Chapter 290 Myocardial infarction?
The two walked side by side, and before they reached the office, they were stopped by surgeon Zhang Yang.
"Doctor Wei! Come here, there's a patient in critical condition who needs your consultation!"
Wei Ping was shocked, but didn't say anything.
"good!"
He agreed immediately, and there were two consultations that morning.
From another perspective, this is everyone's affirmation of Wei Ping.
Yang Ke looked at Wei Ping with some admiration.
There is no one in China who can achieve what Wei Ping has in such a short period of time.
But Wei Ping was not thinking about this. The emergency surgeon came to him on his own initiative. Did it mean that he had received an emergency patient and was deciding whether to perform surgery?
It must be like this.
"Hurry up, let's go over there quickly, the directors are all here!"
Guo Yongping and Duan Fei were both there again.
It seems that the patient is quite complicated.
So the two of them went there quickly.
Yang Ke hurried to catch up, but her steps were still a little small, and she always kept a certain distance from them.
When she arrived, Wei Ping was already there listening to the patient's condition report.
The patient is a man in his fifties.
Wei Ping and Duan Fei nodded.
"Who can tell me about the patient's condition?" Wei Ping asked again.
Only then did he realize that there was a woman standing next to the patient.
Probably his wife.
"My husband and I were having breakfast this morning when he had only taken a few bites when he complained of a sharp pain in his chest. He started sweating profusely and felt extremely dizzy. He collapsed to the ground. Kindhearted people later helped take him to the hospital."
At this time, an attending physician said: "When the patient was first brought in, his blood pressure was 88/50 mmHg, which is low. He does not normally have hypertension or coronary heart disease! His main complaint is difficulty breathing and shortness of breath."
"Later, Director Guo thought it might be an acute myocardial infarction. We checked his electrocardiogram. Take a look."
The symptoms of myocardial infarction are chest pain, shortness of breath, and then possible fainting due to transient cerebral ischemia.
These symptoms are generally diagnosed as myocardial infarction, but further examination is required.
Wei Ping took it and took a look.
"The heart rate was fast, 120 beats per minute, the ST-T segment was slightly depressed, and the electrocardiogram was atypical, which was not enough to diagnose myocardial infarction.
Myocardial infarction usually presents with squeezing pain in the precordial area. Because myocardial necrosis is generally regional and occurs piece by piece, the pain range is also relatively large. Patients usually describe it as if a stone is pressing on their chest, an elephant is stepping on their chest, or there is a dull pain. Very few people with myocardial infarction say it feels like a needle prick.
Have the cardiac enzymes, troponin, etc. been tested?"
Guo Yongping took over at this time.
"The test results are out, everything is normal."
Then he said, "How about we ask the cardiologist to come and take a look?"
Duan Fei said, "No need. Wei Ping is here, he will definitely be able to see it."
Duan Fei really praised Wei Ping too much.
After hearing this, Guo Yongping's expression changed slightly.
"Doctor, can you give my husband some painkillers? He's in so much pain right now."
The man's face turned pale at this time, and he kept covering his chest with his hands.
Because it really hurts there.
But Wei Ping refused.
"No! The patient's blood pressure is low right now, which is a dangerous sign. Some painkillers may even lower his blood pressure. We need to find out the cause of his low blood pressure."
Low blood pressure means shock and severe pain.
At this time, Duan Fei said: "If it is aortic dissection bleeding, or severe pulmonary embolism, then it is possible."
At this time, you should be alert to aortic dissection rupture and bleeding or severe pulmonary embolism. These two diseases can also cause severe chest pain, and in severe cases, can lead to low blood pressure, especially aortic dissection.
So, this is why Zhang Yang asked Wei Ping to come over.
They had previously collaborated on a case of aortic dissection.
If necessary, surgery will be required, but the cause is currently unknown.
“So, I think we should do a CTA of the thoracic and abdominal aorta!”
Guo Yongping followed up, "Yes, don't do the other tests yet. Follow Director Duan's instructions. If it's really an aortic dissection, then it's a very serious disease, and the patient could die at any time! Get a quick diagnosis and arrange surgery as soon as possible!"
When the woman heard this, she was stunned.
At this time, she was beginning to feel a little desperate.
She was extremely frightened. A person who was originally fine was now in a state of uncertainty about his life or death. No one could bear it.
But no one paid any attention to her.
She didn't dare say anything.
Everything should be done according to the doctor's instructions. Doctors are professionals and they don't want patients to get into trouble.
"It's feasible. Let's arrange a CTA of the thoracic and abdominal aorta right now! Yang Ke, please help me contact the relevant department!" Duan Fei said again.
"Okay, Director Duan!"
It now appears that the two have reached a consensus.
Because of Guo Yongping's support, Duan Fei felt that the possibility of aortic dissection was greater.
At this time, the patient suddenly said: "I am thirsty, do you have any water?"
This is a bad sign, indicating real shock.
But now Wei Ping looked at the IV drip above his head. It was now replenishing his body fluids, so generally this kind of situation would not happen again.
At this time, he turned on the perspective.
Looked at the patient's heart.
And his aorta.
My dear, there is more to this chapter. Please click on the next page to continue reading. It will be even more exciting later!
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