Doctor Started a Plug-in

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At this moment, there are many people in the rescue room!

In addition to Yu Yonggang, there are several other group leaders, as well as those young doctors, and advanced doctors and students.

Such a dangerous case is also the Patient who can most improve the emergency response ability of medical staff.

However, Patient’s current situation is too bad!

Everyone feels a little difficult, even stretched.

But Chen Cang never seemed half nervous and Zhang Huang’s expression from start to finish.

Very calm and collected.

Start an orderly examination, give medical advice, and rescue…

At such a critical juncture, any performance of Patient seems to be under his control.

This…is the ability!

Accurate diagnosis is the cornerstone of effective rescue.

……

……

But at this time, seeing that the people around him were full of doubts, Chen Cang couldn’t help but explain, and Xu Ziming was also helping to prepare for the rescue, so he didn’t have time to take care of the blank expressions on other people’s faces.

After all, this is a war, why do you explain why you need a handgun instead of a machine gun?

Meng Xi looked at everyone in the back and explained: “The reason for the false blood pressure is not because the blood pressure is really false, but because the dissection hematoma affects or presses the main branch of the aorta, which is why the artery is blocked!

The main manifestations are the disappearance or asymmetry of the bilateral neck, brachioradial and femoral arteries, the obvious difference in blood pressure between the upper and lower extremities, or the difference in blood pressure between the upper and lower extremities. And such changes in arterial pulse are more common in patients with type Ⅰ! “

“In this patient, the ascending aorta is easily damaged due to the vortex of blood, causing blood to leak into the pericardial cavity and causing cardiac tamponade!”

“So the systolic and diastolic phase of the heart must be improved at this time!

Foreign countries generally believe that intermittent propranolol intravenous administration combined with sodium nitroprusside is an ideal solution. The former reduces dpdt and the latter lowers blood pressure, which can effectively relieve this symptom. “

If there is no explanation from Meng Xi, everyone will be stunned!

Because the professionalism is too strong!

However, after Meng Xi explained clearly, everyone reacted more violently!

Because… this is too great?

In this way, the time passed slowly, and the symptoms of Patient gradually calmed down and gradually eased.

Looking at the lifeform sign on the monitor, everyone is unable to bear excited!

Because of Patient’s situation, it’s getting better!

At this moment, everyone’s eyes in Chen Cang are full of worship and shock!

This is too strong!

Can get accurate judgments based on effective diagnostic methods, and then make an effective rescue plan based on your own judgment!

However, this does not mean that Patient’s situation is safe.

There was also news from the Operation Theatre: “Operation Theatre is ready!”

The young nurse Cheng Yi also hurriedly ran: “Director Yu, Dr. Chen, Patient’s test results are out!”

Yu Yonggang nodded the result test sheet, he didn’t take a glance at all, and handed it directly to Chen Cang!

Because he knew that for the rescue of the current Patient, Chen Cang’s grasp is greater than himself!

After seeing this scene, the group leaders thought a little more in their eyes!

And Chen Cang does not have the slightest humility!

Rescue room is like a battlefield. As a vanguard coach, he is naturally centered on the Patient.

Chen Cang looked at the test sheet seriously.

At this time, on the monitor, Patient’s heartbeat suddenly began to increase.

Xu Ziming looked at the ECG monitor and said quickly: “Reflective tachycardia!”

Chen Cang’s eyes shrank suddenly when he heard it!

“Stop Nitroprusside!”

The nurse quickly nodded to stop the liquid!

At this time, Chen Cang weighed for a few seconds and said, “Nure with pressure!”

The people behind suddenly froze!

“By calming down?”

At this moment, they feel that Chen Cang is too awesome!

There are many emergency rescue medicines, but they are not commonly used.

Even many medicines do not dare to use them because they do not have enough knowledge!

And Chen Cang seems to be able to handle it?

After the nurse heard it, he immediately opened the rescue box and began to look for medicine.

After Chen Cang made some judgments, he said precisely: “Jianningding is urapidil injection.

For the initial dose… Add 15mg to 20ml of normal saline, intravenous injection is completed in 5min, and observe the change of blood pressure! “

Yang Jie quickly nodded.

At this moment, everyone waited patiently.

If the Patient is stable, send it to the Operation Theatre in time. If it is unstable, it is useless to send it in.

Looking at the quiet room and looking at the curious people, Meng Xi said, “Unable to bear is:” Ningding is used to treat acute aortic dissection. It can selectively block the post-synaptic α1 receptor and relieve sympathetic nerves. Excitement about blood vessels, expanding blood vessels.

At the same time, it activates the central serotonin-IA receptor and inhibits the sympathetic feedback regulation of the Cardiovascular motor center.

However, its function is to reduce blood pressure without causing reflex tachycardia. “

“So, it is more appropriate to use sodium nitroprusside!”

As the Patient gradually eased, the lifeform sign became relatively stable, and the heart rate returned to normal.

Everyone clicking one’s tongue in wonder!

Emergency department really needs to have an understanding of many diseases.

It’s too much testing.

The young students behind looked at Chen Cang with admiration.

Chen Cang hurriedly said: “In the Operation Theatre, it is ready for surgery!”

Yang Jie quickly nodded and moved towards the Operation Theatre with two nurses and Xu Ziming.

And Chen Cang glanced at Yu Yonggang: “Director Yu, are you going?”

Yu Yonggang hook the head: “I will not go, come on!”

Chen Cang nodded, turned and looked at the people around and said, “Teacher Meng, Director Li and Doctor Ge, come together!”

Li Baoshan sighed, today is a tough battle!

Total aortic arch replacement + abdominal aortic replacement!

There must even be repairs to the ascending aorta…

Can this Patient persist?

He glanced at Chen Cang, who was moving forward firmly, and he seemed to be carrying an imposing manner called “Wu Xiangui”.

Uncontrollable heart is excited!

Maybe this is the real emergency doctor?

Looking at Chen Cang and thinking about himself, Li Baoshan unable to bear laughed at himself.

failure?

What to fear!

It is enough to go all out!

Thinking of this, Li Baoshan firmly accelerated his pace and walked ahead, wanting to catch up with Chen Cang.

And Meng Xi watched Chen Cang stride forward. At first, when he saw himself, he would nervously little man. After not seeing it for a few months, he had grown to such a great shore today!

This is the real man.

And many doctors in the emergency department saw Chen Cang leave firmly, and they were really shocked!

Envy too!

Yu Yonggang looked at the crowd and looked at Chen Cang’s back again. Unable to bear smiled.

Leader Hou unable to bear whispered to himself: “This kid, more and more evil!”

……

……

ps: Seeking monthly tickets, there will be chasing soldiers later, can’t relax… hold the 6th! Come on! Come on!