I can see the status bar
Chapter 171 Figures
Chapter 171 Figures
The human heart muscle is the most specialized group of muscles.Modern medicine roughly divides cardiomyocytes into two types according to their different functions, "working cells" and "autonomous cells".Autonomic cells are responsible for transmitting signals that direct working cells to contract and relax.The working cells are responsible for squeezing the blood in the heart to all parts of the body.
As the most "model worker" cells, cardiomyocytes are of course year-round.According to a normal adult's heartbeat of about 80 times per minute, in the 18 years of a person from the age of 60 to 42, his heart needs to beat at least 17 billion times.Such high-intensity work means that the heart muscle needs to consume a lot of nutrients and oxygen.In order to supply the work of the myocardium, something called a "coronary artery" has evolved in the heart of mammals.
Blood is supplied by the coronary arteries, capillaries distribute oxygen and nutrients to the myocardium, and finally reinfuse blood back into the circulatory system through the coronary sinus or precardiac vein.This process is called the coronary circulation, and the importance of this set of cycles is self-evident-it is like the power supply for the guaranteed operation of a nuclear power plant, and it is like the core reactant that starts and maintains the entire industrial chemical reaction process.Without it, the heart would naturally not be able to work.
There are two left and right coronary arteries in the human heart, and more than 65% of people belong to the category of left coronary artery dominance - their hearts mainly rely on the three branches of the left coronary artery to transport arterial blood. 29% of the people belonged to the balanced shape, and their left coronary artery and right coronary artery transported the same or similar amount of arterial blood.The remaining 6% are rare right coronary artery dominant type, the five branches of their right coronary artery can transport most of the blood needed by the heart.
Although I don't know what kind of type Wu Fenmei is, the meaning of left coronary artery obstruction (2/3) is already obvious.Only one of her left coronary arteries is still unobstructed. According to rough statistics, she has about 94% chance of having a myocardial infarction.It is not clear whether it is severe myocardial infarction, ventricular fibrillation, or severe pain caused by myocardial insufficiency.
Sun Lien knew in his heart that with his current situation, once Wu Fenmei fell ill, it would be almost impossible for him to effectively rescue CPR. Press your body down firmly to form an effective chest compression.In the state of ventricular fibrillation, CPR and electric shock defibrillation must be used together, so that it is possible to reverse the state of ventricular fibrillation.Only relying on electric shocks and Saab machines commonly known as "pile drivers" will have very limited effects.
You must notify the superior doctor immediately and invite them to come to the town...
"Director Liu, Teacher Liu!" Sun Lien turned his head and walked to the isolation door, "The patient has a problem, it may be a heart attack!"
God knows how Sun Li'en moved his legs to the door.He could barely feel his legs.He barely put the oxygen tube under his mask, and took two deep breaths with all his strength.Although pure oxygen is sprayed from the oxygen tube, after all, through the mask, the effect of oxygen inhalation is basically the same as that of placebo.
"Director Liu, you have to hurry up..." Sun Li'en clenched his fists and slammed on the door twice, "I definitely can't do CPR in this state..." Before he could finish speaking, a burst of voices came from the hospital bed behind him. A high-pitched siren.
"Venticular fibrillation!" Sun Li'en put down the last sentence, turned off the oxygen switch, and moved quickly to the side of the hospital bed - this was already his fastest speed.
Liu Tangchun is wearing protective clothing with orthopedic hands that do not meet his age at all.But the P4 protective clothing is really troublesome. Even if Liu Tangchun can't even tell the energy of cursing, it still takes some time for him to put it on.
Hu Jia grabbed Sun Lien's cell phone worriedly.
"Defibrillation!" Wu Fenmei has already connected the advanced airway, and Sun Li'en doesn't need to devote extra energy to pay attention to her breathing state.He randomly smeared some conductive gel on the defibrillation electrode plate, and Sun Lien skillfully placed the electric shock plate in the designated position. "The first electric shock, 190 joules, electric shock!"
"Boom!" With a soft sound, Wu Fenmei's body bounced up and down.All the data on the cardiopulmonary monitor turned into a straight line.Then the new data was refreshed, and her heart was still in ventricular fibrillation.
"Damn it." Sun Li'en cursed in a low voice, not knowing whether he was cursing this damn disease or God who made him so unlucky.
What's next?Sun Lien was a little dazed.The sluggish thinking caused by insufficient oxygen supply once again prevented him from making a quick judgment.
Lying before him was a stranger.I know her name, her condition, and her age... Sun Lien was suddenly taken aback.
Last night, Wu Fenmei was still 57 years old, but now...the status bar says she is 58 years old.
Today is Wu Fenmei's birthday.
In a daze, Sun Li'en seemed to hear her voice.She was begging for her own help.She still wants to live on.
Before him lay a stranger, a sick man, a life.
who am I?
I'm Sun Li'en, and I'm a doctor who just started training.
My uncle and uncle used to be doctors, and it was my dream to stand side by side in white coats with them.
They died.In order to fulfill my oath, in order to save lives, in order to keep patients alive.
I am also a doctor.
I need to do something.
I have to do something.
Sun Li'en stood up straight, but he was still slow in thinking and slow in action.But he felt as if there was a heat flowing from his chest to his limbs.He threw down the electric shock board in his hand and began to press hard on Wu Fenmei's chest.
"01, 02, 03, 04..." The range of pressing with both hands must be such that the patient's chest can sink by about three centimeters.Just after pressing it for the fourth time, Sun Lien felt a strong dizziness.He could barely stand.
"Damn it." Sun Lien cursed for the second time. "Damn you!"
Cursing did not improve the dizziness, and he felt a dull pain in his chest.Every tissue in the body is screaming for more oxygen.
Sun Li'en tore off the mask covering his face.
"Second defibrillation!" He was finally able to breathe freely.Fatigue and physical sluggishness seemed to be expunged from his body in an instant. "200 joules, electric shock!"
Hu Jia outside the door was holding Sun Lien's cell phone tightly, his hand turned pale from excessive force.As if holding Sun Lien's hand.She clenched her hands tightly, as if she could convey her worry and anxiety to him who was rescuing patients in the clean room.
"No heartbeat." No need to confirm again, Sun Li'en also knew that Wu Fenmei was not getting better.The status bar reads, "Ventricular Fibrillation (2/11 to successfully defibrillated)."
Defibrillation requires five cycles of chest compressions, and one cycle is 30 chest compressions.
The frequency of chest compressions is 150 times per minute, just enough for 1 minute.Then the next defibrillation can be performed.
"Third defibrillation, 210 joules, electric shock!" Sweat dripped from Sun Lien's forehead.He raised his heavy arms and defibrillated Wu Fenmei again.
Compress, defibrillate, compress, defibrillate.Sun Li'en was busy in the clean room, completely unaware that Liu Tangchun, who had put on his protective suit, had already entered the clean room.
"The sixth defibrillation..." Sun Lien only felt that his mouth was dry.I am alone in the clean room, who should I report these passwords to?Anyway, I was alone in the room, and it seemed that the warning before defibrillation had become somewhat meaningless.
"It's ok..." Liu Tangchun said in a deep voice, "You did your best."
"The seventh defibrillation!" Sun Lien completely ignored Liu Tangchun behind him.Four more times, just four defibrillations!
"You did a good job. It's not that you did something wrong with her..." Liu Tangchun has seen many young medical staff fall into the current mood.They are young and full of energy.But in the face of death, no matter how vigorous they are, it will not help.No one can stop death from coming.
"I did nothing wrong, but she is dying." Panting heavily, Sun Lien finished the eighth defibrillation. "How could this result be possible for me, how could it be..." He couldn't continue.
Liu Tangchun looked at Sun Li'en sympathetically, "We used to have an old saying, 'Medicine can never cure a disease, and Buddha can save a destined person. Learn to respect the situation, learn to respect life."
"Ninth time!" Sun Lien's sweat had completely soaked his clothes and white coat.The whole person is like just fished out of the water.He continued to repeat the chest compressions, "Who... who said... this attempt didn't work?"
Liu Tangchun glanced at the cardiopulmonary monitor, "It's been more than 10 minutes of chest compressions. The chances of her waking up are very low. Even if she wakes up, she may have serious brain damage..."
"Leave that kind of thing to the supernatural doctor to worry about." Sun Lien finished the tenth defibrillation.He couldn't stand anymore, his legs were as limp as noodles.In order to ensure that he would not fall to the ground, Sun Lien even leaned his body on the hospital bed. "I'm an emergency doctor."
"I, yes, emergency, doctor." For this sake, Sun Lien was still able to maintain the quality and frequency of chest compressions.It is not known whether this is the result of a short football career before, or whether the concept of "fatigue" has been forgotten by his brain. "My job is to save their lives..." Breathing became difficult.The lungs seem to have lost the function of intercepting oxygen in the air.The blood that is flowing in the blood vessels must have turned into carbonic acid, right?
Sun Li'en was a little surprised that he could think of a cold joke that wasn't very funny.
"No. 11 defibrillations, 220 joules!" The last defibrillation.Sun Lien has done his job.He didn't even have time to check on the cardiopulmonary monitor whether Wu Fenmei's heartbeat had returned to sinus rhythm.Following her last tremor, Sun Lien fell backwards like a robot whose power had been unplugged.
Then fell into darkness.
He seemed to hear a commotion.
"Recovered, Dou Xing..." "Stretcher bed!" "Lien!" "Stop her!" "Nurse!"
These voices could no longer make Sun Li'en think any more.
He seemed to vaguely see two figures, two figures in white coats and masks.
Sorry for the late update.
This chapter is the last chapter of this volume.
(End of this chapter)
The human heart muscle is the most specialized group of muscles.Modern medicine roughly divides cardiomyocytes into two types according to their different functions, "working cells" and "autonomous cells".Autonomic cells are responsible for transmitting signals that direct working cells to contract and relax.The working cells are responsible for squeezing the blood in the heart to all parts of the body.
As the most "model worker" cells, cardiomyocytes are of course year-round.According to a normal adult's heartbeat of about 80 times per minute, in the 18 years of a person from the age of 60 to 42, his heart needs to beat at least 17 billion times.Such high-intensity work means that the heart muscle needs to consume a lot of nutrients and oxygen.In order to supply the work of the myocardium, something called a "coronary artery" has evolved in the heart of mammals.
Blood is supplied by the coronary arteries, capillaries distribute oxygen and nutrients to the myocardium, and finally reinfuse blood back into the circulatory system through the coronary sinus or precardiac vein.This process is called the coronary circulation, and the importance of this set of cycles is self-evident-it is like the power supply for the guaranteed operation of a nuclear power plant, and it is like the core reactant that starts and maintains the entire industrial chemical reaction process.Without it, the heart would naturally not be able to work.
There are two left and right coronary arteries in the human heart, and more than 65% of people belong to the category of left coronary artery dominance - their hearts mainly rely on the three branches of the left coronary artery to transport arterial blood. 29% of the people belonged to the balanced shape, and their left coronary artery and right coronary artery transported the same or similar amount of arterial blood.The remaining 6% are rare right coronary artery dominant type, the five branches of their right coronary artery can transport most of the blood needed by the heart.
Although I don't know what kind of type Wu Fenmei is, the meaning of left coronary artery obstruction (2/3) is already obvious.Only one of her left coronary arteries is still unobstructed. According to rough statistics, she has about 94% chance of having a myocardial infarction.It is not clear whether it is severe myocardial infarction, ventricular fibrillation, or severe pain caused by myocardial insufficiency.
Sun Lien knew in his heart that with his current situation, once Wu Fenmei fell ill, it would be almost impossible for him to effectively rescue CPR. Press your body down firmly to form an effective chest compression.In the state of ventricular fibrillation, CPR and electric shock defibrillation must be used together, so that it is possible to reverse the state of ventricular fibrillation.Only relying on electric shocks and Saab machines commonly known as "pile drivers" will have very limited effects.
You must notify the superior doctor immediately and invite them to come to the town...
"Director Liu, Teacher Liu!" Sun Lien turned his head and walked to the isolation door, "The patient has a problem, it may be a heart attack!"
God knows how Sun Li'en moved his legs to the door.He could barely feel his legs.He barely put the oxygen tube under his mask, and took two deep breaths with all his strength.Although pure oxygen is sprayed from the oxygen tube, after all, through the mask, the effect of oxygen inhalation is basically the same as that of placebo.
"Director Liu, you have to hurry up..." Sun Li'en clenched his fists and slammed on the door twice, "I definitely can't do CPR in this state..." Before he could finish speaking, a burst of voices came from the hospital bed behind him. A high-pitched siren.
"Venticular fibrillation!" Sun Li'en put down the last sentence, turned off the oxygen switch, and moved quickly to the side of the hospital bed - this was already his fastest speed.
Liu Tangchun is wearing protective clothing with orthopedic hands that do not meet his age at all.But the P4 protective clothing is really troublesome. Even if Liu Tangchun can't even tell the energy of cursing, it still takes some time for him to put it on.
Hu Jia grabbed Sun Lien's cell phone worriedly.
"Defibrillation!" Wu Fenmei has already connected the advanced airway, and Sun Li'en doesn't need to devote extra energy to pay attention to her breathing state.He randomly smeared some conductive gel on the defibrillation electrode plate, and Sun Lien skillfully placed the electric shock plate in the designated position. "The first electric shock, 190 joules, electric shock!"
"Boom!" With a soft sound, Wu Fenmei's body bounced up and down.All the data on the cardiopulmonary monitor turned into a straight line.Then the new data was refreshed, and her heart was still in ventricular fibrillation.
"Damn it." Sun Li'en cursed in a low voice, not knowing whether he was cursing this damn disease or God who made him so unlucky.
What's next?Sun Lien was a little dazed.The sluggish thinking caused by insufficient oxygen supply once again prevented him from making a quick judgment.
Lying before him was a stranger.I know her name, her condition, and her age... Sun Lien was suddenly taken aback.
Last night, Wu Fenmei was still 57 years old, but now...the status bar says she is 58 years old.
Today is Wu Fenmei's birthday.
In a daze, Sun Li'en seemed to hear her voice.She was begging for her own help.She still wants to live on.
Before him lay a stranger, a sick man, a life.
who am I?
I'm Sun Li'en, and I'm a doctor who just started training.
My uncle and uncle used to be doctors, and it was my dream to stand side by side in white coats with them.
They died.In order to fulfill my oath, in order to save lives, in order to keep patients alive.
I am also a doctor.
I need to do something.
I have to do something.
Sun Li'en stood up straight, but he was still slow in thinking and slow in action.But he felt as if there was a heat flowing from his chest to his limbs.He threw down the electric shock board in his hand and began to press hard on Wu Fenmei's chest.
"01, 02, 03, 04..." The range of pressing with both hands must be such that the patient's chest can sink by about three centimeters.Just after pressing it for the fourth time, Sun Lien felt a strong dizziness.He could barely stand.
"Damn it." Sun Lien cursed for the second time. "Damn you!"
Cursing did not improve the dizziness, and he felt a dull pain in his chest.Every tissue in the body is screaming for more oxygen.
Sun Li'en tore off the mask covering his face.
"Second defibrillation!" He was finally able to breathe freely.Fatigue and physical sluggishness seemed to be expunged from his body in an instant. "200 joules, electric shock!"
Hu Jia outside the door was holding Sun Lien's cell phone tightly, his hand turned pale from excessive force.As if holding Sun Lien's hand.She clenched her hands tightly, as if she could convey her worry and anxiety to him who was rescuing patients in the clean room.
"No heartbeat." No need to confirm again, Sun Li'en also knew that Wu Fenmei was not getting better.The status bar reads, "Ventricular Fibrillation (2/11 to successfully defibrillated)."
Defibrillation requires five cycles of chest compressions, and one cycle is 30 chest compressions.
The frequency of chest compressions is 150 times per minute, just enough for 1 minute.Then the next defibrillation can be performed.
"Third defibrillation, 210 joules, electric shock!" Sweat dripped from Sun Lien's forehead.He raised his heavy arms and defibrillated Wu Fenmei again.
Compress, defibrillate, compress, defibrillate.Sun Li'en was busy in the clean room, completely unaware that Liu Tangchun, who had put on his protective suit, had already entered the clean room.
"The sixth defibrillation..." Sun Lien only felt that his mouth was dry.I am alone in the clean room, who should I report these passwords to?Anyway, I was alone in the room, and it seemed that the warning before defibrillation had become somewhat meaningless.
"It's ok..." Liu Tangchun said in a deep voice, "You did your best."
"The seventh defibrillation!" Sun Lien completely ignored Liu Tangchun behind him.Four more times, just four defibrillations!
"You did a good job. It's not that you did something wrong with her..." Liu Tangchun has seen many young medical staff fall into the current mood.They are young and full of energy.But in the face of death, no matter how vigorous they are, it will not help.No one can stop death from coming.
"I did nothing wrong, but she is dying." Panting heavily, Sun Lien finished the eighth defibrillation. "How could this result be possible for me, how could it be..." He couldn't continue.
Liu Tangchun looked at Sun Li'en sympathetically, "We used to have an old saying, 'Medicine can never cure a disease, and Buddha can save a destined person. Learn to respect the situation, learn to respect life."
"Ninth time!" Sun Lien's sweat had completely soaked his clothes and white coat.The whole person is like just fished out of the water.He continued to repeat the chest compressions, "Who... who said... this attempt didn't work?"
Liu Tangchun glanced at the cardiopulmonary monitor, "It's been more than 10 minutes of chest compressions. The chances of her waking up are very low. Even if she wakes up, she may have serious brain damage..."
"Leave that kind of thing to the supernatural doctor to worry about." Sun Lien finished the tenth defibrillation.He couldn't stand anymore, his legs were as limp as noodles.In order to ensure that he would not fall to the ground, Sun Lien even leaned his body on the hospital bed. "I'm an emergency doctor."
"I, yes, emergency, doctor." For this sake, Sun Lien was still able to maintain the quality and frequency of chest compressions.It is not known whether this is the result of a short football career before, or whether the concept of "fatigue" has been forgotten by his brain. "My job is to save their lives..." Breathing became difficult.The lungs seem to have lost the function of intercepting oxygen in the air.The blood that is flowing in the blood vessels must have turned into carbonic acid, right?
Sun Li'en was a little surprised that he could think of a cold joke that wasn't very funny.
"No. 11 defibrillations, 220 joules!" The last defibrillation.Sun Lien has done his job.He didn't even have time to check on the cardiopulmonary monitor whether Wu Fenmei's heartbeat had returned to sinus rhythm.Following her last tremor, Sun Lien fell backwards like a robot whose power had been unplugged.
Then fell into darkness.
He seemed to hear a commotion.
"Recovered, Dou Xing..." "Stretcher bed!" "Lien!" "Stop her!" "Nurse!"
These voices could no longer make Sun Li'en think any more.
He seemed to vaguely see two figures, two figures in white coats and masks.
Sorry for the late update.
This chapter is the last chapter of this volume.
(End of this chapter)
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