Chapter 220: He Woke Up!

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Clinical work is very repetitive.

Fan Zhiping has a lot of experience in this regard.

The degree of specialization is very high now, and there are only a few common diseases in each department.

For example, in the Department of Cardiology, common diseases are coronary heart disease, heart failure, hypertension, arrhythmia, etc.

As long as you are familiar with the routine diagnosis and treatment of these diseases, you can be a qualified cardiologist in a grassroots hospital.

However, since coming to the Department of Cardiology of Jinghua Second Hospital for further study, Fan Zhiping found that everything has changed!

As the top tertiary hospital in the province, most of the patients in the Department of Cardiology of Jinghua Second Hospital are critically ill patients!

In addition to patients in the Department of Cardiology, there are other professional diseases.

Fan Zhiping feels that his brain is not enough!

Especially since he followed Lu Chen, he encountered various severe and strange cases one after another.

This not only opened his eyes, but also enriched his diagnosis and treatment thinking!

As a deputy chief physician, although Fan Zhiping came to the grassroots hospital for further study and followed a graduate student, he did not have any embarrassment or psychological burden.

The wise are the teachers!

What's more, in the Jinghua Electrophysiology Exchange Group, Lu Chen has long been "Professor Lu"!

Lu Chen has also gradually gotten used to Fan Zhiping being by his side.

Although Fan Zhiping came from a grassroots hospital, he has rich clinical experience.

The two usually communicate with each other.

Fan Zhiping has made progress, and Lu Chen has also gained a lot!

Now Fan Zhiping can even think of taking the postgraduate entrance examination.

"Brother Fan, do you want to study for a master's degree now?" Lu Chen heard Fan Zhiping's idea.

"Well, what do you think?" Fan Zhiping nodded.

"Very good, it's good to study for a postgraduate degree while working." Lu Chen smiled.

Medicine is a process of continuous communication and progress.

As the saying goes, learn until you are old and live until you are old.

For the profession of doctor, the diagnosis and treatment standards are updated very quickly. If you don't study, you will be eliminated sooner or later.

"Postgraduate student while working?" Fan Zhiping frowned, "But I want to study full-time."

Lu Chen was stunned, and he glanced at Fan Zhiping beside him.

Comrade Lao Fan is not simple, he actually has such an idea!

Part-time and full-time are completely different.

Part-time, to put it bluntly, is just a mess.

Full-time, that is a real diploma.

"Brother Fan, I support you." Lu Chen smiled.

Lao Fan grinned, "This matter needs to be considered in the long run."

Lu Chen and Fan Zhiping chatted for a while, and then each did their own thing.

...

10:33 am.

The nurse suddenly walked to the office quickly.

"Bed 15 just felt chest tightness, the doctor in the director's group should go and see!"

15 is a new patient who just came this morning.

This bed is Ke Yue's bed.

Ke Yue immediately stood up and grabbed the stethoscope beside her, "I'll go now!"

As soon as she walked to the door of the office, a nurse's shouting came from outside the ward.

"Hurry up! Bed 15 is not working!"

Ke Yue was startled and immediately ran to the ward.

Lu Chen also stood up and shouted to Yao Jie beside him: "Junior sister, go to the director's office to find Senior Sister Sun!"

"Got it!" Yao Jie nodded and ran out of the office.

Lu Chen and Fan Zhiping ran to the ward together!

...

Outside the ward of bed 15, there was already a circle of people.

Lu Chen and Fan Zhiping pushed aside the crowd and walked into the ward.

The patient in bed 15 was an elderly man about 60 years old.

At this time, he lay flat on the bed, gasping for breath.

Lu Chen looked up at his head, and his life value was only 35!

Ke Yue was auscultating the patient's heart and lungs.

At this time, the ECG monitor suddenly issued a "beep" alarm!

"Ventricular fibrillation!" Fan Zhiping roared in a low voice.

Lu Chen also noticed the patient's condition, and seeing this, he immediately rushed forward.

He began to perform chest compressions on the patient.

At this time, the patient was already breathing like a sigh, lost consciousness, and the aorta pulse disappeared!

Ke Yue stood beside the bed, a little at a loss for a moment.

The nurse had already pushed the rescue vehicle and defibrillator over.

Lu Chen immediately opened his mouth and ordered: "Immediately give electric defibrillation, energy 360j!"

"Give another intravenous injection of epinephrine!"

Fan Zhiping had already turned on the defibrillator and smeared the electrode pads with conductive paste.

At this time, Sun Guoguo had already heard the sound and rushed over.

Seeing Lu Chen and Fan Zhiping rescuing, Sun Guoguo's heart sank: "Junior sister, you admitted this patient, what is the specific situation?"

Ke Yue spoke a little nervously, whispering: "The patient was admitted to the hospital with chest pain, suspected angina pectoris, and suddenly had chest tightness just now. When I came over, he suddenly had ventricular fibrillation."

Sun Guoguo looked at the ECG monitor at the head of the bed, and the patient's blood oxygen saturation was constantly decreasing.

"Where are the patient's family members?"

Ke Yue said: "Waiting at the door of the ward."

"I'll go talk to the patient, he may need tracheal intubation."

Sun Guoguo immediately walked out of the ward, found the patient's family members, and informed them of the condition.

The family members agreed to the intubation and related operations without hesitation!

…

Although Lu Chen had been defibrillated once, the ECG monitor next to the bed showed that the patient was still in ventricular fibrillation!

“Brother Fan, you do the chest compressions, and I’ll do the intubation!”

The patient's blood oxygen saturation is constantly declining. At present, the primary task, besides maintaining the heartbeat, is to maintain the patient's blood oxygen.

"Okay!" Fan Zhiping immediately took over Lu Chen's position.

The nurse has brought the tools for tracheal intubation.

Lu Chen didn't hesitate at all and immediately intubated the patient's trachea!

At this time, Sun Guoguo also returned to the ward.

She glanced at the electrocardiogram monitor on the bedside and said in a deep voice: "Add another dose of epinephrine! At the same time, cool down the ice cap!"

"Got it, an intravenous injection of epinephrine!" The nurse immediately carried out the doctor's order.

At this time, Lu Chen had finished inserting the tube.

Fan Zhiping started the second electric defibrillation!

Defibrillation is complete.

There is still ventricular fibrillation on the ECG monitor, and still no success!

Lu Chen took Fan Zhiping's place and continued chest compressions.

"One shot of adrenaline!"

Five minutes later, Sun Guoguo gave another medical order.

Lu Chen calmed down and looked at the health value on the patient's head, which was only 21!

Is it really not possible?

…

Outside the ward, the patient's family members were already crying together.

"Third electric defibrillation!" Fan Zhiping picked up the defibrillator again.

Defibrillation is over,

Still ventricular fibrillation!

"50 mg of lidocaine intravenously, and another dose of epinephrine!"

At some point, Li Yao came to the ward.

"Got it, 50 mg of lidocaine and one intravenous dose of epinephrine!" The nurse immediately carried out the doctor's orders without any hesitation.

"Add 125ml of 5% sodium bicarbonate intravenously!" Li Yao continued.

"receive!"

Fan Zhiping glanced at Lu Chen who was doing chest compressions.

"I'm going to be defibrillated for the fourth time!"

Lu Chen nodded.

When he stopped chest compressions, Fan Zhiping immediately took his place.

Defibrillation for the fourth time!

Defibrillation is complete.

"Dududu..."

On bedside monitoring, the patient's heart rate suddenly changed from ventricular fibrillation to sinus.

The patient's health points also increased to 48!

Sun Guoguo stepped forward and conducted a physical examination on the patient.

"The pupils are dilated to 5mm and the light reflex is slow!"

Rescue successful!

Although the patient's consciousness has not yet recovered, his heart rate and blood oxygen saturation have been maintained!

Everyone present breathed a sigh of relief.

From the beginning to the end of the rescue, it only took twenty minutes, but Lu Chen felt like he had run a marathon.

My whole body was soaked with sweat.

Lu Chen and Fan Zhiping looked at each other and smiled. UU Reading www.uukanshu.netｔ

This kind of joy of successful rescue cannot be given by other professions.

…

Sun Guoguo brought the patient's family members to the office.

"The patient is more likely to have a myocardial infarction when he is admitted to the hospital this time. The rescue time will be longer. The patient's central nervous system is damaged and he may not be able to wake up."

The patient's family members had very good compliance and were very understanding. They nodded and said, "As long as I can be saved."

In fact, this is a very simple rescue of ventricular fibrillation in the hospital.

The medical and nursing staff cooperated very smoothly, and the rescue process was quite perfect.

However, although the patient's heartbeat recovered, it was difficult to regain consciousness.

But what everyone doesn’t expect is...

About 30 minutes after the rescue was successful, the patient actually woke up on his own!