Just thinking about these preparatory measures, you will realize how risky this operation is.
The diagnosis of paroxysmal supraventricular tachycardia itself requires an electrocardiogram to confirm the diagnosis. However, she didn't even have a stethoscope at the scene. How could she determine that the patient really needed emergency treatment by massaging the carotid sinus?
Is she trying to give it a try?
Is it a blind cat that catches the mouse?
Lucky as hell?
Not only did he not kill anyone, he was saved.
Zhou Junpeng looked intently at Xie Wanying's face again and felt that her operation this time was even more magical than the last puncture in the emergency room. It was completely puzzling.
Faced with the puzzled gaze of her predecessors, Xie Wanying didn't know how to explain her brain's ability to generate images through calculations. But just now she could feel very strongly that if she didn't do this, the patient might die suddenly.
Convulsions of the limbs may be a characteristic manifestation of Adams-Stokes syndrome, and the most terrible consequence is sudden death. What's more, the patient's pulse has just reached nearly 240 beats per minute, which is the limit. If the heart rate is not lowered quickly, the heart will suddenly fail.
...
...
Based on her previous observation and judgment of the patient, the patient was not suffering from a myocardial infarction but heat stroke, and this differential diagnosis is very important. There are many cases of heat stroke accompanied by paroxysmal supraventricular tachycardia in relevant literature. She also knew that the most terrible complication of carotid sinus massage is stroke or infarction caused by the detachment of carotid artery plaques. The incidence rate is very low. Statistics abroad show that the incidence rate is only about 0.5%.
Compared with waiting for the patient's heart to stop before performing cardiac compression or precordial hammering, massaging the carotid sinus is undoubtedly a better treatment method. Not only is it highly targeted at this disease, but it also does not cause damage to the patient's ribs like the first two treatment methods.
When faced with patients who are in urgent need of emergency treatment, doctors sometimes have very limited options and can only use everything they have on site to provide rescue. Xie Wanying thought so, so she did this.
Of course, her choice may be seen by her predecessors as reckless and hasty compared to the advice of the Medical Association.
"Listen to his heartbeat." Fu Xinheng finally spoke, perhaps after catching his breath and calming down.
Upon receiving the order, Zhou Junpeng took out a stethoscope, put earplugs on both ears, put the stethoscope head into the patient's clothes and listened carefully to his apex beat.
The patient's heart rate is now about 90 beats per minute. From this number, we can roughly infer that the patient's heart rate was over 200 beats per minute in the previous critical condition. Because if it works, massaging the carotid sinus can significantly reduce your heart rate. Moreover, when they came, they saw that the patient's symptoms had been significantly relieved.
In other words, Xie Wanying's operation was effective and her judgment was correct?
Zhou Junpeng couldn't help but wonder how she got such luck.
In medicine, the luck of doctors and patients is often called a miracle. However, teachers generally do not agree with this statement. I will do some post-mortem research to determine what happened and use science to explain it clearly. This is equivalent to saying that any good teacher will never admit that there is such a thing as luck saving people.
After putting away the stethoscope, Zhou Junpeng turned around and waited for Fu Xinheng's instructions on the next step.
In short, the fact that Fu Xinheng didn't curse immediately was beyond his expectations.
Two cold and gloomy eyes swept across Xie Wanying's face.
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