26.

In fact, Ye Feng was very clear.

The core of medical treatment is to relieve pain, lower blood pressure, and reduce the pressure on the aorta. The second is to reduce the fluctuation range of blood pressure, reduce pulse pressure difference and reduce left ventricular pulsatile tension.

Because severe chest pain can worsen hypertension and cause tachycardia, it should be relieved quickly.

“The patient’s blood pressure is showing signs of rising again.” The nurse indicated.

“Morphine 5mg can be injected slowly intravenously!” Ye Feng quickly responded and said.

The nurse did not dare to act rashly, and Chen Hai nodded.

That’s why she dared to prepare.

It seems that this Ye Feng really grasps all the steps quite well.

Excellent knowledge!

One of the nurses asked, “Can β blockers be used?” ”

After Ye Feng heard this, he immediately vetoed it, shook his head and said: “β receptor blockers are only suitable for those with mild increases in blood pressure, and this pregnant woman’s current situation is not suitable. ”

“Intravenous injection combined with sentinel sodium to control the patient’s blood pressure and reduce the heart rate to control the systolic blood pressure at 100-120mmHg, and the heart rate to 60-80 beats/min.”

“Intravenous infusion of sentinel sodium 20ug/min.”

According to Ye Feng’s step-by-step operation, the nurses cooperated in place.

Ye Feng stared at the monitoring of blood pressure and slowly increased.

“Betalox is given 5 mg intravenously every 5 minutes until the target heart rate level is reached, but remember not to exceed 15 mg. Calcium can also be used in combination! ”

Ye Feng’s command was still methodical, and I don’t know when, Ye Feng became the core commander of the audience.

Through a series of operations.

The nurse came with the news: “The patient’s blood pressure is starting to normalize. ”

There was indescribable excitement in the voice.

“Prepare Verapami!” Ye Feng.

Verapamil is a drug that combines vasodilation and negative inotropes.

“To patients, intravenous propranolol 1 mg/4-6 hours.”

Ye Feng can always command one step ahead, which greatly saves time costs.

To maintain a stable state, Director Chen Hai will complete the thoracotomy surgery in five minutes.

“Ye Feng, come and take the handle!” Chen Hai also realized Ye Feng’s strength.

Ye Feng quickly came over to help.

However, at this time, the mutation occurred again, and Director Chen Hai was a little faint.

“Doctor Chen!” A nurse was taken aback and quickly helped Dr. Chen.

“It’s okay, because there was something delayed, I didn’t catch up with the meal, which caused low blood sugar.”

Dr. Chen waved his hand and said.

What can be done about this?

Director Chen Hai is the chief surgeon of the heart surgeon, once hypoglycemia, it will definitely delay the patient’s condition and tension.

“Give me some glucose!”

“Ye Feng, have you ever opened a knife?” Chen Hai stared at Ye Feng and asked.

“Drive it!” Ye Feng nodded.

“Can I complete the open heart surgery in five minutes?” Chen Hai took a deep breath.

He was going to go on his own, but his physical condition did not allow it.

The patient is on the line, and he can only gamble.

I thought that Ye Feng had always had excellent strength, and he had completed a miraculous operation before.

This had to make Chen Hai bet on Ye Feng this time.

It only takes a moment for him to regain the main knife!

“No problem!! Director Chen, you take a break, leave it to me here!” ”

Ye Feng took a deep breath, there was a long way to go!

In the operating room, the rest of the members were a little stunned.

Is Director Chen serious?

Ye Feng is just an intern!

But this is not a time for argument.

No matter how much doubt you have, you have to bite the bullet.

Ye Feng’s thoracotomy surgery was quite rapid, and he had completed the thoracotomy in less than five minutes.

Ye Feng did not stop in the slightest.

Now he will puncture the left radial artery and insert a 5F or 6F radial sheath.

The loach guidewire was used to guide the 5F pigtail catheter from the radial sheath through the left subclavian artery to the ascending aorta.

The so-called pig’s tail catheter is a medical instrument.

Not only that, but he needs to.

Based on the results of spiral CT or MRA examination of pelvic and double lower extremity vessels and surface vascular examination, the iliofemoral artery that was not affected by dissection was selected for skin incision and vascular freeization, and the free femoral artery was punctured under direct vision and placed in the 6F artery sheath.

After systemic heparinization was achieved with 1 mg/kg intravenous bolus heparin, 0.035 inchX260 cm was delivered from the sheath canal.

Super-hard guidewire and place its head end inside the ascending aorta.

Every step is done with care, and there is no room for error.

Intubate the right atrium and cut the ascending aorta and aortic arch.

Transverse three brachiocephalic vessels.

“Hand me the stent vessel!” Ye Feng had already reached a critical step.

The stent vessel is selected for implantation through the distant port of the aortic arch, descending the true lumen of the aorta.

Then release the stent blood vessels.

At this time, Ye Feng chose a four-bifurcated artificial blood vessel with a diameter comparable to the stent blood vessel.

A section is then stitched together.

All processes are very smooth.

Ye Feng’s charismatic personality also conquered the nurses and doctors present.

Is this really an intern?

PS: Plus even more!! I hope that if you like it, you can vote for more flowers, and see that the author will definitely add more!! Most of my doctors’ texts are very bizarre and incurable diseases, and there are many surgeries. Hope to support it!



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