Chapter 1137： : This kid is getting more evil!

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

In addition to Yu Yonggang, there are several other team leaders, as well as those young doctors, and advanced doctors and students.

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

However, the current situation of the patient is too bad!

Everyone feels a little difficult, even stretched.

But Chen Cang didn't seem to be half nervous and Zhang Huang's expression from beginning to end.

Very calm and calm.

Start an orderly examination, give medical advice, and rescue ...

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

This ... is the ability!

Accurate diagnosis is the cornerstone of effective rescue.

...

...

But at this time, seeing the people around was full of doubts, Chen Cang couldn't take it to explain, and Xu Ziming was also helping to prepare for the rescue, and had no time to take into account the blank expressions of other people.

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

Meng Xi looked at everyone in the back and explained: "The reason for the false blood pressure is not because the blood pressure is really false, but because the dissection hematoma affects or presses the main branch of the aorta, which is why the artery is blocked!

The main manifestations are the disappearance or asymmetry of the bilateral neck, brachioradial and femoral arteries, the obvious difference in blood pressure between the upper and lower extremities, or the difference in blood pressure between the upper and lower extremities. And this kind of arterial pulse changes are more common in patients with type Ⅰ! "

"In this patient, the ascending aorta is easily damaged due to the vortex of blood, causing blood to leak into the pericardial cavity and causing cardiac tamponade!"

"So the systolic and diastolic phase of the heart must be improved at this time!

It is generally considered abroad that intermittent administration of propranolol combined with intravenous administration of sodium nitroprusside is an ideal solution. The former lowers the latter and the latter lowers blood pressure, which can effectively relieve this symptom. "

Without Meng Xi's explanation, everyone was stunned!

Because the professionalism is too strong!

However, after Meng Xi explained clearly, everyone reacted more violently!

Because ... this is too great?

In this way, the time passed slowly, the patient's symptoms gradually calmed down, and gradually eased.

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

Because of the patient's condition, it is getting better!

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

This is too strong!

Can get accurate judgments based on effective diagnostic methods, and then make an effective rescue plan based on your own judgment!

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

There was also news from the operating room: "The operating room is ready!"

The young nurse Cheng Yi also hurriedly ran: "Director Yu, Dr. Chen, the patient's test results are out!"

Yu Yonggang nodded the results of the test sheet, he didn't even look at it, and handed it directly to Chen Cang!

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

After seeing this scene, the group leaders thought a little more in their eyes!

And Chen Cang does not have the slightest humility!

The rescue room is like a battlefield. As a pioneer coach, he is naturally patient-centered.

Chen Cang looked at the test sheet seriously.

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

Xu Ziming looked at the ECG monitor and quickly said, "Reflex tachycardia!"

When Chen Cang heard it, his eyes shrank suddenly!

"Stop Nitroprusside!"

The nurse nodded quickly to stop the liquid!

At this time, Chen Cang weighed for a few seconds and said, "Nure with pressure!"

The people behind suddenly froze!

"Stop calming?"

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

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

Even many medicines do not dare to use them because they do not have enough knowledge!

And Chen Cang seems to be able to handle it?

After the nurse heard it, he immediately opened the rescue box and began to look for drugs.

After making some judgments, Chen Cang said precisely: "Jianningding is urapidil injection.

For the initial dose ... 15mg of saline is added intravenously ~ www.novelhall.com ~ Observe blood pressure changes! "

Yang Jie nodded quickly.

At this moment, everyone waited patiently.

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

Meng Xi looked at the quiet room, looked at the curious crowd, and could n’t help but say, “Jian Ning Ding is used to treat acute aortic dissection. It can selectively block the post-synaptic α1 receptor and relieve sympathetic nerve Excitement of blood vessels, dilate blood vessels.

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

However, its function is to reduce blood pressure without causing reflex tachycardia. "

"So, it is more appropriate to use sodium nitroprusside!"

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

Everyone is surprised!

Emergency department really needs to have an understanding of many diseases.

It's too much testing.

The young students behind were looking at Chen Cang with admiration.

Chen Cang quickly said: "Zunyun operating room, ready for surgery!"

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

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

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

Chen Cang nodded, turned around and looked at the people around him: "Ms. Meng, Director Li and Dr. Ge, come together!"

Li Baoshan sighed, but today is a tough battle!

Total aortic arch replacement + abdominal aortic replacement!

There must even be repairs to the ascending aorta ...

Can this patient persevere?

He glanced at Chen Cang, who was firmly moving forward, and he seemed to have a momentum called "Wu Yi carry on".