Doctor Started a Plug-in

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The Sackler family, known as the “pain medicine family”, is not useless.

In order to make opioids the world’s first medicine, they made pain the standard of treatment.

So that pain is more and more valued, and the pain index and score are also developing rapidly.

The pain of aortic dissection is definitely the highest 4th degree pain in the classification, that is, Fifth Level pain (Fifth Level standard)!

This degree is pain. Although Chen Cang has not felt it, according to the guidelines, the pain is persistent and severe, and it will be accompanied by changes in lifeform signs such as blood pressure, which is difficult for most people to tolerate.

Perhaps this description is not intuitive enough. For example, according to the Level 12 pain classification, Level 1: Mosquito bites, Level 5: Slap with the palm and leave red palm prints Level 6: Pay attention to gastroenteritis and abdominal pain caused by diet Level 7 : Use a club to leave a black purple mark.

Level 8: Various types of area-induced bleeding trauma Level 9: Labor pain, of course, talking about birth.

Level 1 Level 0: Bone-making disability, fighting injury, blown up fingers, Level 1 Level 1: Visceral pain, Level 12 ……May be the top ten torture levels in the Qing Dynasty.

There is no specific grade for acute aortic dissection pain, because the situation is specifically analyzed, but it is definitely not under delivery.

After all, this is a pathological pain.

This pain will give people a sense of near death, which is a feeling that death will come at any time.

Do you think this is the cruelest?

of course not!

Looking at Tian Zhengkai’s pale complexion, the bean-sized sweat beads rolled down, and the severe pain was unbearable for this little giant with a height of more than 2 meters. Tian Zhengkai, who is an athlete himself, is still very strong, and his teammates and coaches are all around. No worries.

In the past, Li Tian Zhengkai has always been a team of Big Brother Lao. He is a very humble person who takes care of newcomers and often teaches some skills.

So everyone respects him!

So, looking at him now, these teammates are very uncomfortable!

“Doctor, can you take painkillers?”

“Yes, that morphine!”

Chen Cang sighed, hook the head: “It’s not that it’s not allowed to beat, it’s useless if it’s beaten. The pain of aortic dissection, morphine doesn’t work at all. And the effect of morphine can also affect the already unstable blood pressure.”

After figuring out, Chen Cang said to Old Ma: “Get in the car first and send it to Hospital.”

Several athletes quickly said: “Let’s come, it’s too heavy!”

Chen Cang and Old Ma laughed, they have a lot of exercise.

2 people looked at each other, lifted the stretcher and moved towards the outside.

The assistant coach saw this and said, “You guys are here to continue the game, and I will go to Hospital!”

After speaking, he could not help but follow Chen Cang 2 people.

I have to say that this guy is really heavy, and he is so tall that the stretcher is incomplete.

Chen Cang once worried that the ambulance was not long enough…

Fortunately, the ambulance is long enough to not worry about this problem.

The assistant coach is not very young. He is Tian Zhengkai’s Senior and retired as the assistant coach of the Beijing team. Tian Zhengkai came here also partly because of his original intention.

Seeing how he is now, the assistant coach is also worried.

Quickly asked: “Zheng Kai, how much is your home phone?”

Tian Zhengkai’s cell phone is still in the dressing room. If such a serious situation occurs, it is definitely necessary to contact the family.

Tian Zhengkai was exhausted at this time, and the pain consumed his too much physical strength, and he slowly said his phone again.

Here, Chen Cang and Xiao Ke quickly made an electrocardiogram.

On the Old Ma side, I contacted Hospital to make preparations and improve the relevant inspections as soon as possible.

What is the most dangerous aortic dissection?

Aortic rupture!

Once broken, basically the probability of death is very high.

Chen Cang’s brain turned quickly, and Ma Yuehui also helped monitor the blood pressure on a regular basis.

Because of this situation, once the patient has excessive blood pressure, the originally damaged aorta is likely to rupture suddenly due to excessive tension.

It’s like water flowing inside the leather tube. Suddenly there is a rupture of the endothelium in the leather tube, and then the water instantly floods it, bulging the leather tube and thinning it!

At this time, because of the formation of a pseudo-aneurysm, which hinders the flow of water, the huge pressure may continue to expand here until…”Bang”…it ruptures!

The electrocardiogram results come out, there is no characteristic performance, almost normal!

Chen Cang glanced at Old Ma: “Leader Ma, the ECG is normal!”

This seems like good news, because Myocardial Infarction ruled out.

However, after diagnosing this thing and excluding one kind of killer, there will often be another.

The performance of aortic dissection and myocardial infarction are strikingly similar, and ECG can be identified, and the use of painkillers for myocardial infarction can be effective, but aortic dissection is not.

Now the Patient can be diagnosed as an aortic dissection.

At this time, after Tian Zhengkai’s wife answered the phone, the assistant coach quickly told the matter.

The sudden news surprised her!

If you don’t go to work, quickly go out and take a taxi.

Old Ma’s eyes kept staring at the blood pressure, fearing it would rise.

Now blood pressure has become a fatal factor that threatens the life of the patient.

“Xiao Ke, add 100 mg of sodium nitroprusside to 5 ml of 500% glucose and instill at a rate of 20 μgmin!” Chen Cang said after a moment.

“Add 0.5 mg propranolol!”

Chen Cang cut the plan immediately.

Now that the Patient’s blood pressure is 100-110, it is enough to maintain the blood supply of important organs such as the heart, brain, kidney, etc., and the extra is very dangerous.

Moreover, it is necessary to reduce the contractility of the heart to stabilize the blood vessels. Don’t break 10000000!

Sometimes, when medical explanations are not available, you can only use metaphysics!

For example, at this time, the assistant coach was nervous and could only pray.

Is prayer useful?

The assistant coach certainly does not know, but… he does not know what he can do!

Not only him, but Chen Cang and Old Ma were also uneasy. Chen Cang had already put his hand on the instrument box. If the blood pressure dropped suddenly at 10000, he would definitely have an operation as soon as possible.

Time passed slowly in anxiety.

Finally, after 20 minutes, the car was good at the door of the emergency center!

Chen Cang took the lead to run down. Old Ma responded on this side. With the help of 4 5 people, the car was pushed down steadily.

“Make an echocardiogram first!”

“Contact the Department of Cardiology consultation and prepare an aortic angiography as soon as possible!”

“Draw blood as soon as possible, improve the diagnosis, notify the blood distribution room, and prepare for blood supply!”

If the aortic dissection is really broken, the amount of bleeding is not a little bit, it must be prepared in advance!

What is the most important thing in medicine?

Be prepared!

Consider all possibilities.

After all, any little carelessness can be a life!