When a doctor opened a plug-in

At this moment, there are many people in the rescue room!

In addition to Yu Yonggang, there are several other group leaders, as well as those young doctors, and further doctors and students.

Such a dangerous case is also the patient who can best improve the emergency response ability of medical staff.

However, the patient's current condition is too bad!

Everyone feels a little struggling or even stretched.

But Chen Cang never seemed to be half nervous and Zhang Huang's expressions from beginning to end.

Very calm and calm.

Start inspections, give medical advice, and rescue them in an orderly manner...

At such a critical juncture, any performance of the patient seemed to be under his control.

This...is the ability!

Accurate diagnosis is the cornerstone of effective rescue.

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At this time, seeing the people around him was full of doubts, Chen Cang couldn't go up and explain, and Xu Ziming was also helping to prepare for the rescue, and had no time to take into account the blank expressions of other people.

After all, this is a war, and I will explain to you why you need a pistol instead of a machine gun?

Meng Xi looked at the people behind and explained: "The false blood pressure is not because the blood pressure is really false, but because the dissecting hematoma spreads or compresses the main branches of the aorta, and then the artery is blocked!

The main manifestations are the disappearance or asymmetry of bilateral neck, brachioradial, and femoral arteries, a significant difference in blood pressure between the upper limbs, or a decrease in the blood pressure difference between the upper and lower limbs.And this change in arterial pulsation is more common in type I patients!"

"In this kind of patients, the ascending aorta is easily damaged due to the blood vortex, causing blood to leak into the pericardial cavity, causing cardiac tamponade!"

"So it is necessary to improve the systolic and diastolic conditions of the heart at this time!

It is generally believed that intermittent intravenous administration of propranolol and intravenous sodium nitroprusside is an ideal plan. The former reduces dpdt and the latter reduces blood pressure, which can effectively alleviate this symptom."

If there is no explanation from Meng Xi, everyone will be confused!

Because the professionalism is too strong!

However, after Meng Xi explained clearly, everyone's reaction became even more intense!

Because... this is too powerful, right?

In this way, time passed slowly, and the patient's symptoms gradually calmed down and gradually eased.

Seeing the vital signs on the monitor, everyone couldn't help but get excited!

Because the patient's condition is improving!

At this moment, everyone looked at Chen Cang's eyes, they were already full of admiration and shock!

This is too strong!

Can get accurate judgments based on effective diagnostic methods, and then make effective rescue plans based on their own judgments!

However, this does not mean that the patient's situation is safe.

A message came from the operating room: "The operating room is ready!"

And the young nurse Cheng Yi also hurried over: "Director Yu, Doctor Chen, the patient's test results are out!"

Yu Yonggang nodded and gave the result of the test sheet to Chen Cang without even looking at it!

Because he knows that Chen Cang is more sure about the rescue of the current patient than himself!

After the surrounding team leaders saw this scene, there was a little more thought in their eyes!

And Chen Cang has no humility at all!

The rescue room is like a battlefield. As the vanguard coach, he is naturally patient-centered.

Chen Cang looked at the test sheet seriously.

At this moment, on the monitor, the patient's heartbeat suddenly began to increase.

Xu Ziming looked at the ECG monitor and quickly said: "Reflex tachycardia!"

When Chen Cang heard this, his eyes suddenly narrowed!

"Stop nitroprusside!"

The nurse nodded quickly to stop the liquid!

At this time, Chen Cang considered it for a few seconds and said, "Press Ningding!"

The people behind were suddenly stunned!

"Press Ningding?"

They feel that Chen Cang is too awesome at this moment!

There are many rescue drugs in the emergency department, but they are not commonly used.

Even if they don't know enough about many drugs, they dare not use it!

And Chen Cang seems to be able to do it easily?

After the nurse heard it, she immediately opened the rescue box and started looking for medicine.

After making a judgment, Chen Cang accurately said: "Ningding is the urapidil injection.

For the initial dose... Add 15mg to 20ml of saline, after 5 minutes of intravenous injection, observe the changes in blood pressure!"

Yang Jie nodded quickly.

At this moment, everyone is waiting patiently.

If the patient's condition is stable, send it to the operating room in time, if it is unstable, it is useless to send it in.

Meng Xi looked at the quiet room and looked at the curious people. He couldn't help but said: "Yanning is used to treat acute aortic dissection. It can selectively block postsynaptic α1 receptors and relieve sympathetic nerves. Excitement to blood vessels, dilate blood vessels.

At the same time, it activates the central serotonin-ⅠA receptor and inhibits the sympathetic feedback regulation of the cardiovascular motor center.

However, its function is to lower blood pressure while not causing reflex tachycardia."

"So, it is more appropriate to use it than sodium nitroprusside!"

Seeing the patient gradually relieved, the vital signs were relatively stable, and the heart rate returned to normal.

Everyone is surprised!

The emergency department really requires an understanding of many diseases.

Too challenging.

The young students behind him looked at Chen Cang in admiration.

Chen Cang hurriedly said, "Quick transport operating room, prepare for surgery!"

Yang Jie nodded quickly and walked towards the operating room with the two nurses and Xu Ziming.

And Chen Cang glanced at Yu Yonggang: "Director Yu, are you going?"

Yu Yong just shook his head: "I won't go, come on!"

Chen Cang nodded, turned to look at the people around him and said, "Mr. Meng, Director Li and Doctor Ge, come together!"

Li Baoshan sighed, today is a tough battle!

Total aortic arch replacement + abdominal aorta replacement!

Even repair the ascending aorta...

Can this patient persist?

He glanced at Chen Cang who was walking forward firmly, as if he was carrying an aura called "I go to carry on".

Can not help but cheer!

Maybe this is the real emergency doctor, right?

Looking at Chen Cang and thinking about himself, Li Baoshan couldn't help laughing at himself.

failure?

What to be afraid of!

Go all out, that's enough!

Thinking of this, Li Baoshan resolutely speeded up and walked forward, trying to catch up with Chen Cang's pace.

And Meng Xi watched Chen Cang strode forward. At the beginning, this little man who was nervous when he saw him, had not seen him for a few months, he has grown to be as stalwart as he is today!

This is the real man.

When many doctors in the emergency department saw Chen Cang leaving firmly, they were truly shocked!

I am very envious!

Yu Yong just looked at everyone, then at Chen Cang's back, couldn't help but laugh.

Team Leader Hou couldn't help but Nene muttered to himself: "This kid is getting more and more enchanting!"

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ps: Ask for a monthly pass, and there will be chasing soldiers behind, so you can't relax...hold the sixth!Come on!Come on!