"This is a sign of a ruptured dissection!”
Li Yuan was extremely nervous.
Before the rupture of the dissection, severe chest pain would occur, and the pain would radiate to the neck, jaw, scapula, left arm, or upper abdomen.
However, Patient 4 was curled up in pain. It was impossible to ask him about his symptoms.
Li Yuan quickly observed Patient 4.
Pale complexion, sweating profusely, clammy skin, and a feeling of near death.
The screen showed that the patient's blood pressure did not drop, but remained stable or slightly increased.
Palpation: The patient's two branchial arteries and the thigh arteries have completely disappeared. The pulsatile mass can be palpated in the suprasternal pit and abdomen.
These were all signs of a ruptured dissection.
Suddenly…
The apparatus jumped!
His blood pressure started to drop!
"Not good!"
Li Yuanxia was dumbfounded.
It broke!
It must have been a rupture of the dissection of the artery, which caused the blood loss in the artery. That was why the blood pressure dropped so much.
At this moment, housemen, interns, and nurses rushed over.
"Increase your blood pressure with Dopamine!"
"Salt first, then sugar. Fluid replacement to prevent shock!”
"I'm giving him an IV push for pain relief and oxygen intake!"
Li Yuan was in a mess, and so were the others. The patient's family members, who had just shouted for help, were also panicking.
After everything was done, Patient 4's symptoms did not improve much.
Li Yuan was drenched in cold sweat.
He was a level-two doctor on night shift, and there was a level-three doctor who was an associate chief physician.
At this moment, he knew that he could not hold on any longer. The patient's life would be taken away at any moment if the dissection of the artery ruptured. He could deal with ordinary diseases, but this kind of serious illness required surgery. At the very least, he did not have the ability to be the chief surgeon.
"Chief Physician Zhao Wangyang is off today, and Deputy Chief Physician Liang Guomin is on duty today…"
Li Yuan quickly called the department's deputy director, Liang Guomin.
Soon, Doctor Liang Guomin rushed over after hearing the news. He diagnosed the patient and quickly called the people from various departments to come for consultation.
"Descending artery dissection ruptured, excessive blood loss!”
"He's starting to go into shock!"
"We have to do the surgery immediately!"
"The surgical plan is: Descending artery artificial blood vessel replacement!”
"Call the doctors from the Department of Anesthesiology, the Department of Radiology, the ICU…"
Very soon, the doctors on duty from the various departments arrived.
A consultation!
He took out all the patient's conditions and told them to all the doctors present.
At this moment, Director Qian of the ICU suddenly asked,
"Old Liang, this surgery is very difficult. When the artificial blood vessel is replaced, it is easy to cause all kinds of complications, especially when the spine has a very urgent need for blood loss time. It only takes 20 minutes. Once this time is exceeded, it will lead to spinal necrosis, and the lower body or the whole body will be paralyzed. And now, it just so happens that it's the night shift, and most of the doctors are not around. Elder Liang, can you be the chief surgeon alone?”
Liang Guomin looked unhappy." I've already called Director Liu to ask, but he went to the province for a meeting yesterday. He couldn't make it back." The patient's condition could not be delayed. It was impossible to wait for Department Director Liu to come back before performing the surgery.”
Department Director Qian nodded." I understand what you mean. What I want to ask is, Old Liang, you're the chief surgeon. Who's the first assistant?"”
"Li Yuan, I think. He's an experienced doctor."”
Li Yuan puffed out his chest in the face of Director Liang's gaze.
Department Director Qian: " Doctor Li, that's fine too…Old Liang, you know how I am. I'm not biased towards people. I know of a good intern in the Emergency Department. Last time, when Old Zhou was stabbed, he was saved by him. He's quite skilled in this area. I think we can call him over."”
Liang Guomin was even more displeased.
What did he mean?
Do you think that our Cardiothoracic Surgery Department needs to ask for help from an Emergency Medical Intern?
Liang Guomin had heard of this intern before. It was said that he was quite capable.
However!
This was the Cardiology Department!
The place where experts gathered!
He even needed help from an intern?
Liang Guomin couldn't get over this.
However, Director Qian was a person who focused on the matter and not the person."Why don't you call him over first? Just tell him to learn. It's not like you really want him to go on the operating table.”
Liang Guomin was quite unhappy at first, but when he thought about it, he was the chief surgeon and had two attending physicians as his first and second assistants. His abilities were indeed a little weak.
If there was a mistake during the surgery, Department Director Zhao Wangyang would not be able to quench his thirst.
"Alright, call Lin Feng from the emergency department over for a consultation.”
Soon, the nurse called the emergency room.
……
……
At the Emergency Department.
Ring ring ring ~~~~
"Hello, this is an emergency."
" Hello, I'm from the cardiovascular ward of the inpatient department. There's an emergency surgery for a ruptured descending artery dissection. I'd like to invite Lin Feng for an emergency consultation. The location is XXXX…"
"Okay, I'll inform Doctor Lin immediately.”
……
In the hospital dormitory.
Lin Feng was lying on the bed, sleeping.
The weather in February had started to cool down.
Lin Feng went to sleep and covered himself with a thin blanket.
Comfortable ~~~
Ring ring ring ~~~~
A ringtone woke Lin Feng up.
"Emergency consultation? The cardiovascular ward of the inpatient department? Descending dissection ruptured…Alright, I'll go right away!”
Although Lin Feng was puzzled as to why he had to go there himself, he still put on his clothes and ran out.
In the dormitory next door, a few interns were having a gathering and playing cards.
She heard Lin Feng's movements next door.
Stunned ~~
"Did you hear that? Doctor Lin is going to attend a consultation ~"
" Descending carotid dissection ruptured…"
"Erm…Doctor Lin has already started the consultation, but we haven't performed any surgeries yet!”
"He doesn't even have the right to sit in on the consultation, let alone perform surgery…"
“emmm~~~~”
Confidence-1-1-1-1-1...
Tears 1 1 1 1 1 1…
" Turn the table over! What are you playing at?!"
"Yeah, I want to study!"
" Hehe…You make it sound like you can catch up to Doctor Lin just by studying…"
“………………”
A person's life is hard, but you can't break it!
。
This book comes from：m.funovel.com。