Opening Check-In: Back To Ten Years Ago As a Surgeon
Chapter 60: Without hesitation, act in time
"What's the matter? How did you do it!?"
"How could this happen all of a sudden?"
"Doctor Fang! Doctor Fang! Come and see!"
Fang Qiwei was also panicked for a while, so he walked over quickly and crouched down to check.
Fang Qiwei: "No, it shouldn't... The situation was very stable just now..."
Fang Qiwei turned his head and shouted abruptly, "Nitroglycerin! Quickly get the nitroglycerin and glucose solution! And a syringe!"
Immediately, a nurse took the two liquid medicines. Fang Qiwei quickly plunged a syringe into the bottle of nitroglycerin, took out 5 mg, and then took another 50 ml from the glucose solution, and then quickly flicked it twice. , stuck the syringe into the blood vessel of the fat man's arm and injected it.
Standard cardiac first aid, and in high doses.
In general, it will definitely work.
But the situation has not improved. The fat patient is still in pain, and his breath is getting weaker and weaker.
Fang Qiwei's face was full of sweat, and he was at a loss for a while.
How could this happen?
It doesn't make sense!
Ning Xue told the nurse next to her, "Go and call Director Liu!"
The nurse quickly opened the door and went out.
A heart attack is no joke. Rescue time is precious, and a few minutes late can lead to serious incidents.
If it is mild, it may cause brain damage. If it is serious, the person will die.
As the doctor in charge of this patient, Fang Qiwei did not want such a thing to happen.
At this moment, Wu Yuan said to Ning Xue, "Give me the stethoscope."
Ning Xue was stunned.
Before she could react, Wu Yuan took the stethoscope in the pocket of the white coat.
Wu Yuan squatted down and listened to the fat patient's heartbeat with a stethoscope.
Wu Yuan's behavior is very strange.
Fang Qiwei is the doctor in charge of this obese patient. What is Wu Yuan doing?
Others don't know Wu Yuan's identity, but Ning Xue and Fang Qiwei know.
Wu Yuan is a surgeon. Even if he knows about internal medicine, he is definitely not as good as a professional internal medicine doctor, especially a neurology doctor.
When he does this, it will inevitably make people feel a little bit tricky.
Wu Yuan can't handle that much now.
He had already discovered an unusual reaction just now.
This is not an ordinary heart disease, and it is not a normal response to cardiogenic heart disease.
If Wu Yuan's judgment is correct, this should be an upgraded version of cardiogenic heart disease.
Fang Qiwei: "Get out of the way first, I'm going to give him first aid."
With that said, Fang Qiwei was about to stretch out his hand to push Wu Yuan.
Wu Yuan opened Fang Qiwei's hand.
Wu Yuan: "Don't move."
Fang Qiwei's expression changed: "You..."
Wu Yuan: "My heartbeat has slowed down! This is Adams Stokes Syndrome!"
When the others heard this, their eyes widened in surprise.
Adams Stokes Syndrome, which translates to "Coss Syndrome", is a relatively rare heart disease.
The onset was very sudden and severe.
Belonging to slow and tachyarrhythmia, it is easy to cause a sharp decrease in cardiac output in a short period of time, and then severe cerebral blood and loss of consciousness.
This is a very dangerous sudden heart attack.
For example, in second- and third-tier cities like Yanjiang City, there are not many cases in a year.
Not to mention the general physicians in Yanjiang City, even the neurology and cardiac specialists don't know much about the "probable syndrome".
How did Wu Yuan know this?
He is a surgeon, isn't this nonsense, full of guns!
Fang Qiwei: "Don't talk nonsense! Get out of the way first, don't hinder me from rescuing the patient."
Wu Yuan stood up, turned to the nurse and said, "Go get atropine and isoproterenol!"
The nurse was stunned, looked at Fang Qiwei, and then at Wu Yuan, wondering if he should listen to him or not.
At this time, the obese patient was dying of anger.
I saw Fang Qiwei kept doing CPR there, but it didn't seem to work.
Wu Yuan said loudly, "Go quickly, or it will be too late!"
The nurse woke up like a dream and ran out quickly.
Regardless of whether Wu Yuan is right or not, he has to prepare first. If someone really dies, then things will get bigger.
And these two medicines are indeed emergency medicines for heart disease, at least what Wu Yuan said is not outrageous.
The nurse brought the two medicines.
Fang Qiwei was still working hard there. He used an automatic external defibrillator, commonly known as AED, and was sweating profusely.
But obese patients never get better.
The vital signs on the electronic monitor have been declining and the situation is very critical.
Wu Yuan couldn't see it, so he couldn't wait any longer.
Inject atropine and isoproterenol into the syringes separately, and then pull Fang Qiwei away.
Fang Qiwei: "...you, what are you doing!? Don't mess around!"
Wu Yuan ignored Fang Qiwei and quickly injected two syringes into the obese patient's arm.
Wu Yuan is really not very good at acupuncture, but after all, the injection is over.
Everyone stared at each other with big eyes and small eyes.
There was silence in the intensive care unit for a while, except for the wheezing of the obese patient, there was no movement at all. UU reading www.uukanshu. com
Fang Qiwei sat down on the ground, his face sluggish, and seemed to be frightened, but he didn't have the temperament of Yushu Linfeng before, and he looked a little embarrassed.
Of course, Ning Xue was also surprised.
On the one hand, I don't understand why Wu Yuan concluded that this patient has Coss syndrome.
Even the physicians like them can't easily draw conclusions. Why is he, a surgeon, Wu Yuan, so sure?
On the other hand, Wu Yuan's decisive behavior shocked Ning Xue.
In her impression, Wu Yuan is very slick, and it is impossible to do such a thing.
The point is, if something goes wrong, it won't do him any good.
At this moment, everyone was surprised to find that the values and curves on the monitor were normal.
The obese patient's breathing is balanced, and he is no longer panting.
returned to its previous state.
Ning Xue: "It worked?"
Wu Yuan breathed a sigh of relief, stood up and said, "It worked."
Fang Qiwei didn't have a happy expression, but glared at Wu Yuan and said, "You are so messy, what should I do if something really happens!?"
Wu Yuan sighed: "If I don't do it, something will really happen."
Speaking, Wu Yuan patted Fang Qiwei on the shoulder again: "Doctor Fang, I'm obviously helping you, don't you understand?"
Fang Qiwei was speechless.
Anyone with a discerning eye can see that Wu Yuan is indeed helping Fang Qiwei.
The patient's condition was very critical just now, and if it is not done, it will not be able to be rescued.
Of course, Wu Yuan can watch from the side and don't make a move. It's wise to do so.
After all, the death of a patient in this situation is a major medical malpractice, and it must be written into the doctor's file.
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