My medical skills are a billion points

If the blood pressure cannot drop to the normal range, Zhao Fangshu would never take the risk and take the patient to check.

However, after more than ten minutes, after increasing the dose, the patient's blood pressure still did not drop, and even rose slightly.

At this moment, Zhao Fangshu became anxious.

This patient urgently needs to be checked, but the blood pressure has not come down, what should I do?

Zhao Fangshu frowned slightly, and said to the nurse, "Add another 100mg dose of urapidil to lower the blood pressure as soon as possible."

The nurse on the side hurriedly prepared the spare urapidil injection and pumped it into the patient's body with an infusion pump.

After more than ten minutes, seeing the blood pressure on the monitor become 160/100mmHg, Zhao Fangshu finally calmed down gradually.

As long as the patient's blood pressure can be lowered to a normal level, the risk of aneurysm rupture will be much lower, and she will have the opportunity to have an examination, and the patient will have a greater hope of surviving.

After waiting for about ten minutes, the patient's blood pressure has dropped to a lower level than normal. Now that this is the case, you can take the patient for an examination, although there is still a certain risk.

But when the blood pressure was higher than before, the risk has been reduced a lot.

At this time, Zhao Fangshu couldn't take care of too many thoughts, and hurriedly pushed the gurney with the nurse to examine the patient.

Xiao Chu knew what was going on in his heart, and he didn't follow.

After more than 20 minutes, Zhao Fangshu pushed the patient back to the emergency room.

She took the patient's CT scan and color Doppler ultrasound results, and showed it to Xiao Chu.

"This patient really has an aortic dissection aneurysm. Let him be transferred to the vascular surgery department for surgery as soon as possible."

Xiao Chu nodded and didn't say much.

For such an interventional operation, Xiao Chu's activation of skills is naturally a no-brainer.

And his surgical level is still at the advanced level.Doing this surgery is effortless.

However, most of their emergency departments are based on general surgery.

This kind of vascular surgery is not their specialty.

Although Xiao Chu can perform this interventional operation by activating his ability, there is no need for him to stop him.

The less trouble, the better.

To save the director of the Department of Great Vascular Surgery from having opinions on himself.

Since Zhao Fangshu wants to transfer the patient to the Department of Vascular Surgery, let her transfer it.

Zhao Fangshu told the patient's wife about the danger of the disease.

All of a sudden, the family members were terrified.

Chapter 52

But this is also impossible.

A disease like this that can cause death at any time must be explained clearly to the family members.

Otherwise, if the patient dies, he will be very passive if he can't tell.

The patient's wife trembled and agreed to the operation.

But this operation consent form does not need to be signed in their emergency department.

Instead, after the person who needs vascular surgery comes, he will be transferred to their department to sign there.

Zhao Fangshu first called the doctor on duty in the vascular surgery department and asked them to come and have a look first.

Soon a young doctor came to the emergency department.

About the same age as Zhou Ziqiang, he is also an attending physician named Liu Dongyang.

Liu Dongyang first listened carefully to Zhao Fangshu's medical report.

Then look at the patient, and look at all the patient's test results.

He pondered for a moment, frowned and said: "The diagnosis of this patient is very clear, and he definitely needs immediate surgery.

But the problem is that our director has a meeting in another place and will come back in three days. Can this patient wait until then? "

The director of the Department of Great Vascular Surgery is Wang Xingfeng. The stent implantation for aortic dissection aneurysm is a level 4 operation.

Only he can do it, other people under his command can't do it.

When Zhao Fangshu heard that Wang Xingfeng was having a meeting outside, he suddenly became nervous again.

She has to be nervous!

If the patient cannot be transferred to the vascular surgery department today, she will still be in charge of the bed.

Director Wang of the vascular surgery department is not at home, so the doctors under him will definitely not take him in.

Because this patient is a ticking time bomb, death may occur at any time.

Who wants to put such an unstable patient in their own hands when the operation cannot be performed immediately?

If the patient is to wait for Wang Xingfeng to come back for surgery, then the vascular surgery staff must keep the patient in the emergency department.

Just keep it stable, and when the director comes back, he will be transferred to their department immediately.

Zhao Fangshu knew very well in her heart that there was a lot going on here.

The patient's condition is particularly critical, and no one wants to take this risk.

Wang Xingfeng won't be back until three days later, that is to say, he won't be able to have surgery until three days later.

But the patient's condition, can it last for three days?

The patient's dangerous hemangioma could rupture at any moment and kill him.

Even if the doctor can wait, the patient can wait, but can the illness wait?

If the patient is to be transferred to another hospital, the question is where can the patient be transferred?

In the entire Jiangnan Province, only the Provincial People's Hospital has the conditions to perform this operation.

If the patient is transferred to another hospital, he can only be transferred to Beijing, but is the patient's physical condition allowed?

With such a long distance, if something happens on the way, the patient will die.

But no matter what, Zhao Fangshu didn't want this patient to remain in her hands, she said tentatively:

"Doctor Liu, this patient is no longer suitable in our department, so let's transfer to your department now!"

This is also human nature. No doctor wants to keep a patient who will die at any time.

Liu Dongyang shook his head.

"Dr. Zhao, our director is not here. If you transfer the patient to us, it's the same as if you were here.

It's better to maintain good blood pressure and vital signs at your place, so as not to have to move him. When our director comes back, he can be transferred to our department! "

Liu Dongyang is not a fool either.

If such a dangerous patient is transferred to their department and waits for three days, who knows what accidents will happen?

Might as well keep him in the emergency department.

Zhao Fangshu felt a little irritable.

Liu Dongyang is obviously trying to shirk the patient here!

The role of the emergency department is to screen the patients first, and then transport the patients to the corresponding departments for further treatment after their condition is stabilized.

Now the patient with aortic dissection has stabilized blood pressure and has been diagnosed clearly.

Obviously need to be sent to major vessel surgery.

Regardless of whether their director is in or not, they should not continue to stay in the emergency department.

This is a matter of principle.

After all, this patient is really dangerous.

For three days, Zhao Fangshu felt that the patient might not be able to wait.

If this patient is left in the emergency department, in case of an accident.

The family members will only find their own troubles, not the great vessel surgery.

Zhao Fangshu was a little unhappy immediately, and his tone of voice became a little blunt.

"Doctor Liu, whether your director is present or not, this patient belongs to the scope of your department's treatment.

Now it is a matter of principle to transfer to your department for further treatment, right?If you don't accept it now, aren't you trying to prevaricate the patient? "

Immediately, Liu Dongyang's expression turned a little ugly.

After all, Zhao Yun and Zhao Fangshu's tone bluntly said that he was shirking the patient.

If the patient's family members complain, then he is responsible.

But Liu Dongyang put on a posture that a dead pig is not afraid of boiling water.

"Dr. Zhao, what you said is serious. Our director is not here, and the operation is not possible. Isn't it the same to transfer to our department and your department? What's the difference?

Aren't you afraid of the moving process, his ruptured aneurysm, isn't that also a risk?Anyway, if our director doesn't come back, I won't accept this patient. As for which department you want him to transfer to, it's up to you. "

After Liu Dongyang finished speaking, he turned his head and left without waiting for Zhao Fangshu to refute.

He didn't want to get too entangled with a female class here.

Even though Zhao Fangshu is a beautiful woman, it doesn't work.

Zhao Fangshu saw Liu Dongyang and left without looking back, stomping her feet angrily.

"Xiao Chu, what do you think about the people in the Department of Great Vessel Surgery? They are so arrogant!"

What can Xiao Chu do, he can't control the people in the Department of Great Vessel Surgery.

He had no choice but to comfort him: "Senior sister, don't be as knowledgeable as they are, he doesn't know how to grasp such a good opportunity, he is destined to be a single dog!"

Zhao Fangshu was taken aback for a moment, and then realized that Xiao Chu was joking with him.

"Xiao Chu, what are you talking nonsense, other children know how to make soy sauce!"

Xiao Chu scratched his head and said with an awkward smile: "Hey, are you kidding me!"

At this moment, the nurse hurried into the office and shouted: "Doctor Zhao, that patient's blood pressure has risen again, come and have a look!"

Zhao Fangshu's heart immediately lifted again.Running out of the office in a hurry, Xiao Chu also followed.

Sure enough, the blood pressure on the patient monitor now shows 160/90mmHg.

This is still a patient, and his blood pressure started to rise again while taking sodium nitroprusside and urapidil.

Like his condition, once blood pressure rises, the risk of hemangioma rupture also rises linearly.

Zhao Fangshu frowned, stared at the monitor carefully for a while, and then looked at Xiao Chu.

"Xiao Chu, I can't control my blood pressure!"

Chapter 53 What else can you do?

In just a short while, the patient's blood pressure has risen to 170/95mmHg.

Moreover, the dosage of antihypertensive drugs has been prescribed to the maximum, but the patient's blood pressure still seems to be on the rise.

The patient began to have dull pain again, and his condition was not optimistic.

"Senior Sister, it seems that this patient can't maintain his blood pressure with drugs alone, and needs surgery as soon as possible!"

Now Zhao Fangshu was a little at a loss.

Now she has regarded Xiao Chu as her backbone.

But now Xiao Chu suggested the patient to have an operation as soon as possible, which made Zhao Fangshu very embarrassed.

If you could have surgery, wouldn't you have done it sooner?

Who would wait until now?

Only Wang Xingfeng in the hospital can perform this operation, but he is not here, what should I do?

Zhao Fangshu frowned, thought for a while, and had to say: "Or let him go to the capital, here we have nothing to do!"