"Director, I hurt..." The patient was lying on the hospital bed, his face pale. The reason why he is white is because of blood loss and also because of fear.
On the operating table, the director had a sullen expression and said nothing, and the nurse who had been laughing and joking before also fell silent. More and more instruments were brought in, and some treatments that I didn’t even know were done.
It’s scary just thinking about it.
"Where does it hurt?" Director Lang asked. His face didn't look much better than the patient's, just as pale.
"My chest hurts where you inserted the needle just now." The patient took a deep breath and said.
The puncture site hurts, it should be fine, it should be... Director Lang prayed silently in his heart. Pericardiocentesis, although it has a word, is not considered a surgery in many statistics, but is just an operation.
It's like a chest drain, just a procedure. The most outrageous thing is the one-time catheterization, which is considered a surgical procedure in some hospitals and increases the hospital's total number of surgeries.
But they are both operations, and pericardiocentesis is much more difficult. Director Lang was worried that there would be side injuries, but he was slightly relieved after hearing the patient's story. It was probably just skin pain.
what to do? He looked at the patient's blood pressure that continued to fall, and again ordered the doctor to increase the amount of norepinephrine to stabilize the patient's blood pressure.
If that doesn't work, go to iabp. Through physical effects, it can increase the diastolic pressure in the aorta, increase blood supply to the coronary arteries and improve myocardial function.
Director Lang made up his mind and asked people to prepare iabp equipment.
He carefully cared for the patient without even leaving the operating room, ready to rescue at any time.
IABP was administered from the left femoral artery, and the patient's circulation still showed no improvement after 1:1 countervagination, and the blood pressure was continuously monitored and still showed a downward trend.
This is so fucked, Director Lang suddenly lost his mind.
It's already early in the morning, what should I do at this time? The director never performs interventional surgery, he is just a simple internist. Now the best performer in circulatory interventional surgery in the hospital is myself, and no one even asks.
Director Lang hesitated for a moment and decided to observe. However, the patient's blood pressure still showed no signs of improvement after the blood transfusion, and dyspnea and chest pain gradually worsened.
He had no choice but to pick up his mobile phone and call the hotline for relatives and friends.
Director Lilang's skills in Nanshan City are the best. Not only interventional surgeries, but also IABP can be performed at the drop of a hat. This is not something ordinary people can do.
If he wanted help, he could only call the doctor in the Imperial City. After hesitating, he chose Director Zhang Lin of 912 among the two calls.
Director Zhang had a better temper, so he called her in the middle of the night, hoping that she wouldn't be angry. Don't go through menopause... Director Lang thought to himself, for fear that he would be scolded because they would not accept this unexpected emergency call.
Facts have proved that he was overthinking. When Director Zhang Lin just answered the phone, her voice was almost infinitely sleepy, but when she heard that the surgery had caused cardiac tamponade, she suddenly woke up.
And Director Zhang Lin was also very enthusiastic. She knew that Director Lang couldn't handle this matter, so she agreed directly.
It was agreed to send the patient to 912 for hospitalization, and Director Lang finally got better. Even though it was a bumpy ride with so many instruments, he still called the chief director from home to see the patient, and then he got into the ambulance and escorted the patient all the way to the higher-level hospital.
In order to save time, Director Lang uploaded all the patient's information to Director Zhang Lin on the way, including the final cardiac color ultrasound.
Director Zhang Lin was completely sleepless and was tortured once or twice in the middle of the night. Although she would never be able to adapt to it, this is what a circulatory doctor must do.
When I was on duty when I was young, as long as the nurse called out that someone had a problem, she would run to the ward without even having time to put on her shoes.
Now there are at least about 4 hours left to watch the movie, if the 120 ambulance does not rush the morning rush hour in God's capital city.
Because there are contrast-enhanced imaging data, the content is relatively large and cannot be transmitted through mobile phones. Nanshan City called and said it was sent by email.
She quietly walked out of the bedroom and turned on the computer.
The angiogram looked okay. According to Director Lang, pericardiocentesis was performed, and the amount of fluid extracted could only be described as moderate.
The blood pressure has not risen and continues to fall, even after taking IABP. Director Zhang Lin has her own judgment.
After reading the angiography information and checking the echocardiogram, she was startled.
The ultrasound looked... something seemed wrong.
But she only knew about ultrasound, but had not studied it in depth. After all, tertiary hospitals are becoming more and more specialized, and it is already good to have a simple understanding of it.
If I have a problem with the ultrasound, who should I call? Director Zhang Lin’s first thought was Boss Zheng.
Yes, I am not looking for a certain professor in the echocardiography laboratory, nor is it Director Qi, but Boss Zheng.
The patient's condition is relatively clear. The coronary artery is bleeding. It is estimated that the bleeding is from a small branch, which has closed on its own as the pressure increases. But the patient's condition is extremely poor and he may die at any time.
Thoracic exploration is a most likely follow-up operation.
Director Zhang Lin has a good relationship with the cardiothoracic surgery department. After all, the two related departments have their own interests and needs.
Cardiothoracic surgery also wants to retain some coronary artery bypass surgery. Stents are not a panacea and need to be delivered to patients by the circulatory department. At this point, the Department of Circulation is the upstream department and has every advantage.
But once this happens, cardiothoracic surgery will be needed to solve the subsequent problems.
It's just that among the kind-hearted doctors, who has a higher level than Boss Zheng? Not to mention Boss Zheng, Su Yun's level is also quite high, killing everyone instantly.
After thinking about it, Director Zhang Lin still took a measured look at the time.
In the second half of the night, it takes 3-4 hours for the patient to be sent from Nanshan City to 912. It should not be able to catch up with the morning rush hour and the journey will be smooth.
It’s not too late to see the patient yourself, and then go to Boss Zheng.
Director Zhang Lin didn't think it would be a big problem if she troubled Boss Zheng. She felt that she knew the young doctor very well. When he encounters a patient in need of rescue, he is willing to go to great lengths to treat him. The big-hearted Professor Zhang was scolded, and there seemed to be physical contact.
After making up her mind, Director Zhang Lin changed her clothes first and went directly to the hospital's office to sleep until the patient was brought and she was called up.
By this time, the sky was already dark, and the patient's face seemed to be covered with white paper, which looked frighteningly white. Director Lang, who came in with a flat cart, looked very pale, and Zhang Lin even wondered if there was something wrong with him.
The patient's blood pressure was 62/45mmHg and he also had 4U of red blood cell suspension. Director Lang bowed repeatedly and talked about the patient's condition and words of gratitude. Director Zhang Lin called Boss Zheng without hesitation and asked him to come and take a look at the situation.
This means that in 912, no other place has such convenient conditions.