1195 Premature repolarization syndrome?(35000 plus ×27 monthly passes)

Seeing that the woman's condition was a little more stable, not as excited as before, Zheng Ren thought about it and took out his mobile phone.

"Chang Yue, ICU, explanation room, come on. Zheng Rendao.

After hanging up the phone, Zheng Ren looked at the woman, tried to be gentle, and said, "Don't think too much about it first, Director Zhang and I will take a look at the patient and exchange opinions, and then decide the rest of the matter after we have opinions, how about it?"

The woman looked at Zheng Ren very suspiciously, a young doctor, who gave him the confidence to sit here and talk to himself?

But she was still cold, but she didn't speak. Before, the blood rushed to his head, and he almost jumped from the upstairs with the child in his arms, but now he still has palpitations when he thinks about it.

If you can not die, who would want to die? The family is neat, enjoying life, and going to Huangquan Road together, the gap between the two is so big that I am afraid that it is the farthest distance in the world.

Director Zhang Lin and Zhang sat beside Zheng Ren, looking at this doctor who had only heard of it but was very unfamiliar.

How dare this kid get involved in this kind of thing?

For doctors, the farther away from this fundamentally unsolvable thing, the better, as long as it doesn't happen to them.

I admit that I am unlucky. But he took the initiative to add in, is it because the young man is inflated?

It's possible.

With such a high achievement at such a young age, Dr. Mehal from Sweden will come to Huaxia in the afternoon to find this little doctor for surgery.

It is said that a few months ago he performed an operation on Dr. Mehal that other circulatory doctors could not handle, and the results were good.

This is something to be proud of.

But there are many things that technology can't solve.

Director Zhang sat quietly, thinking about the scene just now, and he was shocked.

Soon, Chang Yue caught up. Zheng Ren asked Chang Yue to chat with the patient's family to calm down his emotions, and arranged a doctor from the cardiovascular department next to him.

Outside the door, security guards have already arrived.

In this way, Zheng Ren can be a little more relieved. Don't find Chang Yue, that woman went crazy and hurt her again.

If that were the case, Zheng Ren felt that he would not be able to survive.

He and Director Zhang walked into the corridor of the ICU and began to change clothes, Director Zhang said: "Boss Zheng, I have heard of the name for a long time, and I only saw it today." I thought I would have a chance to chat with you when I was picked up in the afternoon. ”

"You're welcome, Director Zhang. Zheng Ren smiled and said, "It's not a big name, don't sneer at me." It's just a little doctor, a little doctor. ”

Are you young and vigorous? I don't see it. Hypocrisy doesn't seem like it. The smile on his face was full of sincerity, as if he was his own 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 politely, he unknowingly, in terms of the diagnosis and treatment of the disease, he had elevated himself to the level of the director, and asked Director Zhang about his condition without the slightest cowardice.

The majesty of the clinical director, the technical and academic school is very heavy. The average little doctor, even if he is not a direct one, is polite when he meets, and he will not be as confident or even a little arbitrary as Zheng Ren.

Director Zhang immediately reminded himself that this was the power of performing cardiac intervention on Dr. Mehal, and he could not be fooled by his face.

Su Yun followed Zheng Ren's side, without saying a word, with a slightly irritated look between his eyebrows.

"The patient was sent to our hospital by 120 ambulance yesterday because of sudden syncope. Director Zhang Lin introduced: "According to the patient's family report, there is a family history. The patient's brother died of cardiac arrest 3 years ago, and the autopsy was not autopsied and there was no clear diagnosis. 1 year ago, the patient had a similar situation but recovered on its own. On admission, he was diagnosed with sudden arrhythmia and ventricular fibrillation, but the ECG was atypical. ”

As they spoke, the three of them walked to the ICU ward again. Director Zhang Lin didn't notice that at this moment, she was reporting her medical history like a little doctor.

The whole process is smooth and there is no sense of obtrusion.

"After admission, patients can walk on their own, speak without barriers, and live independently. Eight hours earlier, he had another sudden ventricular fibrillation, ventricular tachycardia, and cardiac arrest. Director Zhang Lin said: "After rescue, the patient resumed his heartbeat, but the cerebral hypoxia time was slightly longer, and in order to prevent the next cardiac arrest, ......"

"Director Zhang, what do you think about that?" asked Zheng Ren.

Although it was a bit rude to interrupt Director Zhang's words, no one noticed this. A few lives wandered on the edge of the cliff, and then everything else became insignificant.

"There is a high likelihood of considering 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%~2.5%. May be caused by a portion of the ventricle that occurs before the entire ventricular depolarization is completed.

ECG mainly changes to S-T segment elevation with J-point not returning to baseline, so it is often confused with pathological S-T segment elevation. When there are other diseases or coronary heart disease, it makes the pattern more complex and easy to misdiagnose.

In general, premature repolarization syndrome is not a problem, and ST-segment elevation is not the same as S-T segment elevation in myocardial infarction and does not cause cardiac arrest.

However, severe changes can induce patients to have worse symptoms and occasionally cardiac arrest.

As for the specific mechanism, nothing has been conclusive.

The more human beings explore the diagnosis and treatment of their own diseases, the more unclear things they will find, and premature repolarization syndrome is one of them.

Rare diseases, rare diseases, the diagnosis of 912 is still very bold, after all, Director Zhang Lin has rich clinical experience.

"Do you want to get a pacemaker?" asked Jung-in.

"Should be ...... No, it is a must. Director Zhang Lin replied firmly.

Zheng Ren didn't speak, carefully recalling the patient's medical history.

The patient's symptoms were somewhat similar to those of Zou Jiahua, but they were not identical. Rather than being diagnosed with severe premature repolarization syndrome, Zheng Renning was diagnosed with cardiac channelopathy.

It's just that the patient's condition is relatively mild, and he has just had a seizure. It is possible that over time, the condition will get worse and worse, until sudden death.

Entering the ICU, Zheng Ren walked up to the patient in a few steps and glanced at his system panel.

The patient lies on the bed with his eyes on the ceiling, unaware of what is happening outside. He has ECG monitoring and various monitoring equipment on him, although it is very smooth, but it looks a little uncoordinated.

Because he couldn't carry a mobile phone in the ICU, he was obviously bored.

The current state can be said to be a normal person. And the background color of his system panel is only a faint red, and it reads a diagnosis - cardiac channelopathy.

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