"Oxygen inhalation!" Zhou Congwen said then.

The middle-aged man was stunned, "You know who I am..."

"Get out." Xiao Kai kicked the man in the hind leg and almost kicked him down.

"Saving, didn't you see it!" Xiao Kai sternly shouted, "Captain nurse, I'm so deaf, I didn't hear it!"

The head nurse standing aside hurriedly ran up and installed wall oxygen inhalation equipment.

The equipment of Baishui No. 1 Hospital is OK, not an oxygen cylinder but a wall oxygen inhalation device. The equipment is quickly installed, and oxygen makes a gurgling sound in the alcohol humidifier.

"5L/min." Zhou Congwen said, "Open the venous passage, prepare the defibrillator, prepare the incision pack, and the ENT department."

"Hurry up!" Xiao Kai urged and kept rushing the doctors around him with a small whip.

"Professor Zhou, are allergic?" Xiao Kai asked in a low voice while Zhou Congwen had no further medical instructions.

"Suspectedly it's a contrast allergy."

"Impossible, the patient has been in two hours of surgery!" Director Guan was a little crazy, his mood was a little out of control, and he said loudly.

Zhou Congwen frowned, "I don't understand the sudden onset of sexual allergy. You are not the chief dean of medical background? You are just making a fuss."

Xiao Kai glanced at the quilt that Zhou Congwen lifted and saw that the patient's abdomen and limbs were covered with red maculopapular rashes. He knew that it was most likely that it was delayed allergic caused by contrast agents as Zhou Congwen said.

"Dexamethasone 5mg intravenously."

"Promethazine 25mg intravenously."

"Adrenaline 0.1 mg subcutaneously."

"One more adrenaline!"

"Ringer liquid, add a piece of sugar and drive to the maximum speed."

Zhou Congwen's cold eyes shuttled back and forth between the patient and the ECG monitoring, and medical advice was issued one after another.

"A piece of calcium carbonate is added to 100ml of salt water and quickly feed it in."

“Dopamine!”

“Is there a micro pump?”

Xiao Kai was stunned and said in shame, "Professor Zhou, our hospital does not have a micro pump yet."

"Pressure boost, look at it." Zhou Congwen said.

"Okay." Xiao Kai responded without hesitation.

After all, he was once a clinical backbone force, and such a small matter was no problem.

Professor Qin should have been the busiest person, but with Zhou Congwen here, he seemed to have become a transparent person, watching Zhou Congwen direct the rescue.

After watching for a few minutes, Professor Qin knew that the aura emitted by Zhou Congwen was very strong, but this was not young and vigorous, but that he had extremely strong confidence in his skills.

So when he saw that the patient was in a wrong state and took over the rescue directly, Zhou Congwen did not hesitate at all.

After 5 minutes, the patient's blood pressure was 70/40mmHg, and the swelling of the face and lips was slightly relieved.

"Dexamethasone 10mg intravenously."

Although the patient's condition seemed to have stabilized, Zhou Congwen still looked cold and focused.

"Promethazine 25mg intramuscular injection."

"Erepinephrine 0.2mg intravenously."

"The incision pack is ready, Dean Xiao, take a look and be ready for tracheotomy at any time."

15 minutes pass quickly.

With the continuous injection of rescue medication, the patient's vital signs were "snatched back", and the sound of the monitor's alarm roar gradually became weak, and the heavy breathing of other people in the room came one after another.

After another 15 minutes, with a long breath, the patient "wakes up".

The patient's symptoms improved, his spirit gradually improved, and his abdomen and limbs were corrupted and his facial swelling subsided. Electrocardiogram monitoring showed blood pressure of 126/74mmHg, heart rate of 54 times/mill, and ventricular premature beats decreased compared with the previous one.

"It's okay." Zhou Congwen said lightly.

"Dependant allergic to contrast agents? It's too late! It's been a few hours?" Professor Qin said in surprise.

Contrast agents contain iodine, and most patients will experience allergic reactions when they are injected with contrast agents.

There are few cases in primary hospitals. At this time, the habit of using contrast agents has not yet formed the habit of performing skin tests. However, Professor Qin has seen a lot, and the patient still performed skin tests before the operation.

The skin test was negative at that time, and Professor Qin didn't think much about it.

But after nearly 3 hours of surgery, Zhou Congwen had a half-operative operation, and after the operation, he had 4 and a half hours of chatting.

This is really a late allergic reaction, it's really late.

Fortunately, the patient's allergic reaction was manifested on the skin of the face, lips, and there was no throat edema that impedes breathing.

"I have seen the contrast agent. It is Bayer's new original drug iodopromide. Do you use it too?" Zhou Congwen asked.

“…” Professor Qin concluded.

Contrast agent is a contrast agent. It is already the limit to be able to undergo skin tests before the operation. Whoever has nothing to do will go to see what brand or pharmaceutical factory produces it.

"Director Xiao, see if it is iodopromide." Zhou Congwen said coldly.

Xiao Kai checked it out as soon as possible. Just as Zhou Congwen said, it was indeed the original drug iodopromide produced by Bayer.

"Professor Zhou, is it a drug problem? I stopped iopromide in the future. This is so scary." Xiao Kai said unhappily, "I thought Bayer was a big pharmaceutical factory..."

"No," Zhou Congwen said lightly, "I'm not lucky, I'm just catching up. Iodoperamine is a new drug developed by Bayer to avoid contrast allergies, and the effect is pretty good."

"..." Xiao Kai didn't expect Zhou Congwen would say that.

In order to avoid contrast allergies, the medicine specially produced cannot be completely guaranteed to be unallergic. This is really fucking.

He stared at the patient in a daze, looking at the swelling of his lips that had not completely subsided.

"Contrast agents are divided into ionic and nonionic, and iopromide monomer nonionic contrast agents. This type of contrast agent has low osmotic pressure and low toxicity."

"..." Professor Qin was a little confused. Zhou Congwen actually studied contrast agents. He had a quick idea of ​​the principles of new contrast agents and talked about them.

"Bayer's research reported that the incidence of severe allergic reactions caused by iopromide was only 0.02%.

"0.02%? This is also..." Xiao Kai looked at the patient helplessly and sighed in his heart.

The probability of 2 in 10,000 is even more serious, and it is a severe delayed allergy, which is called a turbulence.

"The exact mechanism of allergic shock caused by iopromide contrast agents Bayer did not say that it may be related to antigen-antibody reactions, complement and kinin system activation, the release of inflammatory factors increases vascular permeability, rapid drop in effective circulating blood volume, bronchospasm, laryngeal edema, etc."

"Without laryngeal edema, everything is easy to say, and it is a blessing in disguise. If there is, I probably won't be able to support me." Zhou Congwen said lightly.

Too.

Xiao Kai and Professor Qin agree with Zhou Congwen's point of view.

If it is laryngeal edema, none of the doctors present can do tracheotomy. When the ENT doctor arrives, I am afraid that the person will be gone.

This is indeed a blessing in disgrace.
Chapter completed!