Chapter 1678: Take a single ride (1)
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Live Surgical Broadcast
- 真熊初墨
- 1175 characters
- 2021-03-01 09:02:39
"Today, we have an emergency live broadcast. The patient is a doctor and has a sudden heart attack. We have a live demonstration of emergency treatment for myocardial infarction under the strong request of the patient." Zheng Ren wears live glasses and sits calmly in the study room. At the table, start to explain.
Because of the unexpected situation, Xinglinyuan has no advertisements, no publicity, and there are only a few people who happen to come in the live broadcast room.
After the bombardment, Zheng Ren was not interested in watching.
In the picture, Liu Xuzhi has walked into the interventional operating room with the help of the nurse.
"Old Liu, first pull an ECG." Zheng Rendao.
Liu Xuzhi lay down on the operating table and felt a little weird.
The nurse was preparing things in a hurry. He held the phone in one hand and untied his hand in one hand.
"Look for a mobile phone holder and ask the nurse." Su Yundao.
"First pull the ECG."
Hold your phone and increase your heart load.
"To urgently cure thrombolysis!"
Before they started, Zheng Ren and Su Yun had a quarrel.
In the live broadcast room, it suddenly boiled.
Is this a god-like surgeon who has started a dispute with that flawless assistant? Is this pre-designed or an accident?
The barrage began to increase.
After knowing the news, Xinglinyuan only hesitated for less than 1 minute and agreed to the live broadcast request.
Now Peng Jia has only executive power, because he is no longer a major shareholder of Xinglinyuan.
Offended the boss behind the scenes? Peng Jia is not that stupid.
Furthermore, the diagnosis and treatment of patients with live chest pain, which belongs to the category of emergency first aid, usually does not have a chance to live.
Zheng boss is really a genius, Peng Jia thinks so.
In the tip surgery, Gaucher's disease surgery, liver cancer surgery live broadcast has reached a peak after a slow decline, even came up with such a genius idea!
Zheng boss is arrogant!
Zheng boss is mighty!
Zheng boss is domineering!
In the office, Peng Jia, while watching the live broadcast, applauded the marketing ideas for Zheng Boss.
But live emergency first aid, is there really no problem? What if the patient dies?
This thought flashed in Peng Jia's mind.
Take care of him!
First, traffic is real.
......
Liu Xuzhi holds a mobile phone and he works hard.
In fact, what is a patient with chest pain is a trivial matter. The strongest conviction that supports him is that even if he is dead, he will have to pay some money to his mother-in-law and children.
And I used my life to add firewood to Zheng’s career. Should this be a friendship? The son may have some protection in the future.
The idea of a middle-aged man is simple.
Even the girls who usually look at the hip skirt will drool, but between life and death, they think of their wife and children.
The ECG lead was turned on. Taking advantage of this time, the nurse took the mobile phone holder and fixed Liu Xuzhi’s mobile phone on the operating table.
The electrocardiogram appeared in the vision of Zheng Ren.
Complete right bundle branch block, third degree atrioventricular block, high-point t-wave in the inferior wall lead, accompanied by stump depression of the sidewall lead.
"According to the new version of the diagnostic criteria for myocardial infarction using the principle of "11", myocardial injury markers are positive with typical ischemic chest pain symptoms or ECG changes. Although the ECG has changed, we still can not be judged to be acute myocardial infarction. Zheng Ren said in the video.
"..." Liu Xuzhi is awkward.
"But because the patient's area is extremely remote, if the creatine kinase isoenzyme and troponin are collected and the test results are awaited, the myocardial infarction may be irreparable." Zheng Ren continued to explain.
"So, at this time, we can use a more radical approach to the patient's opinion - for example, angiography." Zheng Rendao, "Lao Liu, do you agree?"
"I agree." Liu Xuzhi.
"The radial artery puncture, you can certainly do it, but you have to stabilize your emotions, because every time you move your body, you will feel a sense of death." Zheng Ren said.
Liu Xuzhi was lying on the operating table and nodded.
The nurse felt very strange, but the electrocardiogram was there. It is also true that no one can perform cardiac intervention surgery besides Liu Xu in Xilin Town People's Hospital.
Are you sure that this is not a mess? The nurse is also somewhat skeptical.
"Now, do preoperative preparation. Take off your clothes first, then let the caregivers prepare the medicine."
"Prepare first, take off your shirt and connect with ECG."
"Okay, that's it, the ECG... The visual field of the mobile phone is on the side of the ECG, or it's a little further away. I have to watch the ECG monitoring." Zheng Ren's voice is more and more certain, no doubt.
Starting surgery, even if he was thousands of miles away, he was still the king and ruled all the operating rooms.
"Good! Now prepare the drug. Oral loading dose of aspirin clopidogrel as a preoperative preparation."
"Sublingual nitroglycerin relieves the symptoms of chest pain and, if necessary, opioid analgesics."
"First aid medicine is ready! Adrenaline, atropine, analgesics, defibrillator."
"Okay, that's it, perfect."
"Old Liu, is it better now?"
"Let the nursing staff inject morphine 5g intravenously." Zheng Rendao, "Old Liu, after the injection of morphine, you should pay attention not to fall asleep. You are now a patient, a surgeon, and a special status."
What thrombolytic drugs do you have in your hospital? Urokinase or streptokinase? Is it a second-generation tissue plasminogen activator? If there is a third-generation thrombolytic drug, including the variant of tissue plasminogen activator, Retep Enzymes are even better."
"Oh, only urokinase. Also, the first generation of urokinase benefits are hard to fail~ EbookFREE.me~ can only do this." Zheng Ren constantly said that he tried to comfort himself with his own words. Liu Xuzhi.
"Micro pump, preparation. First intravenous injection of 60,000 u of urokinase, then 50 l of saline 60,000 u urokinase micro pump. This dosage is a bit large, may cause complications such as cerebral hemorrhage. But in emergency first aid At that time, we can't do everything." Zheng Ren continued.
The urokinase was injected and the micro pump was continuously pumped in. Liu Xuzhi felt that he was better.
Perhaps it is the relationship of drugs, perhaps Zheng Ren is not slow and instructive action, and is explaining the relationship.
Always, Liu Xuzhi feels that as long as there is Zheng boss, he will not die.
The doctors who watched the live broadcast, including the staff of Pengjia and other Xinglinyuan, looked silly.
The electrocardiogram was then transmitted to the background by Hu Yanhui and can be viewed at any time.
Really heart! Although the ECG is somewhat messy, it is not 100% judged to be a myocardial infarction, and there is no detection support such as d2 mer, but the probability of myocardial infarction is high.
Does anyone dare to broadcast this?
Also, patients should be treated as thrombolytics.
Zheng boss is playing with fire!
As time went on, there were more and more barrage, and Zheng Ren was helpless and could only close the barrage.
"Is there a ticket for Xiao Feng?" Zheng Ren asked.
.