BXBX NOVEL Chapter 1433
Chapter 1433: Shock storm
Zheng Ren strode into the operating room.
Song mo was fine a second ago, but in the next second, he went into shock due to allergy.
The skin and mucous membrane were the earliest and most common signs of allergic shock. The coin – shaped pimple appeared immediately, giving off a strange feeling.
However, this time, the symptoms did not appear in a specific area. Instead, her entire body was flushed red.
Song mozhen’s skin was flushed red, followed by a rash and vaso – neuroedema, and in just a second, she seemed to have edema all over her body.
The upper respiratory tract was swollen and obstructed due to edema and spasm in the trachea and trachea, as well as the secretion of the trachea that was like a dead man.
Song mozhen’s Qi path pressure increased, and his Qi path resistance increased.
At the same time, her lower respiratory tract was swollen and her lung secretion increased, causing insufficient gas exchange, insufficient oxygen supply, and a decrease in blood oxygen saturation.
In fact, song mozhen even showed signs of cyanosis in an instant.
Both his upper and lower respiratory tract were swollen at the same time, and his condition worsened rapidly. If it wasn’t for the breathing machine, song mozhen probably wouldn’t have been saved.
Due to the capillaries ‘infiltration and the blood vessels’ expansion to the point that the blood volume was absolutely or relatively insufficient, the amount of blood that returned to the heart was reduced. Song mozhen’s blood pressure had dropped to 80/50mmhcg.
This was only the beginning. The pressure in her arteries was still dropping rapidly.
His heart rate soared to more than 120 beats per minute, his pulse was thin, his limbs were cyanosis, and his body was cold.
......
All of this was within Zheng Ren’s expectations.
He rushed into the operating room and shouted,”suck phlegm and keep your respiratory tract open!”
The anesthetist did not react in time. Everything was still calm and peaceful just a moment ago. Why did all the equipment start to scream like crazy in just an instant?
Was it a machine malfunction?
Could it be that the machines were malfunctioning at the same time? these were the most advanced machines in the world, and they were well maintained.
“Suck the phlegm!” Zheng Ren kicked the outside of the anesthetist’s thigh.
He didn’t use any force. He only used violence to wake the anesthetist up.
“Oh.” The anesthetist was stunned for a moment, and he immediately realized what he should do.
After all, he was a top – tier anesthetist and was well – trained.
He picked up a phlegm tube in the shortest time possible and went in through the trachea intubation.
A hissing sound could be heard as a large amount of respiratory tract secretions were sucked out.
When Zheng Ren saw the anesthetist move, he ignored him and continued to shout,”Su Yun, raise your head and lower limbs by 15°.”
Su Yun was shocked.
Although he was prepared, he didn’t expect the allergic shock to be so rapid.
The elevation of the head and lower limbs was a point that was easily overlooked during the resuscitation of allergic shock.
This would help the veins in the brain and lower limbs to flow back to increase the pressure difference. It could also prevent the sudden increase in pressure in the carotid artery and reflexively cause a drop in blood pressure.
This was a small detail that few people paid attention to, but it was extremely important!
“0.5mg of epinephrine!”
“200mg of MicroRapid!”
“Inject 0.5mg of epinephrine into the vein again!”
The anesthetist looked at the ECG monitor and subconsciously reminded him,”Doctor Zheng, if the electrocardiogram is measured in the positive chord wave type, we’ll consider carrying out CPR. Give me iodopone. ”
He spoke carefully, not daring to provoke Zheng Ren. Even if it was a major emergency treatment, he wanted to respect Zheng Ren’s opinion.
Dr. Huo was smacked against the wall, and she was still sitting there in a daze, holding her head.
“It’s not ventricular pulsation. ” Zheng Ren said with certainty,”pull up a limb electrocardiogram.”
It was more advanced than a Nursing Hospital, and the leads were all located in the chest area.
When Zheng Ren said ‘limb electrocardiogram’, he meant that the electrocardiography of the four limbs was also involved in the lead.
The anesthetist was stunned for a moment.
In the emergency department, shouldn’t the patient be treated immediately if there was a heart palpitating? How could he not think so?
The continuous, regular, wide, and deformed QR waves looked so “ugly.”
This was one of the waves that doctors in the Department of Cardiovascular were most afraid of, as it meant that it was very difficult to save the patient.
The time limit of the QRS wave was longer, above 0.12 seconds. The upward and downward amplitude of the QRS wave was like a chord – like curve, which was difficult to distinguish from the T – wave.
All of this proved that Song Shi’s heart was already beating!
Although the QR wave frequency did not reach 180 times per minute, the P – wave did not disappear. However, the wide QR waveform told the anesthetist that this was ventricular pulsation!
He needed emergency treatment.
He really wanted to give teacher song an intravenous injection of amiodopone, but doctor Zheng’s slap just now ...
It’s better to do a limb electrocardiography.
Even if something were to happen to Song Shi, he had done his duty.
It was Song Shi’s fault for not being able to judge a person. Since this arrogant and despotic doctor Zheng had refused his warning, then everything that happened had nothing to do with him.
The anesthetist quickly connected the limb electrocardiography, but when the electrocardiography appeared, he was stunned.
It was not a ventricular pulsation at all. The P QRS T was clearly visible. The positive chord wave was probably caused by mutual interference between instruments.
This ...
The anesthetist looked at the clear P QRS T wave and was extremely puzzled.
In this situation, who gave him the courage to make the judgment that the machine was interfering?
“Pay attention to your phlegm!”
“Ansama, 100mg intravenous drip. Pay attention to the slow speed.”
“1000mL of 5% glucose, metiamine, dopamine ...”
“250ml of lidocaine is quickly injected!”
” 100000 units of ustakarine, intravenous drip!”
Zheng Ren’s medical advice was given one after another.
Everyone in the operating theater was whipped by the Invisible Whip formed by the medical orders, and they started to move madly.
Zheng Ren was standing not far away, and his field of vision covered the entire rescue scene. No matter who made a mistake, they would be ruthlessly reprimanded.
In the entire arena, only Su Yun was running as fast as he could, not making a single mistake.
Gradually, the alarm in the operating theater began to die down.
One by one, the machines returned to normal. Song mozhen’s vital signs began to stabilize. Her blood pressure slowly rose, and her condition gradually improved.
After half an hour, the operating theater finally quieted down.
All the doctors and nurses in the nursing Hospital felt like they were in a dream when they saw the stable ECG monitor and the values on the various instruments.
It was a nightmare.
It was just that under the command of this young doctor from a public hospital, the ending was perfect.
The medical staff broke out in a cold sweat when they thought about the aggressive allergic shock.
The gynecologist wanted to apologize, but her heart trembled when she saw Zheng Ren.
It was fortunate that she didn’t rush up to provoke doctor Zheng back then. Otherwise ... In the face of such an important emergency, especially when the person being rescued was teacher song, this doctor Zheng wouldn’t have cared about the gender difference between them.
He was afraid that he would also be slapped to the wall.
“Boss, you told me to take command.” Su Yun was very dissatisfied as she stood beside Zheng Ren and mumbled.
“Some things are too complicated. I’m still a little worried.” Zheng Ren said.
“Did you restrain your strength?” Su Yun glanced at Dr. Huo, who was crying in the room next door.
His voice was neither loud nor soft, just like Dr. Huo’s voice, so he was sure to be heard.
“I’ll accept it. If not, he’s the one who needs to be saved. ” “Remove the tube and send the patient back to the ward,” Zheng Ren said calmly.
He turned around.”Let’s go, Su Yun.”
……
……
Yesterday, he had nagged at boss Zheng, but he didn’t expect everyone to give him so many gifts. I’m really sorry, it’s just a small matter. It’s been half a year. There are always times when my emotions fluctuate. I’m sorry, I’m sorry. He would return to the capital tomorrow to continue the surgery and mourn over the cardiothoracic Department, which was on the verge of death, and the cardiopulmonary bypass, which was about to disappear.
Now that he thought about it, the future star of the cardiothoracic Department was very unfair to comrade Su Yun. There was no tomorrow in cardiothoracic surgery ...
Minimally invasive surgery was needed for everything, but it did not seem to be enough for thoracoscopies to perform aortic repair.
He bowed ...