Chapter 1134

At this moment, there are many people in the rescue room!

In addition to Yu Yonggang, there are leaders of several other groups, as well as young doctors, refresher doctors and students.

Such a dangerous case is also the patient who can best improve the emergency response ability of medical personnel.

However, the patient's current situation is too bad!

Everyone felt a little hard, even stretched.

But Chen Cang never seemed half nervous and flustered from beginning to end.

Very calm.

Start examination, medical order and rescue in an orderly manner

At such a critical juncture, any performance of the patient seems to be under his control.

This... Is ability!

Accurate diagnosis is the cornerstone of effective rescue.

……

……

At this time, seeing that the people around him were full of doubts, Chen Cang could not explain, and Xu Ziming was also helping to prepare for rescue, and had no time to take into account the blank expression on the face of others.

After all, this is a war. Why do you use a pistol instead of a machine gun?

Meng Xi looked at the people behind him and explained: "the reason why there is false blood pressure is not because the blood pressure is true or false, but because the dissection hematoma affects or compresses the main branches of the aorta, which leads to arterial obstruction!

The main manifestations are disappearance or asymmetry of bilateral carotid, brachial radial and femoral arteries, obvious difference in blood pressure of both upper limbs, or reduction in blood pressure difference between upper and lower limbs. The change of arterial pulsation is mostly seen in type I patients. "

"In this patient, the ascending aorta is easily damaged due to blood vortex, resulting in blood exudation into the pericardial cavity and cardiac tamponade!"

"Therefore, the systolic and diastolic conditions of the heart must be improved at this time!

It is generally accepted abroad that intermittent intravenous administration of propranolol combined with intravenous sodium nitroprusside is an ideal scheme. The former reduces DPDT and the latter reduces blood pressure, which can effectively alleviate this symptom. "

If there was no explanation from Meng Xi, everyone would be confused!

Because it's too professional!

However, after Meng Xi explained clearly, everyone's reaction was more intense!

Because... Isn't that great?

In this way, time slowly passed, and the patient's symptoms gradually subsided and relieved.

Looking at the vital signs on the monitor, everyone couldn't help getting excited!

Because the patient's condition is improving!

At this moment, everyone's eyes looking at Chen Cang are full of worship and shock!

That's too strong!

Can get accurate judgment according to effective diagnostic means, and then make effective rescue plan according to their own judgment!

However, this does not mean that the patient's condition is safe.

News also came from the operating room: "the operating room is ready!"

The little nurse Cheng Yi also hurried to come: "director Yu, Dr. Chen, the patient's test results come out!"

Yu Yonggang nodded the result test sheet. He didn't look at it at all and handed it directly to Chen Cang!

Because he knows that Chen Cang's grasp is greater than himself for the current rescue of patients!

After the group leaders around saw this scene, they thought a little more in their eyes!

And Chen Cang has no humility!

The rescue room is like a battlefield. As a pioneer commander, he naturally focuses on patients.

Chen Cang looked at the test sheet carefully.

At this time, on the monitor, the patient's heartbeat suddenly began to increase.

Xu Ziming looked at the ECG monitor and hurriedly said, "reflex tachycardia!"

As soon as Chen Cang listened, his eyes shrank!

"Stop sodium nitroprusside!"

The nurse nodded quickly to stop the liquid!

At this time, Chen Cang thought for a few seconds and said, "use pressure to settle!"

The people behind were stunned!

"Pressure Ningding?"

At this moment, they feel that Chen Cang is too awesome!

There are many emergency rescue drugs, but they are not often used.

Even many drugs they don't know enough and dare not use!

And Chen Cang seems to be able to pinch it easily?

After hearing this, the nurse immediately opened the rescue box and began to look for drugs.

After making a judgment, Chen Cang said accurately, "yanningding is urapidil injection.

For the initial dose... Add 15mg into 20ml of normal saline, complete intravenous injection in 5min, and observe the change of blood pressure! "

Yang Jie nodded quickly.

At this moment, everyone waited patiently.

If the patient is stable, send him to the operating room in time. If he is unstable, it is useless to send him in.

Looking at the quiet room and the curious people, Meng Xi couldn't help but say, "yanningding is used to treat acute aortic dissection. It can selectively block postsynaptic α 1 receptor, relieve the sympathetic nerve from exciting blood vessels and expand blood vessels.

At the same time, it activates the central serotonin - Ⅰ a receptor and inhibits the sympathetic feedback regulation of cardiovascular motor center.

However, its function is characterized by reducing blood pressure without causing reflex tachycardia. "

"Therefore, it is more appropriate to use it than sodium nitroprusside!"

Seeing the patient gradually relieved, the vital signs were relatively stable, and the heart rate returned to normal.

Everyone was amazed!

Emergency really needs to understand many diseases.

It's a test.

The young students behind him were admiring Chen Cang.

Chen Cang hurriedly said, "get ready for surgery in the operating room!"

Yang Jie nodded quickly and walked towards the operating room with two nurses and Xu Ziming.

Chen Cang glanced at Yu Yonggang: "director Yu, are you going?"

Yu Yong just shook his head: "I won't go, come on!"

Chen Cang nodded, turned around and looked at the people around him and said, "teacher Meng, director Li and doctor Ge, come together!"

Li Baoshan sighed. Today is a tough battle!

Total aortic arch replacement + abdominal aortic replacement!

Even have to repair the ascending aorta

Can the patient hold on?

He glanced at Chen Cang, who was firmly moving forward, as if he had a momentum called "I'm going".

I can't help it!

Maybe this is the real emergency doctor?

Looking at Chen Cang and thinking about himself, Li Baoshan couldn't help laughing at himself.

Failure?

What to fear!

Go all out, that's enough!

Thinking of this, Li Baoshan firmly accelerated his steps and walked ahead, trying to catch up with Chen Cang.

Meng Xi watched Chen Cang stride forward. At the beginning, this little man who would be nervous to see himself had not seen him for several months, and he had grown to such a great bank today!

This is the real man.

Many doctors in the emergency department were really shocked when they saw Chen cangjian leaving!

I admire it!

Yu Yonggang looked at the crowd and Chen Cang's back. He couldn't help laughing.

Leader Hou couldn't help saying to himself, "this boy, more and more demons!"

……

……

PS: ask for a monthly ticket. There are pursuers behind. Don't relax... Hold on to the sixth! come on. come on.