A hundred days after signing in, the first surgery shocked the world!

Chapter 25

"This is a sign of a ruptured aortic dissection!"

Li Yuan was very nervous.

Before an aortic dissection ruptures, it causes severe chest pain that radiates to the neck, jaw, shoulder blade area, left arm, or upper abdomen.

However, patient No. 4 is now curled up and in severe pain, and it is impossible to ask him about his symptoms.

Li Yuan quickly observed patient No. 4

Pale, sweaty, cold skin, and a sense of imminent death.

Screen display: The patient's blood pressure has not decreased, but has remained stable or slightly increased.

Palpation: the patient's bilateral brachial and femoral pulses are completely absent, and a pulsatile mass can be palpated in the suprasternal fossa and abdomen.

These are all signs of a ruptured aortic dissection.

Suddenly~~~

Instrument jump!

Blood pressure starts to drop!

"Not good!"

Li Yuanxia was stunned.

It's broken!

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, the doctors, interns, and nurses all rushed over.

"Raise blood pressure for dopamine!"

"Salt before sugar, rehydration to prevent shock!"

"Intravenous bolus analgesia, oxygen!"

Li Yuan was in chaos, and the others were also in chaos, and the patient's family on the side had just shouted for help, and now they were also panicking.

When everything was done, patient No. 4's symptoms did not improve much.

Li Yuan sweated coldly.

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

At this time, he knew that he could not hold it, and the aortic dissection ruptured, and the patient would die in every minute. It's okay to deal with ordinary diseases on your own, but this serious illness requires surgery, at least I don't have the strength to master the knife.

"Director Zhao Wang Yang is resting today, and Deputy Director Liang Guomin is on duty today..."

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

Soon, Dr. Liang Guomin rushed over when he heard the news, diagnosed it, and quickly called people from various departments to consult.

"Descending aortic dissection rupture, excessive blood loss!"

"It's going into shock!"

"You have to have surgery right away!"

"The surgical plan is: descending aortic artificial vascular replacement!"

"Call the anesthesiology department, imaging department, ICU right away... The doctor came over..."

Soon, the doctors on duty in various departments rushed in.

Consultation!

All kinds of patient situations were taken out and told to all the doctors present.

At this time, Director Qian of the ICU suddenly asked:

"Lao Liang, this operation is very difficult, artificial vascular replacement, easy to produce a variety of complications, especially the spine has a very urgent need for ischemia time, only 20 minutes, once exceeded this time, it will lead to spinal necrosis, lower body or whole body paralysis." And now, it happens to be the night shift, most of the doctors are not there, Lao Liang, you are in charge of the knife alone, is it okay? "

Liang Guomin's face was unhappy: "I have already called and asked Director Liu, but Director Liu went to the province for a meeting yesterday, and there was no way to rush back." The patient's situation cannot be delayed, and it is impossible to wait for Director Liu to return before performing the operation. "

Director Qian nodded: "I understand what you mean, what I want to ask is, Lao Liang, you are the main knife, who is Yisuke?" "

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

Li Yuan straightened his chest in the face of Director Liang's respectful gaze.

Director Qian: "Doctor Li, it's okay... Lao Liang, you know that I am a person, not a person, I know that there is a good intern in the emergency department, the last time the emergency department Lao Zhou was stabbed, it was saved by that sound, he has good skills in this regard, I think, you can call him over. "

Liang Guomin was even more upset.

What do you mean?

Think we are a cardiothoracic and hematology surgeon and ask for help with an emergency intern?

This intern, Liang Guomin has also heard of, and it is said that the strength is good.

But!

This is cardiac surgery!

Where experts meet!

Still asking for help from an intern?

This heart, Liang Guomin can't get by.

Director Qian is a master who is not right about things: "You call him over first, just say let him study, and don't really want him to go to the operating table, right, Lao Liang?" "

Liang Guomin was quite unhappy at first, but when he thought of himself, he was the deputy chief physician in charge, and the two departments were the main treatment of one assistant and two helpers, and his strength was indeed thin.

In case there is a mistake in the middle operation, Director Zhao Wangyang will not be able to quench his thirst.

"Okay, call Lin Feng from the emergency department to consult with you."

Soon, the nurse called the emergency room.

......

Emergency room side.

Bell bell bell ~~~~

"Hello, Emergency."

"Hello, I am from the cardiovascular ward of the inpatient department, there is a rupture of descending artery dissection rescue surgery, I want to ask Lin Feng to go up for emergency consultation, the location is XXXX..."

"Okay, I'll inform Dr. Lin right away."

......

Hospital dormitory.

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

The weather has begun to cool slightly in February.

Lin Feng slept and covered with a light quilt.

Comfortable ~~~

Bell bell bell ~~~~

A bell woke Lin Feng up.

"Emergency consultation? Inpatient Cardiovascular Ward? Rupture of descending aortic dissection... Okay, I'll go right away! "

Although Lin Feng wondered why he was cardiovascular and why he went by himself, he still put on his clothes and rushed out.

In the dormitory next door, several interns were playing cards at the party.