I can see health

Chapter 88 Let Me Come

in the elevator.

"The hospital's logistics department is also really good. This elevator is always broken. Why don't you find a time to overhaul it?"

He Sirong looked at the patient on the bed and couldn't help but say.

"There are too many people in the hospital, and it is almost overloaded every day." Jiang Qingyan said softly, "Not only our second hospital, but also the other affiliated hospitals are in the same situation. The elevators often break down."

Lu Chen didn't talk to everyone, he stared closely at the patient on the bed.

Pay attention to the changes in various vital signs on the bedside ECG monitor, as well as the changes in the life value on his head.

Suddenly, the life value on the patient's head jumped.

Jumped from 51 to 49!

Lu Chen's heart sank to the extreme.

Only 10 minute has passed since the 1 minutes the logistics staff said just now!

"Uh...uh..."

Suddenly, on the hospital bed.

The patient's breathing became more rapid, from 30 breaths/minute to 40 breaths/minute!
Blood oxygen saturation dropped from 91% to 85% all of a sudden!

Heart rate rose from 110 beats/min to 125 beats/min!
"This...patient...he...he..."

He Sirong's face turned pale.

Lu Chen and Jiang Qingyan also noticed the abnormality of the patient immediately.

"Don't panic! Measure the patient's blood pressure!" Lu Chen said to Ke Yue.

Ke Yue was at the bedside of the hospital bed, and the centrifugal monitor was closest.

She nodded immediately, then bent down, and pressed the button on the ECG monitor to measure blood pressure.

At the same time, Lu Chen tightened the patient's oxygen balloon to make the oxygen flow faster.

"Jiang Qingyan, call Senior Sister Guoguo again, tell us the situation inside, and ask her to help contact the logistics staff outside!" Lu Chen said to Jiang Qingyan.

"it is good!"

Jiang Qingyan immediately took out her mobile phone and called Sun Guoguo.

At this time, the blood pressure measurement by the ECG monitor ends.

Blood pressure 80/45mmHg!

Oops!

Shocked!
Seeing this blood pressure, everyone present felt that something was wrong!
Lu Chen immediately went to the elevator door, patted the elevator, and said loudly: "How long will you be outside? The patient's condition has deteriorated!"

"It's still 10 minutes!"

The sound from outside made everyone in the elevator feel extremely heavy.

According to the current state of the patient, let alone 10 minutes, it is a question of whether it can last for 5 minutes.

Moreover, no matter what treatment method is used now, except for pericardiocentesis, any other treatment measures are only symptomatic treatment, and there is no way to solve the root cause of pericardial tamponade.

"He Sirong, the patient has severe symptoms of cardiac tamponade and is already in cardiogenic shock!"

He Sirong also saw that the patient's condition was not right.

"Speed ​​up the liquid."

"Lu Chen, I can't get out now, what should I do?"

He Sirong stared at Lu Chen closely.

Jiang Qingyan and Ke Yue also looked at Lu Chen.

Faintly, several people are headed by Lu Chen.

Lu Chen didn't answer He Sirong, but turned to look at Jiang Qingyan who was at the side.

"Have you contacted Senior Sister Guoguo?"

"We got in touch!" Jiang Qingyan nodded while holding the phone, and then turned on the phone's speakerphone function.

……

At this time, Sun Guoguo had already arrived at the door of the elevator on the third floor.

The time is also 2 minutes away from just now.

"Junior Sister Jiang, how is the situation inside?"

"Senior Sister, the patient's condition is unstable, and both blood pressure and oxygen saturation have dropped!"

Sun Guoguo frowned.

Shocked!
"Hang up the phone, let's talk on WeChat and let me see the patient!"

"it is good!"

Jiang Qingyan's hands and feet were very nimble, she immediately hung up the phone and opened WeChat.

Called Sun Guoguo's WeChat number.

Jiang Qingyan pointed the camera of her mobile phone at the patient on the hospital bed.

Sun Guoguo saw the patient's condition clearly.

"Blood pressure and blood oxygen saturation are dropping progressively!"

It can't go on like this!

No one can guarantee that the patient can survive 10 minutes?

She turned to look at the elevator support staff beside her.

"Brother, can you open the door forcibly now?"

The logistics staff immediately shook their heads: "Not yet, we haven't finished the inspection, and the door of this elevator can't be opened."

Sun Guoguo was very anxious when he heard the words!
"If this patient does not undergo pericardiocentesis immediately to relieve the compression, he will die at any time!"

……

in the elevator.

Everyone is also aware of the current situation.

There are still 7 minutes before the logistics staff open the door.

But with the current state of the patient, every minute spent is considered lucky!
Waiting another 7 minutes is tantamount to stepping into the door of the mortuary.

On the hospital bed, the patient's symptoms of dyspnea became more and more severe.

Blood oxygen is getting lower and lower!
The life value on his head dropped from 49 to 42 all of a sudden!

However, Lu Chen and the others could only watch helplessly as the patient's condition worsened!
……

At this moment.

In the elevator area on the third floor of District 3, a group of people suddenly walked quickly.

Headed by Li Yao, the director of the Department of Cardiology, and Lin Cui, the deputy director, followed by Dr. Yin Xinhua.

After they knew about this, they rushed to the third floor immediately.

"Guoguo, how's the situation?"

"not too good!"

At the elevator door, Sun Guoguo handed the phone to Li Yao.

Li Yao saw the patient's condition and knew the seriousness of the matter.

If pericardiocentesis is not performed immediately, the patient is likely to die of shock!

"Can't open the door?"

"It's still seven or eight minutes!"

There were about ten people present, but it was exceptionally quiet.

Faced with this situation, everyone raised their hearts to their throats.

"Can you open the elevator door a crack?"

At this time, Chief Physician Lin Cui suddenly spoke.

The support staff paused and discussed with each other.

"Yes, but only about 10cm."

"Okay, that's enough." Lin Cui nodded.

Li Yao frowned and looked at Lin Cui, "Are you thinking..."

Before finishing speaking, Lin Cui nodded.

"One of my graduate students, He Sirong, is in the elevator now. She knows how to do pericardiocentesis! As an assistant, she has done many punctures."

"I think, just hand her the pericardiocentesis tool and let her operate it inside!"

"Blind wear?" Li Yao frowned.

Lin Cui nodded, "The patient has a large amount of pericardial effusion, so it shouldn't be too difficult to wear it blindly!"

Time is running out, there is no time for Li Yao to think about it.

"Okay! Let her do the piercing!"

"Don't worry, Director Li, if something happens, I will bear all the responsibilities!" Lin Cui said solemnly.

Li Yao glanced at Lin Cui, "I am the director of the ward, this is my decision, and I will bear it!"

Lin Cui paused and did not speak.

At this time, a doctor had already gone to the CCU and brought back the pericardiocentesis kit.

……

in the elevator.

Lu Chen and others also got the news.

Li Yao and Director Lin Cui outside decided to let He Sirong perform heart kit puncture!

The logistics staff opened a hole of about 10cm in the elevator door and handed in the pericardiocentesis kit!

He Sirong took the puncture bag, his hands trembling slightly.

This is blind piercing!

She had indeed undergone pericardiocentesis before, but it was all under the guidance of ultrasound, with the guidance and help of a senior doctor next to her.

Under the guidance of ultrasound, the puncture point and position are extremely easy to select, and the puncture direction can be changed at any time knowing the situation in the pericardium.

But now, it's blind piercing!

It's like walking in the middle of the night when you can't see your fingers, you can only rely on your familiarity with the road, step by step tentativeness!
He Sirong put on the gloves and arranged the puncture tools.

The patient's chest puncture has been fully exposed and sterilized three times!

Take the lidocaine anesthetic and bring it near the puncture site.

He Sirong took a few deep breaths, but his hands were still trembling.

……

outside the elevator.

Everyone was making video calls on their mobile phones, watching the entire operation.

"Xiao He, puncture under the xiphoid process! This position is safer!"

Lin Cui reminded.

Li Yao stared at the video, frowning.

This kid is so nervous!
Hands are shaking!

Although separated by the camera, she was keenly aware of this.

This will not work!
In case the puncture needle enters the pericardium, accidentally touches the heart during hand examination, it will be a disaster!

Lin Cui also noticed this.

"Xiao He, don't be nervous, just do as you usually do!"

But the more he was reminded like this, the more nervous He Sirong in the elevator became!
She found the puncture point under the xiphoid process, but she didn't get the needle for a long time!

On the hospital bed, the patient's symptoms are getting worse!

Blood oxygen saturation even dropped to 80% at one point!

"He Sirong, calm down!" Lu Chen said solemnly from the side.

He Sirong's face turned pale.

Looking at the patient in front of me, I kept thinking, what if the heart is poked?
What if the liver is poked?
What if it fails and the patient dies?
He Sirong hesitated and did not give the needle for a long time!
But above the hospital bed.

The patient was panting heavily, and his blood pressure and oxygen saturation were dropping progressively!
"Let me do it!"

At some point, Lu Chen had put on his gloves and stood beside He Sirong.

(End of this chapter)