1796 Boldness (monthly ticket 1550031)
Zheng Ren touched the patient's heart.
The myocardium keeps trembling irregularly, as if it is making a final struggle. But all its efforts are in vain.
Even if you look directly at the heart, you can only provide a little momentum to the weak heart.
Looking up, Zheng Ren narrowed his eyes and looked at the electrocardiogram on the electrocardiogram.
Three or more preventricular contractions occur continuously!
The q wave group is morphologically deformed, with a time limit of more than 0.12s, and the direction of the st-t wave is opposite to the direction of the main wave of the q wave group!
The ventricular rate exceeds 220 beats per minute, and the heart rhythm is irregular!
Atrial independent activity has no fixed relationship with the Q wave group, forming ventricular and ventricular separation. Occasionally, individual or all ventricular excitement is reverse transmitted to capture the atrium!
It's so fucking! Zheng Ren cursed in his heart.
He was very angry.
No one delayed the rescue, all the processes were the fastest, but the best opportunity was still not achieved.
"Magnesium sulfate, 2g is quietly pushed!" Zheng Ren shouted in a deep voice.
The nurse was running, and Su Yun and Zhao Yunlong were giving the patient an external membrane lung.
2g of magnesium sulfate was pushed in and Zheng Ren observed it for 10 seconds, but the effect was not good.
"Isopropyl kidney, 1mg, intravenous injection!"
"Isopropyl kidney, 1mg, intravenous injection!"
"Isopropyl kidney, 1mg, intravenous injection!"
Even Su Yun was a little panicked after continuous ipsipropionate impotence.
Isoprene was once the first choice for the treatment of ventricular arrhythmias, but because the dosage can cause ventricular fibrillation, it is rarely used now.
Boss is crazy!
But there was no problem. I opened my chest in the ward and had a heart compression under direct eyes. I was not afraid of ventricular fibrillation at all... I shouldn't be afraid.
Su Yun was a little hesitant.
He has never experienced this rescue of this large dose of isoproterenol.
The key lies in the insertion time of the extracorporeal membrane lungs.
The earlier the extracorporeal membrane lung is used, the greater the hope of the patient's survival.
"Isophora kidney, 1mg, intravenous injection!" Zheng Ren was still giving advice to the doctor, pinching the patient's heart with his hands to maintain the final pulsation.
He could feel the patient's heartbeat weakness.
If I hadn't pinched my hands, I'd probably stopped jumping.
After pushing the isopropyl kidney for the sixth time, Zheng Ren finally heard the sound he wanted to hear the most. The external membrane lung machine started, and Su Yun had already put the ecmo arteriovenous cannula from the femoral arteriovenous vein, and the ecmo operation assisted the circulation.
On the electrocardiogram, ventricular tachycardia was slightly relieved under the action of large doses of isoproterenol and magnesium sulfate.
"Su Yun, prepare for chest electrocution!" Zheng Ren said.
"Okay." Su Yun had no time to take a breath, so he began to look for the electrode and called it directly to Zheng Ren.
Two electrodes are placed on the anterior and posterior walls of the patient's heart respectively.
"Boss, how old?" Su Yun asked.
Su Yun means how much energy it is. Generally speaking, intrathoracic electrodysfunction starts from 10j and slowly increases to 30j.
However, repeated defibrillation will consume a lot of AtP, resulting in the patient's condition not being very stable after resuscitation. Even after a short sinus rhythm, the patient will soon experience cardiac arrest again.
Because last time in Sweden, Zheng Ren used extreme energy to resuscitate Dr. Mehal's heart, which left a deep impression on Su Yun. He didn't think about it and asked directly.
"22j!" Zheng Ren paused for a moment, then said.
After hearing this later, Professor Zhang immediately said: "10j! It cannot be too big, we must gradually increase our energy!"
Su Yun didn't even look at him, and completely treated him as air, adjusted his energy to 22j, and glanced at Zheng Ren.
With eyes facing each other, Su Yun pressed the button.
With a light sound, the harsh screams from the ECG surveillance stopped.
Heart rate restores sinus!
"I'll go..." Su Yun breathed a sigh of relief.
Professor Zhang was stunned. Everything in front of him exceeded his cognitive scope.
Zheng Ren was also a little calmer and said, "Tell the operating room, I pushed the patient up directly."
"Don't wait?" Su Yun asked.
"I can't wait, heparinization again, and there may be cerebral hemorrhage at any time." Zheng Ren said.
"Okay." Su Yun took off his sterile gloves and took out his phone.
"Boss, let's drive the two units together, you have to slit the chest wall." Su Yun said.
"Uh... Santai, ask Fuguier and Lao Liu to come right away." Zheng Ren said, "I have an external membrane lung, and I have bleeding at any time. I need an angiography."
"..." Su Yun finally couldn't help but curse in his heart.
The three units are driven together... The boss really dares to think about it.
But who made him the boss? He had a big mouth and said whatever he said. Su Yun complained in his heart and started calling people.
Zheng Ren compressed the chest and stopped bleeding. He observed the patient's electrocardiogram and saw that his sinus had recovered, he breathed a sigh of relief.
But there is only a time to breathe a sigh of relief.
The chest cavity is open, not to mention infection, but just a pneumothorax can't stand it.
I seized the time to send the patient to the operating room, and everyone was busy.
Soon, pushing the hospital bed, ventilator, electrocardiogram, and extracorporeal membrane lung machine, a group of people left the ward and went to the operating room in a mighty manner.
Professor Zhang stood alone in the empty ward, stunned on his own.
What happened just now?
Open the chest next to the bed, look directly at the heart and press the heart. The isopropyl kidneys are pushed in like this, and the intrathoracic electrocution is directly exposed to the energy of 22j...
These are things that Professor Zhang did, but he did not dare to do easily.
Isn't something wrong?
Professor Zhang is still wondering whether he is dreaming.
The patient is still saved? What did Boss Zheng say in the end? It seems that three units are driving in a row.
Does he want to use smoke disease on his head at the same time, chest disinfection, suture, and interventional angiography?
This is not courageous, this is simply courageous.
You should know that patients with heart failure have continuous ventricular arrhythmias with the support of IABP.
Can the patient withstand such a big blow if three surgeries are performed at the same time?
Professor Zhang doesn't believe it.
Although he hopes that the patients can survive, Boss Zheng's approach violates the medical knowledge he is familiar with.
Impossible, absolutely impossible!
A few minutes later, Professor Zhang thought about it several times in his mind, but he felt that this possibility did not exist at all, and the patient would undoubtedly die.
He hesitated for a moment, and finally decided to go up and see the situation.
In his heart, he didn't want to see Boss Zheng make a fool of himself. After all, he did it with Zhao Yunlong in the heart coronary artery bypass operating room, and now he and Boss Zheng are grasshoppers on the same rope.
It’s really... young people know that they are causing trouble!
How good is it to give up treatment well, and the family will take people away?
There are so many people in this world that cannot be healed, and Santai is driving... When he thinks of this, Professor Zhang's heart sinks.
It's so scary, it's simply scary.
They must follow them, otherwise they will not know how to write the course and surgical records after the operation.
Don't push all the mistakes on your head.
After working for decades, Professor Zhang has seen more and more such dark things, and he knows that he will definitely not be able to leave.
Sighing, Professor Zhang turned around and walked out of eicu, ready to go on stage to take a look.
Chapter completed!