361 Rescue order
Mr. Huang took a breath, walked into the operating room with his hands behind his back, and a smile appeared on the corner of his eyes on the mask.
"I originally wanted to make an interventional embolization machine with all my life to try to see if it is possible to save the uterus. I didn't expect this kid to do it well, so worry-free." Mr. Huang said to himself in a very low voice.
The person next to him didn't hear what Mr. Huang was saying clearly, and followed him with his ears.
When they walked into the art room, someone brought a footstool for Mr. Huang. Mr. Huang stood behind Zhou Congwen and looked over his shoulder.
"Old Huang, is it necessary to press directly with such extreme chest opening?" asked the obstetrician.
If she hadn't heard Mr. Huang say he wanted to cut it open and press it directly, even if Director Deng Ming and Deng suggested, she would have denied this "extreme" approach.
In her opinion, the method of cutting and pressing directly is not very suitable.
"The chest compression effect is not good." Old Huang stood behind Zhou Congwen with his hands behind his back and watched him perform surgery, and said lightly.
"But……"
"The patient repeatedly alternating the sinus rhythm and ventricular fibrillation, and the resuscitation effect is hard to describe. He should decisively adopt heart compression in the chest, ice caps to protect the brain, and appropriate hormone treatment. This is the key to the successful treatment of amniotic fluid embolism..." Zhou Congwen explained to his boss while quickly opening his chest.
"Xiao Zhou, guess what your heart is like now?" asked Mr. Huang.
"The right heart is expanding and beating weakly." Zhou Congwen said, "Open your chest... hurry up and put on your chest bag!"
His voice increased by 15 degrees, slightly harsh.
The nurse on the tour was stunned and immediately turned around and ran out of the surgery room to get the chest bag.
Zhou Congwen was a little helpless. After all, he was a strange team and had no prestige. Some details were still lacking in continuity.
Using his fist to open the ribs, Zhou Congwen and Huang Lao behind him saw the patient's heart enlarged at the same time, especially the right heart part was even more exaggerated, as if all myocardial cells were congested and edema at least three times.
Zhou Congwen reached in and started heart compression in his chest.
It was not until this step that Mr. Huang relaxed slightly, and his eyes looked at Deng Ming.
"Deng Ming, how long will it take?"
"Boss, start the computer now." Deng Ming replied immediately.
He was a little ashamed. The boss and Zhou Congwen... No, it was mainly because Zhou Congwen had already undergone an interventional embolization of the uterine artery on the other side, and he opened his chest and looked at the heart directly.
And it’s a bit unreasonable that I haven’t started to turn around yet.
This little guy Zhou Congwen is a bit interesting. Not everyone can do interventional surgery. How did he be so skillful?
Although he had questions in his heart, Deng Ming did not ask directly, but focused on establishing a V-A mode e-touch cycle to use the machine to reduce the patient's heart and lung load.
After 5 minutes, the waveform on the electrocardiogram monitoring turned into sinus, and the patient's swollen heart gradually "reduced" under the chest-opening direct pressure. Although it was still a little abnormal, it did not look as shocking as when he first opened his chest.
At the same time, eTouch began to turn around.
Mr. Huang nodded, turned around and walked down the stool, "Go to suture the obstetrics department. By the way, remember to increase the antibiotic level and give Tai Neng Wan Eternal after the operation."
"Yes, Mr. Huang."
"Zhou Congwen, let's talk about the steps for emergency treatment just now." Mr. Huang did not go out of the operation room, but found a stool to sit in the corner of the operating room.
"912 has strong technical strength and good hardware conditions. If the patient is in our place, he will definitely die." Zhou Congwen answered the question inappropriately.
But this is his greatest feeling.
If it weren't for 912, if it were the Third Hospital of Jianghai City, even the patients present would not be able to be rescued.
Interventional surgery and chest opening and heart compression are all trivial matters for Zhou Congwen, but it seems that the third hospital of Jianghai City still has no such thing after 20 years.
The other doctors were stunned for a moment, thinking that Zhou Congwen was flattering Huang Laoma or taking the initiative to please various clinical departments of 912.
They smiled, and the little doctor was quite interesting.
"Tell me, don't you think I have to solve the problem of the uterus first?" Mr. Huang asked many people what he thought.
"For amniotic fluid embolism with a clear diagnosis, whether the uterus is removed needs to be made in time to prevent further deterioration of the coagulation function." Zhou Congwen said lightly, "Director Deng is doing e-touching, and the remaining questions are only two questions whether the uterus is removed and the heart compression of the chest."
Mr. Huang moved his mask slightly.
"If it weren't for the hybrid surgery, uterine cutting would definitely be the only option. But our 912 emergency surgery is hybrid, so it's OK to try it in 15 minutes. Boss, you're quite confident that you can tie it up in 15 minutes."
After hearing what Zhou Congwen said, Huang Lao smiled slightly, "How can you have confidence? Look at the feel of the hand. If you have good luck, you will save yourself from cutting your uterus. If you are not lucky, you can't do anything. But you, continue."
"Cardiopulmonary circulatory failure caused by amniotic fluid embolism is one of the best indications for EC use. Foreign literature has reported successful treatment. Although chest-opening and direct-looking heart compression is not necessary, you can just see that the effect of external chest compression is getting worse and worse, so you should choose to press under direct-looking."
"There is nothing to be questioned in all rescue steps. The only thing that needs to be discussed is whether the patient's uterus can be saved as much as possible while rescuing. It seems that it should be fine now."
Zhou Congwen explained while pressing, while watching the electronic cardiogram on the monitor.
The heart rate has recovered from sinus, and the patient's life has been saved depending on the situation.
"Collection of blood and energy."
After a few minutes, the blood gas analyzes the rewards.
The speed was so fast that Zhou Congwen, who was already accustomed to the speed of the Third Hospital, was a little surprised.
pH 7.28, Hb67g/L, BE-9.4m touch l/L, La26m touch l/L.
"Continue to correct acidosis, give red blood cells 8u and fresh frozen plasma 600ml. Xiao Zhou, do you have any supplements?" Mr. Huang asked again.
Others were solemn.
Mr. Huang personally participated in the rescue and actually asked this young doctor to interfere? And Mr. Huang took the initiative to ask.
"Do we have cold precipitation here?" Zhou Congwen asked.
Mr. Huang smiled, "Yes."
"Give it all, what do you think?"
"Prepare 10U cold precipitation, 6-10g of fibrinogen, hurry up." Huang Lao said.
"Doctor Zhou, take a break, I'll do it." Director Deng Ming and Deng said.
"Oh, okay." Zhou Congwen was not polite either. He waited for Deng Ming to put on his clothes, turned around and stepped down, picked up the medical record and started to search.
Huang Lao nodded for the invisible.
Zhou Congwen, a child, was as careful as he was. Although the rescue could be said to be over, he still had to read the past history he had not read before to avoid missing some rare complications.
"Doctor Zhou, where is your home?" After sewing the skin, the obstetrician found that the patient's ECG monitoring values were within an acceptable range, and he was a little relaxed, so he asked.
She is also quite interested in Zhou Congwen and intends to bring the relationship closer.
Chapter completed!