Chapter 2752

"Director, I hurt..." the patient was lying on the hospital bed, his face pale. The reason is because of blood loss, but also because of fear.

On the operating table, the director was calm and didn't say a word, and the nurses who had talked and laughed before were silent. More and more instruments have been pushed, and some treatment methods that they don't know have been made.

It's scary just to think about it.

"Where does it hurt?" Director Lang asked. His face didn't look much better than the patient, just as pale.

"Chest, the place where you gave me the needle just now hurts." The patient took a deep breath and said.

The puncture hurt. It should be all right. Director Lang prayed silently in his heart. Pericardiocentesis, although with a word of operation, is not an operation in many statistics, but just an operation.

It's like closed thoracic drainage, just operation. The most excessive is one-time catheterization. Some hospitals can be regarded as surgical methods to improve the total number of operations in hospitals.

But they are all operations, and pericardiocentesis is much more difficult. Director Lang was worried that there would be side injuries, but he was a little relieved after listening to the patient's description. It should be just skin pain.

What should I do? He looked at the patient's falling blood pressure and again gave the doctor's order to increase the amount of norepinephrine to stabilize the patient's blood pressure.

If not, go to IABP. Through physical action, increase the diastolic pressure in the aorta, increase the blood supply of coronary artery and improve myocardial function.

Director Lang made up his mind and asked someone to prepare IABP equipment.

He looked after the patients carefully and didn't even leave the operating room, ready to rescue at any time.

IABP was injected from the left femoral artery. After 1:1 reverse Bo, the circulation of the patient still did not improve, and the continuous monitoring of blood pressure still showed a downward trend.

This is so fucking. Director Lang suddenly had no idea.

It's already early in the morning. What should I do at this time? The director never does interventional surgery. He is just the simplest physician. Now the best thing to do in the whole hospital is to do it yourself, not even ask.

Director Lang hesitated and decided to observe. However, after blood transfusion, the patient's blood pressure still showed no signs of improvement, and dyspnea and chest pain were also gradually aggravating.

He had no choice but to pick up his cell phone and call his relatives and friends hotline.

Director Nanshan shirilang's technology is the best. Not to mention interventional surgery, IABP says it. This is not what ordinary people can do.

If you want to ask for help, you can only find the doctor in DIDU. After hesitating, he chose director Zhang Lin of 912 in two calls.

Director Zhang has a better temper. He hurried to call her in the middle of the night. I hope she won't be angry. Don't menopause... Director Lang said in his heart that he was afraid of being scolded. He didn't accept this unexpected emergency.

Facts proved that he thought too much. When director Zhang Lin just connected the phone, her voice was almost sleepy, but she woke up immediately after hearing the pericardial tamponade caused by the operation.

And director Zhang Lin was also very enthusiastic. She knew that director Erlang couldn't deal with it and responded directly.

It was agreed to send the patient to 912 for hospitalization. Director Lang was finally better. With so many instruments and bumps along the way, he still called the chief director from home to look after the house. He got on the ambulance and escorted the patients all the way to the superior hospital.

In order to save time, director Lu shanglang uploaded the patient's data to Director Zhang Lin, including the last cardiac color ultrasound.

Director Zhang Lin was sleepless. She was tossed up in the middle of the night, not once or twice. Although she couldn't adapt all her life, this is what circulatory doctors must do.

When I was young, the nurse was on duty. As long as she called anyone who had a problem, she ran to the ward before she had time to wear her shoes.

There are at least four hours to watch the film now. If the 120 ambulance doesn't catch the morning rush hour of God's all morning.

Because there are imaging materials with large content, it is impossible to transmit them through mobile phones. Nanshan city called and said it sent an email.

She crept out of the bedroom and turned on the computer.

The angiogram looked OK. According to director Lang, pericardiocentesis was done, and the amount of liquid drawn out can only be said to be medium.

Blood pressure has not risen, but continues to decline, even if it is on IABP. Director Zhang Lin has his own judgment.

When she finished reading the angiographic data, she checked the echocardiography and was stunned.

Ultrasound looks at... It doesn't seem right.

However, she only knows about ultrasound, but she hasn't studied it in depth. After all, the level of specialty in the third class hospitals is getting higher and higher. It's good to have a simple understanding.

There's something wrong with echocardiography. Who can I see? Director Zhang Lin's first idea was boss Zheng.

Yes, not a professor in the echocardiography room, nor director Qi, but boss Zheng.

The patient's condition has been relatively clear. The coronary artery is bleeding. It is estimated that the bleeding is a small branch, which has closed itself with the increase of pressure. But the patient's state is very poor and may die at any time.

Open chest exploration, which is a follow-up operation with high probability.

Director Zhang Lin has a good relationship with cardiothoracic surgery. After all, the two relevant departments have their own interest needs.

Cardiothoracic surgery also wants to retain part of coronary artery bypass grafting. Stents are not omnipotent and need to be sent to patients by the circulatory department. In this regard, the circulation department is the upstream department, which takes advantage.

But once this happens, cardiothoracic surgery is needed to solve the subsequent things.

It's just that the level of a thoughtful doctor is higher than that of boss Zheng. Not to mention boss Zheng, Su Yun's level is also quite high. Kill every second.

I think so. Director Zhang Lin took a measured look at the time.

In the second half of the night, the patient will be sent out from Nanshan city. It will take 3-4 hours to 912. It should not catch up with the morning peak and will be unobstructed all the way.

It's not too late to see the patient by yourself, and then find boss Zheng.

Director Zhang Lin doesn't think it will be a big problem for her to trouble boss Zheng. She thinks she knows the young doctor very well. When he meets a patient in need of rescue, he is willing to tear his face in order to treat him. The thoughtful Professor Zhang has been scolded. It seems that he still has physical contact.

Make up her mind, director Zhang Lin changed her clothes first and went directly to the hospital office to have a sleep until the patient sent her to be called.

At this time, it was already dawn, and the patient's face was like white paper, looking frighteningly white. Director Lang, who came in with a flat car, turned pale. Zhang Lin wondered if he had a problem.

The patient had a blood pressure of 62 / 45 mmHg and a 4U red blood cell suspension. Director Lang bowed repeatedly and said the patient's condition and thanks all the way. Director Zhang Lin called boss Zheng without hesitation and asked him to see the situation.

This is in 912. It's not so convenient to change places.