Chapter 306

After seeing several directors, Chen Cang hurriedly came over: "director, you're here."

Li Baoshan nodded and said solemnly, "how's it going now?"

Chen Cang swallowed his saliva: "it's fairly stable. Now I've done the relevant inspection. I'll be back soon."

Li Baoshan said.

At this time, director Tao Mi of cardiac surgery and director Xu Tianfu of Cardiology came over.

Tao Mi frowned and asked, "Xiao Chen, what's the situation with the patient?"

Chen Cang explained: "the patient's current examination results have not come out. I think it may be a pericardial tamponade caused by traumatic blood pericardium!"

As soon as the words of pericardial tamponade came out, the faces of several directors suddenly changed!

Pericardial tamponade, this is a fatal disease!

The inspection can't be done casually. At least someone has to watch!

Thinking of this, Li Baoshan quickly asked, "what did you do?"

At this time, Chang Lina, who took the patient for examination, pushed the car and walked over with the doctor on duty in the radiology department.

The radiologist took out the MRI film in his hand: "director, look, this is a chest film, this is an MRI."

When Tao Mi heard this, his face suddenly changed: "why do you do MRI?"

This sentence made everyone silly!

The radiologist was stunned: "in order to clarify the blood accumulation in the pericardial cavity..."

This problem makes the radiology doctor a little confused. Am I... Wrong?

But looking at the three directors staring at themselves with a serious face, the radiology doctor suddenly shrunk his head. Am I really wrong?

Li Baoshan hurriedly asked, "is the patient stable now?"

Chang Lina, who sent her for examination, nodded: "stable! Blood pressure 9070, heart rate 70 beats per minute... The patient's vital signs are stable."

As soon as these words came out, several directors around were relieved!

Xu Tianfu said slowly, "it's not that you're not allowed to do an MRI, but only when the patient's condition is stable, otherwise it's easy to die of pericardial tamponade!"

you bet!

Xu Tianfu is not kidding.

There are no fewer heart disease patients who die in CT room and MRI room every year.

Therefore, many domestic hospitals do not recommend MRI and CT for patients with possible myocardial infarction and heart failure until they are stable.

The radiologist smiled awkwardly: "director, it was stable when it was sent."

Three people are stunned!

Pericardial tamponade caused by blood pericardium... How can it be stable without treatment?

At this time, Xu Tianfu, who was holding the NMR film, was suddenly stunned: "no... why didn't he accumulate blood?"

Even Tao MI on one side was foolish. After careful comparison... He looked at the echocardiography and was immediately curious.

"No, you see, the second and third ribs on the left... Have obvious blunt injuries."

"But the ultrasonic liquid plane..."

At this time, Lao Liu hurried in: "Dr. Chen, I took the accumulated blood you asked me to get just now."

At this time, everyone looked up at Chen Cang.

Li Baoshan immediately stared: "what kind of blood is this?"

Chen Cang said: "After Lao Liu and I arrived at the scene, the patient's condition was very poor. The pericardial tamponade was very serious. The blood pressure was only 6030mmhg, and the triad of pericardial tamponade was very obvious. This was the first time I saw a patient with triad at the same time. At that time, the patient's heartbeat was very weak. I was worried about problems on the way to the hospital, so I decided to choose outdoor pericardiocentesis."

Once you say that!

Suddenly, the three directors changed their faces again.

They all know the serious consequences of pericardial tamponade.

But how do you do pericardiocentesis outdoors?

One has no B-ultrasound positioning and no monitoring

Pericardiocentesis can only be done blindly.

Blind... If you are not careful, you will have problems.

After all, the pericardium is not the chest, and the operable space is very large, but his operable space is very small.

Tao Mi thought of this, hesitated and asked, "are you... Blind?"

Chen Cang nodded: "as a last resort, the situation was special at that time, and the patient was very urgent and imminent. If I didn't do it, I would do it."

The three looked at each other and couldn't help swallowing their saliva... They could think of the danger.

But the more so, the more afraid they were.

Maybe the patients can't come to the hospital.

Li Baoshan sighed, "you're too risky."

Tao Mi shook his head: "I have to!"

Speaking of this, the three people's eyes at Chen Cang have changed.

After all, there are dozens of people in the Department of Cardiology and Department of Cardiology of the second provincial hospital who can blind puncture the pericardium... There may be few.

Even Tao MI and they are not sure whether they dare!

Maybe... In that case, would you do it yourself?

Tao Mi thinks about it, but... Whether he can succeed or not is really uncertain.

Thinking of this, Tao Mi's eyes at Chen Cang are really full of appreciation.

bold and crafty!

It's really an ability to decisively judge pericardial tamponade and boldly puncture on site.

Sometimes people really have to be old.

Watching generations of excellent young people gradually grow up, several directors are also happy and sorry.

Fortunately, there are successors.

Unfortunately, I'm old

However, we were relieved to learn that the patient had undergone pericardiocentesis, and there were still some blood in the pericardial cavity at this time.

But without massive bleeding, it should not be the injury of large blood vessels.

It's not a sharp rupture of the heart.

Now the only consideration is pericardial injury, which leads to pericardial vascular injury.

At this time, various test results came back.

The indicators are basically normal, the hemoglobin is low, but there is no indication of blood transfusion, and the leukocyte is slightly higher, which is also normal.

After reading various examination reports, Tao Mi said: "now we still need open chest exploration to determine whether there is damage to the heart or blood vessels. We should explore the source of bleeding and treat the symptoms in time."

"And... You see, in the film, there are pericardial hematocele and blood clots, so next, we should cut open the pericardium, clear the pericardial hematocele, find out the source of bleeding and repair the damage of heart and blood vessels!"

Xu Tianfu also nodded: "fortunately, the heart was not pierced, otherwise it would not be so simple. You see, the broken rib should have injured the blood vessels of pericardial tissue and did not cause damage to the heart. I guess this should be the main reason for blood pericardium and pericardial tamponade!"

I have to say that thanks to Sun Sheng, the broken rib did not damage the heart. Otherwise... This is not the case now.

After several directors discussed, they made a decision to improve the operation as soon as possible.