Chapter 716

Chen Cang swallowed his saliva: "will pulmonary embolism cause allergic rash?"

Niu Tianfu said at this time, "well, it's not impossible."

At this time, a very serious problem has been put in front of everyone!

If acute pulmonary embolism is suspected, what should be done?

At this time, Qin Xiaoyuan suddenly asked, "how long has it happened?"

Yu Yingcai was at the door. He was shocked when he saw the emergency rescue. He looked at his watch: "it's more than an hour... To be exact, it should be about 70 minutes."

Qin Xiaoyuan frowned when he heard that!

Now many theories believe that 60 or 70% of patients with pulmonary embolism, especially syncope, will die within two hours after the onset!

However, in such a short time, it is very difficult to send it to the hospital for definite diagnosis!

If patients can effectively get through the early stage of this crisis, they can be saved under the active treatment of internal medicine.

At this time, pulmonary arteriography and lung scanning are generally needed to determine the diagnosis and understand the location and scope of the embolus.

Several directors began a tense discussion!

Five minutes later, it was decided to perform coronary angiography.

However, before that, it is necessary to ensure the safety of patients!

"Atropine 1mg! Intravenous!"

"Dopamine 5ugkg. Min!"

Before the patient checks the operation, preventive measures must be taken to prevent accidents during the inspection!

After hearing these two doctor's orders, Chen Cang wrote them down silently!

Atropine is used to relieve coronary artery spasm caused by high vagal tension. At this time, dopamine can obviously resist shock and correct hypotension arrhythmia at the same time!

These two medical orders, like shields, escort the patients again!

Of course, any medical treatment is a chance!

No one can guarantee that there will be no accident during the operation.

This is not impossible!

Qin Xiaoyuan has thought out all the measures and done everything he should do.

Yu Yingcai had no choice but to nod and accept!

At this time, the test results came back!

WBC increased significantly, LDH also increased, and CPK was basically normal.

It's not acute myocardial infarction. It can be ruled out now.

Director Niu went out in person and began to prepare for angiography.

As time went by, the whole emergency room was filled with colorless smoke.

Rescue and war have something in common.

He makes people's adrenaline soar.

Feeling is something called passion, which permeates the body.

Before long, the angiographic image came out and the patient was diagnosed with pulmonary embolism!

The patient has just been sent to the rescue room. Several directors were overjoyed and watched the film. Now they can prepare for treatment.

Director Niu calmly began to give medical orders.

The anticoagulant Lele has begun to prepare.

Just when everyone was relieved and ready to start treatment.

Suddenly!

Shina exclaimed, "the patient's heart stopped suddenly!"

All of a sudden, everyone's face changed.

Cardiac arrest!

Is the heart stopping at this time?

The old cow was frightened at once. It's useless to use anticoagulants at this time.

Even Tao Mi looks flustered!

Why cardiac arrest?

Do you have ventricular fibrillation?

Now, if you have ventricular fibrillation again, these directors are ready to give you up.

There is pulmonary embolism itself. If you add ventricular fibrillation, who knows if there are any emboli.

At this time, the fragile patient will really belch and fart as long as he gently comes again.

Chen Cang didn't even think about it. He was directly ready to start chest compression!

At this time, the director started a crazy discussion. What should I do now?

The situation is really not optimistic!

Just as everyone was frowning, Tao Mi suddenly said, "there is no way out now!"

Qin Xiaoyuan's eyes brightened: "what does director Tao mean?"

So is Niu Tianfu. Is there a better way for surgery?

Tao Mi said word by word, "pulmonary embolectomy!"

As soon as this remark came out, several directors immediately frowned.

In fact, so far, there are different views on the operation of pulmonary embolism.

Even when this kind of operation appears, it is considered useless by all!

Because surgical treatment has no position in this disease, because the surgical success rate of this disease is too low!

The mortality rate is very high!

It has always been used for supplementary treatment, for giant pulmonary embolism with shock, systolic blood pressure down to 100mmhg, increased central venous pressure, renal failure, medical treatment failure or unsuitable for medical treatment.

Under cardiopulmonary bypass, the operative mortality is high.

But at this moment, people have no way.

Now, with cardiac arrest and systolic blood pressure just less than 90, how much is the effect of medical treatment at this time?

Everyone has no bottom!

After some discussion, Qin Xiaoyuan looked at Tao MI with a dignified face: "director Tao, pulmonary thrombectomy, can you do it?"

Tao Mi blushed: "I haven't had this operation. There aren't many people who have done it."

As soon as they heard this, they sighed and hoped to extinguish again

At this time, Chen Cang's chest compression was successful.

The patient's heartbeat finally recovered

Now, we may not dare to do medical treatment.

But the operation to remove the embolus is even more uncertain!

Tao MI can't do

At this time, Tao Mi suddenly looked at Chen Cang: "Xiao Chen, can you do pulmonary thrombectomy?"

Chen Cang was stunned.

Even Qin Xiaoyuan and Niu Tianfu have no hope.

Place hope on a young man.

Is it appropriate?

I blush when I think about it.

However, it is unrealistic to invite experts. If effective measures are not taken within two hours, the patient mortality will soar again.

At this time, Chen Cang looked at 25 skill points.

Pulmonary artery thrombectomy is not only a tertiary operation in thoracic surgery, but also an emergency rescue operation. It requires 4 skill points.

7 skill points are required to upgrade to master level.

A total of 11 skill points are required!

Do you want it or not?

Chen Cang looked at Yu Yi lying in bed and took a deep breath.

Moreover, he wanted to know the truth... What is the truth?

Although not very clear, Chen Cang understands that the hidden task will definitely bring important news and clues!

11 skill points!

Save a life, plus a hidden task, it's worth it!

"I will!"

As soon as this remark came out, several people were stunned.

The expression on Tao Mi's face is extremely rich.

From doubt to shock to ecstasy!

He couldn't help waving his fist: "Dean Qin, little Chen Hui!"

Qin Xiaoyuan looked at Chen Cang and felt a sense of shock.

In such a situation that everyone had nothing to do, Chen Cang suddenly stood up and picked up a heavy burden.

Just like when everyone was ready to give up, Chen Cang succeeded one drag four!

He knows that Chen Cang is excellent, but... When he is helpless, hope suddenly rises. This feeling is really amazing.

Qin Xiaoyuan looked at Chen Cang and found that he... Couldn't see through his son-in-law!

After several hesitations, Qin Xiaoyuan called his family again.

Yu Yingcai's heart has fluctuated several times today and can't stand any trouble.

He didn't expect such a thing to happen again.

After giving an account, Qin Xiaoyuan told Yu Yingcai: "the success rate of surgery is less than 20%, and the medical treatment rate is lower. I hope he can make a decision as soon as possible!"

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