Chapter 1433

Zheng Ren strode into the operating room.

Song ink fax was fine one second, but the next second, there were symptoms of anaphylactic shock.

The manifestation of skin and mucosa is the earliest and most common symptom of anaphylactic shock. Copper coin shaped maculopapular rash appears directly and quickly gives people a strange feeling.

Only this time, not local symptoms, but whole-body flushing.

Song mofax's skin flushed, followed by extensive rash and vascular neuroedema, and even faintly appeared the symptoms of systemic edema in just one second.

Due to edema and spasm of airway and larynx, combined with catarrhal secretion of trachea, edema and obstruction of upper respiratory tract are caused.

Song mofax showed increased airway pressure and airway resistance.

At the same time, her lower respiratory tract edema and increased pulmonary secretions led to insufficient gas exchange, insufficient oxygen supply and decreased blood oxygen saturation.

Even, song ink fax appeared cyanosis in an instant.

There was edema in the upper and lower respiratory tract at the same time, and the condition deteriorated rapidly. If there was no ventilator to assist breathing, song mofax alone would not be able to save it.

Due to capillary penetration and vasodilation to absolute or relative insufficient blood volume, the amount of return blood decreased, and song mofax's blood pressure suddenly dropped to 80 / 50mmhg.

This is just the beginning. Her arterial pressure is still falling madly.

The heart rate soared to more than 120 beats / min, the pulse was slow, the limbs were cyanotic and cold.

These were all expected by Zheng Ren.

He rushed into the operating room and shouted, "suck sputum and keep the respiratory tract unobstructed!"

The anesthesiologist didn't react. Just now he was still calm, singing and dancing. Why did all the instruments start to scream madly in a moment?

Is it a machine fault?

There won't be machine failures at the same time. These are the most advanced instruments in the world, and the maintenance is also very good.

"Sputum suction!" Zheng Ren kicked the anesthesiologist on the outside of his thigh.

No force, just use violence to wake up the anesthesiologist.

"Oh." The anesthesiologist stumbled and immediately realized what he should do now.

After all, he is a top anesthesiologist and well-trained.

Pick up the sputum suction tube in the shortest time and go in smoothly from the endotracheal intubation.

A hissing sound sounded, and a large number of respiratory secretions were sucked out.

Zheng Ren saw the anesthesiologist move, so he didn't take care of him, but continued to roar: "Su Yun, raise the head by 15 ° and lower limbs by 15 °

Su Yun was awe inspiring.

Although he was prepared, he didn't expect anaphylactic shock to be so rapid.

The elevation of head and lower limbs is easy to be ignored in the rescue of anaphylactic shock.

This will help the venous reflux of the brain and lower limbs to increase the pressure difference, and prevent the sudden increase of carotid sinus pressure and the decrease of blood pressure caused by reflex.

This is a detail that few people pay attention to, but it is extremely important!

"Adrenaline 0.5mg intravenously!"

"Hydrocortisone 200mg intravenously!"

"Epinephrine 0.5mg intravenously again!"

The anesthesiologist looked at ECG monitoring and subconsciously reminded: "Dr. Zheng, ECG monitoring sine wave type, consider ventricular flutter. Give amiodarone."

He spoke carefully and dared not easily provoke Zheng Ren. Even for emergency rescue, he also wants to respect Zheng Ren's opinions.

Dr. Huo was slapped against the wall and is still sitting there with his head in his arms.

"Not ventricular flutter." Zheng Ren definitely said, "pull a limb to guide the ECG."

Compared with the nursing hospital, the leads are in the chest area.

Zheng Ren said that limb lead ECG is that limbs also participate in lead ECG.

The anesthesiologist was stunned.

In the emergency rescue, there was ventricular flutter. Shouldn't we deal with it as soon as possible? Why don't you think so?

The continuous, regular, wide and abnormal QRS wave looks so "ugly".

This is one of the waveforms that circulatory doctors fear most, which means that it is difficult for patients to be rescued.

The time limit of QRS wave is long, more than 0.12s, QRS wave presents upward and downward amplitude, like sinusoidal curve, which is difficult to distinguish from T wave.

All this proves that Song Shi has ventricular flutter!

Although the frequency of QRS wave did not reach 180 times / min, P wave did not disappear. But the broad QRS waveform tells the anesthesiologist that this is ventricular flutter!

It must be rescued.

He really wanted to give Song Shi an intravenous injection of amiodarone right away, but Dr. Zheng just slapped him

Let's do a limb guided ECG.

Even if song Shiyou had an accident, he did his duty.

It's the problem of song teachers that they don't know people. The arrogant and domineering doctor Zheng strongly refused his reminder. Everything that happened had nothing to do with him.

The anesthesiologist quickly connected the limb to guide the ECG, but the ECG appeared and he was stunned.

It is not ventricular flutter at all. P-qrs-t is clearly visible. Sine wave type should be caused by mutual interference between instruments.

This

The anesthesiologist looked at the clear p-qrs-t waveform and was very confused.

In this case, who gives him the courage to make the judgment of machine interference?!

"Pay attention to sputum suction!"

"Ansema 100mg intravenous drip, pay attention to low speed."

"5% glucose 1000ml, m-hydroxylamine, dopamine..."

"Mannitol 250ml rapid drip!"

"Ulinastatin injection 100000 units, intravenous drip!"

Zheng Ren's orders are continuous.

In the whole operating room, everyone was whipped by the invisible whip gathered by the doctor's orders and moved frantically.

Zheng Ren stood not far away, and his vision just covered the whole rescue site. Whoever makes a mistake will be ruthlessly scolded.

In the audience, Su Yun was the only one who ran like flying, without a mistake at all.

Gradually, the alarm sound in the operating room began to weaken.

One machine after another returned to normal, song mofax's vital signs began to stabilize, blood pressure rose slowly, and the whole person's state gradually got better.

After half an hour, the operating room was completely quiet.

Looking at the steady ECG monitor and the values on various instruments, all doctors and nurses in the hospital felt like they had a dream.

Nightmares.

But under the command of this young public hospital doctor, the outcome was perfect.

The violent anaphylactic shock, in retrospect, also made the medical staff present in a cold sweat.

The obstetrician and gynecologist wanted to say sorry, but when she saw Zheng Ren, her heart trembled.

At that time, fortunately, she didn't rush up and take the initiative to provoke Dr. Zheng, otherwise... She thought that in the face of such a major rescue, and the rescue object was still Mr. Song, Dr. Zheng wouldn't worry about the gender difference between himself and him.

I'm afraid I'll be slapped against the wall.

"Boss, you told me to command." Su Yun was very dissatisfied and stood beside Zheng Ren muttering.

"Some things are too cumbersome. I'm still a little worried." Zheng Rendao.

"Did you pull back?" Su Yun glanced at Dr. Huo crying with his head in his arms in the next room and asked.

The voice is not big or small. Like Dr. Huo's voice just now, it can certainly be heard.

"Take it. If you don't, it's him who should be rescued." Zheng renpingdan said: "withdraw the tube and return the patient to the ward."

Then he turned and said, "go, Su Yun."

……

……

I read to boss Zheng yesterday. I didn't expect everyone to reward so much. I'm really sorry, it's just a small thing. For more than half a year, there are always mood swings. I'm sorry. Tomorrow, I will return to DIDU to continue the operation to mourn the cardiothoracic surgery that is on the verge of apoptosis and the disappearing cardiopulmonary bypass.

In other words, the future star of cardiothoracic surgery, now think about it, it is very unfair to Comrade Su Yun. Cardiothoracic surgery has no tomorrow

Everything should be minimally invasive, but thoracoscopic aortic arch replacement seems not enough.

Bow