Doctor Started a Plug-in

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After seeing several directors, Chen Cang hurried over: “Director, you are here.”

Li Baoshan nodded, facial expression grave said: “How is it now?”

Chen Cang swallowed: “It’s fairly stable. I’m going to do the relevant examination now, and I will be back soon.”

Li Baoshan oh.

At this time, Director Tao Mi of Department of Cardiothoracic Surgery and Xu Tianfu, Director of Department of Cardiology, came over.

Tao Mi frowned asked, “Little Chen? What about the Patient?”

Chen Cang explained: “Patient’s test results have not come out yet, I think it may be caused by traumatic blood pericardial tamponade!”

The words in the pericardium are stuffed out, and several directors complexion suddenly changed!

The pericardium is stuffed, this is a terrible disease!

The inspection can not be done casually, at least someone is staring!

Thinking of this, Li Baoshan quickly asked, “What inspection did you go?”

At this time, Chang Lina, who took the Patient for inspection, pushed the car and walked over with the Doctor of Department of Radiology on duty.

The Department of Radiology Doctor took out the NMRI film in his hand: “Director, you see, this is a chest radiograph, this is NMRI.”

After Tao Mi heard this sentence, the complexion suddenly changed: “Why do NMRI?”

This sentence silly asked everyone!

The Department of Radiology Doctor was stunned for a while: “In order to clarify the blood accumulation in the pericardial cavity…”

This question makes the Doctor of Department of Radiology a bit confusing. Could it be… I did something wrong?

But looking at the three directors staring at themselves with a serious face, the Doctor of Department of Radiology suddenly shrank his head. Am I really wrong?

Li Baoshan quickly asked: “Is the patient stable now?”

Chang Lina nodded sent for examination: “Stable! Blood pressure 9070, heart rate 70 beats per minute…Patient lifeform sign is stable.”

As soon as these words came out, several directors around were relaxed!

Xu Tianfu slowly said: “It’s not that you aren’t allowed to do NMRI, but that it can only be done when the patient’s condition is stable, otherwise it’s very easy to die!

indeed!

Xu Tianfu is not kidding.

There are no fewer patients with heart disease who die in CT room and NMRI room every year.

Therefore, many Hospitals in China do not recommend NMRI and CT for patients with myocardial infarction and heart failure. Wait until they are stable.

The Department of Radiology Doctor smiled awkwardly: “Director, when it was delivered, it was already stable.”

3 people stunned!

Pericardial packing caused by blood pericardium…how can it be stabilized without treatment?

At this time, Xu Tianfu holding the NMRI film suddenly froze for a moment: “No…why is there no blood?”

Even Tao Mi on the side was dumbfounded. After a careful comparison… I looked at the echocardiography again and was curious.

“No, you see, the 2nd and 3rd ribs on the left… there are obvious blunt injuries.”

“But the ultrasonic liquid plane…”

At this time, old Liu hurried in and hurried in: “Doctor Chen, I just took the blood that you asked me to get.”

At this time, everyone looked up at Chen Cang.

Li Baoshan’s eyes suddenly widened: “What blood is this?”

Chen Cang said: “After the driver, Liu, and I arrived at the scene, the Patient’s condition was very bad, the pericardial tamponade was very serious, the blood pressure was only 6030mmHg, and the pericardial tamponade 3 joint sign was very obvious. This is the first time I have seen 3 joints. The patient’s heartbeat was very weak at that time. I was worried that there was a problem on the way to Hospital. I chose outdoor pericardial puncture.

This word comes out!

Suddenly the three directors again complexion changed.

They all know the serious consequences of tamponade.

However, how do you do pericardial puncture outdoors?

One has no B-scan positioning, and no guardian watching

Pericardial puncture can only be done blindly.

Do it blindly… if you are not careful, there will be problems.

After all, the pericardium is not a chest cavity, and the maneuverable space is large, and his maneuverable space is very small.

Tao Mi thought of this and hesitated and asked, “You… “blindly worn”?”

Chen Cang nodded: “compelled by circumstances. At that time, the situation was special, and the Patient was very urgent. It was imminent. If I couldn’t do it, I would do it.”

3 people glanced at each other, unable to bear swallowed a saliva…think of the danger.

But the more so, the 3 people are more afraid.

Well, Patient can’t come to Hospital anymore.

Li Baoshan sighed: “You are too risky.”

Tao Mi shook the head: “compelled by circumstances!”

Speaking of which, three people saw Chen Cang’s expressions all changed.

After all, there are dozens of people in the Provincial Second Hospital Department of Cardiology Department of Cardiothoracic Surgery who can blindly wear the pericardium…may not find a few.

Even Tao Mi they are not sure if they dare!

Maybe…in that case, would you do it yourself?

Tao Mi has an inner conjecture, but…whether it can succeed or not, it really may be.

Thinking of this, Tao Mi looked at Chen Cang’s eyes and was really full of appreciation.

Be brave!

It’s really an ability to be able to determine the pericardial tamponade decisively and to perform puncture on the spot.

Sometimes people really have to serve old.

Watching generations of excellent youngsters grow up gradually, several directors are also thankful and sorry.

Fortunately, someone succeeded.

Unfortunately, I am old…

However, I learned that after the Patient has undergone pericardial puncture, the lifeform sign is stable, everyone is relaxed, and in the pericardial cavity combined with the Patient, there is indeed some blood.

But there is no massive bleeding, it should not be the damage of large blood vessels.

Nor is it a sharp rupture of the heart.

The only consideration now is the damage to the pericardium, which causes damage to the pericardial blood vessels.

At this time, various inspection results are back.

The indicators are basically normal, with low hemoglobin but no blood transfusion indications. The white blood cells are slightly higher and normal.

After reading the various examination reports, Tao Mi said: “Now we need to open the chest to check whether there is any damage to the heart or blood vessels, and we should detect the blood source and treat it symptomatically in time.”

“And… on your watching film, here, there are pericardial blood and blood clots, so the next step is to cut the pericardium, clear the pericardial blood, find out the source of bleeding and repair the damage to the heart blood vessels!”

Xu Tianfu is also nodded: “Fortunately, there is no puncture injury in the heart, otherwise it is not so simple. You see this broken rib, it should be a blood vessel that hurts the pericardial tissue, there is no damage to the heart, I guess this should It is the main cause of blood pericardium and tamponade!”

I have to say that Sun Sheng was lucky because of the loss. The broken ribs did not cause damage to the heart, otherwise… this is not the case now.

After discussing with some directors, they made a decision to improve the operation as soon as possible.