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【2376】Not a good sign

If some patients may have a transient arrhythmia, the body will basically adjust itself without any need for treatment.

On the other hand, electric shock injuries may cause damage to the human heart in a more secretive manner, making it difficult for clinical doctors to detect. In some cases of delayed death, the cause of the problem is not known until the person dies and undergoes an autopsy.

You think to yourself, if there is no abnormality in the electrocardiogram, myocardial enzymes are not high, and the doctor cannot diagnose myocardial infarction, what kind of treatment should you ask the doctor to prescribe?

Note that ST segment elevation generally only represents myocardial ischemia and does not necessarily mean myocardial infarction.

Xie's argument not only pointed directly at the patient's myocardial infarction but also directly pointed at the very serious "Ru" head muscle rupture.

This? How can a practicing clinical doctor easily believe in the "fantasy" said by a medical student?

Luo Jingming was facing the pressure in the eyes of the other leader. What he wanted to say, Cao Zhao should understand. He is from the National Association, and he knows his junior sister better than Cao Zhao and others, and he believes that Xie Xie is more important than Cao Zhao and others.

definitely.

Beep, beep.

The ECG fluctuation on the child's ECG monitor shows that the child's heart rhythm seems to be heading toward arrhythmia. The ventricular rate has reached more than 100 beats per minute. Children's heart rates can be relatively fast. However, this child is

He is an older child, so this heart rate is obviously abnormal. Moreover, there are premature beats in the electrocardiogram, which is definitely not a good sign.

Cao Zhao stretched out his hand.

Classmate Pan, who was stared at by him, quickly handed over the electrocardiogram chart in his hand. No matter how much the man opposite looked like the hero of an idol drama, he was essentially a doctor like Classmate Pan, and he was a real technical guy.

I never wanted to be a movie star.

In fact, the electrocardiogram characteristics that Pan just reported are correct. The only problem is that children's conditions change quickly and heart disease patients themselves also change quickly.

Luo Jingming was so alert that he asked someone to bring the defibrillator over and be ready for defibrillation and rescue at any time.

What is the problem with the patient's current heart rhythm? Is there something wrong with "your" head muscles?

Last time I returned to Guozhi surgery, I actually mentioned the internal structure of the heart, the "Ru" head muscle. It is the myocardium connected to the chordae tendineae, and the end of the chordae tendineae is connected to the valve. It can be seen that the "Ru" head muscle connecting the valve through the chordae tendineae is like mechanical conduction.

, its function is to provide a steady source of biological power for the opening and closing of the valve.

The "Ru" head muscle of the left ventricle ultimately supports the mitral valve, the most important valve of the heart. Once something happens to it, it will affect the activity of the mitral valve, and the direct clinical symptom will be acute mitral regurgitation.

Pulmonary edema and heart failure.

In fact, if the "Ru" head muscle of the left ventricle is completely ruptured, one-third of the patients will die immediately, and more than half of the patients will not survive twenty-four hours. Without surgical correction, it can be said that death is inevitable.

"Are you talking about a partial break?" Cao Zhao glanced at the electrocardiogram and asked the student's opinion.

"Yes." Xie Wanying said, "Teacher, you know that the left ventricular patella muscle is divided into two groups. The front group is anatomically integrated into one muscle. Once it breaks, it will be completely broken, and the patient will easily die suddenly.

The posterior group is not, it is combined, and it is difficult to completely break if it breaks, usually showing a partial break. The ECG corresponding to the anterior group of the rut head muscle appears on the anterior wall, and the ECG of the posterior group appears on the lower wall."

It exactly corresponds to the electrocardiogram characteristic of inferior myocardial ischemia mentioned by Pan.


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