When a doctor opened a plug-in

Chen Cang swallowed, "Pulmonary embolism can also cause allergic rash?"

Niu Tianfu said at this time: "Well, it's not that there is no such possibility."

At this time, a very serious problem has already been placed in front of everyone!

If acute pulmonary embolism is suspected, what should be done?

At this moment, Qin Xiaoyuan suddenly asked: "How long has the attack been?"

Yu Yingcai was at the door, she was shocked when she saw the emergency rescue, and looked at her watch: "It's been more than an hour... to be precise, it should be about 70 minutes."

After Qin Xiaoyuan heard this, he frowned!

Many theories now believe that patients with pulmonary embolism, especially those with syncope, will die within two hours of onset of 60 to 70%!

However, it is difficult to send to the hospital for a clear diagnosis in such a short time!

If the patient can effectively survive the initial stage of this crisis, he can be rescued under the active treatment of internal medicine.

At this time, it is generally necessary to do pulmonary angiography and lung scan to confirm the diagnosis and understand the location and scope of the emboli.

Several directors started an intense discussion!

Five minutes later, it was decided to perform coronary angiography.

But before that, it is necessary to ensure the safety of patients!

"Atropine 1mg! Intravenous injection!"

"Dopamine 5ugkg.min!"

Before the patient is examined for surgery, preventive measures must be taken to prevent accidents during the examination!

After Chen Cang heard these two doctors' orders, he silently wrote them down!

Atropine is used to relieve coronary artery spasm caused by hypertension of the vagus nerve. At this time, dopamine can obviously resist shock and correct hypotensive arrhythmia!

These two doctor's orders, like shields, escort the patients again!

Of course, any medical treatment is a chance!

No one can guarantee that there will be accidents during the operation.

This is not impossible!

Qin Xiaoyuan has thought out all the measures and has done everything that should be done.

Yu Yingcai had no choice but to nod and accept!

At this time, the test results are back!

WBC was significantly increased, LDH was also increased, and CPK was basically normal.

It is not an acute myocardial infarction, it can be ruled out now.

Director Niu went out in person and started preparing for the radiography.

Time passed by, and the entire emergency room was filled with colorless gunpowder.

Rescue and war have something in common.

He will make people's adrenaline soar.

Feel something called passion, permeating the body.

Before long, the radiographic images came out, the patient was diagnosed, and the pulmonary embolism was undoubtedly!

The patient had just been sent to the rescue room. Several directors were overjoyed. Watching the film, they are now ready to start treatment.

Director Niu calmly began to give medical advice.

The anticoagulant Lele has already begun to prepare.

Just when everyone was relieved and ready to start treatment.

suddenly!

Shi Na exclaimed: "The patient has a cardiac arrest!"

Suddenly everyone's expressions changed.

Cardiac arrest!

Is the heart arrested at this time?

The old cow was frightened at once, did the anticoagulant medicine work?

Even Tao Mi looked flustered!

Why is cardiac arrest?

Is there ventricular fibrillation?

At this time, if you have ventricular fibrillation again, these directors are ready to abandon you.

There is pulmonary embolism in itself, and if ventricular fibrillation is added, the ghost knows if there is any embolism.

At this time, the fragile patient only needs to come again gently, and he will really belch.

Without even thinking about it, Chen Cang was ready to start chest compressions!

At this time, the director started to discuss frantically. What should I do now?

The situation is really not optimistic!

Just when everyone was frowning, Tao Mi suddenly said, "It's not impossible now!"

Qin Xiaoyuan's eyes lit up: "What does Director Tao mean?"

The same is true for Niu Tianfu, is there any better way for surgery?

Tao Mi said word by word: "Pulmonary embolism removal operation!"

As soon as these words came out, several directors frowned.

In fact, regarding the operation of pulmonary embolism, there is so far different understandings and no consensus has been reached.

Even when this kind of surgery appeared, it was considered useless by all!

Because surgical treatment has no place in this disease, because the surgical success rate of this disease is too low!

The mortality rate is extremely high!

It has always been used for supplementary treatment, for patients with huge pulmonary embolism accompanied by shock, systolic blood pressure as low as 100mmHg, increased central venous pressure, renal failure, medical treatment failure or not suitable for medical treatment.

Surgery under cardiopulmonary bypass has a higher mortality rate.

But at this moment, everyone has no choice.

Now that the heart is arrested, and the systolic blood pressure is less than 90, how effective is the medical treatment at this time?

Everyone has no idea!

After some discussion, Qin Xiaoyuan looked at Tao Mi solemnly: "Director Tao, can you perform pulmonary thrombus removal?"

Tao Mi blushed: "I haven't done this operation. Not many people have done this operation."

When everyone heard it, they sighed, hoping to go out again...

At this moment, Chen Cang's chest compressions succeeded.

The patient's heartbeat finally recovered...

Now, everyone may not dare to do medical treatment.

But everyone was even more unsure of the embolism removal operation!

Tao Mi can't do it...

At this moment, Tao Mi suddenly looked at Chen Cang: "Xiao Chen, would you have a pulmonary artery thromboectomy?"

Chen Cang was taken aback.

Even Qin Xiaoyuan and Niu Tianfu didn't hold any hope.

Pin the hope on a young man.

Does it fit?

Thinking about it, I blush.

However, it is unrealistic to ask experts. If effective measures are not taken within two hours, the patient's mortality rate will soar again.

At this moment, Chen Cang looked at 25 skill points.

Removal of pulmonary artery thrombosis is a tertiary operation in thoracic surgery and an emergency rescue operation. 4 skill points are required for exchange.

Upgrading to master level requires 7 skill points.

A total of 11 skill points are required!

Do you want?

Chen Cang looked at Yu Yi lying on the bed and took a deep breath.

Moreover, he wanted to know, this truth...what the hell is it?

Although it is not very clear, Chen Cang understands that hidden tasks are definitely important news and clues!

11 skill points!

Save a life, plus a hidden mission, it's worth it!

"I will!"

As soon as these words came out, several people were shocked.

The expression on Tao Mi's face was extremely rich.

From doubt to shock to ecstasy!

Can't help but throw a fist: "Dean Qin, Xiao Chen will!"

Looking at Chen Cang, Qin Xiaoyuan also felt a sense of shock rise.

Under such a situation where everyone could do nothing, Chen Cang suddenly stood up and provoked a heavy burden.

Just like when everyone was about to give up, Chen Cang successfully delayed four!

He knows that Chen Cang is good, but... when this kind of helplessness suddenly rises in hope, this feeling is really amazing.

Qin Xiaoyuan looked at Chen Cang and found himself...something that couldn't see through his son-in-law!

After several hesitations, Qin Xiaoyuan called his family again.

Yu Yingcai's heart has been ups and downs several times today, and can't stand any toss.

He did not expect to encounter such a thing again.

After Qin Xiaoyuan explained, he told Yu Yingcai: "The success rate of surgery is less than 20%, and the medical treatment rate is even lower. I hope he will make a decision as soon as possible!"

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ps: Thank you for the 10,000 reward of "There is a Buddha in my heart that I am afraid of you", thank you, the following story is more exciting!