Chapter 25

“This is a sign of a ruptured aortic dissection!”

Li Yuan was very nervous.

Before the aortic dissection ruptures, it will cause severe chest pain, which will radiate to the neck, jaw, scapular area, left arm or upper abdomen.

However, patient No. 4 is now curled up with severe pain. It is impossible to ask him about his symptoms.

Li Yuan quickly observed patient 4,

· Pale complexion, profuse sweating, clammy skin, and a sense of dying.

·Screen display: The patient’s blood pressure did not drop, but remained stable or rose slightly.

· Palpation: The pulsation of the brachial and femoral arteries on both sides of the patient completely disappeared, and pulsating masses can be palpated in the suprasternal fossa and abdomen.

This is all a sign of a ruptured aortic dissection.

Suddenly~~~

The instrument jumps!

Blood pressure began to drop!

“not good!”

Li Yuan was dumbfounded.

Broke!

It must be a rupture of the aortic dissection, and then cause blood loss in the aorta, and blood pressure will drop like this.

At this time, Dr. Gui Pei, interns, and nurses all rushed over.

“Give dopamine to raise blood pressure!”

“Salt before sugar, rehydration to prevent shock!”

“Intravenous bolus for analgesia and oxygen!”

Li Yuan was in a mess, and everyone else was in a mess. The family members of the patient beside him had just called for help, and now they are also panicking.

After everything was done, the symptoms of patient 4 did not improve much.

Li Yuan was sweating coldly.

He is a second-level doctor on night duty, and a third-level doctor, deputy director level.

At this time, he knew that he couldn’t hold it, and the rupture of the aortic dissection would kill the patient every minute. It’s okay to deal with general illnesses by himself, but this kind of serious illness requires surgery, and at least he has no strength to act.

“Director Zhao Wangyang is off today, and Deputy Director Liang Guomin is on duty today…”

Li Yuan quickly called Liang Guomin, the deputy director of the department.

Soon after hearing the news, Dr. Liang Guomin rushed over, made a diagnosis, and quickly called people from various departments for consultation.

“Rupture of descending aortic dissection, excessive blood loss!”



“It’s starting to shock!”

“Surgery must be done right away!”

“The surgical plan is: Descending Aorta Artificial Vessel Replacement!”

“Call the doctors in the Anesthesiology Department, Imaging Department, ICU……”

Soon, the doctors on duty from various departments came quickly.

consultation!

Take out all the patient’s various conditions and tell them to all the doctors present.

At this time, Director Qian of ICU suddenly asked:

“Lao Liang, this operation is very difficult. When artificial blood vessels are replaced, various complications are prone to occur. Especially the spine has a very urgent need for ischemic time. It takes only 20 minutes. Once this time is exceeded, it will cause Spine necrosis, paralysis of the lower body or whole body. Now, it happens to be the night shift, and most of the doctors are not there. Lao Liang, you are in charge of the operation alone, can you?”

Liang Guomin looked upset: “I already called Director Liu to ask about it, but Director Liu went to a meeting in the province yesterday and couldn’t rush back. In this case, the patient’s situation cannot be delayed. It is impossible to wait for Director Liu to come back for surgery.”

Director Qian nodded: “I understand what you mean, what I want to ask is, Lao Liang, you are in charge, who is Yizhu?”

Liang Guomin: “Li Yuan, he is also an experienced doctor.”

Facing Director Liang’s important gaze, Li Yuan straightened his chest.

Director Qian: “Dr. Li, it’s okay… Lao Liang, you know that I am a person, and I am not right. I know that there is a good intern in the emergency department. Last time, Lao Zhou was stabbed in the emergency department. The technology is good in this regard, I think, I can call him to come over.”

Liang Guomin was even more upset.

What’s the meaning?

Think our cardiothoracic and blood surgery department asks for an emergency intern?

Liang Guomin has also heard of this intern, and it is said that he is good at strength.

but!

This is heart surgery!

The place where experts gather!

Still asking for an intern?

Guomin Liang couldn’t make it through this hardship.

Director Qian is a master who is right and wrong: “You call him here first, just let him study, but you don’t really want him to go to the operating table, right? Lao Liang?”

Liang Guomin was rather unhappy at first, but when he thought of himself, he, the deputy chief physician, is in charge of the surgeon, and the two departments are in charge of one assistant and two assistants. His strength is indeed weak.

In case there was an error in the middle operation, Director Zhao Wangyang could not stop the near thirst.

“Okay, call Lin Feng from the emergency room for a consultation.”

Soon, the nurse called to the emergency room.

This is the emergency department.

Ling Ling Ling~~~~

“Hello, emergency.”

“Hello, I am from the Cardiovascular Ward of the inpatient department. There is a rescue operation for a rupture of descending artery dissection. I would like to ask Lin Feng to go up for an emergency consultation. The location is XXXX…”

“Okay, I will notify Dr. Lin immediately.”

Hospital dormitory.

Lin Feng is lying on the bed at this time, sleeping.

The weather in February has started to cool slightly.

Lin Feng sleeps, covered with a thin quilt.

Comfortable~~~

Ling Ling Ling~~~~

A bell awakened Lin Feng.

“Emergency consultation? Cardiovascular ward of the inpatient department? A ruptured descending aortic dissection…Okay, I’ll go right away!”

Although Lin Feng wondered why he was cardiovascular and why he had to go there by himself, he still put on his clothes quickly and rushed out.

In the dormitory next door, a few interns were playing cards at a gathering.

Hear the movement of Lin Feng next door.

Sluggish~~

“Have you heard? Dr. Lin is going to attend the consultation~~”

“Rupture of descending aortic dissection…”

“Emmm… Dr. Lin has already started the consultation, and we haven’t had any surgery!”

“Don’t talk about the operation, I don’t have the qualifications for consultation and audit…”

“Emmm~~~~”

Self-confidence-1-1-1-1-1……

Tears +1+1+1+1+1+1…

“Turn the table up, what cards to play!”

“Yes, I want to learn!”

“Haha~~~ It seems that you can catch up with Dr. Lin by studying…”

“………………”

People are hard to dismantle, hey!

. .

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