White armor

Chapter 173 Just as he was about to drink Meng Po soup, he was fished back

[Emergency mission: dying person.

Mission content: Successfully rescued a patient with ruptured aortic dissection.

Task time: 2 hours.

Mission reward: Bad Luck Charm +2. 】

Luo Hao did not complain about the reward of the Bad Luck Talisman, but directly clicked his tongue at the content of the task.

The mission made it very clear that it was not an aortic dissection, but a ruptured aortic dissection!
If that thing breaks, the patient will definitely die within one minute! How to save? !

Do you really think you have a resurrection card?

"Boss, I'll go." Luo Hao shouted directly.

Although he was complaining about the mission, Luo Hao's gentle expression disappeared unknowingly, and there seemed to be a horn sound in his ears.

Finished!

"Professor Luo, this side!"

In other words, the patient's blood pressure seems to be stable now, but it is the blood pressure at a certain point within 0-5 minutes, not the current blood pressure.

After Luo Hao finished shouting, he put the monitor on the flat car. At this time, the blood pressure value measured by the monitor had appeared - 60/30 mmHg.

Luo Hao reached out for the film and at the same time looked at the ECG monitoring values.

"dududu~~~"

"Family members of the patient, follow me!" Luo Hao shouted loudly, regardless of who was the family member of the patient. At the same time, Luo Hao squeezed the salt water tightly and used his hand as a pressurized infusion set.

"Which patient is seeking interventional consultation?" Luo Hao shouted loudly from one side of the corridor.

"brine!"

Damn, this is the emergency department. Blood pressure is measured with a cuff, and the minimum time is 5 minutes.

Luo Hao rushed into the emergency room.

Chen Yong was startled, but there could only be one voice in the medical team. This was an emergency, and he could never question Luo Hao's decision.

"The blood pressure is under control with a micropump. It has come down. I just gave a dose of morphine for pain relief." The emergency doctor is well-trained. While talking about the treatment he gave, he took out the tablets from the tablet bag and shook them out of habit. one time.

The emergency doctor's heart froze, and a cold air rushed from his heels to the back of his head.

At the same time, Luo Hao shouted, "Chen Yong, go to the operating room and prepare for surgery!"

"Where's the movie?"

The alarm continued to sound, and the patient's heart rate had increased to 120 beats/min.

Although the treatment was seamless and the blood pressure was well controlled, the patient's aortic dissection aneurysm still ruptured!

The alarm sounded and the patient's heart rate rose from 95 to 110.

The doctor in the emergency department saw that it was Luo Hao and pointed inside.

"Professor Luo, your blood pressure is okay, don't be nervous." The emergency doctor smiled and reassured Luo Hao. She felt that Professor Luo Haoluo was a little nervous.

The film made a snapping sound, and the refreshing energy of emergency first aid was fully displayed.

"桄桄桄桔~~" The emergency flat car rolled over the marble floor and rushed out of the emergency room.

"Fuck!" Luo Hao didn't pick up the film and strode forward to press the button to measure blood pressure.

"Brush~"

He turned and ran, twice as fast as when he came, running faster than a rabbit.

Chen Yong was startled for a moment, and was about to make a habitual taunt, but the aura emanating from Luo Hao reminded him of a forty-meter sword.

"Send the patient." Luo Hao was about to take the film, but a dark shadow suddenly flashed in his heart.

The sound echoed in the corridor of the emergency department, like an echo in an empty valley.

Blood pressure: 110/75 mmHg; heart rate: 95 beats/min; blood oxygen saturation 96%.

Professor Luo probably panicked when he heard about aortic dissection and aneurysm.

"dududu~~~"

Luo Hao finally breathed a sigh of relief, but only one breath.

Following Luo Hao, the two of them trotted to the emergency department.

Also, for such a young professor, although it is said that the level of chronic surgery is very high, the same cannot be said for emergency surgery.

wrong!

The damn aneurysm hasn't burst yet!
It would be excusable if it breaks again after being put on the operating table. As long as the operation is carried out as soon as possible, the break can be blocked before the patient dies.

The system is very reliable, and if the dissecting aneurysm is clearly marked as ruptured, it will definitely rupture!
hurry up!

"Abdominal aortic dissection aneurysm, take a look with your palm and do emergency treatment." The emergency doctor was not very anxious.

The rescue room was very quiet, with the monitor and micropump ticking quietly.

Okay.

A child who was suffering from tetanus was crying. After hearing Luo Hao's voice, he suppressed his crying and stared at the flat car running past with wide eyes.

A patient who was complaining that no one was paying attention also subconsciously shut up.

If no one cares, then no one cares. It's better than doctors and nurses who all look nervous and push a flat cart to grab every second.

……

Chen Yong ran quickly, his right hand tapping on his cell phone.

"Mr. Ma! Interventional operating room!! The aortic dissection has ruptured!"

When the phone was connected, Chen Yong shouted loudly.

Yelling, which Chen Yong originally despised and considered the most beautiful demeanor, has now become a natural habit.

"immediately!"

The person in the operating room spoke slurred words and must have been eating.

Chen Yong immediately hung up the phone and continued to call while running wildly.

"Lao Meng, operating room, rescue! Take the nurse with you!!"

Meng Liangren didn't say anything, so Chen Yong hung up the phone and made the next call to Yuan Xiaoli.

"Director Yuan, the dissection is ruptured, prepare for surgery!"

"Wait a minute, you idiot!" Yuan Xiaoli reacted very quickly, "If the mezzanine is broken, you are awesome if you can push the patient to the operating room!"

Yuan Xiaoli always disliked Chen Yong. Although he knelt down, it was because of Luo Hao and had nothing to do with Chen Yong.

So Yuan Xiaoli seized on a "flaw" in Chen Yong's words and started to criticize him directly.

"Luo Hao pushes the patient to the operating room. If you have the ability, you will do nothing!"

While he was talking, Chen Yong had already arrived at the interventional catheterization laboratory, reached out and pressed the fingerprint lock to open the operating room door.

Chen Yong opened the door, hung up the phone, and shouted sternly, "Yuan Xiaoli, Luo Hao will be here soon."

After saying this, even if it was an emergency, Chen Yong was stunned for a moment.

Words like the fox pretending to be the tiger's power come to mind.

"The diagnosis is correct?" Yuan Xiaoli appeared in the corridor with a frown.

"Damn it, don't be so fucking annoying. If the patient is not ready after being pushed over, Luo Hao will fucking curse us both to death. Hemostatic forceps will hit you in the face, believe it or not!"

Yuan Xiaoli was startled for a moment, and then found something to cover the door of the operating room, so that when the patient came in, there would be no need to open the door.

Although it will only save 3-5 seconds, it must be striven for.

"You go prepare the things needed for the operation, and I'll make a call!" Chen Yong began to direct Yuan Xiaoli.

Yuan Xiaoli was dubious, but still took the time to prepare various consumables and salt water.

"Emergency department? What was the name of the patient with aortic dissection just now?" Chen Yong continued to call and walked to the computer to open the imaging system.

Enter the patient's name and the image appears.

Dissecting aneurysm of the abdominal aorta, located beneath both renal arteries.

Chen Yong saw the location clearly and took a photo with his mobile phone.

"Click~"

"Rumble~~~~"

Just after taking the photo, the roar of the flat car came in.

"Professor Luo, what patient?"

"Aortic dissection has ruptured, blood pressure is 30, hurry up and get surgery!" Luo Hao's voice was a little hoarse.

Yuan Xiaoli was really stunned.

It is common sense that patients with ruptured aortic dissection can only live for 1-2 minutes at most.

The largest blood vessel in the human body had a hole, and it was bleeding profusely. It was like holding the sky for 2 minutes. Luo Hao pulled a dead man over to fuck?
Before Yuan Xiaoli could finish thinking, a huge force came.

Luo Hao pushed Yuan Xiaoli away with his shoulder, and without even scolding him, he pulled the flat cart and rushed into the operating room.

The patient has a high blood pressure of 30, and it seems that he still has blood pressure, but it is most likely a "false" value caused by the death-like twitching of the vascular smooth muscle.

The patient in front of him is most likely dead, but he has not cooled down yet.

But there is still 100-150 seconds between this death and real death.

The system has already given a death countdown.

The numbers on the pale system panel passed indifferently.

00:00:01:23.

1 minutes 23 seconds.

"Movie." Chen Yong waved his cell phone in front of Luo Hao's eyes.

Luo Hao saw the location of the dissecting aneurysm and had an idea. Although it has been tested several times in the system operating room, it is still necessary to see the actual situation.

After just one glance, Luo Hao and Chen Yong stood on both sides of the operating table and the flat car, picking up the patient's clothes and dragging him to the operating table.

00:00:01:08.

"Close the door and step on the line!" Luo Hao said in a deep voice while taking off the patient's pants.

"You're fucking crazy!"

Chen Yong was stunned.

But Luo Hao ignored him, put on sterile gloves, grabbed a handful of iodophor, rubbed it on the patient's femoral artery, and sprinkled a handful of red soup on the patient's femoral artery.

Luo Hao stood in front of the operating table and started puncture without changing clothes or wearing lead clothing.

"Chen Yong, go and explain to the patient's family and sign before the operation."

After Luo Hao finished speaking, the puncture needle had successfully punctured, and thin blood appeared.

Chen Yong took a look, and he was not even sure whether Luo Hao's puncture was successful.

Femoral artery, that's the femoral artery, just a little blood? The color is still so light?
Chen Yong turned around and closed the door.

"Director Yuan, prepare saline water and high-pressure infusion."

Luo Hao completed the puncture and left the arterial sheath in place. He didn't even have time to fix the arterial sheath. The countdown to death was silently urging him.

00:00:00:55.

It takes about 10 seconds to complete the femoral artery puncture and catheterization, which is appalling.

But Luo Hao had no time to be complacent. He crossed his left and right hands and guided the pig tail tube in with the guide wire. Luo Hao directly made a shot.

Confirm the location of normal blood vessel segments and the location of both renal arteries.

00:00:00:25.

The balloon was delivered to the intact segment above the bleeding site and between the renal artery, and Luo Hao opened the balloon.

While Yuan Xiaoli squeezed the salt water and turned himself into a high-pressure blood transfusion machine, he was shocked at Luo Hao's speed.

00:00:00:08.

The balloon is inflated, the system screen starts flashing, and the countdown stops.

But the countdown did not disappear, and a new countdown appeared immediately.

00:05:23:02. Luo Hao was not surprised, this was normal.

Temporarily block the top of the bleeding point to prevent the "delicate" organs in the body from continuing to lose blood.

The tolerance time of ischemia and hypoxia in the heart, liver, lungs and kidneys is not long.

The muscles of the lower limbs have stronger tolerance and can theoretically last up to 8 hours.

The system gave more than 5 hours of judging, which is considered relatively short.

Luo Hao was temporarily relieved and stopped stepping on the line.

"Damn, are you crazy!" A woman's voice appeared, the airtight lead door was kicked open, and the female boss strode in while chattering.

She was wearing a long sterile gown unique to the operating room, and a simple lead coat draped over her body. She was striding forward, sassy and powerful.

"Luo Hao, you're not even wearing a lead suit, you're going to die!" Ms. Ma scolded.

She cursed and quickly opened the anesthesia first aid kit.

Then various different drugs were pushed in from the three-way tube.

Huh? nice.

Luo Hao now had time to survive, and saw that the female massage therapist was quick in her skills. Although her words were unforgiving, her actions were quick.

Swearing is okay, as long as it doesn't delay things.

"While eating hot pot and singing songs, you brought a dead person on stage. I have never seen such an outrageous thing in so many years."

After the female anesthetist finished administering a wave of medicine, she started to monitor the arterial blood pressure.

Arterial blood pressure monitoring is real-time and is countless times more reliable than a cuff.

Blood pressure 45/23 mmHg.

Another round of medicine was pushed in.

At this time, Luo Hao had already put on the lead clothes, and came back after brushing his hands to re-sterilize and lay out sterile towels.

"Is the red soup served?" asked the female boss.

The red soup is iodophor, and the red soup refers to an emergency, and only the most basic disinfection with iodophor can be used before starting the operation.

After all, no matter what, the time is still 1-2 seconds.

"Well, temporarily block it above the breach and below the renal artery." Luo Hao nodded, "Anesthetize it."

"How long did the blood loss last?"

Another shot of adrenaline went in.

"It should be in less than 5 minutes." Luo Hao stood on the operating table, "Director Yuan, come and help me."

At this time, Meng Liang and the nurse also rushed over panting. Meng Liang was responsible for countless troublesome tasks such as drawing blood, sending blood tests, and sending blood samples to the blood transfusion department.

Luo Hao was not verbose, nor did he direct Meng Liangren.

The old chief knew what he was going to do.

Although the team has not been working together for a long time, Luo Hao believes in them.

I just need to do the surgery and leave the rest to Chen Yong and Meng Liangren.

"18:23:12, both lower limbs blocked." Luo Hao said softly.

"Remember the time and tell me when the time comes." The female boss said carelessly.

"Blood pressure rose to 52."

"Blood pressure 55."

The female boss was doing her own thing while reporting her blood pressure without Luo Hao looking up.

In less than 5 minutes, the blood pressure rose to 82/55 mm Hg, which was even better than the best situation Luo Hao had expected.

It's perfect!
"Mr. Ma, what's your surname?" Luo Hao asked.

"What are you doing!" The female general manager did not answer Luo Hao's words, but continued to test the patient's condition.

"Her name is Liu Yiyi, and she is the only one in the anesthesia department who is too embarrassed to say her name." Yuan Xiaoli chuckled.

"Girlish name, Lao Yuan, don't you do all the emergency surgeries? Why did you change the person today?" Liu Yiyi asked.

"..." Luo Hao sighed.

This man worked extremely quickly, pushing tubes of medicine in without hesitation, without any hesitation, and without thinking about whose fault it would be if the patient died.

The chief resident of the anesthesiology department has countless merits, and he is also very clear-minded. He can stir up dissension and use harsh words. He can knock Yuan Xiaoli into the corner with just one sentence.

"..." Yuan Xiaoli was speechless.

He glanced at the blood pressure value on the ECG monitor and then at the screen in front of him, without even farting.

Yuan Xiaoli knew very well that if the patient had been rescued by himself, he would have died long ago.

Can aortic dissection and ruptured aneurysm be recovered?
This is a myth, the kind that no one would believe even if you say it while drinking and bragging.

Everyone would rather believe in love, believe that you can get married without a betrothal gift, believe that your girlfriend will buy you 4090, and you will never believe that a patient with a ruptured dissecting aneurysm can survive on stage.

Yuan Xiaoli's nose felt sore and she almost stopped crying.

He had long since lost the thought of competing against each other. Luo Hao's level was ridiculously high, and today was just another proof.

I don’t know what others think, but I just can’t do it myself.

"Professor Luo, you are awesome!" Liu Yiyi saw that the patient was breathing spontaneously, and she pinched the ball a little slower, and began to admire, "Aortic dissection can be recovered even if it is ruptured."

"Good luck." Luo Hao was showing off.

But these words turned into modesty in the ears of Liu Yiyi and Yuan Xiaoli.

However, Luo Hao was really showing off his luck.

"The location is just below the renal artery. If it is above the renal artery, there is nothing I can do." Luo Hao told the truth.

"I have never heard that a ruptured aortic dissection can be recovered. The patient's stomach is bulging, and he is probably full of blood." Liu Yiyi said, "Have you sent the blood sample?"

"Sent it, the nurse sent it." Meng Liangren was busy in a lead suit. He regarded everyone as a superior doctor and took the initiative to "report".

"Oh, it's okay. It's time to do the pre-operative explanation." Liu Yiyi helped to check for any gaps.

"When I ran in, I saw the patient's family members paralyzed." Meng Liangren said, "Dr. Chen grabbed the patient's hair..."

"What?" Liu Yiyi was stunned.

"Uh, he just grabbed the patient's family member by her hair and pinned her to the wall. Bang?" Meng Liangren frowned and found a related adjective, "Dr. Chen banged the patient's family. He loudly asked for permission for the operation and nodded."

"Holy shit! Why is your interventional department so much better than the surgery department?" Liu Yiyi cursed.

But the emotion in her words was praise and appreciation.

"Then what?" Yuan Xiaoli asked in surprise.

Bidong's family members forced them to sign before surgery. He couldn't even think about such a thing.

"I don't know. It's a family member of a female patient. Dr. Chen's presence is enough." Meng Liangren told the truth.

"Doctor Chen? Is he the new scourge?" Liu Yiyi asked doubtfully.

"Disaster?"

"The little nurse in our operating room talks about Chen...Chen Yong every day, and she is very happy."

"..." Luo Hao sighed inwardly and sent the big shelf in.

Just focus on getting the brace off, it doesn't matter what Chen Yong looks like to others.

"It's okay." Meng Liangren took some time to reply, "Dr. Chen should be able to get the signature done."

The patient's blood pressure was stable and he was breathing spontaneously. General Manager Liu Yiyi gave him a certain amount of sedative drugs. The dosage was very well controlled. The patient was not agitated and could answer questions simply.

The rescue was timely and the patient's brain did not fall into a state of hypoxia and necrosis.

It can even be said that the entire rescue was almost perfect. Even if you wear tinted glasses to find faults, you can't find any flaws.

Even so, General Manager Liu Yiyi was not careless. Now the patient's blood pressure was only boosted by the medicine.

The patient's abdomen was so full of blood that he would be damned if it had no effect.

Now is just the first step to a successful rescue.

"When will the blood arrive?" Manager Ma Liu Yiyi asked.

"I'm urging you, there are still about 3 minutes left." Meng Liangren answered truthfully.

Mr. Ma Liu Yiyi frowned slightly.

Not to mention the interventional team, even the surgical team rarely sees such tacit cooperation.

The patient stepped on Naihe Bridge with both feet, held Meng Po soup in his hand, and even took a sip.

Just like that, Luo Hao and his team actually dragged the patient back.

This is almost a miracle.

Not only does Luo Hao have strong surgical skills and sufficient rescue awareness, but the overall smoothness of the team's operation is also top-notch.

Someone was responsible for all the trivial things, and almost nothing was missed.

Mr. Ma Liu Yiyi was just thinking when Meng Liangren stood behind Luo Hao holding an A4 paper and a ball pen.

"Professor Luo, let me record the rescue time."

"At 18:18:48, the patient's abdominal aortic dissection ruptured in the emergency room. He was given symptomatic treatment and rushed to the interventional operating room."

"Enter the operating room at 18:21:57."

"Both lower limbs blocked at 18:23:12."

"You and Sister Anesthesia Liu will discuss the rest." Luo Hao said a few numbers lightly.

Meng Liangren recorded it truthfully and did not ask how Luo Hao remembered the numbers accurate to the second.

"Hello, Teacher Liu." Meng Liangren was older than Mr. Ma Liu Yiyi, but he did not ask to call him Xiao Liu, but respectfully called him Teacher Liu.

"Now that the patient's vital signs are stable, shall we review the anesthesia record sheet?"

"Okay." Manager Ma Liu Yiyi agreed without hesitation.

The rescue record must be correct sooner or later. Do it now to save time and effort, and avoid having to revise it again and again if everyone remembers it differently later.

Luo Hao's medical team is quite interesting. They find every opportunity in their busy schedule and really don't waste any time.

Even the check of rescue time starts when the patient's condition has just stabilized.

A few minutes later, the nurse came back panting heavily holding a pile of blood bags.

"Teacher Liu, please face me first while I check the blood sample with the nurse." Meng Liangren said methodically.

10u red blood cells, 400ml plasma, 2u platelets, this is the blood stocked by the First Hospital of the Medical University.

The 120 ambulance has gone to the blood bank in the city center to collect blood again.

Everything is in order.

There was no plasma heater in the interventional catheterization laboratory, so Meng Liangren did not hesitate to stuff the blood into his arms and use his body temperature to increase the temperature of the red blood cells.

"Give me one." Chen Yong walked in, asked for two bags of blood to warm with his body temperature, and sat down in front of the computer to start writing the pre-operative instructions.

20 minutes later, Luo Hao pulled out the guide wire and gave another angiography shot. The dissection breach was completely sealed and the operation was successfully completed.

At this time, the patient's blood pressure was 85/65 mmHg, and he was clear and clear, but slightly apathetic.

It's normal to be indifferent. If you're still alive and kicking after being dead for more than a minute, then you've seen a ghost.

"Send it to the ICU." After Luo Hao finished speaking, he made a stab.

Then a heavy object fell to the ground.

Manager Ma Liu Yiyi was shocked to see the calm old chief following Luo Hao and picking up the lead clothes and money skirts one by one.

Professor Xiao Luo’s spectrum is a bit big, Manager Ma Liu Yiyi thought in her mind.

But there was a reason for the show. The patient had a ruptured abdominal aortic dissection and was rescued from the emergency department to the operating room in less than an hour.

Tsk tsk.

Great!

"Luo Hao, the patient's family members sign here." Chen Yong was sitting in front of the computer in the operation room, thinking hard.

(End of this chapter)