Doctor: start with the heart

Chapter 3 Crisis
operating room.

Zhao Xu cooperated with Wang Ming's operation, and Li Haiyang, who was standing by the side and was prepared for Zhao Xu to take over without proficiency, seemed to have nothing to do.

This. . .

Is this the level of a doctor who just came in?
Standing beside Zhao Xu, Li Haiyang, who had been observing Zhao Xu, was very puzzled.

Such proficient skills and cooperation levels must at least be at the level of veteran doctors who have been engaged in clinical practice for decades.

Moreover, the level of decades-old doctors mentioned here refers to the level of this hospital, that is, the level of the First Affiliated Hospital. You must know that the emergency department of the First Affiliated Hospital is top-notch in the whole country.

The First Affiliated Hospital, the full name is the First Affiliated Hospital of Southern Medical University. If it weren't for Zhao Xu's graduation from Southern Medical University, and the First Affiliated Hospital, every year there are graduates from Southern Medical University who are selected to stay in the school. Zhao Xu If you come in through ordinary channels, at least you have a Ph.D.

However, even though Zhao Xu had stayed in the emergency department of the First Affiliated Hospital, he was still at the bottom of the food chain, because besides the interns, the doctors who came here for advanced training and regular training were at least graduate students.

"Xiao Zhao, not bad."

Wang Ming also looked up at Zhao Xu and said appreciatively.

After speaking, Wang Ming lowered his head and began to operate.

Zhao Xu, on the other hand, continued to be the first assistant proficiently, while Li Haiyang, who was originally the first assistant, could only be the second assistant of the hook.

For Wang Ming, he has done a lot of laparotomy and exploratory surgery, but it is because the blood vessels are relatively concentrated in the hilar area of ​​the liver, which is more difficult, so he came to perform this surgery himself. .

Of course, there is also one reason for this. It took too long for the patient to go from the scene of the accident to the operating table in the hospital. Patients who have been in hemorrhagic shock for a long time have very unstable vital signs. , most likely cannot be saved.

But fortunately, the operation has gone smoothly so far. Not only the damaged blood vessel in the hilum of the liver was successfully found, but also the blood vessel was repaired.

However, it is normal for a big shot like Wang Ming to preside over the operation.

"Trimming."

Wang Ming said to Zhao Xu in a deep voice after he had just sewed up the damaged blood vessel at the hilum of the liver.

"Okay, Director."

Zhao Xu picked up the surgical scissors and cut the sutures short where they were knotted.

Call ~
Everyone in the operating room let out a long sigh of relief. The damaged blood vessels have been treated, and the next thing to do is to repair the damaged part of the liver, and the operation can be completed by closing the abdomen.

drop!drop!drop!
At this moment, in the operating room, a sharp alarm sounded suddenly.

Zhao Xu looked up and saw a red light on the life monitor, blinking non-stop, and making a sharp alarm sound.

"Director, the patient's blood pressure is dropping rapidly! It has dropped to 60/40mmHg!"

Anesthesiologist Yang Lin looked at the life monitor and said to Wang Ming eagerly.

how come?
This is the first thought of the people in the operating room.

Obviously the operation went smoothly, and the damaged blood vessels in the liver were repaired, why did the patient's blood pressure drop suddenly!
"Norepinephrine, 1 mg IV, hurry up!"

Although Wang Ming was shocked by this sudden change, he quickly reacted and said to the anesthetist Yang Lin.

"it is good!"

Yang Lin didn't dare to delay, and immediately injected the patient with norepinephrine.

A powerful booster drug such as norepinephrine was injected into the body, and the beeping of the alarm stopped, and the flashing red light on the life monitor disappeared.

But everyone in the operating room knew that this was only temporary. If the cause of the rapid drop in blood pressure could not be found in the patient's body, there would be no medicine to use when the effect of the norepinephrine passed!
Therefore, in the short period of time when norepinephrine is still in effect, it is necessary to find the cause of the sudden drop in blood pressure, otherwise, it will be impossible to recover.

What is going wrong?
At this moment, everyone in the operating room was thinking non-stop. The accident happened so suddenly that even a boss like Wang Ming didn't have a clear idea in his mind for a while.

Just when everyone was at a loss, Zhao Xu suddenly looked up at the electrocardiogram on the life monitor, and a flash of lightning flashed across his mind, perhaps because Zhao Xu was now in the state of Dr. Zhao Xu could clearly see the examination results and vital signs, especially the subtle changes.

Zhao Xu saw that on the life monitor, the electrocardiogram representing the patient's heartbeat curve had undergone a slight change compared to before. This change was due to the flat T wave. change.

Low and flat T waves in the electrocardiogram can be caused by many conditions, such as myocardial ischemia, coronary syndrome, etc. Now, Zhao Xu must find the most likely one among the many reasons!
"Xiao Zhao, Xiao Li, the two of you will cooperate with me to perform a joint incision on the chest and abdomen!"

In a moment, the situation was critical, and Wang Ming made a decision.

Since it is impossible to know where the problem is, the only way to do it is to open the entire chest and abdomen. In this way, all the organs in the chest and abdomen can be seen, so that it can be seen at a glance.

"But, Director, wouldn't this be too risky?!"

Li Haiyang couldn't help but speak.

The so-called combined chest and abdomen exploration is to cut open the patient from the lower abdomen to the chest, exposing all the internal organs of the patient's chest and abdomen.

If you do this, the incision will be too large, and the tissue trauma will be extremely serious. Even if the cause of the sudden drop in blood pressure is found and resolved, the severe traumatic shock caused by such a large incision may be fatal. .

In other words, we are now in a dilemma. Without such a large incision, it will be difficult to find the cause of the disease, but if such a large incision is made, the shock caused by severe trauma will also be fatal!
"No way, that's the only way!"

Wang Ming felt a little helpless between his brows. If he had the choice, he didn't want to choose such a risky surgery, but clinical surgery is like this. Even if it is a fully prepared surgery, there may be accidents of one kind or another. , not to mention this kind of trauma patients who suffered serious traffic accidents.

Hearing Wang Ming's words, the people in the operating room also looked helpless. This is the limitation of medicine. Doctors are not gods. Doctors can't solve all the problems of patients.

At this moment, a voice suddenly sounded in the operating room.

"Director, I have an idea, you can try it."

(End of this chapter)