When a doctor opened a plug-in

After seeing several directors, Chen Cang walked over quickly: "Director, you are here."

Li Baoshan nodded, his face solemnly said: "How is it now?"

Chen Cang swallowed his saliva: "It's fairly stable. I have gone for related inspections and will be back soon."

Li Baoshan gave a cry.

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

Tao Mi frowned and asked, "Xiao Chen? What is the patient's condition?"

Chen Cang explained: "The patient's current examination results have not yet come out. I guess it may be a pericardial tamponade caused by a traumatic blood pericardium!"

As soon as the words pericardial stuffing came out, the expressions of several directors suddenly changed!

Pericardial tamponade, this is a terrible disease!

Checks can’t be done casually, at least someone has to stare at them!

Thinking of this, Li Baoshan quickly asked: "What inspection did you do?"

At this time, Chang Lina, who took the patient for examination, walked over with the doctor on duty in the radiology department, pushing the car.

The radiologist took out the NMR film in his hand: "Director, look, this is a chest radiograph, this is an NMR."

After Tao Mi heard these words, his face suddenly changed: "Why do nuclear magnetism?"

This sentence silly everyone!

The radiologist was stunned for a moment: "In order to clarify the blood accumulation in the pericardial cavity..."

This question makes the radiology doctor a little confused, could it be...I did it wrong?

But seeing the three directors staring at him with a serious face, the radiology doctor suddenly shrank his head. Am I really wrong?

Li Baoshan quickly asked: "Is the patient's condition stable now?"

Chang Lina, who was sent for examination, nodded: "Stable! Blood pressure is 9070, heart rate is 70 beats per minute... The patient's vital signs are stable."

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

Xu Tianfu slowly said: "It's not that you don't want to do MRI, but you can do it when the patient's condition is stable, otherwise the pericardial tamponade is very easy to kill!"

indeed!

Xu Tianfu is not joking.

Heart disease patients die in the CT room and the NMR room every year are no longer a minority.

Therefore, many hospitals in China do not recommend MRI and CT for patients who may have myocardial infarction, heart failure, etc., and wait until they are stable.

The radiologist smiled awkwardly: "Director, when it was delivered, it was already stable."

The three were taken aback!

Pericardial tamponade caused by blood pericardium... How can it be stabilized without treatment?

At this time, Xu Tianfu, who was holding the nuclear magnetic film, suddenly froze for a moment: "That's not right... Why is there no blood accumulation?"

Even Tao Mi on the side was dumbfounded. After a careful comparison... he looked at the echocardiogram again, and was immediately curious.

"No, you see, the second and third ribs on the left... have obvious blunt injuries."

"But the ultrasonic liquid plane..."

At this time, Lao Liu hurried in and said, "Doctor Chen, I took the blood that you asked me to get just now."

At this time, everyone looked up at Chen Cang.

Li Baoshan suddenly widened his eyes: "What kind of blood is this?"

Chen Cang said: "When I arrived at the scene with the driver Liu Liu, the patient’s condition was very bad, the pericardial tamponade was very serious, the blood pressure was only 6030mmHg, and the triad of pericardial tamponade was very obvious. This is the first time I have seen a triad at the same time. The patient, the patient’s heartbeat was very weak at the time, and I was worried about problems on the way to the hospital, so I immediately chose an outdoor pericardiocentesis."

As soon as this is said!

Suddenly the expressions of the three directors changed again.

They all know the serious consequences of pericardial tamponade.

But, how do you do pericardiocentesis outdoors?

One without B-ultrasound positioning, and without monitoring

Pericardiocentesis can only be done blindly.

Do it blindly...Anyone who is not careful will cause problems.

After all, the pericardium is not a thoracic cavity, it has a large operating space, and his operating space is very small.

Tao Mi thought of this, hesitated for a moment, and asked: "You... "Blind wear"?"

Chen Cang nodded: "As a last resort, the situation was special and the patient was very urgent. It was imminent. If you can't do it, I will do it."

The three of them glanced at each other and couldn't help swallowing...they could think of the danger.

But the more so, the more feared the three of them.

Maybe, the patients will not come to the hospital.

Li Baoshan sighed: "You are too risky."

Tao Mi shook his head: "I have to do it!"

Having said this, the eyes of the three of them looking at Chen Cang changed.

After all, there are dozens of people from the Department of Cardiology Department of Cardiology Department of the Second Provincial Hospital who can blindly penetrate the pericardium...maybe there are few.

Even Tao Mi and the others are not sure if they dare!

Maybe... In that case, would you do it yourself?

Tao Mi tried to figure it out in his heart, but... whether it can succeed, it really might be.

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

Courageous!

It is really an ability to decisively judge pericardial tamponade and perform on-site puncture boldly.

Sometimes people really have to obey the old.

Seeing generations of outstanding young people gradually grow up, several directors are also grateful and regretful in their hearts.

Fortunately, there are successors.

Unfortunately, I am getting old...

However, everyone was relieved to learn that the patient's vital signs were stable after the patient had undergone a pericardiocentesis, and there was indeed some blood in the patient's pericardial cavity at this time.

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

Nor is it a sharp rupture of the heart.

The only consideration now is the damage to the pericardium, the resulting pericardial vascular damage.

At this time, various test results came back.

The indicators are basically normal, the hemoglobin is low but not the indication for blood transfusion, and the white blood cells are slightly higher but normal.

After reading the various examination reports, Tao Mi said: "Now we still need to open the chest to find out whether there is any damage to the heart or blood vessels. The blood source should be detected and treated in time."

"And... you can see on the film, here, there are pericardial hemorrhage and blood clots, so next you should cut the heart bag, clear the hemopericardium, find the source of the bleeding, and repair the damage to the heart and blood vessels!

Xu Tianfu also nodded: "Fortunately, there is no piercing injury to the heart, otherwise it is not so simple. Look at this broken rib, it should have injured the blood vessels of the pericardial tissue, and did not cause damage to the heart. It should be the main cause of blood pericardium and pericardial tamponade!"

I have to say that, thanks to Sun Sheng, he is more fortunate. The fractured rib did not cause damage to the heart, otherwise... it is not the situation now.

After several directors discussed it, they made a decision to complete the operation as soon as possible.