Chen Cang swallowed: "Can pulmonary embolism also cause allergic rashes?"

Niu Tianfu said at this time: "Well, it's not that there is no such possibility."

At this time, a very serious problem has been placed in front of everyone!

If it is suspected to be acute pulmonary embolism, what should be done?

At this time, Qin Xiaoyuan suddenly asked: "How long has it been?"

Yu Yingcai was at the door and was shocked to see this urgent rescue. He looked at his watch: "It's been more than an hour... to be precise, it should be about 70 minutes."

Qin Xiaoyuan frowned when he heard this!

Many theories now believe that 60% or 70% of patients with pulmonary embolism, especially those with fainting, will die within two hours after the onset of the disease!

However, it is difficult to send it to the hospital for a clear diagnosis in such a short time!

If the patient can effectively overcome the early stages of this crisis, he can be rescued with active treatment from the internal medicine.

At this time, pulmonary angiography and lung scan are generally required to confirm the diagnosis and understand the location and scope of the embolic.

Several directors began a tense discussion!

Five minutes later, it was decided to undergo coronary angiography.

However, before this, it is necessary to ensure the safety of patients!

"Atropine 1mg! Intravenous injection!"

“Dopamine 5ug/kg.min!”

Before the patient is examined, be sure to take precautions to prevent accidents during the examination!

After hearing these two doctors' instructions, Chen Cang silently wrote them down!

Atropine is used to relieve coronary spasm caused by excessive vagus nerve tone. At this time, dopamine can obviously resist shock and correct hypotensive arrhythmia!

These two doctors’ instructions, like shields, protect the patient again!

Of course, any medical method is a chance!

No one can guarantee if there will be any accidents during the operation.

This is not impossible!

Qin Xiaoyuan has already thought about all the measures and has done everything he should do.

Yu Yingcai had no choice but to nod and accept it!

At this time, the inspection results are back!

WBC increases significantly, ldh also increases, and CPK is basically normal.

It is not an acute myocardial infarction, and it can be ruled out now.

Director Niu took action personally and began to prepare for the imaging.

Time passed by minute by minute, and the entire emergency room was filled with colorless smoke.

Rescue and war have something in common.

He will make people's adrenaline soar.

I feel something called passion is permeating in my body.

Not long after, the imaging image came out, the patient was diagnosed, and there was no doubt that the pulmonary embolism was pulmonary embolism!

The patient had just been sent to the emergency room. Several directors were overjoyed and watched the film. Now they can prepare for treatment.

Director Niu calmly began to make medical advice.

The anticoagulant Lele has already started preparing.

Just as everyone breathed a sigh of relief and was about to start treatment.

suddenly!

Shi Na exclaimed: "The patient has a cardiac arrest!"

Everyone's faces changed suddenly.

Cardiac arrest!

At this time, cardiac arrest?

Lao Niu was shocked at once. Is it necessary to use anticoagulant drugs at this time?

Even Tao Mi looked panicked!

Why cardiac arrest?

Is there any ventricular fibrillation?

At this time, if you experience ventricular fibrillation again, these directors are ready to give up on you.

There is a pulmonary embolism itself. If ventricular fibrillation is added, do you know if there are any embolisms?

At this time, if a vulnerable patient does it lightly, he will really be burping.

Chen Cang didn't even think about it and was ready to start chest compressions!

At this time, the director began to discuss wildly. What should I do now?

The situation is really not optimistic!

Just as everyone was frowning, Tao Mi suddenly said, "It's not impossible now!"

Qin Xiaoyuan's eyes lit up: "What does Director Tao mean?"

The same is true for Niu Tianfu. Is there any better way to do surgery?

Tao Mi said word by word: "Pulmonary artery embolization surgery!"

As soon as these words were spoken, several directors frowned.

In fact, there are no consensus on pulmonary embolism surgery so far.

Even when this surgery occurs, it is considered useless!

Because surgical treatment has no status in this disease, the success rate of the disease is too low!

The mortality rate is extremely high!

It has always been used for supplemental treatment, for those with huge pulmonary embolism accompanied by shock, low systolic blood pressure to 100mmhg, increased central venous pressure, renal failure, failure of internal medicine treatment or inappropriate for internal medicine treatment.

The surgical mortality rate is higher under external circulation.

But at this moment, everyone had no choice.

Now that the heart is in a state of cardiac arrest, the systolic blood pressure is less than 90 just now. At this time, how much is the effect of internal medicine treatment?

Everyone is unsure!

After a discussion, Qin Xiaoyuan looked at Tao Mi with a serious expression: "Director Tao, can you do pulmonary artery thrombosis?"

Tao Mi blushed: "I haven't done this before. There are not many people doing this surgery."

When everyone heard this, they sighed, hoping to extinguish again...

At this moment, Chen Cang's chest compression was successful.

The patient's heartbeat finally recovered...

Now, people may not dare to do internal medicine treatment anymore.

But everyone was even more confident that the surgery was removed!

Tao Mi can't do it...

At this moment, Tao Mi suddenly looked at Chen Cang: "Xiao Chen, can you do pulmonary artery thrombosis?"

Chen Cang was stunned.

Even Qin Xiaoyuan and Niu Tianfu didn't have any hope.

Put your hope on a young man.

Is it appropriate?

I blushed even if I think about it.

However, it is unrealistic to ask an expert. If effective measures cannot be taken within two hours, the patient's mortality rate will soar again.

At this moment, Chen Cang looked at the skill points, 25.

Pulmonary artery thrombosis removal is a tertiary thoracic surgery and an emergency rescue operation. Redeem is required for 4 skill points.

To advance to the master level, 7 skill points are required.

A total of 11 skill points are required!

Do you want it?

Chen Cang looked at Yu Yi lying on the bed and took a deep breath.
To be continued...