Chapter 1433: Shock storm

Zheng Ren rushed into the operating room.
Song Mozhen was still good in the last second, but in the next second, the symptoms of anaphylactic shock occurred.
The manifestation of skin mucosa is the earliest and most common sign of anaphylactic shock. The copper-like punctate rash appears directly, giving a strange feeling quickly.
Only this time, it is not a local symptom, but a flushing of the whole body.
Song Mozhen's skin flushing, followed by extensive rash and vascular neuropathic edema, even within a short one second, looming symptoms of systemic edema.
Due to airway laryngeal edema, spasm, and tracheal catarrhal secretion caused upper airway edema obstruction.
Song Mozhen has increased airway pressure and increased airway resistance.
At the same time, her lower respiratory tract edema, increased lung secretions, resulting in insufficient gas exchange, insufficient oxygen supply, decreased blood oxygen saturation.
Even Song Mozhen appeared purple in an instant.
At the same time, the upper and lower respiratory tracts are edematous, and the condition deteriorates rapidly. If there is a ventilator to assist breathing, it is estimated that this Song and Song dynasty will not be saved.
Due to capillary permeation, vasodilation to the absolute or relative lack of blood volume, the amount of blood returning to the heart is reduced, and the blood pressure of Song Mozhen suddenly drops to 80/50 mmhg.
This is just the beginning, her arterial pressure is still falling wildly.
The heart rate soared to 120 beats / min or more, the pulse speed, limbs, and chills.
These are all expected by Zheng Ren.
He rushed into the operating room and shouted: "Sucking, keeping the airway open!"
The anesthesiologist did not respond, but it was still flat and steady, and the song and dance were flat. How was it that only a moment, all the instruments began to scream crazy?
Is the machine malfunctioning?
There will be no machine failure at the same time, this is the most advanced instrument in the world, and the maintenance is very good.
"Sucking!" Zheng Ren was on the outside of the anesthesiologist's thigh.
No effort, just use violence to wake up the anesthesiologist.
"Oh." The anesthesiologist snorted and immediately realized what he should do now.
After all, he is a top anesthesiologist and is well trained.
In the shortest time, pick up the suction tube and step in from the tracheal intubation.
The sound of the snoring sounded and a large amount of respiratory secretions were sucked out.
When Zheng Ren saw the anesthesiologist move, he did not care for him, but continued to swear: "Su Yun, the head is raised 15 ° and the lower limb is raised 15 °."
Su Yun stunned.
Although he was prepared, he did not expect anaphylactic shock to be so rapid.
Head and lower limb elevation is a point that is easily overlooked during anaphylactic shock rescue.
Doing so will help the venous return of the brain and lower extremities to increase the pressure difference, and also prevent a sudden increase in carotid sinus pressure, which causes blood pressure to drop.
This is the details, very few people pay attention, but it is extremely important!
"Adrenalin 0.5mg intravenously!"
"Hydroxycortisone 100-200mg intravenously!"
"Adrenaline 0.5mg intravenously again!"
The anesthesiologist looked at the ECG monitoring and subconsciously reminded: "Dr. Zheng, ECG monitoring sine wave type, consider room flutter. Give amiodarone."
He spoke cautiously and did not dare to provoke Zheng Ren easily. Even in the emergency rescue, he also wants to respect Zheng Ren's opinion.
Dr. Huo was fanned to the wall, and now he still sat on his head and was confused.
"It's not a ventricular flutter." Zheng Ren said with certainty, "Put your limbs to lead the ECG."
It is more advanced than the hospital, and the lead is in the chest area.
Zheng Ren said that the limb-guided electrocardiogram is the electrocardiogram of the limbs who also participate in the lead.
The anesthesiologist stumbled.
In the emergency rescue, there is ventricular flutter, shouldn't it be disposed of in the first place? Why do you think it is not?
The continuous and regular, wide, and deformed qrs wave looks so ugly.
This is one of the most feared waveforms of a circulatory surgeon, meaning that it is difficult for patients to be rescued.
The time limit of the qrs wave is longer than 0.12 s. The amplitude of the qrs wave is upward and downward, and the sinusoidal curve is difficult to distinguish from the t wave.
All this proves that Song Master has already had ventricular flutter!
Although the frequency of the qrs wave did not reach 180 times/min, the p-wave did not disappear. But the wide qrs waveform tells the anesthesiologist that this is the ventricular flutter!
Must be rescued.
He really wanted to give the Song teacher an intravenous injection of amiodarone, but Dr. Zheng just had a slap...
Still do a limb lead ECG.
Even if the Song Master had an accident, he did his duty.
It is unknown to the people of Song. The doctor, who is arrogant and arrogant, refused his own reminder, and everything happened had nothing to do with himself.
The anesthesiologist quickly connected the limb to the ECG, but the electrocardiogram appeared and he was stunned.
Not at all ventricular flutter, p-qrs-t is clearly visible, sine wave type should be caused by mutual interference between instruments.
This……
The anesthesiologist looked at the clear, p-qrs-t waveform, and was puzzled.
In this case, who gave him the courage to make judgments about machine interference? !
"Pay attention to sucking!"
"Ansaima 100mg intravenous drip, pay attention to low speed."
"5% glucose 1000ml, m-hydroxylamine, dopamine..."
"Mannitol 250ml quick drop!"
"100,000 units of ulinastatin injection, intravenous drip!"
Zheng Ren has a doctor's advice and is continuous.
Throughout the operating room, all the invisible whip gathered by the doctor's advice squirmed and madly moved.
Zheng Ren stood not far away, and the vision just covered the entire rescue site. No matter who makes mistakes, they will be relentlessly rebuked.
In the whole game, only Su Yun was flying like a fly, and there was no mistake at all.
Gradually, the alarm sound in the operating room began to weaken.
One machine after another returned to normal, Song Mozhen’s vital signs began to stabilize, blood pressure slowly rose, and the whole person’s state gradually improved.
After half an hour, the operating room was completely quiet.
Looking at the steady state of the ECG monitor and the values ​​on the various instruments, all the doctors and nurses in the hospital feel that they have a dream.
Nightmare.
Only under the command of this young public hospital doctor, the ending is perfect.
The anaphylactic shock of the menacing, in retrospect, also left the medical staff present in the cold sweat.
The obstetrician wants to say sorry, but when she saw Zheng Ren, her heart trembled.
Fortunately, I didn’t rush to take the initiative to provoke Dr. Zheng, or else... She thought that in the face of this major rescue, and the target of the rescue was Song, the doctor Zheng would not care that he was a woman.
I am afraid that I will be fanned to the wall.
"Boss, you said let me direct." Su Yun was very dissatisfied, standing next to Zheng Ren muttering.
"Some things are too cumbersome, still a little worried." Zheng Rendao.
"Are you working hard?" Su Yun glanced at Dr. Huo, who was crying in the next room, and asked.
The sound is not too big~EbookFREE.me~ Just like Dr. Huo’s voice, it can definitely be heard.
"Received, if not received, the rescue is him." Zheng Renping said: "Withdraw the tube and send the patient back to the ward."
When he finished, he turned and "go, Su Yun."
......
......
Yesterday, I smashed it to Zheng’s boss. I didn’t expect everyone to reward so much. I am really embarrassed, just a small thing. For more than half a year, when there is always mood swing, I am embarrassed. Tomorrow, the emperor will continue to undergo surgery, mourning the cardiothoracic surgery that has been dying of apoptosis and the extracorporeal circulation that is about to disappear.
In other words, the star of tomorrow in cardiothoracic surgery, now think about it, is very unfair to Comrade Su Yun. Cardiothoracic surgery has no tomorrow...
Everything must be minimally invasive, but it seems that thoracoscopic aortic arch replacement is not enough.
bow……
(=)