Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

Doing an electrocardiogram is an ability that an emergency doctor or even every doctor must possess.

After 3 years of exercise in the emergency department, Chen Cang is more familiar with the 1 lead to 6 lead logo of the human body than the qwer4 keys on the computer keyboard when playing League of Legends in college!

Basically, when you set up your posture, you can see at a glance where to post, regardless of whether you wear clothes or not.

Because the most common disease in the emergency department is myocardial infarction, this Patient has an acute onset and may appear at any time.

So after Chen Cang went to Provincial Second Hospital, he did ECG and read ECG for half a year.

At this time, the electrocardiogram machine is standing by, and it is obvious that the Patient just made another electrocardiogram.

At this moment, all three were staring at the ECG machine and slowly stabilized the prominent report.

Meng Xi thought about the ECG continuously in her mind. She always felt that she had seen it before, but she couldn’t remember it. She always had some impression.

Without st elevation, it is not necessarily non-st elevation acute coronary syndrome!

An electrocardiogram is a screening test, which screens all diseases through a test, and after screening, can be targeted for further diagnosis and treatment.

In fact, sometimes Patient’s disease is just like you do a word problem, you need to use logical thinking to judge.

If there is a Patient with chest pain, all the causes of chest pain should first appear in your mind.

Then verify or exclude through your experience, inspection, laboratory tests, image data, etc. one after another.

This is now a medical diagnosis and treatment process.

Speaking of which, Western medicine is like this, so what is the diagnosis and treatment process of Chinese medicine?

Maybe everyone thinks that Chinese medicine god Shinto is mysterious. In fact, Chinese medicine is also a logical thinking ability, not a so-called talk nonsense.

In ancient times, people didn’t know much about the inside of the body, and the physiological and biochemical tests were not mature. You can’t operate when you come to the Patient! After all, in those days, it might not be ill, and it would be gone as soon as the infection was opened…

This is normal.

Traditional Chinese medicine studies the relationship between internal diseases and internal diseases through the external manifestations of the human body.

And his diagnosis and treatment process is just to be heard.

Knowing what God is, it means that many famous doctors are experienced, knowledgeable and knowledgeable. At first glance, they can get a diagnosis by seeing the words and deeds of the patient and looking at the shape and shape of the tongue.

The ancients, through various performances and observations, and after a few hundred years of case summary, have formed Chinese medicine diagnostics.

By looking at, smelling, asking, and cutting one after another verification, I have always got a suitable pathogenesis, so as to carry out diagnosis and treatment, and achieve the purpose of seeing the details!

Sometimes, I have to sigh the greatness of the ancients.

……

The electrocardiogram just came out, and Chen Cang was about to give it to Meng Xi, but after holding it in his hand, he suddenly froze!

Because of this ECG… a little bit different!

The first is that the J point of the V1-6 lead in the chest is depressed by 1-3mm, the ST segment moves upward and downward, and then the T wave is symmetrically high!

Second, the QRS wave is normal and not wide at all.

Finally, the ST segment of the Patient aVR lead is slightly raised.

After Chen Cang looked at it again, he suddenly thought of a possibility!

Is it… thinking of this, Chen Cang complexion changed!

Continue to think carefully, it is likely to be!

After a few seconds! Chen Cang thought about the patient’s condition and age, and thought of the patient’s probability.

Turning around, Chen Cang quickly turned the ECG in his hand to Meng Xi.

Meng Xi took a look and couldn’t help but frown, but it was not much different from the one just now.

Is it really NSTE-ACS (non-ST-segment elevation acute coronary syndrome)?

Chen Cang originally thought that Meng Xi, as a female Ph.D abroad, should have some understanding, but looking at her like this, she seemed a little hesitant and suddenly anxious.

Thinking of this, Chen Cang said directly: “Teacher Meng, I think Patient’s electrocardiogram is very similar to de-winter syndrome! Further examination must be arranged as soon as possible to facilitate further treatment!”

There is no hesitation, now is not the time to hesitate, because this electrocardiogram belongs to the super acute stage of Myocardial Infarction with ST segment elevation! Also known as: de-winter syndrome.

After Chen Cang said this sentence, the 2 people were suddenly blinded!

After Ge Huai heard the word, it was also paused a little, so familiar!

Because this kind of ECG is rarely summarized in China, it was Dr. De-winterand the others of the Department of Cardiology in Rotterdam, the Netherlands. Through retrospective study of 1532 cases of acute coronary syndrome ECG with left anterior descending branch proximal occlusion, 30 cases of Patient not at all were found to be typical After the study, several special ECG waveforms were found, and then published in the form of a paper to the New England Journal of Medicine.

This is called de-winter syndrome!

However, the onset time of this syndrome is still short, and not many of them may be found in domestic literature, so many Doctors do not know much.

And Meng Xi was reminded by Chen Cang, suddenly the complexion changed, de-winter?

Correct!

Much like!

Most likely it is!

Thinking of this, Meng Xi quickly took the ECG list and continued to compare it.

Meng Xi was shocked when he looked at it, and panicked when he saw it.

Turned around and looked at Ge Huai, he quickly said: “Doctor Ge, quickly give the doctor’s advice, perfect the relevant examination, prepare to sign…as soon as possible…”

If the diagnosis is confirmed, then it is necessary to perform coronary intervention therapy in time, open blood vessels related to infarction, and rescue the viable myocardium is imperative!

At present, the indication of Myocardial Infarction thrombolysis is mainly defined according to the ST segment elevation and whether there is a new complete left bundle branch block. Although Dewinter syndrome is a complete or subtotal occlusion of the proximal branch of the anterior branch, there is no ECG In line with the indications for thrombolytic therapy.

In theory, thrombolytic therapy may have therapeutic effects, but at this stage it is still a “super-indication” medication. In recent years, domestic and foreign STEMI guidelines have not mentioned this type of Patient.

What does it mean that any disease, when receiving treatment, needs to follow the evidence of treatment.

This kind of de-winter syndrome is not within the evidence of thrombolytic therapy, so if something goes wrong, it is the responsibility of the doctor.

But medical treatment is the development of traditional Chinese medicine. Who can guarantee that there will be no problems?

As a Doctor, you must exercise your scalpel rigorously!

Upon hearing this, Ge Huai quickly got up and started various arrangements!

After a minute and a second passed, Chen Cang followed Meng Xi and Ge Huai to get busy!

After the coronary angiography image data came down, 3 people suddenly facial expression grave!

Sure enough!

It’s really de-winter syndrome!

Now that the diagnosis is confirmed, it is necessary to urgently arrange interventional treatment.

Meng Xi took the team and quickly started the treatment of the Patient. There was no delay of one minute and one second. At eleven o’clock, the Patient finally completed the operation.

The operation went smoothly!

A fresh life is thus perfectly treated.

3 people can’t help feeling 10000 1000!

At this time, Chen Cang’s ear sounded:

[Ding! Meng Xi favorable impression degree +15! 】