I can see the status bar

Chapter 926 Reinforcement
Just look at the expressions of the doctors and nurses to see how dangerous aortic dissection is - even if it is only suspected of aortic dissection, the nurse pushing the wheelchair is already running with all his strength.

The pathological changes of the aorta are very simple. The high-pressure blood flow output from the left ventricle needs to pass through the aorta, and then through the aorta, it is reversed 180 degrees, turned downward, and then spreads out into other arteries along the spine.The part of the aorta that reverses its direction will bear the greatest impact of blood.Because of this, the aorta is more prone to delamination than other parts of the artery—the tear in the inner layer of the artery is reopened by blood flow, and then the blood strips the inner part of the aorta from the outer layer, forming a dissection.

In fact, the symptoms of this disease are relatively obvious. The patient is sweating profusely, his face is pale, he has severe tearing pain in his chest, and he has a feeling of dying. Most patients will have a kind of "imminent disaster" when aortic dissection occurs. a feeling of.

In the rescue hall, seeing a patient clutching his chest tightly, his face pale and sweating profusely, all the medical staff would immediately realize that this patient needs to be dealt with immediately.No exceptions - presumably the only ones who don't take this seriously are bogus healthcare workers.

After Sun Lien passed through the crowd, the young patient had already been carried into a wheelchair.The nurses pushed their wheelchairs and ran to the emergency room, without even intending to let Sun Lien take a look at them first—what a joke, such a patient might have aortic rupture within a few minutes, and from now on every week Seconds, his situation will be twice as dangerous.

If left untreated, more than 70% of patients with aortic dissection die within a week.The mortality rate within three weeks was as high as 90%.

And if the aorta ruptures, the time left for doctors to save lives is generally no more than 6 minutes-once the blood supply to the brain stops for 6 minutes, irreversible nerve damage will occur.

6分钟内，破裂的主动脉会把人体内几乎所有的血液都从破口处泵出去。而医生们则需要在6分钟内完成主动脉弓替换术，并且在6分钟内为患者输入差不多5~8%体重的血液。

This is an almost impossible task.

In other words, if the rupture caused by aortic dissection occurs, even if it occurs on the operating table where the doctors have completed the thoracotomy, the patient still has a high probability of dying on the spot.

You have to race against time, and you have to be careful not to move too much—the vibrations can also rupture the already weak aortic wall.

"You are a family member, right?" Sun Li'en couldn't keep up with the pace of the nurses, so he grabbed a young woman running in front of him, "What's your relationship with him?"

"He's my husband..." The young woman said in a panic, "What's wrong?"

"His situation is not optimistic." Sun Li'en said in a low voice, and he pointed to the door, "You just wait here, don't go anywhere - come here as soon as you are called, do you know?"

The young woman nodded, and then tightly pinched the backpack straps on her shoulders, "What the hell happened to him?"

"It's hard to say now." Sun Lien shook his head, and he explained in a more "tactful" way, "We suspect it may be a cardiovascular problem, and the worst possibility is aortic dissection."

After letting this distraught young woman squat at the door, Sun Lien rushed into the emergency room and quickly saw the examination images of the transthoracic echocardiogram (TTE). Many doctors have begun to adopt the fastest way of diagnosis, using ultrasound to make a preliminary judgment on the possible aortic dissection of the patient.

"It's definitely aortic dissection." Brunn, who was in charge of the ultrasound examination, quickly completed the preliminary examination. He pointed to the image on the screen and said affirmatively, "The aortic root is dilated, and there is a false lumen at the dissection. Not sure now." Yes, is this a Type [-] or a Type [-]?"

Through TTE, doctors can quickly determine whether a patient has aortic dissection, but it is not easy to classify the condition of aortic dissection through TTE.After all, chest ultrasound may be interfered by the sternum and ribs, and it is difficult to accurately locate it.

"Send it to the CT room and notify the operating room to start preparations." Sun Lien made a judgment according to the normal process and reaction speed, "I'll go talk to the family members. After you finish the CT, send the person directly to the operating room."

From entering the emergency room to coming out again, it took Sun Li'en less than 1 minute.He grabbed a stack of knowledge letters from the table, and stuffed them into the hands of the young wife.

"Your husband's situation is very bad—the most dangerous of all situations." Sun Lien squatted directly on the ground, and then quickly turned over all the parts of the document that needed to be signed, while gesturing to the family members to sign as soon as possible, while explaining Said, "He has an aortic dissection. Simply put, the largest artery in his body is about to burst. There is probably a layer of skin attached to it now, but no one can say how long this layer of skin will last. If it breaks, then Even if the gods come, they can’t be saved. What we have to do now is to replace him with an artificial one before his vascular skin ruptures.”

Sun Li'en spoke quickly, and the wife understood very quickly. She immediately started to sign on the ground, and asked while signing, "How is he doing now?"

"It's pretty stable, but we can't say when he will change." Sun Lien took the young wife to the side, and then watched her sign the last two names and said, "He will soon He will be pushed out and go to the CT room for the last examination. As soon as the examination is over, we will immediately send him to the operating room to start the operation..." He paused and said, "You will accompany him to the examination room later , comfort him well, and let him not be too nervous."

Most patients with aortic dissection will show symptoms of poor perfusion, but their mind is often clear.In this case, the patient's own emotions are also important.Emotional changes can cause blood pressure fluctuations, and blood pressure fluctuations are "a burden that life cannot bear" for arteries with only a layer of skin left.

Part of the reason for letting this young wife go to accompany her husband for the examination is also out of this consideration.

The other part is Sun Li'en's unspoken thoughts - this time, who knows if it will be heaven and man forever.Let her go with her, at least we can meet one more time.

Of course, this is not a formal process.Sun Lien asked the other party for the patient's ID card and medical insurance card, and then asked the security guard Brother Liang to help him register.It is enough to register an arrears number first-this kind of patients with aortic tear must go through the green channel.

Back in the emergency room, Sun Lien was about to continue to see the patient's condition, but suddenly he heard a burst of cheers and applause. Looking back, Sun Lien saw a group of people wearing camouflage uniforms and masks Filed into the emergency room through the back door.

Reinforcements finally arrived.

(End of this chapter)