Chapter 1796

Zheng Ren touched the patient's heart.

The heart muscle vibrated irregularly, like making a final struggle. But all its efforts were in vain.

Even direct cardiac compression can only provide a little momentum to the weak heart.

Looking up, Zheng Ren narrowed his eyes and looked at the ECG on ECG monitoring.

3 or more ventricular premature contractions occur continuously!

The shape of QRS complex is abnormal, and the time limit exceeds 0.12s. The direction of ST-T wave is opposite to that of the main wave of QRS complex!

The ventricular rate exceeds 220 beats / min, and the heart rhythm is irregular!

Atrial independent activity has no fixed relationship with QRS complex, forming ventricular atrial separation. Occasionally, individual or all ventricular excitations reverse transmission to capture the atrium!

Really special! Zheng Ren scolded in his heart.

He was angry.

No one delayed the rescue. All processes were the fastest, but the best time was still not seized.

"Magnesium sulfate, 2G static push!" Zheng Ren roared in a deep voice.

The nurse is running. Su Yun and Zhao Yunlong are giving the patient lower body adventitia lung.

2G magnesium sulfate was pushed in and Zheng Ren observed for 10 seconds. The effect was not good.

"Isoproterenol, 1mg, intravenous!"

"Isoproterenol, 1mg, intravenous!"

"Isoproterenol, 1mg, intravenous!"

After continuous injection of isoproterenol, even Su Yun was a little flustered.

Isoproterenol used to be the first choice for the treatment of ventricular arrhythmia, but it is rarely used now because excessive dosage can lead to ventricular fibrillation.

Boss, is this crazy!

But there's no problem. I opened my chest in the ward and did heart compression under direct vision. I'm not afraid of ventricular fibrillation... I should not be afraid.

Su Yun hesitated.

He has never experienced the rescue of this large dose of isoproterenol.

The key is the implantation time of extracorporeal membrane lung.

The earlier the use of extracorporeal membrane lung, the greater the patient's hope of survival.

"Isoproterenol, 1mg, intravenous!" Zheng Ren is still giving medical advice, holding the patient's heart in his hand to maintain the final beat.

He could feel the weakness of the patient's heart beating.

If you don't hold your hand, I'm afraid you've stopped jumping.

After pushing YIC kidney for the sixth time, Zheng Ren finally heard the voice he wanted to hear most. The extracorporeal membrane lung machine is started. Su Yun has placed ECMO arteriovenous intubation from femoral artery and vein, and ECMO operates the auxiliary circulation.

On ECG, ventricular tachycardia was slightly alleviated by high-dose isoproterenol and magnesium sulfate.

"Su Yun, prepare for intrathoracic defibrillation!" Zheng Rendao.

"OK." Su Yun had no time to catch his breath, so he began to look for the electrode and called Zheng Ren directly.

Two electrodes were placed on the anterior and posterior walls of the patient's heart.

"Boss, how old?" Su Yun asked.

Su Yun means how much energy. Generally speaking, intrathoracic defibrillation starts from 10J and slowly increases to 30J.

However, repeated defibrillation will consume a lot of ATP, resulting in the patient's state will not be very stable after resuscitation. Even after a brief sinus rhythm, the patient will soon have cardiac arrest again.

Because last time in Sweden, Zheng Ren used extreme energy to resuscitate Dr. mehar's heart, which left a deep impression on Su Yun. He didn't think about it and asked directly.

“22J！” Zheng Jen paused and then said.

When Professor Zhang heard it later, he immediately said, "10J! It can't be too big. We should gradually increase the energy!"

Su Yun didn't even look at him. He completely regarded him as air. He adjusted the energy to 22j and took a look at Zheng Ren.

Eyes are opposite. Su Yun presses the button.

With a soft sound, the harsh cry from ECG monitoring stopped.

Heart rate restored sinus!

"I'll go..." Su Yun sighed.

Professor Zhang looked silly. All this in front of him was beyond his cognitive scope.

Zheng Ren also calmed down a little and said, "tell the operating room to push the patient up directly."

"No, wait?" Su Yun asked.

"Can't wait, heparinization again, cerebral hemorrhage may occur at any time." Zheng Rendao.

"OK." Su Yun took off his sterile gloves and took out the phone.

"Boss, let's open the two together. We have to sew the chest wall." Su yundao.

"Er... Santai, ask Fuguier and Lao Liuma to come up." Zheng Ren said, "when I get on the extracorporeal membrane lung, I bleed at any time. I need an arteriogram."

"..." Su Yun finally scolded in his heart.

The boss really dares to think.

But who makes him the boss? He has a big mouth and what he says is what he says. Su Yun said something in his heart and began to call someone.

Zheng Ren gave compression hemostasis to his chest, observed the patient's ECG and found that sinus had recovered, which was a relief.

But there's only time to breathe a sigh of relief.

The chest is open. I can't stand pneumothorax alone without talking about infection.

Hurry up and take the patient to the operating room. Everyone is busy.

Soon, pushing the hospital bed, ventilator, ECG monitoring and extracorporeal membrane lung machine, a group of people left the ward and went to the operating room.

Professor Zhang stood alone in the empty ward, staring at himself.

What just happened?

Open the chest beside the bed, press the heart under direct vision, push in one isoproterenol, and apply 22j of energy directly to the electric defibrillation in the chest

These are all things that Professor Zhang will, but he doesn't dare to do easily.

Won't anything happen?

Professor Zhang still doubts whether he is dreaming.

Is the patient still saved? What did boss Zheng say at last? It seems that the three are connected.

Does he want to bypass the head with moyamoya disease, disinfect and suture the chest, and add interventional angiography?

It's not bold, it's bold.

We should know that patients with heart failure have continuous ventricular arrhythmias with the support of IABP.

Can the patient withstand such a big blow when three operations are opened at the same time?

Professor Zhang doesn't believe it.

Although he hoped the patient could survive, boss Zheng's practice violated his well-known medical common sense.

Impossible, absolutely impossible!

A few minutes later, Professor Zhang thought in his heart several times and felt that there was no such possibility at all, and the patient would die.

He hesitated and finally decided to go up and see the situation.

In his heart, he didn't want to see boss Zheng make a fool of himself. After all, the CABG operating room did it with Zhao Yunlong. Now he and boss Zheng are on the same rope.

Really... Young people know how to make trouble!

How good is it to give up treatment and pull people away at home?

There are many incurable people in the world, and the three stations are connected... Professor Zhang's heart sank at the thought of this.

It's terrible, it's terrible.

They must follow, or they don't know how to write course records and operation records after operation.

Don't blame all your mistakes on yourself.

Working for decades, Professor Zhang has seen many such dark things. He knows he can't leave.

With a sigh, Professor Zhang turned and walked out of EICU, ready to take a look on the stage.