Crazy Psychologist Chapter 686

Where the doctor needs this needle to go is the coronary artery. To put it simply, it is to follow the vine, the coronary artery is a melon, and the femoral artery, abdominal aorta, thoracic aorta, aortic arch, etc. are all vines.

After the guide wire enters the coronary artery, it is put into the catheter along the guide wire, and then a contrast agent is injected into the catheter. Once the contrast agent enters the coronary artery, X-rays can be taken, so that the direction of the contrast agent can be clearly seen.

The thrombus cannot be seen under X-ray, but the contrast agent can be seen. If the contrast agent stops abruptly in a certain place, it means that the place is blocked, probably blocked by a thrombus, and the blood cannot pass through. Naturally, the medicine can't make it through.

The principle of coronary angiography is like this, and it is not very complicated.

Mu Chun looked at the results of coronary angiography and was completely dumbfounded.

Sometimes chest pain may also be related to other diseases, and pulmonary embolism can also show symptoms similar to acute myocardial infarction, especially chest pain.

Everyone who studies medicine knows that the heart and lungs are not separated, and sometimes lung diseases can also affect the heart sideways, and changes in the electrocardiogram are also possible.

Although troponin is unique to cardiac muscle cells, elevated troponin usually indicates myocardial cell rupture and necrosis, but it does not necessarily mean that the increase is 100% caused by ischemic necrosis caused by coronary artery blockage, and it may also be caused by other diseases. Cell destruction, such as myocarditis.

Clinically, it is sometimes necessary to differentially diagnose myocardial ischemia and myocardial infarction.

If the heart is compared to a house, the coronary arteries are the water pipes of the house, the electrocardiographic conduction system is the wires of the house, and the cardiomyocytes are the walls of the house. There is a problem with the house now and it cannot be lived in. It may be that the water pipes are rusted and blocked and the water is cut off. It may be that the wires have short-circuited and the power is cut off. It may also be that the walls are cracked and leaking air...

In order to rule out other diseases, Qiutong had already completed a chest CT scan + enhanced when sent to the intensive care unit, and the results showed that everything was normal, and the problem of pulmonary embolism was ruled out.

Qiu Tong's vital signs are still in a critical state, but the experienced Deng Li is hesitant.

"Doctor Mu Chun, what's going on?"

In the middle of the night, in the emergency room, both Nurse Ding Feng and Dr. Deng Li were a little confused.

Either consult a doctor immediately, but Deng Li himself is the director of the cardiology department, who should he consult?

Interventional surgery is definitely not possible. Qiutong's blood pressure is still not stable, and her heartbeat continues to be between 115-120 per minute. If the blood test is performed, the troponin value may be higher than before.

"Doctor Mu Chun."

If Qiutong died like this, who should be responsible for this matter?

Public opinion may say that Qiutong's death deserves more than guilt. After the police restore the facts, who will sympathize with Qiutong?

Why on earth do you want to do this? What kind of weird method was used to make the girls a tool of hatred.

"Now we can only continue to observe, do some conservative treatment, and try to stabilize the patient's condition. If it's not myocardial infarction, what could it be?"

Deng Li scratched his hair, and his dinner was still on the table in the emergency room. From the outpatient service to the emergency room, Deng Li didn't have time to eat until midnight. He received a call from the ambulance center saying that there was a patient within 15 minutes. When it was delivered, Deng Li had just opened the takeaway bag.

He ordered an eel beef bowl, and now the eel has completely cooled down, and the beef is no longer warm.

Deng Li is used to it. Doctors, there is no one who complains about not having time to eat. He has gotten used to it during the training period.

But Mu Chun, he originally wanted to talk to Mu Chun about some problems, but now is not the time at all.

Mu Chun looked at Qiutong's painful appearance, and felt mixed feelings in his heart, most of which were anger and pain.

But he knew it was useless to think about it now, the most important thing now was to find out what happened to Qiu Tong?

Back in the intensive care unit, Deng Li saw Mu Chun's painful expression, and patted him on the shoulder, "Is it your patient?"

Mu Chun shook his head.

Qiu Tong is not his patient, but Li Mu is.

Thinking of this, Mu Chun suddenly felt severe chest pains, couldn't help but bend down, and sat on the ground paralyzed against the wall.

"What's wrong with you?" Seeing the situation, Deng Li became very nervous.

While checking Mu Chun's condition, he shouted to the door, "Ding Feng, Nurse Ding Feng."

The nurse came in a hurry to see why another person fell to the ground.

There are really too many things to do in this night shift, and the patients can't stop talking about them, but they still can't solve them. If there were two myocardial infarctions in one night, Director Deng Li would not be able to handle it even if he was overpowered.

"I'm fine."

In about half a minute, Mu Chun's pain gradually disappeared. He stood up, walked to Qiu Tong's side, and checked the heart and lung monitor again.

"I know why."

Look directly at the blood pressure, heart rate and other values on the monitor.

"Can I have another EKG?"

Although Deng Li didn't understand what Mu Chun meant, he acted immediately, and the electrocardiogram quickly produced new drawings.

"Although, I don't know if Qiutong has a history of heart disease. Since it is not found in the medical insurance records, it can be ruled out for the time being, but one thing is 100% certain." Mu Chun looked at Qiutong firmly. He said slowly, "What is certain is that Qiutong experienced a very serious external event before the chest pain occurred."

"Strike by external events? What is Dr. Mu Chun referring to?"

To see a doctor, Mu Chun has no time and no special reason to describe the matter between Qiu Tong and Li Mu to Director Deng Li in detail.

"What I'm talking about is that the patient is extremely sad or angry because of a major external event, which leads to chest pain, breathlessness, shortness of breath and other symptoms similar to heart disease."

"I seem to get it, but it's not common clinically, so I didn't think in that direction at all."

"Well, it seems likely that this is the reason-[Broken Heart Syndrome]."

Broken Heart Syndrome (also known as takotsubo cardiomyopathy) refers to symptoms similar to heart disease, such as chest pain, breathlessness, shortness of breath, etc. Without myocardial damage or blockage of heart arteries, patients usually recover within days or weeks as long as they overcome the potentially life-threatening acute phase.

In about one in 10 cases, people with broken heart syndrome experience cardiogenic shock, a condition in which the heart suddenly cannot pump enough blood to meet the body's needs.

Mu Chun judged that Qiu Tong was in this situation now.

"It does seem to be the [broken heart syndrome] that Dr. Mu Chun said." Deng Lixuan's heart relaxed a little.

"[Broken heart syndrome] symptoms look very similar to myocardial infarction, and blood tests also show elevated troponin."

The sound of the instruments in the intensive care unit made regular sounds, and the white sheets were lifeless.

Suddenly, Deng Li called out to Ding Feng, "Nurse Ding, prepare mechanical support, Dr. Mu, please help, there are not enough emergency staff at night."

"no problem."

Mu Chun agreed and completely obeyed Deng Li. e

A few minutes later, Qiutong's blood pressure returned to normal, and her breathing became even.

Finally, there was a strong anger on the white bed sheet, and the sounds from the instruments in the intensive care unit sounded more and more pleasant.

"It would be great if I thought about it earlier. Fortunately, the medicine just now has some effect. Now I just need to continue to promote blood flow and wait for her to recover slowly by herself."

Mu Chun took off his gloves, and Deng Li, who finally rescued the patient, stood beside Mu Chun with a silly smile.

Deng Li is about forty-five years old, but he looks very young. He is a relatively quiet doctor in Sumikawa Medical College. He has a good relationship with everyone and has excellent medical skills, but he has a strange nickname.

Everyone called Deng Li "the little prince of the night" behind his back.

The two walked to the emergency room, Deng Li glanced at the lunch box, turned around and asked Mu Chun, "Would you like some?"

"No, I've had dinner. Eat quickly, I can help you if you need anything."

After Mu Chun finished speaking, she pulled up a chair and sat down.

Deng Li opened the drawer and took out a box of nuts from it, "Eat some of this, I often work night shifts, and I eat some nuts when I don't have time to eat, it's very hungry."

"thanks."

Mu Chun reached out to take it.

"Doctor Mu Chun really deserves his reputation. If you weren't here, I'm afraid I wouldn't have thought of cardiogenic shock and heartbreak syndrome. Because I have worked in Sumikawa for more than ten years, and I have never encountered it."

"While the exact mechanism is uncertain, broken heart syndrome is thought to occur when levels of stress hormones are elevated following physical or emotional stress, which may be negative, such as the death of a loved one; or Positive, like winning the lottery. But in about a third of cases, Broken Heart Syndrome occurs without a known stressor. Seems to have a medical name, called... ..."

"Stress myocarditis." Deng Li said while putting the lunch box into the microwave.

"Yes, stress myocarditis."

Accompanied by the sound of the microwave oven operating, Deng Li said: "Stress myocarditis is a self-limiting disease. Although the onset is a bit scary, similar to a real myocardial infarction, it is not coronary artery blockage after all, so generally it will not cause fatal symptoms. threat."

"If there is no cardiogenic shock, the patient may be able to stabilize himself soon, but cardiogenic shock is still very dangerous. Director Deng's treatment is very timely. If it were me, I would definitely not be able to figure it out."

"There is a specialization in surgery. The physical and mental doctor treats here, right?" Deng Li pointed to his forehead with a mischievous expression.

A doctor in his forties, wearing a white coat, with a Spiderman decorative button pinned to the pocket of the white coat, looks a bit out of date.

Looking at Deng Li's feet, there is a pair of red hole shoes, which are decorated with Iron Man, Captain America and other decorative buckles of various Marvel elements, which looks like a super fan of Marvel.

Unlike another Marvel superhero [Doctor Strange], although Doctor Strange was a doctor before possessing super magic, he is a doctor who wears a famous watch and drives a luxury car. He is handsome and unstoppable. Endless.

Deng Li was different, he was forty-five years old, but he didn't look mature at all.

"Ensuring the patient's blood flow can actually stabilize the patient's condition and help her overcome difficulties. Look, we've got it done, haven't we?"

There was no tension on Deng Li's face.

Mu Chun was also a little relieved, if Qiu Tong really died so suddenly, he really didn't know how to tell Li Mu what happened between midnight and one o'clock in the morning today.

Deng Li brought out the heated meal and sat opposite Mu Chun.

"Eat quickly, I'm fine, I'm really not hungry."

Before Deng Li could speak, Mu Chun helped him speak first.

"Doctor Mu Chun, I really really want to visit you, but I haven't had the time. The main thing is, it's not a big deal."

Deng Li took a bite of the eel, couldn't stand the saltiness, and looked for a water glass everywhere.

Why is the director Deng now and the director Deng when he was treating patients so different? The current Deng Li can be described as naive, even a little too cute.

So he said he wanted to talk to a physical and mental doctor, maybe there is really something a little big?

Deng Li didn't say anything, Mu Chun naturally didn't open his mouth either.

There are too many troubles in his heart now, and anger has the upper hand compared to troubles.

Who is behind the scenes? Xu Dan? If it was really her, seeing Qiu Tong who almost died today, Li Mu who managed to survive, Geng Meng who was in a trance, Liu Mei who lost everything...

If all of this was carefully planned by Xu Dan, her goal was to be slim?

What is the reason behind it?

"By the way, Dr. Mu? Is this patient your patient?"

Deng Li asked questions while eating, completely disregarding his image, this is one of the reasons why he likes the night shift, he is so comfortable! Can be like a child, who is not a child!

Mu Chun remembered Deng Li asked once before, but it didn't matter, he replied again, "Qiu Tong is not my patient, my patient is..."

patient!

That's right, it's the patient. Mu Chun opened the pentagram formation diagram in his mind, besides Liu Mei, Yang Xing from Qingshan Road, Li Mu from Lanhai Garden, and Geng Meng from Linhai Community.

There are also Bai Lu and He Ping before, these people are all related to Mu Chun, except for Geng Meng, they are all Mu Chun's patients.

wrong? Still not right, Geng Meng is not my patient, neither is Chen Feng, nor is Liu Mei, these people are not related to me...

"Isn't Dr. Mu Chun's patient?" Deng Li patted his stomach and burped, which seemed to be caused by eating too fast.

"No, to tell you the truth, Qiutong is not my patient, her husband is my patient."

"Eh?" Deng Li wiped his mouth with a tissue~www.mtlnovel.com~ tilted his head and stared at Mu Chun.

"Why is Director Deng looking at me like that? Is there something on my face?"

Mu Chun looked around, and then saw his own face in the mirror above the sink.

"No, no, Dr. Mu Chun is as handsome as I imagined!"

Mu Chun: ... Could this be Deng Li?

Deng Li still smiled and asked, "I'm just curious, curious, is the physical and mental doctor still responsible for taking care of the patient's family?"

Recommend a book: Mid-Autumn Festival Yueming's new book "I am an emotional killer".

The current word count is 750,000 words, and the update is very stable and can even be said to be very powerful. Those who don't like to chase after updates can watch "The Great Beauty Era" first.

But I guess you must have read "The Great Beauty Era", so let's catch up with the updated book!

The brief introduction of the author Mo Deqing is as follows:

I, like a pigeon killer;

I don't have feelings;

Also, what money.

I am Yi Haizhou whose surname has disappeared;

The man who is half proficient in the four great inventions;

I don't want to talk to you and threw a BENG at you...

Please remember the first domain name of this book: . The fastest website for mobile version updates:

Chapter end

Report