Zheng Ren strode into the operating room.
Song Moji was fine one second, but the next second, he had symptoms of anaphylactic shock.
Mucocutaneous manifestations are the earliest and most common signs of anaphylactic shock. Copper coin-shaped maculopapular rashes appear directly, giving people a strange feeling quickly.
Only this time, the symptoms were not localized, but flushed all over the body.
Song Mo's skin flushed, followed by extensive rash and angioedema, and even vague symptoms of systemic edema appeared in just 1 second.
Upper respiratory tract edema and obstruction due to airway laryngeal edema, spasm, and tracheal catarrhal secretion.
In Song Mo's disease, airway pressure increases and airway resistance increases.
At the same time, her lower respiratory tract was edematous and pulmonary secretions increased, resulting in insufficient gas exchange, insufficient oxygen supply, and decreased blood oxygen saturation.
In fact, Song Moqi became cyanotic in an instant.
Edema occurred in the upper and lower respiratory tracts at the same time, and his condition deteriorated rapidly. If it were not for the ventilator to assist breathing, Song Moqi might not be able to be saved at this time.
Due to capillary penetration and blood vessel dilation to the point where the blood volume is absolutely or relatively insufficient, the amount of blood returned to the heart is reduced, and Song Mo's blood pressure plummets to 80/50mmHg.
This was just the beginning, her arterial pressure was still falling crazily.
The heart rate soared to more than 120 beats/min, the pulse was thin and rapid, and the limbs were cyanotic and cold.
These were all within Zheng Ren's expectations.
He rushed into the operating room and shouted: "Suction, keep the airway open!"
The anesthesiologist didn't react. It was all calm and peaceful just now. Why did all the instruments start to scream crazily in just one moment
Is it a machine failure
There won't be any machine failures at the same time. These are the most advanced instruments in the world and are very well maintained.
"Suction!" Zheng Ren kicked the anesthetist on the outside of his thigh.
No force, just violence to wake up the anesthetist.
"Oh." The anesthesiologist staggered and immediately realized what he should do now.
After all, he is a top anesthetist, well trained.
In the shortest possible time, he picked up the sputum suction tube and inserted it through the endotracheal tube.
A hissing sound was heard, and a large amount of respiratory secretions were sucked out.
When Zheng Ren saw that the anesthesiologist was moving, he ignored him and continued to yell: "Su Yun, raise your head 15° and raise your lower limbs 15°."
Su Yun was awe-inspiring.
Although he was prepared, he did not expect that the anaphylactic shock would occur so quickly.
Elevating the head and lower limbs is an aspect that is easily overlooked during the rescue of anaphylactic shock.
Doing so will help the venous return of the brain and lower limbs to increase the pressure difference. It can also prevent a sudden increase in carotid sinus pressure and a reflex drop in blood pressure.
This is a detail that few people notice, but is extremely important!
"Epinephrine 0.5 mg intravenously!"
"Hydrocortisone 200 mg intravenously!"
"Adrenaline 0.5 mg intravenously again!"
The anesthesiologist looked at the ECG monitoring and subconsciously reminded: "Dr. Zheng, the ECG monitoring is in the sinusoidal wave pattern. Consider ventricular flutter. Give me amiodarone."
He spoke carefully and did not dare to offend Zheng Ren easily. Even if it was an emergency rescue, he still wanted to respect Zheng Ren's opinion.
Dr. Huo was slapped against the wall and is still sitting there in confusion with his head in his hands.
"It's not ventricular flutter." Zheng Ren said with certainty, "Do a limb lead electrocardiogram."
Heyang Hospital is relatively advanced, and the leads are all in the chest area.
Zheng Ren said that limb lead electrocardiogram is an electrocardiogram in which the limbs also participate in the leads.
The anesthesiologist was startled.
During emergency rescue, if ventricular flutter occurs, shouldn’t it be dealt with immediately? How could you think otherwise
The continuous, regular, wide, and deformed QRS waves look so "ugly".
This is one of the waveforms that circulators fear most, meaning patients are difficult to revive.
The duration of the QRS wave is long, more than 0.12s. The QRS wave has an upward and downward amplitude like a sinusoidal curve and is difficult to distinguish from the T wave.
All this proves that Master Song has ventricular flutter!
Although the QRS wave frequency did not reach 180 times/minute, the P wave did not disappear either. But the wide QRS waveform tells the anesthesiologist that this is ventricular flutter!
Must be rescued.
He really wanted to give Master Song an intravenous injection of amiodarone right away, but the slap Dr. Zheng just gave...
Let's do a limb lead electrocardiogram.
Even if something unexpected happened to Master Song, he had fulfilled his duty.
It's Master Song's problem that he doesn't recognize people well. And this arrogant and domineering Dr. Zheng forcefully refused his reminder, so everything that happened had nothing to do with him.
The anesthesiologist quickly connected his limbs to conduct the ECG, but when the ECG appeared, he was stunned.
It is not ventricular flutter at all, P-QRS-T is clearly visible, and the sine wave pattern should be caused by mutual interference between instruments.
this…
The anesthesiologist looked at the clear P-QRS-T waveform and was extremely confused.
In this case, who gave him the courage to make a judgment about machine interference? !
"Pay attention to the suction!"
"Ansima 100mg intravenous drip, pay attention to low speed."
"5% glucose 1000mL, metahydroxylamine, dopamine..."
"Mannitol 250ml quick infusion!"
"Ulinastatin injection 100,000 units, intravenous drip!"
Zheng Ren gave medical orders one after another, one after another.
In the entire operating room, everyone was whipped by the invisible whip formed by the doctor's orders, and they started to move crazily.
Zheng Ren stood not far away, his field of vision just covering the entire rescue scene. No matter who makes a mistake, he will be mercilessly reprimanded.
Su Yun was the only one in the audience who ran like flying without making a single mistake.
Gradually, the alarm sound in the operating room began to weaken.
One machine after another returned to normal, Song Moji's vital signs began to stabilize, his blood pressure slowly rose, and his overall condition gradually improved.
It took half an hour for the operating room to become completely quiet.
Looking at the stable and normal ECG monitor and the values on various instruments, all the doctors and nurses at the hospital felt like they were in a dream.
Nightmare.
But under the command of this young public hospital doctor, the ending was perfect.
The menacing anaphylactic shock still made the medical staff present break into a cold sweat in retrospect.
The obstetrician and gynecologist wanted to say sorry, but when she saw Zheng Ren, her heart trembled.
Fortunately, she didn't rush up and provoke Dr. Zheng, otherwise... She thought that in the face of such a major rescue, and the rescue target was still Master Song, Dr. Zheng would not care about the gender difference between her and him.
I was afraid that I would be slapped against the wall.
"Boss, you asked me to take command." Su Yun was very dissatisfied and muttered while standing next to Zheng Ren.
"Some things are too complicated, so I'm still a little worried." Zheng Ren said.
"Have you withdrawn your strength?" Su Yun glanced at Dr. Huo, who was holding his head and crying in the next room, and asked.
The voice is neither too loud nor too quiet, just like Dr. Huo's voice just now, it can definitely be heard.
"Collect it. If not, he is the one who should be rescued." Zheng Ren said calmly: "Withdraw the tube and send the patient back to the ward."
After saying that, he turned around and said, "Let's go, Su Yun."
…
…
I was thinking about Boss Zheng yesterday, but I didn’t expect everyone to give so many rewards. I'm really sorry, it's just a small thing. For more than half a year, there are always times when my mood fluctuates, I'm sorry, I'm sorry. I will go back to the Imperial Capital tomorrow to continue the surgery, and I will pay tribute to the cardiothoracic surgery department, which is on the verge of death, and the cardiothoracic bypass, which is about to disappear.
By the way, the future star of cardiothoracic surgery, now that I think about it, it is very unfair to Comrade Su Yun. There is no tomorrow for cardiothoracic surgery...
Everything needs to be minimally invasive, and even thoracoscopic aortic arch replacement seems not enough.
bow…