Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

Is the interlayer broken?

Thinking of this, everyone began to ooze cold sweat!

Part of the ascending aorta is in the pericardium. Once a rupture occurs here, arterial blood will soon fill the entire pericardium, forming a pericardial tamponade of the heart!

And this performance is precisely the most dangerous and also the cause of the highest mortality rate!

Therefore, after hearing Chen Cang say that the pericardium is stuffed, no matter whether it is Yu Yonggang, Li Baoshan, Xu Ziming and the others, the heart is unable to bear the heart cool!

How to do?

Even Yu Yonggang, who is the director of the emergency department, is still powerless in the face of such a Patient!

Because even Xu Ziming of the Department of Cardiothoracic Surgery, it is difficult to form a series of clear rescue ideas at this time!

Sometimes, many diseases come in a hurry, and come with the most serious complications and gestures, just like a torrential flood, and the Patient is just a flat boat on the sea!

“Doctor Chen, do you want to remove the tamponade?”

Chen Cang took a deep breath. At this time, the echocardiogram is full of blood because the pericardium is full.

I can only see a lot of blood filling the pericardium.

What is the state of Patient at this time?

Can it be lifted?

Should it be lifted?

Will it induce other risks?

No one can guarantee it!

Unless checked clearly!

But check now?

Where to check?

What check?

To be honest, any inspection now is tantamount to a death sentence!

However, without a clear diagnosis, how can we make a system accurate judgment on the condition of Patient?

How can we develop a set of effective treatment plans?

For a time, Patient has entered an infinite loop!

The unclear diagnosis leads to a plan that cannot be formulated. The plan cannot be formulated to cause the condition to continue to deteriorate. The continued deterioration of the condition leaves the Patient with no time to do other tests and treatments.

Dissection?

Or is the interlayer broken?

Whatever it is, it is a very dangerous thing.

Even, there may be a multi-risk factor of 2 kinds of mixed.

Thinking of this, Chen Cang directly handed the pericardial puncture needle to Xu Ziming.

Staring at him and saying, “Director Xu, hold it, I will let you draw blood, you will draw blood!”

Xu Ziming facial expression grave, seriously nodded!

Chen Cang went directly to the other side of the Patient and took a stethoscope. One hand pressed the head of the stethoscope to a different position in the precardiac area, and the other hand was placed on the wrist of the Patient!

He took a deep breath and calmed himself down at such a critical moment!

At this time, in the room, the nurse said nervously:

“Heartbeat 60 times per minute!”

Everyone seemed at a loss.

Things are too sudden, and the disease is developing too fast!

Perhaps many people don’t understand why most Marfan syndromes can’t live in their 30s, just because they look like this now!

The condition is developing too fast, just like tornado!

It’s too late to rescue!

Chen Cang closed his eyes, and the people around him quickly calmed down.

Don’t dare to bother Chen Cang.

At this moment, Chen Cang still heard the faint aortic valve auscultation area suddenly appeared with diastolic murmur accompanied by systolic murmur across the pericardium!

After hearing this sound, Chen Cang was very happy!

This is a diagnostic sign!

The murmur is caused by dislocation, prolapse, and annulus expansion of the aortic valve due to the dissection of the aortic root, and the rupture of the endometrium protrudes into the lumen in a valve shape, causing a blood flow vortex.

At this time, Chen Cang felt the surrounding signs of pulse pressure widening and edema pulse on his wrist!

Thinking of this, Chen Cang was very happy!

Dissection of ascending aortic blood vessels is affirmed.

However, not at all, there was a serious rupture of the aortic blood vessels, but because the blood vessels in the ascending aorta were damaged, causing blood to leak into the pericardial cavity through the wound!

Produced symptoms of pericardial tamponade.

However, the aortic dissection is not completely ruptured, but the dissection hematoma is very serious.

Otherwise, it is impossible to produce such a series of Pathology responses.

The 4D map of Chen Cang’s mind continuously simulates the situation in the patient’s chest cavity through various imaging results.

Through various diagnostic information, I gradually figured out the situation of Patient at a time.

Thinking of this, Chen Cang quickly said to Xu Ziming: “Puncture!”

“Can it be worn?” Lao Yu was worried.

Chen Cang nodded: “Yes! No problem!”

After talking, Chen Cang turned to the nurse and continued: “Intermittent propranolol intravenous injection combined with sodium nitroprusside intravenously lowers blood pressure!”

……

Chen Cang continuously issued various temporary rescue orders.

Now is not the time to worry about who is the director.

Because Chen Cang knows, now he is the one who knows the most about Patient within the body.

It is necessary to stabilize the critical symptoms of Patient at this time and be ready to be sent to the Operation Theatre!

If the operation is performed here, the Patient mortality rate is over 95%.

Emergency surgery is simply not enough to support such a large and cumbersome and precise operation!

For a while, everyone started to mobilize.

Medical orders are continuously executed.

Xu Ziming had already prepared for puncture.

Under the echocardiogram, the fluid in the pericardial cavity was slowly withdrawn.

After one minute, the puncture is complete.

250 ml of blood was drawn.

Various medicines have also been injected into the Patient within the body.

“Is it possible to lower the blood pressure like this? Patient already has some hypotension?” At this time, the two groups of leaders beside the group asked to to bear.

Indeed, is propranolol combined with sodium nitroprusside too strong?

Everyone is a little worried!

Although the Patient aortic dissection has appeared now, the Patient has been shocked. If hypotension causes hypoperfusion, can I stick to the operating table?

This seems to have entered another contradiction.

Hypertension can easily induce rupture of aortic dissection!

Hypotension, will the Patient cause cerebral ischemia and hypoxia due to hypoperfusion?

This is the incurable disease!

Every medical order needs to be considered and considered again!

Chen Cang shook his head and immediately denied: “No!”

“Patient’s low blood pressure is not real blood pressure!”

As soon as this remark came out, everyone around him was stunned!

There are also true blood pressure and false blood pressure?

Xu Ziming suddenly had eyes shined, and he asked in doubt: “Is the Patient spreading a dissection hematoma?”

Chen Cang nodded!

“Yes, I clearly felt the peripheral signs such as pulse pressure broadening and edema pulse on the radial side of the Patient, and the heart sounds also showed that there was a sudden diastolic murmur accompanied by systolic murmur in the aortic valve auscultation area!”

“This shows that the Patient has no rupture of blood vessels, and the reason why the pericardial tamponade is due to the dislocation, prolapse, and annulus expansion of the aortic valve by the dissecting hematoma at the root of the aorta. The protrusion causes a vortex of blood flow.”

“Moreover, the patient’s ascending aortic dissection does have blood oozing, causing this cardiac tamponade.”

Hearing Chen Cang’s words, the surroundings suddenly became quiet!

At this moment, it seems to be explained!