The patient was pushed into the operating room. Since the corresponding consumables were still on the way, Zheng Ren could only ask Chu Yanran and Xie Yiren to put dopamine on the patient first to maintain blood pressure and improve shock symptoms.
Then 5000 units of low molecular weight heparin sodium were injected intravenously for anticoagulation.
Pulmonary embolism, emboli usually originate from the veins of the lower limbs.
This female patient did not know what caused the sudden venous thrombosis in her lower limbs, and then the small embolus fell off and embolized the pulmonary artery, causing chest pain, respiratory distress and other comprehensive symptoms.
Prompt first aid can save a life. After a while, I'm afraid there will be no more people.
18 or 9 years old, as young as a flower.
After intravenously injecting low molecular weight heparin sodium, Zheng Ren asked Chu Yanran to give the patient sedative and analgesic drugs, and use an intravenous pump to continuously pump in low molecular weight heparin sodium at a rate of 500-1,000 units per hour.
In this way, it should be able to maintain it for a while.
This was handed over to Chu Yanran first, while Zheng Ren called to urge Feng Xuhui and reported the patient's condition to Director Lao Pan.
In an emergency, there are no family members of the patient, only a little boyfriend who seems to be careless. This kind of thing is the most troublesome.
It's okay to save him, but once the patient dies on the stage, he will be in big trouble later.
After changing clothes, Zheng Ren's cell phone rang.
Feng Xuhui rushed over as quickly as possible, bringing all the consumables Zheng Ren needed.
Changfeng MicroPort attaches unprecedented importance to the First Hospital of Haicheng City. The company is located near the First Hospital of Haicheng City. Chairman Ma has made it clear that he will do everything possible to take good care of Zheng Ren.
In fact, the annual shipment volume of the entire Haicheng may not be as large as that of one hospital in Imperial Capital.
But Changfeng MicroPort and Manager Feng were able to rush over in less than twenty minutes, which is enough to show how much they value Zheng Ren.
Zheng Ren was not polite and entered the operating room with the consumables.
Professor Rudolf Wagner also arrived. When he saw Zheng Ren, he greeted Zheng Ren enthusiastically.
Zheng Ren had no intention of talking to this guy. With a cold face, he jogged all the way and started to get busy.
The professor didn't understand either, but he still followed Zheng Ren to inquire.
"Boss, what's wrong with you?"
"Pulmonary embolism."
"This is an emergency..."
"If you know it's an emergency, just stop talking." Zheng Ren's rare bad temper broke out again. The professor is very high-level, but he is too verbose, especially now that Zheng Ren is busy in the emergency department, so he has no time to listen to him.
Professor Rudolf Wagner quickly shut up and helped Zheng Ren prepare the equipment.
Pulmonary embolism requires emergency thrombolysis. If necessary, a filter should be placed in the inferior vena cava.
After emergency symptomatic treatment, the patient's condition has improved slightly.
What Zheng Ren is confused about is why such an emergency occurs at such a young age? It is said that pulmonary embolism is more common in older people, especially those who have been bedridden for a long time, leading to venous thrombosis in the lower limbs.
Young people are full of energy. It is not that easy to get blood clots.
After preparations were completed, Professor Rudolf Wagner began disinfection and preoperative preparations.
Zheng Ren received a call from Director Lao Pan. He had rushed to the emergency ward and met the patient's parents.
After thinking for a while, Zheng Ren said: "Fuguier, when the show starts in a moment, you will do pulmonary artery thrombolysis first."
Professor Rudolf Wagner responded.
Pulmonary artery thrombolysis is a simple thing for professors to do, and Zheng Ren is not worried about anything. Moreover, thrombolysis is an extremely long process, which takes about thirty minutes to an hour.
If the effect is not good, catheter thrombolysis will be used to treat the patient's pulmonary embolism.
Wearing an isolation gown, Zheng Ren returned to the emergency ward.
Director Lao Pan mainly understood the patient's condition through a few simple words from Zheng Ren. He had nothing to say to the patient's family, but repeatedly emphasized the patient's danger and how low the likelihood of successful treatment was.
Seeing Zheng Ren coming down, Old Director Pan breathed a sigh of relief.
Director Pan went upstairs to take charge of the rescue. After all, the professor was a foreigner and was not familiar with many procedural matters. And it seems that he speaks Chinese well, but there is nothing wrong with some obscure drug names.
Zheng Ren asked the patient's parents to sit down and asked, "I heard from the patient's boyfriend that she had been ill before?"
Not to mention that her boyfriend was okay, but when she mentioned this, the girl's father became furious and scolded her loudly. The girl's mother tried to persuade her while wiping away tears.
Zheng Ren tapped the table with his fingers and said: "The rescue operations are still going on above, don't waste time!"
The patient's father was shocked by Zheng Ren. Looking at Zheng Ren's appearance, he knew that the situation was urgent, and cursed a few words in a low voice, then sighed and sat down.
"My daughter looks normal at ordinary times, but once... once she becomes pregnant, she will have an increase in platelets, leading to venous thrombosis in the lower limbs." The patient's father explained the truth.
Pregnant? Platelets
This is the first time Zheng Ren has heard of such a strange thing.
Although the system can give a diagnosis, it will never gossip about the patient's pregnancy. So Zheng Ren frowned, thinking about the relationship.
"Oh, she didn't obey me either. Last time she was in school, she was sent to the hospital for treatment, and her life was saved. I didn't expect that she would dare..." As he said, the patient's father let out a long sigh and shed two tears.
"Which hospital was he treated at last time?" Zheng Ren asked.
The patient's father mentioned a well-known tertiary hospital in the imperial capital.
Zheng Ren thought for a while, then asked about the situation of the patient's father's attending doctor, and then picked up the phone.
It's not too late yet, I guess Director Kong hasn't rested yet.
After all, this is a vascular interventional disease, and it is a critical illness such as pulmonary embolism. Although Professor Rudolf Wagner is on hand to perform thrombolysis, Zheng Ren still wants to be more secure.
"Director Kong, I am Xiao Zheng."
"Well, yes. There is an emergency patient, and I would like your help to inquire about the situation."
Zheng Ren mentioned the name of the tertiary hospital in Imperial City and the name of the director of the vascular department, and Director Kong readily agreed.
Hearing Zheng Ren announce his name casually, although he didn't know who was on the other side, he was able to casually inquire about the last treatment, and the patient's father's hope increased greatly.
Because of his last hospitalization, doctors in the Imperial Capital told him that pulmonary embolism would be very dangerous if it attacks again. If there is hope for the large tertiary hospitals in places like Imperial Capital and Magic Capital to be saved.
If it were my hometown, there would probably be no people there.
When he heard that it was the same disease again this time, the patient's father even considered taking a knife to kill the boy.
There is help... there is help! It really helps!
After hanging up the phone, Zheng Ren began to prepare the pre-operative explanation while waiting for Director Kong's reply.
Although the platform has already opened, some procedures still need to be completed.
Just after explaining a few words, Director Kong called back.