Chapter 1075

The sakler family, known as the "painkiller family", is not good for nothing.

They want to make opioids the first drug in the world and make pain the standard of treatment.

So that pain has been paid more and more attention, and pain index and score have developed rapidly.

Aortic dissection pain is definitely the top four degree pain in the classification, that is, grade five pain (grade five standard)!

Although Chen Cang has never felt the pain, according to the guidelines, the pain is persistent and severe, and will be accompanied by changes in vital signs such as blood pressure, which is difficult for most people to tolerate.

Perhaps this description is not intuitive enough. For example, according to the twelve levels of pain, level 1: mosquito bite, level 5: slap with the palm to leave a red palm print, level 6: pay attention to diet to cause gastroenteritis abdominal pain, and level 7: use a stick to leave a black purple mark.

Level 8: various types cause extensive bleeding trauma level 9: labor pain, of course, it means spontaneous labor.

Level 10: physical disability, war injury, blow up fingers, level 11: visceral pain, level 12... It may be the top ten torture levels in the Manchu Qing Dynasty.

There is no specific classification of paroxysmal pain of acute aortic dissection, because the plot is analyzed in detail, but it is definitely not under delivery.

After all, this is a pathological pain.

This kind of pain will give people a sense of near death, which is a feeling that death will come at any time.

Do you think this is the cruelest?

Of course not!

Looking at Tian Zhengkai's pale face, beady sweat rolling down and severe pain, Rao is unbearable for a little giant more than two meters tall. Tian Zhengkai's willpower is still very strong. His teammates and coaches are worried.

In the past, masuke Rita was always the big brother of the team. He was a very modest person. He took good care of new people and often taught some skills.

So everyone respects him very much!

Therefore, looking at him now, these teammates feel very uncomfortable!

"Doctor, can you take painkillers?"

"Yes, that morphine!"

Chen Cang sighed and shook his head: "it's not that he won't fight, it's useless to fight. Morphine doesn't work for the pain of aortic dissection. Moreover, the effect of morphine will also affect the already unstable blood pressure."

After figuring it out, Chen Cang said to the old horse, "get in the car first and take it to the hospital."

Several athletes hurriedly said, "let's come. It's too heavy!"

Chen Cang and old ma smiled. They had a lot of exercise.

They looked at each other, lifted the stretcher and walked outside.

Seeing this, the assistant coach said, "you stay and continue the game. I'll follow you to the hospital!"

After that, he couldn't help following Chen Cang.

I have to say, this guy is really heavy, and he is so tall that the stretcher can't be put completely.

Chen Cang once worried about the length of the ambulance

Fortunately, the ambulance is long enough to avoid this problem.

The assistant coach is not old. He is an elder of Tian Zhengkai. He retired and became the assistant coach of Beijing team. Tian Zhengkai came here partly because of his original intention.

Seeing him like this, the assistant coach is also worried.

Hurriedly asked, "Zhengkai, how much is your home phone?"

Tian Zhengkai's mobile phone is still in the dressing room. In such a serious situation, it must be necessary to contact his family.

Tian Zhengkai was exhausted at this time. The pain consumed too much of his physical strength. He slowly said his phone again.

Here, Chen Cang and Xiao Ke quickly made an ECG for me.

The old horse's side is to contact the hospital, make relevant preparations and improve relevant examinations as soon as possible.

What is the most dangerous aspect of aortic dissection?

Ruptured aorta!

Once it breaks, the probability of death is basically very high.

Chen Cang's brain turned quickly. Ma Yuehui also helped on the monitor to monitor blood pressure regularly.

Because of this situation, once the patient has high blood pressure, the damaged aorta is likely to burst suddenly because of excessive tension.

It's like water flowing in the skin tube. Suddenly, the endothelium in the skin tube breaks, and then the water fills it instantly, bulging and thinning the skin tube!

At this time, because a false aneurysm is formed, which hinders the operation of water, the huge pressure may continue to expand here until... Bang... It breaks!

ECG results come out, no characteristic performance, almost normal!

Chen Cang glanced at the old horse: "team leader Ma, the ECG is normal!"

This seems to be good news because myocardial infarction is ruled out.

However, after diagnosing this kind of thing and excluding one killer, there is often another.

The manifestations of aortic dissection and myocardial infarction are surprisingly similar, but ECG can be distinguished, and the use of painkillers for myocardial infarction can be effective, but aortic dissection can not.

Now the patient can be diagnosed with an aortic dissection.

At this time, after Tian Zhengkai's wife got through the phone, the assistant coach quickly told the story again.

The sudden news startled her!

Ignoring work, he hurried out to take a taxi.

The old horse kept his eyes on his blood pressure for fear of rising.

Now blood pressure has become a fatal factor endangering patients' lives.

"Xiao Ke, sodium nitroprusside 100mg, add 500ml of 5% glucose to 20" μ Gmin speed drip! "Chen Cang said after pondering for a moment.

"Add 0.5 mg propranolol!"

Chen Cang made a quick decision on the plan.

Now the blood pressure of patients with 100-110 is enough to maintain the blood supply needs of important organs such as heart, brain and kidney. The extra ones are very dangerous.

And we must reduce the contractility of the heart, so as to stabilize the blood vessels. Don't break it!

Sometimes, when medicine can't explain, we can only use metaphysics!

For example, at this time, the assistant coach was nervous and could only pray.

Is prayer useful?

Of course the assistant coach doesn't know, but... He doesn't know what he can do!

Not only him, but also Chen Cang and Lao Ma are worried. Chen Cang has put his hand on the instrument box. In case of a sudden drop in blood pressure, he will operate as soon as possible.

Time passed slowly in anxiety.

Finally, 20 minutes later, the car was very good at the door of the emergency center!

Chen Cang ran down first. The old horse met him at the back. With the help of four or five people, he pushed the car down steadily.

"Echocardiography first!"

"Contact cardiology department for consultation and prepare aortography as soon as possible!"

"Draw blood as soon as possible, improve the diagnosis, notify the blood matching room and prepare for blood supply!"

If the aortic dissection is really broken, the amount of bleeding is not a little. We must prepare in advance!

What is the most important thing in medicine?

Better safe than sorry

Consider all possibilities.

After all, any little carelessness may be a human life!