It's not that hard to open a hospital in another world, right?

Chapter 780 Aortic Rupture - Don't Do Cardiac Compression!

wipe!
Gretel yelled and fell to his knees.There was a sharp voice in the ear, the cloud screen of the electrocardiogram, and the magic of blood pressure, and the two called the police together.The sharp beeping sound was so loud that it almost formed a straight line——

Arrhythmia!

Arrhythmia!

Blood pressure 70/50!

60/30!

High pressure 35, low pressure can't be measured!
I go!

I go!

I go! ! !

Suspected aortic dissection, aortic aneurysm, body position change, sudden collapse, cardiac arrhythmia, sudden drop in blood pressure——

So why did the patient fall?Body position changes cause blood pressure to rise, receptors to overwork, and blood pressure to drop sharply?
Heart tamponade?

Or the most frightening, ruptured aorta, massive hemorrhage?

Gretel stared at the EKG, his brain thinking fast.One by one possibility, one left and one right, two knights have already rushed forward to catch their father.Panic, shake vigorously:

"Father! What's wrong with you, Father?"

"Wake up!"

"How to rescue it?"

"By the way, how do I rescue it? Cardiac compressions?—I'll do the compressions!"

While speaking, the old knight had been laid flat, his chest clothes were unbuttoned, and his head was turned sideways.Test breathing, touch the carotid artery, the skillful movements made Gretel very sure of one thing:
After the Temple of the God of War took his first aid manual, it did give the soldiers, at least the knights, enough training.People who haven't practiced before, but they can't think of opening the airway...

The two knights looked at each other, one folded his hands, his arms were stretched out, and he was ready to start.The other palm propped up on the ground, kneeled up, passed the old knight, and turned his knees to face him.It looked like it was ready to take over at any time.

In other cases, Gretel would be very happy to have such two trained tool men willing to take over.No need for him to press it himself!
He didn't even need to mobilize magic to press it himself!

Cardiopulmonary resuscitation, before magic, would kill him half-life every time!
But not this time.Gretel roared angrily, waved his arms, and slammed directly at the middle-aged knight:
"Don't touch him! Pressing like this will kill him!"

Aortic dissection!

Dissection occurs, which means that the aorta with a three-layer structure is repeatedly stretched under excessive pressure, and the three-layer connective tissue structure is torn.The inner layer of the aortic vessel is damaged, and the blood goes to the wrong place and enters between the inner and middle layers of the vessel wall.

In Gretel's previous life, he heard that the largest aortic dissection was torn from the thoracic aorta to the abdominal aorta, almost reaching the position of the iliac artery.

Cardiac compressions put extra pressure on the heart.It is already very fragile, and the aorta with only one or two layers left on the outside receives this pressure. With bad luck, even the outermost layer will rupture——

Once it ruptures, there will be profuse bleeding.The blood pumped from the heart passes through the aortic opening and directly rushes into the chest cavity or abdominal cavity.Within 2 minutes, the blood flowed out directly, and it was hopeless.

Of course, there are also family members who strongly demand chest compressions.Gretel himself had answered questions from junior doctors.Aortic dissection, seeing that the heartbeat is gone, do you want to press it?
According to the disease itself, pressing is of no benefit, but according to the rescue of cardiac arrest, it is absolutely wrong not to press, and family members will think that you have not fulfilled the responsibility of rescue.

Fortunately, not at present.The two knights were still obedient, but they stopped immediately after being yelled at.Only the younger knight asked in a low voice:
"Then what should I do..."

Gretel first threw out [Treatment of serious injuries]—healing, a first-aid method, which has miraculous effects in raising blood pressure, stabilizing heart rhythm, and stabilizing vital signs.Then he stretched out his hand to wave the oak stick, and moved forward a little:
Under the green leaf on the head of the staff, the little snake turned into a streak of light and flew directly into the old knight's body.Gretel closed his eyes slightly, connected to the perspective of the little snake, and guided it forward quickly:
chest wall!

rib cage!

pericardium!

At this time, the direct detection of the spirit of the contract is more effective than any CT, enhanced CT, and bedside cardiac ultrasound.Importantly, it is directly visible!
In the illusory eyes of the spirit of the contract, he saw that the pericardium was abnormally enlarged.Then go in, is the pericardium stuffed?
No, thank goodness!
Although there is fluid in the pericardium, it is not to the extent of tamponade.This also means that the dissection did not break into the pericardium, causing cardiac tamponade, compressing the heart and preventing the heart from beating.

——If it has reached this level, it will be like the orc last time, directly open the chest, open the pericardium to decompress, and perform heart compressions under direct vision.For a patient with aortic dissection, Gretel had no idea whether this could save him.

He commanded the little snake to go around the two atriums and two ventricles at a speed. Except for the hypertrophy of the ventricles, everything else was fine.Then go up the ascending aorta, here I go! ! !
What a big breach! ! !
With every beat of the heart, bright red blood rushed out and went straight into the chest cavity.In the time of these two sentences, the patient lost a lot of blood, which has reached a critical point!

Gretel took a deep breath and forced himself to calm down.Don't worry, don't worry, this is not the previous life, the patient will be gone by the time the stent is removed or the chest is opened and sutured.With the healing technique, there is hope to plug this breach...

He stretched out his palm again and pressed down gently.In the palm of the hand, a mass of dense white light fell into the chest of the old man, sinking continuously:
[Treat serious injuries]!
rely on you!
Gretel concentrated his mental strength and tried his best to ensure that the healing technique was not distracted.To the heart, don't run around!Don't be distracted!
There's no point in keeping the heart beating now, it's true to quickly plug the breach...

The spirit of the contract in the incorporeal body silently swam in the old man's chest, leading the healing technique all the way forward.When it arrives, it reaches the rupture of the ascending aorta, and the two sides are stuck together, let it grow in the middle!hurry up!

In the illusory gaze, the rupture of the ascending aorta quickly climbed from both sides to the center.Two centimeters, one centimeter, five millimeters, all together!But it was not enough, the tough three-layer aortic intima, only the last layer remained, it could not withstand the huge pressure of the heart...

Gretel glanced at the electrocardiogram and sphygmomanometer, calmed down, and directed the little snake to turn around.Is it possible for the torn aortic intima to grow back in place?

Use healing techniques to call it out, cultivate it, let it continue to climb upwards, and return to the aorta!

Gretel never knew that such a refined use of healing techniques would put such a huge test on his mental strength.The mental power leaked out like a gate, guiding the blood vessels to grow little by little, and guiding the cells to arrange into the way they needed——

Fortunately, when he built the meditation core before, he recalled the construction of the aorta over and over again. Inside the figure of light, three layers of connective tissue were built, dense and elastic, and powerful blood vessels.Now, it's just a matter of doing it all over again.

All right!

Get on it!

Long time!

The little snake continued to go down and found the end of the aortic tear—cut open, release the blood in the false lumen, and increase the blood volume!

****
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　　We have a family downstairs who has no toothpaste. We are asking for toothpaste in the community group and are willing to exchange it with six boxes of Vitasoy. Our family supported the toothpaste and told him not to use Vitasoy. He still put Vitasoy at my door. up...

　　However, no one in our family drinks Vitasoy (in a daze) (in a daze)

　　
　
(End of this chapter)