In the eyes of Cao Zhao and his friends, his ability to skillfully produce electrocardiograms for older children was nothing. He had been doing clinical internship for almost a year, and if he couldn't even do this basic skill, he could get out.
"Tell me about the child's electrocardiogram manifestations." Seeing that he had been looking at it for a while, Cao Zhao said, don't waste precious time.
Pan Shihua calmed down. He had read the files repeatedly before in order to find the evidence that Xie mentioned. He said, "Leads II, III, and avF all show signs of ST segment arch elevation, indicating that the patient has suspected acute inferior wall infarction. This is consistent with what Dr. Xie mentioned before about the possible problem with the left ventricular cranial muscle."
"What did she say?" Cao Zhao turned around quickly, having suddenly caught the key point of his words.
He wasn't there just now, so he doesn't know what shocking words classmate Xie said.
Pan Shihua's lips trembled hesitantly, wondering whether he should betray classmate Xie. He saw that the other party's eyes were sharp like a needle tip that could pierce his spine.
Maybe in other people's minds, Brother Cao looked more like a devil when he smiled. Only Xie, not sure if it was because of Brother Cao's bonus, thought that Brother Cao's family members were all gods.
Facing the Immortal Brother, Xie Wanying was not as afraid as Pan and the others, and raised her hand: "I said it."
Glancing at the two classmates' completely different reactions, the little whirlpool in Cao Zhaomo's eyes began to spin, like a clear spring in the fairyland or a man-eating pool in hell.
...
...
"What did you say?" Cao Zhao said softly, with the demeanor of a male protagonist in an idol drama, his voice was very magnetic and alluring.
The others felt their hearts pounding, wondering if there was a trap waiting ahead. According to the conventional plot of idol dramas, the male protagonist usually said something like this, indicating there was a trap ahead. Only Xie seemed to have fallen into the trap and took the initiative to confess again, saying, "The Ru head muscle I mentioned may have a problem. Now that we have the electrocardiogram, it is very likely that the Ru head muscle is partially ruptured."
"You mean, doing this electrocardiogram is the first step to suspect the patient of myocardial infarction." Cao Zhao quickly summarized and sorted out the situation that he had not noticed before, and glanced at Dr. Luo Jingming, the child's first doctor.
Luo Jingming knew clearly what the other person's eyes were questioning him about.
As I mentioned before, as a general pediatric surgeon, he would never suspect craniocervical flexion infarction when he received a patient with electric shock.
It cannot be said that Xie is definitely right in observing the problem in a different way, and it is the clinical inertial thinking formed by these clinical doctors that is wrong.
What needs to be made clear first is that electrical injuries to the heart have always been a concern for doctors. Whenever a patient with electrical injuries enters the hospital, doctors will perform an electrocardiogram and test cardiac enzymes on the patient, regardless of whether it is suspected to be a myocardial infarction.
Everything should be based on science.
The number of myocardial infarction cases among patients suffering from electric shock mentioned by Xie is too low.
Statistical data show that among 100 patients admitted to hospital with electrical injuries, only one can be diagnosed with myocardial infarction. What may be even more embarrassing for doctors is that the proportion of electrocardiograms that are truly abnormal is not 100%.
Only two-thirds of patients have ST-segment elevation like the current child, and one-third of patients have no abnormal electrocardiogram. The incidence of necrotizing Q waves, which is a clear evidence of myocardial infarction, is incredibly low.
This situation only shows that most of the patients with electric shock injuries sent to the hospital are not in serious condition. Some died on the spot and of course could not be sent to the hospital for rescue.
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