Tian Zhen moved quickly, and after a while, adrenaline and dopamine were given to the patient.

Five minutes later.

The sound of the alarm is gone.

"Dr. Zhao, the patient's blood pressure is 100/50mmHg."

Tian Zhen said.

"Hmm."

Zhao Heng nodded, relieved, and the time the ambulance arrived at the scene, it was the second time that the old man had been in shock.

Although Zhao Heng has now determined that the patient is not allergic to cough syrup, but to cephalosporin, this information, when the ambulance went before, the patient's family obviously did not remember it.

In clinical practice, sometimes this is the case, missing an important and critical piece of information, and sometimes it can be fatal.

But if it is only cephalosporin allergy, when the first aid was given at the scene before, the emergency doctor also treated it according to anaphylactic shock, and it should have been able to control it by now, and there will definitely be no second shock like just now.

This patient must be more than just a shock problem!

Zhao Heng thought with great certainty.

But what could be the problem?

Thinking of this, Zhao Heng looked at the patient who was lying on the transfer bed and had been rescued again, and came to stand in front of the old lady.

"Doctor, how is the old horse? Will he be okay? ”

The old lady asked in a panic.

"Now that he has been rescued, can you recall that this morning, in addition to breathing difficulties and chest tightness, did he say that he had any other discomforts?"

Zhao Heng asked.

"Others?"

The old lady thought hard, but obviously she couldn't think of anything, the memory of the elderly was not very good, not to mention that she was in such a flustered state now, so she couldn't remember anything.

"It's important, now he's in shock for the second time, and if it happens again, it's very likely that his life will be in danger."

Zhao Heng said when he saw the old lady who was thinking hard.

At this time, it is necessary to use unconventional methods to give the old lady a little stimulation, and maybe he will be able to remember.

"Doctor, I remembered, when I got up in the morning, Lao Ma said that he was a little flustered, and I really can't remember the rest."

The old lady was about to cry at the moment, and said with a crying voice.

"Panic?!"

Hearing these two words, a flash of lightning instantly crossed Zhao Heng's mind.

Yes, an elderly person with a history of hypertension may induce acute myocardial infarction due to anaphylactic shock, adrenaline and other reasons!

Thinking of this, Zhao Heng immediately turned around and said to Tian Zhen: "Pull an electrocardiogram, draw a tube of blood, and check cardiac enzymes and troponin." ”

"Okay."

Tian Zhen nodded without any hesitation.

After a while, Tian Zhen drew blood and asked other nurses to send it to the laboratory department, and immediately pushed the bedside ECG machine and made a bedside ECG for the patient.

The ECG drawings slowly came out of the machine, and Zhao Heng just glanced at it, and immediately realized the seriousness of the problem.

ST segment elevated!

This is totally a very typical myocardial infarction graphic!

"Call the Department of Cardiac Surgery immediately, please consult urgently, and say that there is a patient with myocardial infarction here."

Zhao Heng said to Tian Zhen.

Tian Zhen immediately responded and trotted to make a phone call.

I almost ignored it!

When Tian Zhen went to make a call, Zhao Heng really pinched a cold sweat in his heart.

If he hadn't asked the old lady again and asked about the hidden symptom of the patient's palpitation, he would have been treating the patient with the same method of treating anaphylactic shock, and he would not have found the patient's myocardial infarction at all.

If the best treatment time for myocardial infarction is delayed, what the consequences will be at that time are simply unimaginable.

Thinking of this, Zhao Heng couldn't help but feel a cold sweat.

After a while, Jiang Rui, the attending doctor on duty in the Department of Cardiac Surgery, arrived.

And at this time, the results of the expedited cardiac enzymes and troponin sent to the laboratory department also came out.

Jiang Rui looked at the electrocardiogram, then looked at the results of cardiac enzymes and troponin, and said to Zhao Heng with great certainty: "Doctor Zhao, you are right, this is an acute inferior myocardial infarction, and emergency interventional surgery is needed immediately to open the coronary artery." ”

"Hmm."

Zhao Heng breathed a sigh of relief and nodded.

Almost, just a little, the patient's myocardial infarction was not detected.

If the patient's myocardial infarction really goes undetected, then today it is a serious medical accident.

It's too dangerous, so it's good to ask a lot.

Zhao Heng thought in his heart.

No matter how high the level is, there will be times when the car rolls over, and at any time, you must be cautious!

"Doctor, how is the old horse?"

The old lady had already recovered at this moment, stood up, and asked Zhao Heng and Jiang Rui.

"Now it can be confirmed that the patient has a myocardial infarction, and his life is in danger, and he must be operated on immediately, this is Dr. Jiang, who is a cardiac surgeon, and he will preside over the operation."

Zhao Heng said briefly.

"Well, well, doctor, let's do the surgery."

When the old lady heard this, she nodded again and again.

Next, Zhao Heng and Jiang Rui briefly informed the old lady of some precautions about the operation, and after signing the operation consent form, the patient was transferred to the cardiac surgery department to prepare for the operation.

It wasn't until the patient was transferred to the cardiac surgery department that Zhao Heng's heart really relaxed.

"Doctor Zhao, it's so dangerous."

Tian Zhen said with a shocked look.

If Zhao Heng hadn't discovered that this patient had myocardial infarction in time, then she and Zhao Heng would have suffered a serious medical accident today.

Any serious medical malpractice is a very heavy and even devastating blow to both doctors and nurses.

"Be careful to sail the ship of ten thousand years."

Zhao Heng also muttered.

Originally, he thought that his level was high enough, but if he encountered an unexpected situation like today, he would really be planted without knowing it.

Today's patient, at first, came because of cough syrup allergy, if it was an ordinary doctor, it must be treated as anaphylactic shock.

A more cautious doctor may ask how seriously the severity of anaphylactic shock has increased if the patient has taken cephalosporin.

But that's the end of it.

If the patient does not ask about the third layer, the patient has had symptoms of palpitation after waking up, and then thinks of the possibility of myocardial infarction, and examines the electrocardiogram, cardiac enzymes, and troponin, then the attending doctor must have planted this patient.

Because if you have been treated according to anaphylactic shock, you will miss the best treatment time for myocardial infarction, and once the patient has cardiac arrest due to infarction, it is really a lack of surgery!

"It's scary."

Tian Zhen continued.

"Doctor Zhao, you are still amazing, you can find this."

After a pause, Tian Zhen looked at Zhao Heng with great admiration and said.