Returning to ’90s, She Became Famous in Major Surgical Fields

   Chapter 2376 [2376] Not a good phenomenon

  If some patients may have transient arrhythmia, basically the human body adjusts itself and does not need to be dealt with at all.

   On the other hand, electrical shock may damage the human heart in a more subtle state, making it difficult for clinicians to detect. In some cases of late-onset deaths, an autopsy does not know where the problem is until the person dies.

  You think, if there is no abnormality in the electrocardiogram, the myocardial enzymes are not high, and the doctor cannot diagnose myocardial infarction, do you ask the doctor for some treatment?

   Note that ST segment elevation generally only represents myocardial ischemia, not necessarily myocardial infarction.

   Xie's argument not only pointed to the patient's myocardial infarction but also to the very serious "Ru" head muscle rupture.

this? How can a clinical attending physician easily believe in the "wonderful fantasy" that a medical student said?

   Luo Jingming bears the pressure in the eyes of the other leader. If you want him to say, Cao Zhao should understand. He came from the National Association. He knew his little junior sister better than Cao Zhao and the others, and he believed more in Xie's affirmation than Cao Zhao and the others.

  Di Di, Di Di.

   The ECG fluctuations on the patient's ECG monitor are showing that the child's heart rhythm appears to be directed towards arrhythmia. The room rate went over a hundred times per minute or more. Children's heart rate can be relatively fast. However, this child is an older child, and this heart rate is obviously abnormal. And there is a premature beat on the ECG, which is definitely not a good phenomenon.

  Cao Zhao stretched out his hand.

   Classmate Pan, who was staring at him, quickly handed over the electrocardiogram in his hand. No matter how the man on the other side looks like the hero of an idol drama, he is essentially a doctor like his classmate Pan. Besides, he is a real technical boss, and he has never been a movie star.

   In fact, the ECG characteristics reported by classmate Pan just now are correct. The only problem is that children's conditions change rapidly and heart disease patients themselves change rapidly.

   Luo Jingming was so vigilant that he asked someone to push the defibrillator over, and he was ready for defibrillation at any time.

  What is wrong with the patient's current heart rhythm? Is there something wrong with "Ru"'s head muscles.

   In fact, I mentioned the internal structure of the heart, the "Ru" head muscle, when I returned to the country for surgery. It is the heart muscle that is connected to the chordae tendineae, and the end of the chordae tendineae is connected to the valve. It can be seen that the "Ru" head muscle connects the valve through the chordae tendineae, which acts as a mechanotransduction, which provides a continuous source of biological power for the opening and closing of the valve.

   The left ventricle "Ru" head muscle ultimately supports the mitral valve, the most important valve of the heart. Once it has an accident, it will affect the activity of the mitral valve, and the immediate clinical symptoms will be acute pulmonary edema and heart failure with mitral valve regurgitation.

   In fact, if the left ventricle "Ru" head muscle is completely ruptured, one-third of the patients will die immediately, and more than half of the patients will not survive for 24 hours. Without surgical correction, it can be said to be fatal.

   "You're talking about a partial fracture?" Cao Zhao asked the students for their opinions while scanning the ECG chart.

"Yes." Xie Wanying said, "Teacher, you know. The left ventricle Rucapi muscle is divided into two groups. Anatomically, the anterior group is like a muscle integrated into one piece. Once it breaks, it will be completely broken, and the patient is prone to sudden death. The posterior group is not, it is a combination, and it is difficult to completely rupture when it breaks. It usually appears as a partial rupture. The ECG corresponding to the anterior group of the Rucapi muscle appears on the anterior wall, and the electrocardiogram of the posterior group shows the inferior wall.”

   corresponds exactly to what Pan said on the ECG characteristic of inferior myocardial ischemia.

   (end of this chapter)

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