Seeing that the woman's condition was a little more stable and she was not as excited as before, Zheng Ren thought for a while and took out his phone.
"Chang Yue, ICU, confession room, come here." Zheng Ren said.
After hanging up the phone, Zheng Ren looked at the woman, tried to be as gentle as possible, and said, "Don't think too much about it first. Director Zhang and I will go see the patient and exchange opinions. We will decide the rest of the matter after we have our opinions." ,How about it?"
The woman looked at Zheng Ren with confusion. Who gave a young doctor the confidence to sit here and talk to her
But although she was still very cold, she didn't speak. The blood rushed to my head before, and I almost jumped off the building with the child in my arms. Now I still feel scared when I think about it.
Who would want to die if they could avoid dying? The whole family is neat and tidy, enjoying life, and going to Huangquan Road together. The gap between the two is so huge that it is probably the farthest distance in the world.
Zhang Lin, Director Zhang, sat next to Zheng Ren, looking a little lost in thought at this doctor whom he had only heard of but was a stranger to.
How dare this kid get involved in this kind of thing
For doctors, the further away from such unsolvable things, the better, as long as it doesn't happen to them.
I admit my misfortune. But he took the initiative to join in. Is it because young people are arrogant
possible.
Having achieved such high achievements at such a young age, Dr. Mehar from Sweden will come to China in the afternoon to find this little doctor to perform surgery.
It is said that a few months ago he performed an operation on Dr. Mehar that other circulatory doctors were helpless to do, and the effect was very good.
This is indeed something to be proud of.
But many things cannot be solved by technology.
Director Zhang sat quietly, recalling the scene just now in his mind, which was shocking.
Soon, Chang Yue caught up. Zheng Ren asked Chang Yue to chat with the patient's family to calm his emotions, and a doctor from the circulatory department was arranged next to him.
Outside the door, the security guard has rushed over.
In this case, Zheng Ren can feel a little more at ease. Don't bring Chang Yue here, that woman will go crazy and hurt her again.
If that happened, Zheng Ren felt that he might not be able to survive.
He and Director Zhang walked into the corridor of the ICU and started to change clothes. Director Zhang said: "Boss Zheng, I have heard of you for a long time, but I just met you today. I thought I would have a chance to chat with you when I picked you up in the afternoon."
"You're welcome, Director Zhang." Zheng Ren smiled and said, "I don't have a big name, so don't be rude to me. He's just a little doctor, a little doctor."
Are you young and energetic? Did not see it. Hypocritical politeness? It doesn't seem like it. The smile on his face was full of sincerity, as if he was his little doctor.
Director Zhang was in a trance, and she was stunned for a moment.
"Director Zhang, what is the patient's medical history?" Although Zheng Ren said it politely, he had unknowingly elevated himself to the level of a director in terms of diagnosis and treatment of diseases. He asked Director Zhang about his condition without the slightest hint of cowardice.
Clinical directors, technical and academic ones are very dignified. Ordinary young doctors, even if they are not directly under his command, are polite when meeting him. They are not as confident or even arbitrary as Zheng Ren.
Director Zhang immediately reminded himself that this was Dr. Mehar who was performing cardiac interventional surgery, and he could not be fooled by his face.
Su Yun followed Zheng Ren without saying a word, with a slightly irritable look on his face.
"The patient suffered a sudden syncope yesterday, and the 120 ambulance sent him to our hospital for treatment." Director Zhang Lin introduced: "According to the patient's family member's self-report, there is a family history. The patient's brother died of cardiac arrest 3 years ago, and the body was not found. Anatomy showed no clear diagnosis. One year ago, the patient had a similar situation, but recovered spontaneously. When admitted to the hospital, he was diagnosed with sudden arrhythmia and ventricular fibrillation, but the electrocardiogram showed atypical symptoms."
As they spoke, the three of them walked towards the ICU ward again. Director Zhang Lin didn't notice that she was reporting on the medical history like a little doctor.
The whole process was smooth and without any abruptness.
"After being admitted to the hospital, the patient could walk on his own, had no language barriers, and could take care of himself. Eight hours ago, ventricular fibrillation, ventricular tachycardia, and cardiac arrest occurred again." Director Zhang Lin said: "After rescue, the patient's heartbeat resumed , but the cerebral hypoxia time is slightly longer, and in order to prevent the next cardiac arrest... "
"Director Zhang, what are your considerations?" Zheng Ren asked.
Although it was rude to interrupt Director Zhang, no one noticed this. A few lives were hanging on the edge of the cliff, and other things became insignificant at this time.
"Consider the possibility of severe premature repolarization syndrome." Director Zhang Lin said immediately.
Premature repolarization syndrome, also known as early repolarization syndrome.
The incidence rate in adults is 1% to 2.5%. It may be caused by premature repolarization of a certain part of the ventricle before the entire ventricular depolarization is completed.
The main change in the electrocardiogram is st-segment elevation that does not return to the baseline at point j, so it is often confused with pathological st-segment elevation. When combined with other diseases or coronary heart disease, the picture becomes more complicated and it is easier to misdiagnose.
Under normal circumstances, premature repolarization syndrome is not a problem. The elevation of the ST segment is different from the elevation of the ST segment in myocardial infarction and will not cause cardiac arrest in the patient.
However, severe changes can aggravate the patient's symptoms and occasionally cause cardiac arrest.
As for the specific mechanism, there is no conclusion yet.
In the diagnosis and treatment of their own diseases, the more humans explore, the more unclear things they will find, and premature repolarization syndrome is one of them.
For rare diseases and rare diseases, the diagnosis of 912 is still very bold. After all, Director Zhang Lin has rich clinical experience.
"Do you want a pacemaker?" Zheng Ren asked.
"It should be done... No, it must be done." Director Zhang Lin replied firmly.
Zheng Ren said nothing and carefully recalled the patient's medical history.
The patient's symptoms are somewhat similar to Zou Jiahua's, but not exactly the same. Instead of diagnosing severe premature repolarization syndrome, Zheng Ren would rather diagnose it as cardiac channelopathy.
It's just that the patient's condition is relatively mild and has just started. It is possible that the condition may become more severe as time goes by, until sudden death.
After entering the ICU, Zheng Ren walked up to the patient and took a look at his system panel.
The patient lay on the bed, staring at the ceiling, unaware of what was happening outside. He had ECG monitoring and various monitoring equipment on him. Although he was smooth, he looked a little uncoordinated.
Because mobile phones are not allowed in the ICU, he is obviously bored.
In his current state, he can be said to be a normal person. The background color of his system panel is only a faint red, with a diagnosis of cardiac channelopathy written on it.