406 rescue

While Su Yang was looking at the electrocardiogram intently, Li Yun took his eyes off the electrocardiogram.

He looked at the electrocardiogram very quickly, and he finished it in a while.

He turned his head and whispered to the director of the emergency department: "What treatment have you done before?"

"When in the front hospital, I was given a 70 mg intravenous injection of propafone and 10 mg intramuscular injection of metoclopramide. After nausea, palpitations were relieved and the heart rate dropped to 110 times/min.

Results of further examination: the neutrophil ratio was 85.7%, hemoglobin, normal platelets; serum creatinine 204    umol/l; electrolytes were normal; troponin i    1.    12    pmol/l; arterial blood gas oxygen partial pressure 68                  hg, carbon dioxide partial pressure 26       hg.”

"Is there a movie?" Li Yun thought for a while, then asked again.

The other party nodded, then replied in a low voice: "    The texture of both lungs with x-ray chest x-ray increases and blurs, and the texture is mixed with patchy density increases. The heart and waist are slightly straight;

Echocardiography: The inner diameter of the left ventricular end-diastolic stage is 45     mm, the anterior and posterior diameter of the left atrium is 34    mm, the anterior and posterior diameter of the ventricle is 22     mm, the ejaculation fraction of the left ventricular is 67%, the thickness of each segment of the ventricular wall is normal, the systolic amplitude is too strong, the shape, structure, opening and closing movements of each valve are not abnormal, the relationship between the aortic artery, the inner diameter is normal, no abnormal shunt is seen in the heart cavity, and no abnormality is seen in the pericardial cavity.

Frontline hospitals first considered lung infection and added antibiotics. Due to nausea, vomiting, and unable to eat, low blood pressure and low urine, acid suppression, antiemesis and fluid replenishment, blood pressure was maintained at 90/60mm, hg, and heart rate was about 110 beats/mln.

One hour after admission, I felt nauseous after eating a little semi-liquid food, vomiting 30    ml of yellow stomach contents, and instant blood pressure of 180/60     mmhg.

After 10 minutes, chest tightness, abdominal pain, irritability, sweating, spot-like changes in the lower chest wall, abdominal wall skin, abdominal wall skin, softness, and under the liver ribs, blood pressure 70/40 mm       hg, dopamine vein pump, fluid replenishment and pain relief symptomatic treatment, and digestion and surgical consultation at the same time."

The other party introduced the previous treatment one by one.

Li Yun frowned after hearing the other party's introduction.

After thinking for a while, he asked, "Can it be pancreatitis?"

"We also suspected it, but after checking blood pancreatic amylase, the results were normal.

In addition, bedside echocardiography showed no abnormal echoes in the pancreas, gallbladder, abdominal cavity, and pericardial cavity;

Re-examination of the electrocardiogram, no dynamic changes in the st-t segment;

The neutrophil ratio was 75.    8%, and the creatinine was 268    μmol/l.

Considering sepsis, septic shock is likely to be high, thus enhancing the application of antibiotics.

However, the patient's abdominal pain further worsened, accompanied by irritability, and antispasmodic and pain-relieving drugs were ineffective. Blood pressure gradually decreased, dopamine increased to 25μg/kg/min, and blood pressure did not rise.

After being transferred to our hospital for 1 hour, the patient's breathing slowed down, his heart rate dropped progressively, and continued cardiopulmonary resuscitation was ineffective."

When Li Yun heard this, his face became more and more serious.

Seeing the patient, after seeing the electrocardiogram, and listening to the introduction of the director of the emergency center, he had several thoughts in his mind. He felt that with him, a genius doctor, the rescue of patients was nothing more than just a few possibilities and should not be difficult.

Anyway, he thinks he should be able to think of a solution!

However, the words of the director of the center completely eliminated his fantasy. Everyone thought of all the possibilities he had thought of. In other words, the other party had done all the rescue and treatment he could do, but the patient still became like this, his breathing stopped and his heartbeat disappeared.

how so?

After coming to his senses, he raised his head and looked at Su Yang. At this time, Su Yang was still reading the examination report, but he did not look at the electrocardiogram anymore, and changed to watching the film. He inserted the film into the film reader, lay in front, and looked at it with wide eyes. For the convenience of consultation, he just moved a film reader over.

After blinking, Li Yun suddenly sighed in his heart.

no way!

The patient is dead!

There is no way to rescue it.

So many experts are powerless. He has read it just now, and he has no choice, so Su Yang must have no choice!

Su Yang should not be able to do something that no one can do, right?

He turned his head and looked at Yang Xin and Lin Na, shrugged his shoulders, and shook his head helplessly.

But at this moment, Su Yang suddenly stood up and strode to the rescue site.

"Get out of the way, I'll do it!" The first sentence he said seemed a little domineering.

At this time, his aura was very strong. The few people who were rescued were shocked by his shouting and retreated instinctively.

"Are there any pacemakers? Get two!" Su Yang asked in the second sentence.

The director of the center was stunned for a moment, then nodded quickly: "Yes!" He patted a doctor on the shoulder, and the doctor quickly rushed out as if he was rushing out, and soon took two pacemakers in.

Su Yang quickly put the negative electrodes of the two cardiac pace electrodes between the right Jueyin Shu, the heart point, the positive electrodes between the left Xin Shu and the Du Shu point, and then the electrode passes the heart pace. The current is based on the ups and downs of the chest;

Then take out the silver needle, disinfect it routinely, and then acupuncture the first aid acupoints such as Renzhong, Neiguan, Shixuan, and Shierjing.

After doing this, he began to resuscitate CPR.

Heart massage.

Artificial respiration!

He completes all the movements by himself and does not involve others.

Master-level cardiopulmonary resuscitation is not something that others can compare with.

After three sets of cardiopulmonary resuscitation, Su Yang straightened up and said to a nurse standing next to the defibrillator: "Charge 200 joules and defibrillate."

Soon, two electrodes were placed on the patient's chest!

Bang—

The patient's body jumped up due to electricity.

Su Yang had a new set of acupuncture and then did cardiopulmonary resuscitation.

Three more sets were made.

Next to him, a nurse standing by watching the ECG monitoring shouted excitedly: "Sinus rhythm! The patient has recovered the sinus rhythm!"

What?

Everyone next to him was shocked!

Swish!

Everyone turned their heads and looked over.

Sure enough, the patient recovered his sinus rhythm, his blood pressure began to recover, and his oxygen saturation was also slowly increasing.

But Su Yang's bombing followed one after another.

He breathed a long sigh, then turned to look at Dean Wang and the director of the emergency center and said: "There is a 2.9 cm below the right ventricular tricuspid valve of the patient. x2.0 cm cystic protrusion. Multiple mesh-like perforations can be seen on its wall, and a 1.5 cm rupture at the bottom. The cystic cavity is connected to the coronary sinus of the aorta. Considering the patient's acute circulatory failure caused by a ruptured aortic sinus, surgery must be done immediately."

What?

Aortic aneurysm rupture?

After hearing this, everyone present almost jumped up.

Aortic sinus tumors lack normal elastic tissue and muscle tissue. They gradually form cystic tumors under the impact of high-pressure blood flow, protruding outward, and eventually rupture. Breaking of aortic sinus tumors is a rare heart disease. It is more common in Eastern people than in Western people, and is commonly found in middle-aged and young men.

This disease is very rare, but what everyone wonders is how did Su Yang see it?
Chapter completed!