26.
In fact, Ye Feng was very clear.
The core of medical treatment was to relieve pain, lower blood pressure, and reduce the pressure on the carotid artery. The second was to reduce the range of blood pressure fluctuations, reduce the pulse pressure difference, and reduce the left heart pulsating tension.
Because the patient's severe chest pain can aggravate high blood pressure and cause a rapid heartbeat, it should be relieved quickly.
"The patient's blood pressure is showing signs of rising again.”the nurse said.
"You can slowly inject 5 milligrams of morphine into the vein!”Ye Feng quickly replied.
The nurse did not dare to act rashly. Chen Hai nodded.
Only then did she dare to prepare.
It seemed that this Ye Feng had a good grasp of all the steps.
Excellent knowledge!
"Can we use beta-blocking drugs?" asked one of the nurses.”
After Ye Feng heard this, he immediately rejected it, he shook his head and said: ""Beta-receptor blockade is only suitable for people with slightly increased blood pressure. It's not suitable for this pregnant woman's current condition.”
"Inject the patient's blood pressure and heart rate to 100-120 mm of mercury and 60-80 beats per minute.”
"20ug/min of sopril is being administered through an IV drip.”
Following Ye Feng's step-by-step operation, the nurses cooperated well.
Ye Feng stared at the blood pressure monitor, which was slowly increasing.
"Inject 5 milligrams of betalock every 5 minutes until the target heart rate is reached, but remember not to exceed 15 milligrams. At the same time, you can also use calcium!"
Ye Feng's command was still orderly, it was unknown when Ye Feng had become the core commander.
After a series of operations.
"The patient's blood pressure is starting to return to normal."”
There was an indescribable excitement in his voice.
"Prepare Verapamil!" Ye Feng.
Verapamil was a drug that had both vasodilator and negative inotropism.
"Give the patient propranolol 1 milligram per 4-6 hours.”
Ye Feng could always give commands ahead of time, he could save a lot of time.
Under the condition that he was in a stable state, Chief Physician Chen Hai had to complete the thoracotomy in five minutes.
" Ye Feng, come and help!" Chen Hai also realized Ye Feng's strength.
Ye Feng quickly came over to help.
However, at this time, the sudden change happened again, and Chief Physician Chen Hai felt a little dizzy.
"Doctor Chen!" A nurse was shocked and quickly supported Doctor Chen.
"I'm fine. I was delayed by something and didn't get to eat in time, causing low blood sugar.”
Doctor Chen waved his hand and said.
What should he do?
Chief Physician Chen Hai was the chief surgeon of the Department of Cardiology. Once the patient had low blood sugar, it would definitely delay the patient's condition.
"Give me some glucose!"
" Ye Feng, have you performed surgery before?" Chen Hai stared at Ye Feng and asked.
"Yes!" Ye Feng nodded.
"Can you complete a thoracotomy in five minutes?”Chen Hai took a deep breath.
He had planned to do it himself, but his physical condition did not allow it.
The patient's life was hanging by a thread, so he could only take a gamble.
He thought that Ye Feng had always been strong, he had even completed a miraculous surgery previously.
This forced Chen Hai to bet on Ye Feng.
He only needed to rest for a while and he would be able to be the chief surgeon again!
"No problem! Director Chen, take a rest. Leave this to me!”
Ye Feng took a deep breath, he had a long way to go!
In the operating theater, the other members were all stunned.
Was Director Chen serious?
Ye Feng was just an intern doctor!
However, this was not the time to argue.
No matter how doubtful he was, he had to bite the bullet.
Ye Feng's chest opening surgery was very fast, he completed the surgery in less than five minutes.
Ye Feng did not stop.
Now, he was going to puncture the left radialartery and insert a 5F or 6F radialartery sheath.
A loach wire was used to guide a 5F pigtail guide from the sheath of the radial artery to the left subclavian artery to the ascending artery.
The so-called pigtail was a medical device.
Not only that, he also needed it.
Combining the results of spiral CT or MRI examination of the blood vessels in the lower limbs and the surface blood vessels, the iliofemoral artery on the side not affected by the dissection was selected for skin incision and blood vessel mobilization. Under direct vision, the free thigh artery was punctured and a 6F artery sheath was inserted.
After the whole body was subjected to a intravenous injection of 1 milligram per kilogram of Heparin, 0.035 inches x 260 cm of Heparin was inserted through the sheath.
The super-stiff guide wire was placed in the ascending artery.
Every step was taken with extreme caution, not allowing for any mistakes.
Intubated the right atrium, and then cut off the ascending artery and the arch of the main artery.
Three blood vessels in the head and arm were cut.
"Hand me the stent!" Ye Feng had already reached the crucial step.
The stent vessel was selected to be implanted through the far end of the hepatic arch, and the true cavity of the descending artery was obtained.
Then, the stent vessel was released.
And at this time, Ye Feng chose a four-branched artificial blood vessel with a diameter similar to the stent.
Then, he sutured a section of it.
All the processes were very smooth.
Ye Feng's charisma had also won over all the nurses and doctors present.
Was this really an intern doctor?
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