It turned out that it was the professor who came for the consultation.

No wonder it looks like age and temperament don't match hospitalization!

Being reminded by Senior Brother Deng like this, Zhang Tianyang finally understood why he looked so familiar.

More than a week ago, he had asked for a hospital-wide consultation with the girl with a fungal infection in the lungs in the Department of Infectious Medicine, and it was the director of the cardiology department who came at that time.

Next to him, Senior Brother Deng was still whispering to Zhang Tianyang.

"The emergency department consults cardiology, and generally the inpatient general is the general hospital, and only the director of very serious patients will come to see him. ”

It's really serious.

Zhang Tianyang agreed in his heart, he had ventricular fibrillation, this is a situation that only occurs when normal people are dying!

It's just a little bit like that.

If you come a few minutes late, you will have ventricular fibrillation without supervision, and you will really die.

Can it not be serious!

This old man has always been Zhang Tianyang in charge of rescuing, and Senior Brother Deng has been busy rescuing another bed before, and he doesn't understand the condition, so he sighs a little.

"If you look at what the professor is wearing, he must be having surgery, or he has just been called over after surgery.

How sick this patient is!"

He sighed, but paused abruptly.

"Eh, such a serious patient, junior brother, you can save it yourself???

The incident happened suddenly, when he and Professor Yang were busy rescuing another bed, and all the consents, medical orders, and treatments of this old man were done by Zhang Tianyang.

The doctor's order was given to Professor Yang, but Senior Brother Deng remembered that Professor Yang only glanced at it at that time and did not change a word.

Therefore, all the rescue was completed by the junior brother!

"Awesome, junior brother!"

Senior Brother Deng looked at Zhang Tianyang with surprise in his eyes, but soon, his afterglow swept to the professor of cardiology behind Zhang Tianyang.

After observing the old man's vital signs, the other party had already lifted the patient's clothes and began to listen carefully to the heart sounds with a stethoscope.

It is estimated that soon, the doctor in charge of the bed will be summoned and ask about various situations!

Senior Brother Deng was in a hurry at that time.

He has rotated in the cardiology department, although he is not the medical team of the chief director, but he has also watched the scene of the chief director scolding.

"Senior brother, have you memorized all the test results of this patient? If you are not familiar with memorization, you must copy them down, and if you can't answer them when I ask you, it will be very miserable!"

It is the responsibility of the doctor in charge to understand the basic situation of the patient, especially if the relevant department is consulted.

If the consulting doctor asks about the examination data and you can't answer it, the consulting doctor with an explosive temper will scold him on the spot.

After all, people have to do so much work in a day, and you invite me to come for a consultation, but I don't even know the basic information of the patient, is this a play?

This is especially true of the director.

Not to mention the director who was called directly from the operating room!

"Also, the director of the Department of Cardiology likes to ask questions about the mechanism of diseases and so on. ”

As if remembering some not-so-good memories, Senior Brother Deng shivered.

"But now it's not their own department rounds, it's a consultation, probably maybe they won't ask about this......"

Senior Brother Deng obviously regarded Zhang Tianyang as his own, and didn't want him to be scolded, so he seized the time to pass on his experience.

But over there, the professor had already taken a good look at the patient, and turned around and called, "Who is the doctor in charge of this patient?"

"It's me. ”

Zhang Tianyang winked at Senior Brother Deng, who still had a bunch of unfinished words, and then took the initiative to walk up.

Senior Brother Deng wanted to step forward, but he was a little afraid of this professor, so he could only look through the autumn water behind him, and clenched his right hand into a fist to cheer Zhang Tianyang on.

Sure enough, the professor began to attack.

"What's the matter with this patient? I haven't read the consultation list, but the hospitalization always tells me that it is very serious, so please tell me about his basic condition. ”

Senior Brother Deng's fists clenched immediately, for fear that Zhang Tianyang would not be able to accept the stormy scolding, and was ready to step forward at any time to relieve the siege.

But Zhang Tianyang didn't seem to be nervous at all.

"The patient, a 65-year-old man, was admitted to the hospital complaining of abdominal pain and diarrhea for 7 hours, the contents of which were watery, during which he did not rehydrate in time, accompanied by paleness and sweating.

After being admitted to the hospital, he was admitted to the emergency room and temporarily rehydrated and treated with anti-infection, and ventricular fibrillation broke out 40 minutes ago.

Chest compressions, defibrillation, and endotracheal intubation are given immediately.

At the same time, dopamine, norepinephrine, and adrenaline are given to boost the heart and excite.

Lidocaine, Eslowol antiarrhythmia.

Potassium chloride corrects electrolyte imbalances.

Magnesium sulfate sedative and antispasmodic treatment ......"

Zhang Tianyang said in detail.

It's not verbose, it's necessary.

In many cases, what happened to a patient before, what treatment was given at that time, and what the effect was after that is very much what the attending doctor wants to know.

These details help doctors to diagnose the condition and guide medication.

But many patients don't know what to ask.

I always feel that my current situation is in front of you, what do you ask those who used to do?

I ask this for the purpose of healing!

However, Zhang Tianyang's answer made the professor feel relieved.

Not only is everything he wants to hear mentioned, but the language is also brief, and it should not be wordy.

The anxiety brought about by just stepping down from the operation and running over in a hurry disappeared in an instant.

Subconsciously, he nodded as he listened.

"After 20 minutes of resuscitation, the patient regained his spontaneous heart rate. His blood pressure now fluctuates between 85 and 102 and 54 to 68 mmHg, his heart rate fluctuates between 78 and 99 beats per minute, and his oxygen saturation is 100%. ”

Zhang Tianyang continued to report the old man's situation, and at the same time handed over the consultation sheet in his hand.

"The results of the emergency blood test showed that the patient's white blood cells were elevated and the indicators of infection were elevated. ”

There are too many specific examination results, and he said one by one that it is a waste of time, so it is better to let the professor see it himself.

Zhang Tianyang only picked out important results and reported them, and at the same time mixed his own judgment.

"Combined with the test results, the previous diarrhea is considered to be bacterial.

However, the patient had diarrhea for too long, and the electrolytes were found to be low in potassium, sodium, calcium, and chloride, especially blood potassium, which dropped to 2.8.

In addition, the patient has a history of hypertension and diabetes in the past 20 years, and the basic conditions of the heart are not good.

Therefore, I believe that this ventricular fibrillation is considered to be a combination of severe electrolyte imbalances and an increase in cardiac load in a hypovolemic shock state. ”

Senior Brother Deng pricked up his ears in the back and listened, only feeling that Zhang Tianyang's judgment was very reasonable.

But the director of the cardiology department was still carefully staring at the results of the various examinations on the consultation list just now, but at this time, he suddenly turned his head and stared at Zhang Tianyang.

Zhang Tianyang calmly looked at him, but Senior Brother Deng behind him instantly became vigilant.

Here he is again!

This is a precursor to the question of death!

Sure enough, the director of the cardiology department stared at Zhang Tianyang for a while, and suddenly spoke.

"So what do you think is the electrophysiological mechanism of this patient's sudden ventricular fibrillation?"

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Stealing incense