This doctor is great

Chapter 23 Arterial dissection ruptured, blood pressure dropped~~
When you see blood pressure and blood oxygen drop visible to the naked eye,
At this moment, Zhou Mo felt a thrill all over his body, cold war, and his whole body became a hundred times more energetic in an instant.

However, for some reason, Zhou Mo didn't panic, but became calmer.

At this critical moment, Senior Brother Chen Bing is not here!

It seems that I can only rely on myself!

A wealth of knowledge suddenly emerged in my mind.

Zhou Mo quickly shouted: "Immediately notify the other doctors on duty in the western district to come over..."

"Adrenaline shot..."

"The current situation may be that the aortic dissection is ruptured and hemorrhages, and he is in shock, so he needs to rehydrate as soon as possible... The patient has three venous channels, and only two are used, and the third one has been used..."

"Also, call Mr. Zhen Zhihang, who is on duty at the Interventional Diagnosis and Treatment Center, and may need an interventional surgery!"

It's a bit messy, but it's organized.

Seeing Huang Yiming at the side looking flustered, Zhou Mo couldn't help kicking him.

"Huang Yiming, what are you doing standing there... help!"

"Oh oh oh~~~"

Huang Yiming really panicked, because at this moment his mind was in chaos and he was too nervous.

Being kicked by Zhou Mo, he subconsciously followed Zhou Mo's instructions to help the nurse hang up the water and squeeze.

Fortunately, this patient was expected to suffer from aortic dissection rupture and massive bleeding, so crystalloid colloid infusion fluid was well prepared, and there were three meridian channels, and the infusion fluid was quickly squeezed into the body under the pressure of the nurse.

Adrenaline infused...

At this moment,
The ECG monitor beeps.

Everyone's expressions changed, and they looked at the ECG monitor together.

A "———————————" straight line!
The patient's heartbeat is gone again!
Left and right blood pressure imbalance! !
confirmed!
99% probability is rupture of aortic dissection!
(ps: The specificity and sensitivity of this feature are not high, and it is generally not regarded as the main basis for diagnosis. But in the current case, the most dangerous aortic dissection can be given priority.)
At this moment,
The ECG monitor beeps.

Everyone's expressions changed, and they looked at the ECG monitor together.

A "———————————" straight line!
The patient's heartbeat is gone!

Zhou Mo was startled, and realized that he had to do cardiopulmonary resuscitation immediately.

Quickly approaching the bed,
Put your hands together, and start to press the heart outside the chest about twice a second, with a depth of 1cm...

cpr, start!
Why, after a cardiac arrest, do you need CPR?
It is not to activate the heart, but mainly to help patients with cardiac arrest to maintain effective blood circulation in the human body, ensure the blood supply to vital organs of the body, especially the brain, transport oxygen to the brain, maintain the brain, and avoid brain damage and brain death.

据大量数据表明，在4分钟内实施，有一半的病人能被抢救过来；4到6分钟内有10%能被成功抢救：超过6分钟还有4%的病人可以被抢救，超过10分钟希望就很渺茫了。

Therefore, cardiopulmonary resuscitation can be said to be a race against time.

At this moment, Zhou Mo, like an experienced clinician, gave the patient high-quality cpr...

30 presses, first set done...

At this time, the nurse quickly covered the patient's mouth and nose with the oxygen mask, fixed the "CE" technique, opened the airway, and ventilated...

After pressing it for 2 minutes, an efficient cpr cycle was completed in Zhou Mo's hands.

but!

The patient's electrocardiogram was still in a straight line, only the waveform pressed by Zhou Mo.

The 60-year-old wife who was accompanying her next to her was so nervous that she shed tears, for fear that her wife would just disappear.

"continue!!"

Zhou Mo gritted his teeth.

The second cycle, continue to press!

The first group... The second group... The third group...

Sweat trickled out of his forehead unconsciously.This is Zhou Mo's first real cardiopulmonary resuscitation rescue. The nervous world is blank, and only the patient is left in his eyes.

suddenly,

"Heartbeat!" Huang Yiming shouted in surprise.

"Yeah~~~" the two nurses cheered in a low voice.

Zhou Mo took a closer look at the ECG monitor.

ECG showed normal QRS waves!

Heart rate 62!
Zhou Mo looked at the patient's blood pressure in surprise, 80/50...

Suddenly a burst of happiness.

At this moment, Zhou Mo felt a wave of weakness welling up in his heart, and his whole body was exhausted and powerless.

Doing cardiopulmonary resuscitation is very exhausting, especially in this state, the consumption is doubled.

However, the sense of happiness of saving someone's life filled Zhou Mo's heart, making him smile brightly unconsciously.

"Zhou Mo, you are amazing!!"

The two nurses gave Zhou Mo a thumbs up.

It's hard to believe that Zhou Mo is just a medical student who has been clinical for a week.

At this time, the old patient let out a big breath.

rescued.

But Zhou Mo still looked serious, because the god of death hadn't left yet.

The patient's aortic dissection has been ruptured and bleeding, and now the heart is beating, but the blood is still bleeding... If the aortic dissection is not resolved, nothing can be said...

At this moment,
Liu Ming, the doctor on duty in the west district, rushed over quickly.

"How is the patient?"

Nurse girl: "I just stopped beating, but Zhou Mo is very good and successfully performed cardiopulmonary resuscitation..."

Zhou Mo looked grim: "This patient is most likely suffering from massive aortic dissection bleeding. Although he has relapsed, his blood pressure has not risen. Stop the bleeding..."

Dr. Liu Ming: "Did the doctor at the Intervention Center call?"

Nurse: "Already contacted, coming back..."

Zhou Mo: "Contact the family members, sign, and don't have surgery, I'm afraid I won't be able to survive tonight..."

Zhou Mo looked at the patient's wife beside the bed.

The aunt in her 60s wiped her tears and said, "My three sons have already returned home. Let me call and ask..."

Zhou Mo looked serious: "Auntie, you are the patient's wife, you can make the signature and perform the operation..."

The aunt shook her head immediately: "No, no, I have no money, and it's useless if I sign it. I want to ask the opinions of my three sons..."

The patient who just woke up from cardiopulmonary resuscitation fell into a coma again after hearing this.

Out of breath!
Zhou Mo: "..."

Liu Ming, Huang Yiming, nurse: "..."

Zhou Mo urged: "Then you should fight immediately!"

Auntie nodded again and again: "I'll be right away, I'll be right away!!"

He picked up his phone, looked for the number awkwardly, and dialed.

The eldest son, the second son, the third son... one by one took turns to call.

They are all connected.

But the three sons were arguing, hesitating, and didn't want to make a decision, and they were talking about who would share the medical expenses... and asked Zhou Mo whether the operation was too risky.

It made Zhou Mo and others lose their temper.

The 28-bed heart stent uncle next door heard it badly.

Ten minutes later, Dr. Zhen Zhihang, the attending physician, rushed back panting.

"How is the patient?"

"I'm rehydrating a lot, but the blood pressure is difficult to maintain. My heart stopped beating just now. Fortunately, Zhou Mo pulled him back..."

"The interlayer is broken?"

"The high probability is..."

"Then do the surgery, what are you waiting for!!" Dr. Zhen Zhihang looked suspicious.

"The family members are still on the phone..." Zhou Mo pointed to the aunt who was on the phone with her three sons in front of the window of the ward.

Dr. Zhen Zhihang's face turned black when he heard this!
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(End of this chapter)