This Doctor is Great

Chapter 23: Arterial dissection ruptured, blood pressure went crazy~~

When you see blood pressure and blood oxygen drop visibly with the naked eye,

At this moment, Zhou Mo felt a shiver all over his body, a cold war, and his whole body instantly became a hundred times more energetic.

However, for some unknown reason, Zhou Mo didn't panic, instead he was calmer.

At this critical moment, Senior Brother Chen Bing is not here!

It seems that I can only rely on myself!

In his mind, a wealth of knowledge suddenly emerged.

Zhou Mo quickly shouted: "Immediately notify the other doctors on duty in the western district to come over..."

"Epinephrine injection..."

"The current situation may be due to aortic dissection rupture and massive hemorrhage, and is in a state of shock, so fluids should be replenished as soon as possible... The patient opened three venous channels, only two were used, and the third was started..."

"Also, call Mr. Zhen Zhihang, who is on duty at the Interventional Diagnosis and Treatment Center, and may have an interventional surgery!"

Although it's a bit messy, it's good to be organized.

Zhou Mo looked flustered when he saw Huang Yiming beside him, and couldn't help kicking.

"Huang Yiming, what are you doing standing here... Quickly help!"

"Oh oh oh~~~"

Huang Yiming was really panicked, because at this moment his mind was chaotic and he was too nervous.

After being kicked by Zhou Mo, he quickly followed Zhou Mo's instructions to help the nurse hang water and squeeze.

Fortunately, this patient was expecting that the aortic dissection might rupture and hemorrhage, so the crystalloid colloid fluid was well prepared, and there were three meridian channels.

Adrenaline injection...

At this moment,

The ECG monitor beeps.

Everyone's expressions changed, and they all looked at the ECG monitor.

A "————————————" line!

The patient's heartbeat is gone again!

Left and right blood pressure imbalance! !

confirmed!

99% probability of rupture of aortic dissection!

(ps: The specificity and sensitivity of this feature are not high, and it is generally not regarded as the main diagnostic basis. But in the current case, the most dangerous aortic dissection rupture can be given priority.)

At this moment,

The ECG monitor beeps.

Everyone's expressions changed, and they all looked at the ECG monitor.

A "————————————" line!

The patient's heartbeat is gone!

Zhou Mo was startled, and when he reacted, he had to do CPR immediately.

Quickly approaching the bedside,

Put your hands together, and start pressing the heart outside your chest twice with a depth of 5cm for about 1 second...

cpr, start!

Why, after cardiac arrest, you need to do CPR?

It is not to activate the heart, but mainly to help patients with cardiac arrest maintain effective blood circulation in the human body, ensure the blood supply to important organs of the body, especially the brain, deliver oxygen to the brain, maintain the brain, and avoid brain damage and brain death.

According to a large number of data, half of the patients can be rescued within 4 minutes; 10% can be rescued successfully within 4 to 6 minutes; 4% of patients can be rescued after more than 6 minutes, and it is hoped that more than 10 minutes It's very slim.

Therefore, CPR can be said to be a race against time.

At this moment, Zhou Mo, like an experienced clinician, performed high-quality CPR for the patient...

Press 30 times, the first set is completed...

At this time, the nurse quickly put the oxygen mask on the patient's mouth and nose, fixed the "CE" technique, opened the airway, and ventilated...

After pressing for 2 minutes, an efficient CPR cycle was completed in Zhou Mo's hands.

but!

The patient's electrocardiogram was still a straight line, only the waveform that Zhou Mo pressed.

The 60-year-old wife who was accompanying her next to her was so nervous that she was in tears, for fear that her wife would be gone.

"continue!!"

Zhou Mo gritted his teeth.

The second cycle, continue to press!

The first group...the second group...the third group...

Sweat poured out of his forehead unknowingly. This was Zhou Mo's first real CPR rescue. The nervous world was blank, and only the patient remained in his eyes.

Sudden,

"I have a heartbeat!" Huang Yiming shouted in surprise.

"Yeah~~~" the two nurses cheered in a low voice.

Zhou Mo fixed his eyes on the ECG monitor.

The ECG showed normal QRS waves!

Heart rate 62!

Zhou Mo looked at the patient's blood pressure in surprise, 80/50...

Suddenly a burst of happiness.

At this moment, Zhou Mo felt a wave of weakness welling up in his heart, his whole body collapsed and powerless.

Doing cardiopulmonary resuscitation takes a lot of physical strength, especially in this state, the consumption is doubled.

However, the sense of happiness that saved a life filled Zhou Mo's heart, causing him to unconsciously reveal a bright smile.

"Zhou Mo, you are amazing!!"

The two nurses gave Zhou Mo a thumbs up.

It's hard to believe that Zhou Mo is just a medical student with one week of clinical practice.

At this time, the old patient let out a big breath.

rescued.

However, Zhou Mo still had a serious expression, because the **** of death had not left yet.

The patient's aortic dissection has ruptured and bleeding. Now the heart is beating, but the blood continues to bleed... If you don't solve the aortic dissection, it's useless to say anything...

At this moment,

The doctor on duty in the western district, Liu Ming, rushed over quickly.

"How is the patient?"

Nurse girl: "I stopped beating just now, but Zhou Mo is very good and successfully performed CPR..."

Zhou Mo's expression was grim: "This patient has a high probability of major aortic dissection bleeding. Although he has resumed the jump, his blood pressure cannot rise. Although he is already receiving fluids, he has also used vasopressors... I think an interventional operation should be performed immediately. Stop the bleeding..."

Dr. Liu Ming: "Did the doctor in the interventional diagnosis and treatment center make a phone call?"

Nurse: "I've been contacted, I'm coming back..."

Zhou Mo: "Contact the family, sign it, and don't do surgery, I'm afraid I won't be able to resist tonight..."

Zhou Mo's eyes turned to the patient's wife by the bed.

The 60-year-old aunt wiped her tears and said, "My three sons have already gone home. I'll call and ask..."

Zhou Mo looked serious: "Auntie~www.readwn.com~ You are the wife of the patient, you can sign the signature and perform the operation..."

Auntie shook her head immediately: "No, no, I don't have money, and it's useless if I sign. I want to ask my three sons for their opinions..."

The patient who had just woken up due to CPR heard this and passed out again.

Pissed off!

Zhou Mo: "…………"

Liu Ming, Huang Yiming, and the nurse: "......"

Zhou Mo urged: "Then you should fight immediately!"

Auntie nodded again and again: "I'll be right now, I'll be right now!!"

Picked up the phone, looked for the phone clumsily, and dialed.

The eldest son, the second son, the third son... One by one, they beat each other.

It's all open.

But the three sons were arguing, they were hesitating, they didn't want to make a decision, and who would share the medical expenses... They also asked Zhou Mo how risky the surgery was.

This made Zhou Mo and others lose their temper.

My uncle with a 28-bed heart stent next door, I was glad for a while, but luckily I gave birth to a daughter...

After 10 minutes, the intervention doctor Zhen Zhihang rushed back out of breath.

"How is the patient?"

"I was receiving a lot of fluids, but my blood pressure was difficult to maintain. My heart stopped beating just now. Fortunately, Zhou Mo pulled him back..."

"The interlayer is broken?"

"Most likely..."

"Then do the surgery, what are you waiting for!!" Doctor Zhen Zhihang asked with a look on his face.

"The family is still calling..." Zhou Mo pointed to the aunt who was in front of the ward window and kept calling with his three sons.

When Doctor Zhen Zhihang heard this, his face turned black!

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