Once acute laryngeal edema occurs, it can rapidly worsen and cause fatal airway obstruction.
Without endotracheal intubation, patients generally die within 0.5-3 hours.
Zheng Ren contacted Zhou Litao to prepare more sets of tracheal intubations, incision bags and other things. From the 912 emergency department to Dean Sun's home, I don't even need the 120 ambulance. I just need to run faster than myself.
No matter life or death, prepare first. If necessary, it will not be impossible to take it out, so it should be replaced with a hard tube.
That would be too rough.
Xie Yiren's car arrived downstairs at Dean Sun's house. As soon as he hit the brakes, Zheng Ren and Su Yun opened the door and jumped out.
The 119 fire alarm had just arrived, and the firefighters rushed up with fire axes in their hands.
The situation was urgent, and even Su Yun had no time to joke. The two of them ran all the way to the door.
After all, the fire ax is a professional tool.
Split the door open,
Break the barrier of life and death.
The medical staff rushed in and saw Dean Sun leaning on the ground with his hands stretched forward, apparently trying to crawl over and open the door.
But he fainted after just climbing a few steps.
The doctor in the emergency department touched the carotid artery lightly, raised his head and shouted: "Cut the bag!"
Striding in, Zheng Ren saw that Dean Sun's system panel was pale, but there were still diagnoses - allergic laryngeal edema and acute renal failure.
He glanced at Dean Sun's lover who was lying on the side again. The diagnosis was similar, and the main diagnoses were the same.
and,
The system has a diagnosis!
No one is dead yet!
Zheng Ren grabbed the first aid kit from the nurse, opened it on the spot, threw a tracheal intubation kit to Su Yun, took one himself, and came to Dean Sun.
Lay the person flat, put clothes under the shoulders, raise it slightly, and expose the neck.
Zheng Ren grabbed a handful of iodophor for disinfection, touched the thyroid cartilage, and hurriedly put on sterile gloves.
The doctor in the emergency department opened the blade and handed it to Zheng Ren.
Zheng Ren held the blade in his hand and cut directly from the lower edge of the thyroid cartilage to near the supraclavicular fossa.
Separate the sternohyoid muscle and sternothyroid muscle, avoid opening the thyroid isthmus, and incise the trachea from the 3-4 tracheal ring.
The moment the trachea is cut, a high-pressure gas spurts out.
Dean Sun's chest began to rise and fall.
Zheng Ren knew that he had almost reached the extreme. He hoped that Dean Sun would be in better health and avoid death from cerebral hypoxia.
But Big Pig Hoof didn’t give a diagnosis, so Zheng Ren felt that he had great hope.
Reach out and take out the endotracheal intubation kit from the opened sterile package. Stuffed into the trachea, breathing becomes smooth, and the color of Dean Sun's cyanotic lips quickly recovers.
"Oxygen, give it for a while first." Zheng Ren said.
"Oxygen!" Su Yun shouted not far away.
His side was a little slower, after all, he still had a few steps to go. The actual time for tracheotomy was probably about the same as Zheng Ren's.
In this kind of emergency operation, it is difficult for the two to have obvious differences.
The emergency doctor took a deep breath and wiped away the cold sweat, "Boss Zheng, it's so dangerous."
"Dean Sun!" Zheng Ren patted Dean Sun on the shoulder and shouted loudly.
Dean Sun breathed fresh air, and oxygen participated in blood oxygen exchange. His cyanosis improved slightly, he recovered a little, and he barely opened his eyes.
When he saw Zheng Ren, he knew he was saved.
I wanted to stretch out my hand, but I couldn't lift it at all, it was too weak.
"Carry it away." Zheng Ren held Dean Sun's hand and smiled, "It's okay."
Seeing Dean Sun close his eyes and the system panel gradually turning red as if receiving a blood supply, Zheng Ren let out a sigh of relief.
Sometimes the system panel turns red, which is a good thing.
The medical staff in the emergency department were busy carrying the person down, and Zheng Ren didn't have much to say. They were all professional doctors and nurses, and there was no need for him to comment on the emergency rescue.
With laryngeal edema, the most difficult thing is to prevent fatal airway obstruction. Just like a firefighter using a fire ax to split open a door, splitting the path between life and death, the lives of Dean Sun and his lover were saved.
As for the future, if 912 cannot even cure this disease, then it will not be the top tertiary hospital in the country, but a township health center.
After carrying Dean Sun and his wife to the 120 ambulance, Zheng Ren returned to Dean Sun's home.
The house was in a mess, and the door that had been split open by a fire ax looked so desolate. Zheng Ren stood in the room and took off the sterile gloves on his hands.
When there is a real crisis, saving a life only takes ten seconds. Once the work is done, the work is over.
clean,
neat.
Zheng Ren looked at the door and felt a little worried. Although social security was now better, it seemed impossible that people would not pick up lost items on the road or leave their homes closed at night.
Taking a glance, there was a wad of money on the table. Alas, I definitely can't leave. I have to wait for Dean Sun's son to come back.
But what exactly is the allergy? Zheng Ren thought of this question when he was bored.
According to Director Kong, Dean Sun should have developed allergic symptoms a few days ago. He got better after going to the hospital for treatment and was discharged home today.
But just after returning home, the allergy became serious.
If the allergen cannot be found, Dean Sun will not be able to escape the disaster sooner or later.
Xie Yi and Chang Yue followed them up. Su Yun stood in the room and said, "Boss, have you notified Dean Sun's family?"
"Well… "
"Don't you think we have to send someone to keep vigil here?" Su Yun said contemptuously.
Immediately, he took out his mobile phone and hesitated for a moment, "You should report to Director Kong."
"There's no rush." Zheng Ren said, "I think it's laryngeal edema caused by allergies. Let's find the allergen. Otherwise, if it's something common, it will be troublesome in the hospital."
Allergens are all kinds of weird.
When we were in Haicheng before, we had chatted that some people were even allergic to the antihypertensive drugs they had been taking for decades.
Such extreme examples are rare, but the possibility of Dean Sun cannot be ruled out.
But one thing both Zheng Ren and Su Yun noticed was that Dean Sun had allergies with his lover.
This eliminates many possibilities.
"There must be something wrong with tonight's dinner." Su Yun glanced at the table that had not yet been cleared and said.
"It's possible." Zheng Ren also walked over and took a look.
Spicy fried sea snails, fried bitter gourd eggs, fried peanuts, and a few pickles.
There are more than ten bottles of beer next to it, basically five or six bottles per person, and the two people drink about the same amount.
"They also eat peanuts." Zheng Ren smiled when he saw the fried peanuts.
His right hand subconsciously touched the dog's head.
Usually at this time, Heizi would squat beside him, waiting for Su Yun or Chang Yue to come and feed him.
It was so late and he hadn't gone home yet. He didn't know what Heizi was doing. Zheng Ren looked at the peanuts and his thoughts began to wander.
Heizi followed him, so he suffered a lot. Although there is no shortage of food and drink, Heizi is much more busy than him.
People, sometimes they really can’t compare with dogs.
"Seafood? It can't be this." Su Yun began to deny himself, "If it were seafood, the couple wouldn't be so careless. From the looks of it, they should often have a drink at home."
Zheng Ren felt that the possibility of allergens existing in the diet was very low, so he turned his head and looked elsewhere.
Zheng Ren really has no confidence in this kind of job, which is like finding a needle in a haystack.
"Boss, I think you're wasting your time." Su Yundao said, "Why are you looking for this thing? Let's call it a day and go home to eat peanuts and drink wine."
"Chang Yue is losing weight."
Zheng Ren was looking at things in the room when he inadvertently stabbed Chang Yue in the weak side.
Chang Yue stroked her glasses, her stomach growling.
The beef I had for lunch had already been digested, so I ate some cucumber at Liu Xu’s house in the evening.
Nowadays, even a few peanuts are good if you can chew them a few times in your mouth. Chang Yue felt even more hungry when she thought of peanuts accompanying Maotai.
Damn Mr. Zheng, isn't it good to pretend not to know
"We can't leave. There is money on the table. What if we lose it if we leave." Zheng Ren said, "Director Kong said, ask Dean Sun's son to come over and let him make his own decision then."
"After we finish the emergency treatment, do we still have to look after the house?" Su Yun said unhappily.
"Just a moment, why are you so anxious?" Zheng Ren smiled and continued to look around for possible allergens.
Anyway, being idle is nothing but idleness.
"Boss, you're so boring." Su Yun sat down on the chair, wanting to go home and drink.
"Okay, what do you think Dean Sun and his wife are allergic to?" Zheng Ren returned to the subject of allergens without saying a word.
"Who knows, look at this couple drinking with RMB, I think they are allergic to money."