

Zhou Mo couldn't help but ask, "Where's the electrocardiogram?"

An electrocardiogram is a must for cardiologists.

Senior Brother Chen Bing: "I did an electrocardiogram, which suggested Dou Wen, but I didn't find anything special..."

The electrocardiogram is really all-encompassing, simple and complex, easy to get started, but difficult to master. Even a director with decades of experience may not be able to find the real cause from a faulty electrocardiogram.

Zhou Mo: "Have you done any other inspections?"

Senior Brother Chen Bing: "Looking for Lao Chen and having an echocardiogram, but no problems were found. There is no organic disease in the heart, and there is no problem with ejecting blood..."

Zhou Mo: "What else?"

Senior Brother Chen Bing: "I also did a 24-hour dynamic electrocardiogram. It is true that paroxysmal sinus bradycardia appears. There are several time points that basically match the onset time of the patient's symptoms... However, I still can't see anything."

Speaking of which, Senior Brother Chen Bing had a headache.

Because of this patient, nothing has been found, but he has been suffering from chest tightness and shortness of breath for another 2 months.

Zhou Mo pondered deeply.

This patient, how strange! !

The electrocardiogram found nothing.

Cardiac zymography found nothing.

Heart super, nothing was found.

Dynamic cardiogram, nothing found.

Why does the patient have chest tightness and shortness of breath?

Is it a psychological reason?

Mental illness?

Zhou Mo was also confused.

However, the more he encountered such a strange patient, the more excited Zhou Mo became.

The feeling of solving puzzles can make people addicted!

"Let me check you out..."

"Okay, trouble Dr. Liu."

The patient Liu Mo looked at Zhou Mo with a grateful expression.

He has been tormented by his chest tightness and shortness of breath. He used to climb the stairs and walked like flying, but now, climbing the stairs is a painful thing, especially the house he lives in is a stair room, there is no elevator, he lives on the 8th floor , simply painful!

"I'm Dr. Zhou, not Dr. Liu..." Zhou Mo said speechlessly.

"Cough cough... I'm sorry to bother Doctor Zhou." Liu Mo apologized.

Zhou Mo began to examine the patient Liu Mo.

The first is observation.

Patient Liu Mo's lips have no obvious cyanosis, which means there is no hypoxia.

Cyanosis, in clinical medicine, is called cyanosis.

To put it simply, the blood is hypoxic.

In a deep sense, the reduced hemoglobin in the blood increases, when the color turns purple.

Then the heart and lung auscultation was performed, and 3m appeared on the stage, but Zhou Mo didn't hear anything wrong.

I took my blood pressure. Although it was a little high, it wasn't particularly high. It was normal.

Heart rate, 55 beats/min.

Nothing was found.

Because the patient's condition is quite 'normal'.

Senior Brother Chen Bing looked at his watch: "Okay, it's almost time for me here, I have to pack my things, you continue..."

Zhou Mo continued to lower his head to check ~www.readwn.com~ without looking back: "Go..."

Senior Brother Chen Bing: "..."

I'm leaving, why don't you be polite and wave goodbye.

You are so indifferent, so ruthless!

At this moment, Zhou Mo was all thinking about the patient's condition.

too weird.

So exciting! !

"The patient has paroxysmal sinus bradycardia, do you want to do an atropine test?"

Atropine test is one of the common methods to identify sick sinus syndrome (SSS).

Simply put, it is to compare the electrocardiogram before and after intravenous injection of atropine to find the difference.

but!

Soon Zhou Mo shook his head again.

Atropine injections are risky!

Because atropine is a cholinergic M receptor blocker, it can relieve the tension of the vagus nerve, and at the same time, the excitability of the sympathetic nerve is relatively increased, which increases the electrical instability of the myocardium, resulting in myocardial damage...

Therefore, the atropine trial has certain safety risks, even in young patients without structural heart disease.

Zhou Mo generally does not consider this method.

Next,

Zhou Mo started to get started.

The thoracic cavity was examined, and the abdominal cavity was also examined.

in case.

After all, there are thousands of diseases in the human body, and there will always be some coquettish **** who don't take the usual path.

Zhou Mo first listened to bowel sounds.

Bowel sounds: When the bowel peristals, the gas and liquid in the intestinal cavity flow with it, producing an intermittent sound of gas passing through water (or grunting), which is called bowel sounds.

Upon hearing it,

Well, the bowel sounds are fine!

Periodic cooing.

.