You may find it strange that the lesion cannot be found when using electrophysiological measurements.
An electrophysiological diagram is not a map, and it is not intuitive at all. If you see it with your own eyes in the operating room, you will find that, like an electrocardiogram, the waveform and data are moving, and there is no image.
In fact, when analyzing this in the operating room, the doctor must consider it comprehensively based on the electrocardiogram connected to the patient's body surface on site.
Through the electrocardiogram principles we have learned before, we know that electrocardiogram can identify some diseases, but it cannot be said to be 100% accurate. When dealing with complex cases, its direction may be vague and wrong. The same is true for electrophysiological diagrams.
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For example, a group of seniors debated whether she was talking about bidirectional ventricular tachycardia or differential atrioventricular conduction. One can imagine how difficult it is to identify based on these pictures alone. Moreover, one of the important reasons why the seniors’ discussion was inconclusive was because the patient had ventricular tachycardia.
It stopped, and the ECG was pulled in time, but it will not show up afterward. The electrophysiological chart is comparable to the electrocardiogram, and it also needs to be reflected when the patient is having an attack. The electrophysiological chart shows nothing when the patient is not having an attack. If it doesn't show, the doctor comes.
Where to find the lesions?
This is troublesome. The doctor performed this operation on Mr. Wei in order to treat his ventricular tachycardia and prevent him from having fatal ventricular tachycardia next time. How to find the ventricular tachycardia when it has disappeared temporarily?
How to solve this contradiction is generally done in two clinical ways, either using drugs or directly using electrodes to stimulate the patient to have ventricular tachycardia so that doctors can find the target.
Hearing such things makes people feel suffocated: Are they deliberately stimulating the patient's dangerous condition?
It is impossible for a doctor to risk the patient's life. The prerequisite for a doctor to dare to do this is to know how to control the patient's ventricular tachycardia.
Dr. Gao and Director Che, who were looking through the medical records, thought so.
In the past, you rescuers were able to save this kid's life. What kind of medicine was used, or how many joules of defibrillation were used. If he is stimulated and needs rescue again, I will do the same thing.
After flipping through the patient's medical records, Dr. Che was surprised when he unexpectedly discovered a terrifying blind spot in this emergency case: "There are no specific measures?"
Director Gao hurriedly took another look at the medical records, and there really wasn't any. The emergency patient was brought in for emergency care. He didn't have time to look at the medical records carefully, so he just looked at the examination report. Anyway, a bunch of emergency doctors are here to ask questions at any time.
The incredible voices of the surgeons entered the control room from the operating room, but they asked their colleagues in the control room to refute: Was it because time was too tight and you didn't have time to write down the medical records clearly?
Cao Dong took the intercom, hesitated for a moment, and replied: "It should be clearer what is written in the medical record."
"Have you used amiodarone?" Dr. Che asked the junior doctor in the audience who was helping to look through the medical records.
"No." The young assistant replied.
Shen Youhuan quickly walked over and took a look. When he was in Seoer, he saw a group of them busy examining the patients, but he didn't notice it. Looking back now, a group of people in the ward were talking about the little junior sister getting into trouble.
Luck, it turned out to be such a big "luck hit" that he was shocked.
"You mean hammering?!" Dr. Che and Director Gao's scream nearly broke his throat.
When experienced seniors heard this, they all realized how lucky this was.
How to proceed with the operation on this patient?
Trying to get lucky again? Who dares?
"Who's lucky? Is anyone here?" Dr. Che took the time to ask.