When a doctor opened a plug-in

The Sackler family, known as the "painkiller family", is not useless.

In order to make opioids the number one medicine in the world, they make pain the standard of treatment.

As a result, pain has been paid more and more attention, and the pain index and score have also developed rapidly.

The pain of aortic dissection is definitely the top fourth-degree pain in the classification, which is the fifth-grade pain (five-level standard)!

Although Chen Cang has never felt this level of pain, according to the guidelines, the pain is continuous and intense, and it will be accompanied by changes in blood pressure and other vital signs, which is difficult for most people to tolerate.

Perhaps this description is not intuitive enough. For example, according to the twelve-level pain grading, level 1: mosquito bites, level 5: slap with palms to leave red palm prints, level 6: pay attention to diet causing gastroenteritis and belly pain. Grade: Use a stick to make a black and purple mark.

Level 8: Various types of trauma caused by area bleeding. Level 9: Pain in childbirth, of course, it's normal delivery.

The 10th level: physical disability, the finger was blown out in a battle, the 11th level: visceral pain, the twelfth level... may be the top ten torture levels in the Qing Dynasty.

On the other hand, there is no specific classification for the onset pain of acute aortic dissection, because the plot is analyzed in detail, but it is definitely not under delivery.

After all, this is a pathological pain.

This kind of pain can give people a sense of near death, which is a feeling that death will come at any time.

Do you think this is the cruelest?

of course not!

Seeing Tian Zhengkai's face pale, Dou Da's sweat rolls down, and the severe pain was unbearable for this little giant who is more than two meters tall. Tian Zhengkai, who is an athlete, is still very strong willpower. The teammates and coaches around him are all It's not worrying.

In the past, Tian Zhengkai has always been the team's big brother, a very humble person, very caring for newcomers, and often teaches some skills.

So everyone respects him!

So, looking at him like this, these teammates feel very uncomfortable!

"Doctor, can you take painkillers?"

"Yes, that morphine!"

Chen Cang sighed and shook his head: "It's not that you won't be hit, it's useless. Morphine doesn't work for the pain of aortic dissection. Moreover, the effect of morphine will also affect the already unstable blood pressure."

After finding out, Chen Cang said to the old horse: "Get in the car first and take it to the hospital."

Several athletes said quickly: "Let's come, it's too heavy!"

Chen Cang and Lao Ma smiled, their exercise volume is not a lot at all.

The two looked at each other, lifted the stretcher and walked outside.

Upon seeing this, the assistant coach said: "You stay and continue the game, I will follow to the hospital!"

After finishing speaking, he could not help but followed Chen Cang and the two of them.

I have to say that this guy is really heavy, and he is so tall that the stretcher is not complete.

Chen Cang was worried about the length of the ambulance...

Fortunately, the ambulance is long enough, so don't worry about this problem.

The assistant coach is not very young. He is Tian Zhengkai's predecessor. He retired and became the assistant coach of the Beijing team. Tian Zhengkai came here partly because of his original intention.

Seeing him like this, the assistant coach is also worried.

Quickly asked: "Zhengkai, what's your home phone number?"

Tian Zhengkai's mobile phone is still in the locker room. In such a serious situation, he must contact his family.

Tian Zhengkai was a little exhausted at this time, the pain consumed too much of his physical strength, and slowly said his phone.

Here, Chen Cang and Xiao Ke quickly made an ECG.

On the other hand, Lao Ma is to contact the hospital to make relevant preparations and improve relevant inspections as soon as possible.

What is the most dangerous thing about aortic dissection?

Rupture of the aorta!

Once broken, the probability of death is basically very high.

Chen Cang's mind turned quickly, and Ma Yuehui also helped on the monitor to monitor blood pressure regularly.

Because of the current situation, once the patient has hypertension, the originally damaged aorta may suddenly rupture due to excessive tension.

It's like water flowing in a leather tube. Suddenly a rupture of the endothelium appeared in the leather tube, and then the water instantly filled it, bulging and thinning the leather tube!

At this time, because a false aneurysm was formed, which hindered the flow of water, the huge pressure might continue to expand this place until... "Bang"... it broke!

The ECG result came out, there is no characteristic performance, almost normal!

Chen Cang glanced at Lao Ma: "Leader Ma, the ECG is normal!"

This seems to be good news, because myocardial infarction is ruled out.

However, after diagnosing this kind of thing and excluding one kind of murderer, another kind often appears.

The performance of aortic dissection and myocardial infarction is surprisingly similar, and the electrocardiogram can be distinguished, and the use of painkillers for myocardial infarction can be effective, but aortic dissection cannot.

Now the patient can be diagnosed as an aortic dissection.

At this time, after Tian Zhengkai's wife answered the phone, the assistant coach hurriedly explained the matter.

This sudden news shocked her!

I didn't care about going to work, so I went out to take a taxi.

Lao Ma's eyes were staring at the blood pressure for fear of rising.

Now blood pressure has become a fatal factor endangering the lives of patients.

"Xiao Ke, add 100 mg of sodium nitroprusside and 500 ml of 5% glucose, and instill it at a rate of 20 μgmin!" Chen Cang said after a moment of indifference.

"Add 0.5 milligrams for peace of mind!"

Chen Cang made a decisive decision.

The patient’s blood pressure of 100-110 is enough to maintain the blood supply of the heart, brain, kidney and other important organs, and the extra blood is dangerous.

And it is necessary to reduce the contractile force of the heart to stabilize the blood vessels. Don't break it!

Sometimes, when medical explanation fails, only metaphysics can be used!

Just like this time, the assistant coach is nervous and can only pray.

Is prayer useful?

Of course the assistant coach doesn't know, but... he doesn't know what he can do!

Not only him, but Chen Cang and Lao Ma were also anxious. Chen Cang had already placed his hands on the instrument box. If his blood pressure dropped sharply, he would definitely have an operation as soon as possible.

Time passed slowly in the anxiety.

Finally, after 20 minutes, the car was fine at the door of the emergency center!

Chen Cang took the lead to run down, and Lao Ma met from behind. With the help of four or five people, he pushed the car down steadily.

"Make an echocardiogram first!"

"Contact the cardiology department for consultation and prepare for aortic angiography as soon as possible!"

"Draw blood as soon as possible, complete the diagnosis, notify the blood matching room, and prepare for the blood supply!"

If the aortic dissection is really broken, the amount of bleeding will not be a little bit. You must prepare in advance!

What is the most important thing about medicine?

Be prepared!

Consider all possibilities.

After all, any carelessness could be a life!