Chapter 716: : Everywhere

Chen Cang swallowed: "Can pulmonary embolism cause allergic rashes?"
Niu Tianfu said at this time: "Well, it's not impossible."
At this time, a very serious problem has been put in front of everyone!
What should I do if I suspect acute pulmonary embolism?
At this time, Qin Xiaoyuan suddenly asked: "How long has it happened?"
Yu Yingcai was at the door. She was shocked to see the emergency rescue and looked at his watch. "It's been more than an hour ... To be precise, it should be about 70 minutes."
After Qin Xiaoyuan heard it, he frowned directly!
Many doctrines now believe that 60% to 70% of patients with pulmonary embolism, especially syncope, will die within two hours of onset!
However, it is difficult to get a clear diagnosis in the hospital in such a short time!
If patients can effectively survive the early stages of this crisis, they can be rescued with active medical treatment.
At this time, pulmonary angiography and lung scan are generally needed to confirm the diagnosis and understand the location and extent of the emboli.
Several directors started an intense discussion!
Five minutes later, it was decided to have a coronary angiogram.
Before that, however, it is necessary to ensure patient safety!
"Atropine 1mg! Intravenous!"
"Dopamine 5ug /!"
Before patient check-up, be sure to take precautions to prevent accidents during the check-up!
After Chen Cang heard these two doctors' orders, he silently remembered them!
Atropine is used to relieve coronary vasospasm caused by high vagus nerve tension. At this time, dopamine can obviously counteract shock and correct hypotensive arrhythmia!
These two doctor orders, like shields, patients again!
Of course, any medical treatment is a chance!
No one can guarantee that there will be no accidents during the operation.
This is not impossible!
Qin Xiaoyuan has thought out all the measures and has done everything.
Yu Yingcai had no choice but to nod to accept!
At this time, the test results are back!
WBC increased significantly, LDH also increased, and CPK was almost normal.
Not an acute myocardial infarction, which can now be ruled out.
Director Niu went out and started preparing for radiography.
Time passed minute by minute, and a colorless smoke filled the entire emergency room.
Rescue and war have something in common.
He can make people's adrenaline soar.
Feel something called passion, which permeates the body.
It didn't take long for the angiogram to come out and the patient was diagnosed. Pulmonary embolism is no doubt!
The patient was just taken to the rescue room. Several directors were overjoyed and watching the film. Now they are fully ready to start treatment.
Director Niu did not hesitate to start a doctor's order.
The anticoagulant Lele has begun preparations.
Just when everyone was relieved and ready to start treatment.
suddenly!
Shi Na exclaimed: "The patient has a sudden cardiac arrest!"
Suddenly everyone's face changed.
Cardiac Arrest!
Cardiac arrest at this time?
The old cow was frightened suddenly, but at this time, the anticoagulant was not used.
Even Tao Yan looked panic!
Why is cardiac arrest?
Is there a ventricular fibrillation?
At this time, if you have ventricular fibrillation again, these directors are ready to give you up.
Pulmonary embolism itself, if combined with ventricular fibrillation, the ghost knows if any emboli appear.
At this time, the fragile patient only needs to come again a little bit, and then they really fart.
Chen Cang didn't even think about it, he was directly ready to start chest compressions!
At this time, the director began to discuss frantically. What should I do now?
The situation is really not optimistic!
As everyone frowned, Tao Yan suddenly said, "It's not impossible now!"
Qin Xiaoyuan's eyes brightened: "What does Director Tao mean?"
Niu Tianfu is also the same, is there any better way for surgery?
Tao Yan said, "Pulmonary emboli removal!"
As the words came out, several directors frowned.
In fact, there is no consensus on the operation of pulmonary embolism so far.
Even when this kind of surgery appeared, it was considered useless by all!
Because surgical treatment has no place in this disease, because the surgical success rate of this disease is too low!
Extremely high mortality!
It has always been used for supplementary treatment, for huge pulmonary embolism with shock, systolic blood pressure down to 100mmHg, increased central venous pressure, renal failure, medical failure or inappropriate medical treatment.
Surgery under extracorporeal circulation has a higher mortality rate.
But at this moment, everyone has no choice.
Cardiac arrest now, the systolic blood pressure was less than 90. What is the effect of medical treatment at this time?
Everyone knows nothing!
After some discussion, Qin Xiaoyuan looked at Tao Yan solemnly: "Director Tao, pulmonary artery thrombectomy, can you do it?"
Tao Yan blushed: "I haven't done it before. There aren't many people doing this operation."
Everyone heard them and sighed, hoping to go out again ...
At this time, Chen Cang's chest compression was successful.
The patient's heartbeat finally recovered ...
Nowadays, we may not dare to do medical treatment.
But everyone is more uncertain about surgical removal of emboli!
Tao Yan won't do it ...
Just then, Tao Yan suddenly looked at Chen Cang: "Xiao Chen, would you do a pulmonary artery thrombectomy?"
Chen Cang suddenly hesitated.
Even Qin Xiaoyuan and Niu Tianfu have no hope.
Pin hope on a young man.
Does it fit?
Think of it a little blushing.
However, it is unrealistic to ask an expert. If no effective measures can be taken within two hours, the patient mortality rate will soar again.
At this time, Chen Cang looked at 25 skill points.
Pulmonary arterial thrombectomy is a tertiary operation of thoracic surgery and also an emergency rescue operation. It requires 4 skill points to exchange.
Promoting to Master level requires 7 skill points.
A total of 11 skill points are required!
Do you want?
Chen Cang looked at Yu Yi in bed and took a deep breath.
Moreover, he wanted to know, what is the truth ... what is the truth?
Although it is not very clear, Chen Cang understands that the hidden task brings absolutely significant news and clues!
11 skill points!
Save your life, plus a hidden mission, it's worth it!
"I will!"
As soon as this word came out, several people were shocked.
The expression on Tao Yan's face was very rich.
From doubt to shock to ecstasy!
Could not help but fist: "Dean Qin, Xiao Chenhui!"
Qin Xiaoyuan looked at Chen Cang, and felt a sense of shock.
In such a situation where everyone can do nothing, Chen Cang suddenly stood up, incurring a heavy burden.
Just like when everyone was about to give up, Chen Cang succeeded in dragging four!
He knew Chen Cang was excellent, but ... when this kind of helplessness suddenly raised hope, this feeling was really amazing.
Qin Xiaoyuan looked at Chen Cang and found himself ... some of this son-in-law who couldn't see through himself!
After some hesitation, UU read the book www.uukanshu. Qin Xiaoyuan called his family again.
Yu Yingcai's heart has risen and fallen several times today and can't stand any frustration.
He did not expect to encounter such a thing again.
After Qin Xiaoyuan explained something, he told Yu Yingcai: "The success rate of the operation is less than 20%, and the rate of medical treatment is lower. I hope he will make a decision soon!"
...
...
ps: Thank you for the 10,000 reward for "I have a Buddha in my heart", thank you, the later story is even more exciting!
(End of this chapter)
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