Chapter 717 Survival in a Desperate Situation

Chen Cang swallowed: "Pulmonary embolism can also cause allergic rash?"

Niu Tianfu said at this time: "Well, it's not impossible."

At this time, a very serious problem has been placed in front of everyone!

What should I do if acute pulmonary embolism is suspected?

At this time, Qin Xiaoyuan suddenly asked, "How long has the attack been?"

Yu Yingcai was at the door. She was startled when she saw this urgent rescue, and looked at her watch: "It's more than an hour... to be precise, it should be about 70 minutes."

After Qin Xiaoyuan heard it, he frowned!

Many theories now believe that 60% to 70% of pulmonary embolism patients, especially those with syncope, will die within two hours after the onset!

However, it is very difficult to send to the hospital for a definite diagnosis in such a short time!

If the patient can effectively survive the initial stage of this crisis, under the active treatment of internal medicine, it can be rescued.

At this time, pulmonary angiography and lung scan are generally required to confirm the diagnosis and to understand the location and extent of the embolus.

Several directors started a tense discussion!

Five minutes later, it was decided to perform coronary angiography.

But before that, it is necessary to ensure the safety of the patient!

"Atropine 1mg! Intravenous!"

"Dopamine 5ug/kg.min!"

Before the patient's examination for surgery, be sure to take precautions to prevent accidents during the examination!

After Chen Cang heard these two doctor's orders, he silently wrote them down!

Atropine is used to relieve coronary spasm caused by excessive vagal tone. At this time, dopamine can obviously resist shock and correct hypotensive arrhythmias!

These two doctor's orders, like a shield, escort the patient again!

Of course, any medical treatment is a chance!

No one can guarantee that there will be accidents during the operation.

It's not impossible!

Qin Xiaoyuan has thought out all the measures, and has done everything that should be done.

Yu Yingcai was helpless and could only nod to accept!

At this time, the test results are back!

WBC was significantly increased, LDH was also increased, and CPK was basically normal.

Not acute myocardial infarction, which can now be ruled out.

Director Niu went out in person and began to prepare for imaging.

Time passed by, and the entire emergency room was filled with a colorless gunpowder smoke.

Rescue and war have something in common.

He'll get your adrenaline pumping.

Feeling something called passion permeates the body.

It didn't take long for the angiography images to come out, and the patient was diagnosed with pulmonary embolism!

The patient had just been sent to the emergency room. Several directors were overjoyed and watched the film. Now they are ready to start treatment.

Director Niu calmly began to give medical advice.

The anticoagulant Lele has already started to prepare.

Just when everyone was relieved and ready to start the treatment.

suddenly!

Shi Na exclaimed: "The patient has suffered cardiac arrest!"

All of a sudden, everyone's face changed.

Cardiac arrest!

Cardiac arrest at this time?

The old cow was frightened all of a sudden, and it was useless to use anticoagulant at this time.

Even Tao Mi looked flustered!

Why does the heart stop?

Have ventricular fibrillation?

At this time, if you have ventricular fibrillation again, these directors are ready to give up on you.

There is a pulmonary embolism in itself. If you add ventricular fibrillation, the ghost knows if there is any embolism.

At this time, the fragile patient only needs to gently reappear, and it will really be a fart.

Without even thinking about it, Chen Cang was about to start chest compressions!

At this time, the director began to discuss frantically, what should we do now?

The situation is really not optimistic!

Just when everyone was frowning, Tao Mi suddenly said, "It's not impossible now!"

Qin Xiaoyuan's eyes lit up: "What does Director Tao mean?"

The same is true for Niu Tianfu. Is there a better way for surgery?

Tao Mi said word by word, "Pulmonary artery embolectomy!"

As soon as these words came out, several directors frowned.

In fact, there are differences in understanding about the operation of pulmonary embolism so far, and no consensus has been reached.

Even when this kind of surgery appeared, it was considered useless by everyone!

Because surgery has no place in this disease, because the success rate of surgery in this disease is too low!

The death rate is extremely high!

It has always been used as a supplementary treatment for giant pulmonary embolism with shock, systolic blood pressure as low as 100mmHg, increased central venous pressure, renal failure, failure of medical treatment or inappropriate medical treatment.

Surgery under cardiopulmonary bypass has a higher operative mortality.

But at this moment, everyone has no choice.

Now that the heart is in arrest, the systolic blood pressure is only less than 90. At this time, how effective is the medical treatment?

Everyone is clueless!

After some discussion, Qin Xiaoyuan looked at Tao Mi with a solemn expression: "Director Tao, can you perform pulmonary artery thrombus removal?"

Tao Mi blushed: "I haven't done it. There are not many people who have done this operation."

When everyone heard this, they all sighed, hoping to go out again...

At this moment, Chen Cang's chest compression was successful.

The patient's heartbeat finally recovered...

Nowadays, medical treatment is not necessarily dared to be done by everyone.

But the surgical removal of the emboli is even more uncertain!

Tao Mi can't do it...

At this moment, Tao Mi suddenly looked at Chen Cang: "Xiao Chen, can you perform pulmonary artery thrombosis?"

Chen Cang was stunned for a moment.

Even Qin Xiaoyuan and Niu Tianfu don't have any hope anymore.

Pin your hopes on a young man.

Does it fit?

Thinking about it makes you blush.

However, it is unrealistic to invite experts. If effective measures cannot be taken within two hours, the mortality rate of patients will soar again.

At this time, Chen Cang looked at the skill points, 25.

Pulmonary artery thrombus removal is a third-level operation in thoracic surgery, and it is also an emergency rescue operation. It requires 4 skill points to exchange.

It takes 7 skill points to advance to the master level.

A total of 11 skill points are required!

Do you want?

Chen Cang looked at Yu Yi lying on the bed and took a deep breath.

Moreover, he really wanted to know, this truth... what is the truth?

Although it's not very clear, Chen Cang understands that the hidden mission will definitely bring important news and clues behind it!

11 skill points!

Save a life, plus a hidden mission, it's worth it!

"I can!"

As soon as these words came out, several people were stunned.

The expression on Tao Mi's face was very rich.

From doubt to shock to ecstasy!

I couldn't help but wave my fist: "President Qin, Xiao Chen will!"

Looking at Chen Cang, Qin Xiaoyuan also felt a sense of shock rise.

In such a situation that everyone could do nothing, Chen Cang suddenly stood up and took on a heavy burden.

Just like when everyone was about to give up, Chen Cang succeeded in dragging four!

He knew that Chen Cang was excellent, but... when he felt hopeless in such a time of helplessness, it was such a pleasant feeling.

Qin Xiaoyuan looked at Chen Cang and found that he...some son-in-law who couldn't see through him!

After some hesitation, Qin Xiaoyuan called his family again.

Yu Yingcai's heart has been up and down several times today, and he can't stand any toss.

He didn't expect to encounter such a thing again.

After explaining, Qin Xiaoyuan told Yu Yingcai: "The success rate of surgery is less than 20%, and the rate of medical treatment is even lower. I hope he will make a decision as soon as possible!"

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ps: Thank you for the 10,000 reward for "There is a Buddha in my heart that is afraid of you", thank you, the story behind is even more exciting!