I Can See Health

   Chapter 364 Minus Changes

   Soon, the results of the urgent blood test came out.

   All test results of the patient were normal.

   At this time, Wang Xiaodong also came to the emergency ward.

   "How is the patient?"

  Lu Chen said: "After the patient swallowed the battery, he developed abdominal discomfort and ST segment elevation in the lower leads of the ECG. In addition, the blood test results were normal, and there was no symptoms of chest tightness or chest pain."

   "Please consult with the Department of Cardiology, General Surgery, and Gastroenterology." Wang Xiaodong said.

   "Already invited." Lu Chen replied.

   "Okay." Wang Xiaodong nodded slightly, it's great to have Lu Chen in the group, it can save a lot of things.

   In another week, Lu Chen will be transferred to other departments, he will really not be used to it by then!

   "Lu Chen, what do you think of this electrocardiogram?" Wang Xiaodong looked at Lu Chen.

   Ever since Lu Chen's reputation spread, everyone would come to him whenever there was an electrocardiogram they couldn't read in the department.

   "Inferior leads are indeed elevated, but the reason for the elevation is not yet known." Lu Chen said solemnly, "At present, it can be ruled out that it is caused by myocardial infarction. I think it may be due to the battery."

   "You said it was caused by the battery?" Wang Xiaodong wondered.

   "Well, that's all I can think about for now." Lu Chen said.

   At this time, the patient's head health suddenly dropped again!

   becomes 64 (--).

   "Doctor, my stomach is still very uncomfortable!" The patient lay on the bed and covered his stomach.

   "First take some medicine to protect the stomach." When encountering such a patient who swallowed a battery, Wang Xiaodong did not dare to rashly use other medicines.

   At this time, Cheng Peng said, "Brother Wang, the patient's chest X-ray image is out."

  Everyone immediately came to the computer to view the images and pictures.

   Chest radiograph showed the presence of a radiopaque metal body in the patient's gastric antrum.

   This should be the battery he swallowed.

   "Looks like I really swallowed the battery." Wang Xiaodong frowned, "Let's wait for the consultation from the relevant departments."

   About five minutes later, the cardiologist came.

   However, this is the first time everyone has encountered a patient who swallowed a battery, and there was no particularly good way to deal with it for a while.

   "Myocardial infarction is not considered for the time being." The opinion of the cardiologist consultation doctor is very clear.

  Combining the patient's symptoms and blood test results, the diagnosis of myocardial infarction is definitely not established!

  Lu Chen stood in front of the computer and carefully compared the patient's chest X-ray.

   "If it is said that the battery affects the changes of the electrocardiogram, then there is only one possibility!" Lu Chen thought to himself.

   Batteries are foreign objects after all.

  When a foreign body enters the human body, the first thing to consider is whether there is a possibility of blocking the airway.

   Judging from the patient's symptoms, it is definitely not.

   Second, is whether the foreign body is toxic, and how toxic it is!

   Substances such as pesticides, rat poison, metals, etc., can cause damage to the human body.

   And the battery enters the human body, this situation is relatively rare, and most doctors really don’t understand it.

   However, Lu Chen had obtained a skill card for emergency poisonology before, and he also studied it after he went back.

The hazard of   batteries is that their surfaces can cause severe burns when they come into contact with the conductive tissue of the esophagus.

   This contact creates an electrical current and breaks down nearby water into a highly corrosive liquid.

   Looking at the chest radiograph in front of him, and thinking of the location of the battery, Lu Chen suddenly froze.

   "Junior Brother Lu, did you find anything?" Wang Xiaodong asked Lu Chen, who had been staring at the chest X-ray.

  Lu Chen nodded slightly: "Senior brother, I think I understand the reason why the patient's electrocardiogram looks like a myocardial infarction."

  Wang Xiaodong and Cheng Peng immediately got together.

Lu Chen paused for a while before saying, "Because gastric acid has a corrosive effect on the battery, and the content of the battery is strong acid and strong alkali, once the battery's skin is corroded and the content leaks, it will corrode the digestive tract, and the stomach just faces the heart. If the inferior wall is too large, it may lead to ST-segment elevation!"

   "Actually, the ECG waveform feels weird, not only the lower wall is elevated, but the chest leads are also elevated!""

   "This picture also needs to rule out the possibility of interference! According to the Eintophan triangle, the waveform of lead I is very good, and the waveform change caused by the interference of the left lower extremity must be ruled out!"

  “…”

  Lu Chen's explanation is very simple, that is, the corrosion of the battery by stomach acid, its position is just against the lower wall of the heart, so it leads to the change of the electrocardiogram.

   Cheng Peng suddenly realized: "Lu Chen, after listening to you, I understand. It seems that the electrocardiogram is not only about the heart, as long as we know the principle of the electrocardiogram, we can better understand these things."

   "Yes, that's right." Lu Chen smiled.

  Wang Xiaodong nodded slightly.

  Lu Chen's explanation seems very simple, with only a few sentences, but it is not something ordinary people can do to explain the electrocardiogram from this level!

   It's no wonder that Lu Chennengdao got the sixth place in the electrocardiogram competition. This is all powerful!

   Once the patient's condition has been initially clarified, the next step is treatment.

  The battery must be taken out!

   But the method of removal is to use a gastroscope or surgical method, which depends on the judgment of general surgery and gastroenterology.

   As for the method of excretion, it is said that once the battery stays in the gastrointestinal tract for too long, it may cause corrosion to many intestinal tracts.

   That's not worth the loss!

   Therefore, the method of inducing vomiting and excretion is not advisable.

   "Doctor... I can't do abdominal surgery, right?" The patient lay on the bed with a bitter face.

   Accidentally swallowed a button battery and caused so much trouble.

   "Not necessarily." Lu Chen said, "Looking at the location of this chest X-ray, it may be possible to take it out with a gastroscope, but the specific method should be judged by other professional departments."

  Lu Chen didn't say anything.

   A gastroscope is just a minimally invasive procedure, but an open abdomen is a major operation.

   "Doctor, you can use a gastroscope if you can." The patient pulled Lu Chen's sleeve and cried, "I'm still young, I really don't want to do this kind of surgery!"

"This is determined by your condition. If the gastroscope cannot be taken out, you must use surgical means." Lu Chen said sternly, "Once the battery stays in your body for a long time, the damage may become more and more serious. It's not just the ECG that changes!"

  Although the patient seems to be in a stable condition now, the two "--" after the health number on his head made Lu Chen have to carefully explain his condition.

  If this battery is not taken out as soon as possible, there will be a big problem sooner or later!

   Hearing Lu Chen's explanation, the patient could only sigh slightly and accept his fate.

   About a few minutes later, both gastroenterology and general surgery came.

   After comprehensive consideration, the gastroscope was chosen to take the battery.

   However, if it fails, the endoscopic procedure will turn into a surgical procedure!

  …

   Before approaching the gastroscope room, Lu Chen also gave the patient "honey" treatment.

  This method is not available in textbooks, but Lu Chen found it in a newly published literature.

  After accidentally swallowing a battery, the risk of tissue damage can be reduced by using honey multiple times.

  Whether it was useful or not, after obtaining the patient's consent, Lu Chen gave the patient honey.

   about ten minutes later.

  Lu Chen saw that the minus sign after the number of health on the patient's head changed from "--" to "-"!

   Sure enough, honey is effective in the early treatment of such patients!

   At this point, a prompt pops up on the system panel.

   "Congratulations, get 1% completion of system upgrade!"

   (end of this chapter)