How to distinguish which category of ventricular tachycardia
During the rescue process at this stage, the patient cannot be moved for other examinations.
Can rely on electrocardiogram.
For example, if you look at lead V1, if the R wave is dominant, the source of ventricular tachycardia may be the left ventricle, and the Q wave may be the right ventricle. II, III, aVR main waves upward may be located in the upper outflow tract abnormalities, II, III, aVR main waves downward may be abnormal in the apex. These quick judgments cannot be said to be 100% accurate, but they may give the doctor a general direction of suspicion.
Damn it, the situation is too urgent to suspend cardiac compressions, and trying to do 12 leads on a patient is impossible.
The last way, as Xie thought, relied on clinical experience and intuition.
A large number of people looked at her again: first aid can best reflect the ceiling of a doctor's talent. No matter how good the routine treatment in the ward and operating room is, it belongs to the top students who review their homework and take the exam. Only the first aid scene is a surprise test.
Student Xie was tested and reacted faster than the boss.
Unable to do ECG, judging purely from clinical experience, clinically excluding the problem of the machine itself and irregular operation, there are very few cases where electric defibrillation is ineffective, and some cases are clinically seen as bidirectional ventricular tachycardia.
What Xie said is well-founded.
The electrode plate in Mu Yongxian's hand was decisively put down.
Difficulty again, what to do with bidirectional ventricular tachycardia
"I'm worried that he has polymorphic ventricular tachycardia." Mu Yongxian went further, "He is young."
It was as if Mr. Mu's inspiration was detonated by the words of classmate Xie.
Polymorphic VT is also rare and happens to be more common in young people. Most of these patients have no symptoms before the onset of the disease, and some patients do not even have any effect on medication. At the time of the attack, the state was exactly the same as that of Wei's classmate, fainted, and died suddenly. The etiology of this disease is common in the genetic electrocardiographic disease Bmgada syndrome, a genetic disease in which the electrical activity of the myocardium is abnormal. The hemodynamics of ordinary bidirectional ventricular tachycardia are relatively stable, unlike the current patients with shock.
"He doesn't have this genetic disease."
All the bosses took every second to participate in the rescue discussion, but Cao Zhao denied it.
"Do you know what happened to him before?" Mu Yong asked first, revealing in his tone that he had already noticed it.
The opponent knows the opponent best. The opponent he observed, Cao Zhao, was in a fairy state, and the students all kicked to the subordinates below.
Cao Zhao personally guides the students unless the students are good enough or have special circumstances. Student Wei's talent is average, what do you think could happen
At this point, Cao Zhao admitted: "He had undergone surgery for congenital heart disease before."
The answer is revealed.
Mu Yongxian said, "Is it cured?"
"What do you say?"
I am also a pediatric surgeon, so I know best without asking.
Congenital heart disease can basically be cured as long as it can be cured. If he could not be completely cured at the beginning, how could Wei classmate go to university to take the medical exam.
Twenty years after the treatment, the accident happened. It is too hard to say whether it is related to the previous congenital heart disease.
It can only be said that heart disease patients are fine. It is too difficult to say what the situation is after the operation. For patients with congenital heart disease, Brother Shenxian, who is a pediatric cardiac surgeon, will be sympathetic to a heart that has been repaired due to congenital deficiencies, and will always bring some disability and weakness.
When he found that Wei might have a cold, he informed his old father that he wanted to persuade the family members of the patient to let Wei know his medical history. The surgical work that Mr. Wei will be engaged in has extremely high demands on personal physical strength and mental strength, and adequate preparations are required.