Wang Xiangjun is worthy of being an old elite in the emergency department. At a glance, he saw that it was pericardial tamponade and stopped cardiopulmonary resuscitation in time!
In the case of pericardial tamponade, even if there is cardiac arrest, you can''t use extracardial compression, because it will not succeed in resuscitation, but will aggravate the development of the disease!
Wang Xiangjun quickly organized rescue activities.
"Color ultrasound positioning!"
"Prepare the operating room!"
Wang Xiangjun ordered in an orderly manner!
At this time, we can see the efficient cooperation ability of an emergency department, and all examinations are in place.
Chen Cang''s pericardial puncture was more accurate than Meng Xi''s. Meng Xi took the initiative to help draw fluid.
Under the accurate positioning of B-ultrasound, Chen Cang entered directly, and Meng Xi began to draw blood!
After nearly 150ml of blood was drawn out, in less than a minute, Chen Cang said to Wang Xiangjun, "director Wang, no, it is estimated that the amount of bleeding is still large, there may be aortic injury. Prepare for thoracotomy!"
When Wang Xiangjun heard this, his face changed:
"Prepare for emergency room surgery!"
As soon as this sentence came out, the three nurses hurried to prepare the equipment.
At this time, a violent wail sounded over the 5 bed.
"Oh, it hurts me! It hurts so much!"
Wang Xiangjun hurried over. At this time, pain is a good thing, indicating that there is no shock.
Chen Cang has no distractions and is ready to open his chest!
Even if there is a lot of noise around, the rescue work can''t be delayed for a minute!
Chen Cang opened his chest skillfully and Meng Xi helped!
Just opened the chest, suddenly their faces changed!
A lot of blood.
How much blood does this get!
And not only that, a burst of arterial blood suddenly gushed out, and the little nurse''s face was directly sprayed with blood!
But the little nurse was calm, picked up her sleeve and touched it. Suddenly, his face was full of blood, but he didn''t feel nervous and uneasy. He calmly handed it to Chen cangqi.
At this time, Chen Cang''s face changed, and a red name suddenly appeared in his eyes. He didn''t think about it, so he held it directly!
The blood stopped instantly.
The crowd immediately sighed for one of them. It''s so awesome to stop bleeding with bare hands. How can we find the bleeding point!
At this time, Meng Xi began to cut happy bags with this Kung Fu, and the doctor on the side began to wash liquid with a syringe.
no way out!
This is the emergency room, not the operating room. There is no washer!
There is no extracorporeal circulation machine.
At this time, the patient''s heart is suddenly stopped!
Time for them, every minute, is extremely rare!
You must complete pericardial decompression within a few minutes, and then press the heart!
Otherwise, pressing at this time will only aggravate the originally fragile wound.
It''s too late to go to the operating room. A few minutes of preparation is enough to kill the patient.
Now for each of them, they are racing against time.
There is not much time left for patients
Everyone''s face was full of anxiety and anxiety.
The little nurse on one side didn''t care to get up at all, and the busy sweat was left along the blood on her face.
Meng Xi cut the happy bag skillfully, and his blood immediately flowed out!
Chen Cang looked happy!
Facing the emergency department doctor, he said, "cardiopulmonary resuscitation!"
This kind of cardiopulmonary resuscitation after thoracotomy is simply a different kind of wonderful in the eyes of everyone.
Chen Cang''s hands are holding blood vessels, careful!
Without any hesitation, the doctor began cardiopulmonary resuscitation.
fear?
It doesn''t exist!
There is no time to fear.
To fear, we should not fear until the patient is really dead, or fear after being saved!
There is no time now.
Cardiopulmonary resuscitation was performed in only two groups, and the patient''s heart returned to beating.
At first, the main reason for sudden arrest should be that huge pericardial tamponade gives too much pressure.
After pericardiotomy, the resistance of the heart disappeared, and with the help of cardiopulmonary resuscitation, the heart began to beat gradually.
But because of massive ischemia, blood pressure is still very low.
At this time, the blood transfusion department finally sent the matching blood after completing the blood group comparison.
Now, the patient needs to be sent to the operating room for treatment!
The doctor on duty of cardiac surgery hurried down and cooperated with Chen Cang. The three were going to the operating room!
At this time, there was a violent vomit in the rescue room. Chen Cang suddenly changed his face and said to Meng Xi, "Mr. Meng, you go to the operation. I''ll see what else!"
Meng Xi nodded and did not refuse!
Three patients were sent, and any one was very critical.
At this time, it was early morning, and many doctors couldn''t arrive in time.
The effective power of emergency treatment is limited after all.
It is enough to have Meng Xi and Ge Huai to repair the great blood vessels outside the heart!
The unknown danger, the unknown disease, and the unknown test are waiting for every doctor in the emergency department!
At this time, the optimal allocation of resources is the important choice.
Chen Cang didn''t even think about it. He turned and walked over.
"Shock!"
At this time, Wang Xiangjun was really worried.
B-ultrasound doctor looked at the film and was shocked: "director! Liver rupture, accompanied by massive abdominal bleeding, prepare for the operation in time!"
Wang Xiangjun nodded quickly: "prepare the operating room!"
At this time, Wang Xiangjun suddenly felt a little weak. The liver rupture repair operation was a major operation. Looking at the embarrassed hepatobiliary surgeon, he couldn''t help asking, "when will president Qian come?"
Doctor of hepatobiliary surgery: "soon, it will take about seven or eight minutes!"
After hearing this, Wang Xiangjun couldn''t help but be worried: "prepare for operation, blood transfusion department, prepare for blood matching!"
Chen Cang hurriedly said, "director, I can do liver rupture surgery!"
Hearing this sentence, people around immediately looked sideways.
Because this is the person just now. He was ready and led the people to complete the preliminary rescue work of the patient in bed 1.
Now, he even has liver rupture repair surgery!
Liver repair operation is a difficult operation and a grade IV operation!
What Chen Cang learned is only an incomplete version!
But at this time, let alone the disabled version, the disabled version has to be used!
When Wang Xiangjun heard Chen Cang''s words, he immediately raised his eyes as if he had heard the gospel of God.
This young man doesn''t seem to be the first time to help himself.
As for Wang Xiangjun''s surprise, he not only lamented that the emergency department of the second provincial hospital was so powerful?
But now is not the time to think about it!
Wang Xiangjun looked at Chen Cang with a happy face and said three times: "good! Good! Good!"
After that, he looked at the emergency doctor and the doctor of hepatobiliary surgery and said, "you have full authority to cooperate with Dr. Chen and do a good job in rescue!"
They nodded immediately!
This is not the time for ink.
The death rate of liver rupture is very high!
Because the liver receives dual blood supply, the blood supply is very rich, and the liver has the function of producing and draining bile. Once the liver is damaged, the consequences are very serious!
The amount of bleeding directly causes hemorrhagic shock.
Bile leakage can cause severe biliary peritonitis.
Bleeding + infection + unknown combined injury = what?
obvious!
Either can endanger the patient''s life.
Therefore, when they looked at Chen Cang, they only looked forward to the Savior.
I hope Xiao Chen can wait until Qian Liang comes back!
……
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PS: cough, three for now. There will be more at noon tomorrow.
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