bookpower Chapter 408
Chapter 408
Lin Feng's heart shook!
Shouted!
"Quick, CPR!"
When Ersuke heard this, he quickly stretched out his hand and pressed it on the heart position without saying a word!
1、2、3、4、5......
The heart keeps pressing!
As for artificial respiration?
No, because it's itching on the ventilator...
Then every three minutes, an intravenous injection of 1mg of epinephrine...
And at this time,
Lin Feng's movements remained unchanged and continued to stitch...
Blocking, anastomosis, opening, blood supply...
A series of operations down,
Flowing clouds and flowing water...
However, it is useless, because the patient still has no heartbeat...
8 minutes...
10 minutes...
15 minutes...
Lin Feng, all the doctors and nurses, their hearts kept sinking...
The longer the time, the slimmer the chances...
Flash
At the 20th minute...
soon
25 minutes have passed...
The patient's heart, there is no reaction at all...
And on the CPR side, 5 doctors and nurses have already been changed...
Lin Feng waved,
Gave up.
25 minutes, that's enough.
The average doctor, pressing to 10 minutes is already good, now insisting on 25 minutes, it can be regarded as 'benevolence and righteousness'.
The operating room, there was silence.
Although I am used to life and death, I still can't help but feel sad.
Lin Feng: "Go and tell your family..."
Lin Feng sighed,
Spent 300,000, did not save ... I'm afraid the family will not feel well ...
Other doctors and nurses, began to dismantle ECG monitors, ventilators ... And so on instruments...
At this very moment,
suddenly
An intern suddenly let out a poignant scream:
"Dr. Lin, he... He...... of arteries... It seems to have moved..."
Lin Feng: "..........................."
Other doctors and nurses: "..........................."
All shocked!
Have arteries?
Everyone, their eyes looked at the aorta that had just been sutured when the patient was pulled open...
Uncanny...... Jumped!!
"Groove!"
"What's going on?"
"Fake corpse!!"
At this time, Lin Feng reacted immediately:
"Quick, immediately face the ventilator, ECG monitor!"
Ventilator, connected, to ensure that there is enough oxygen...
The ECG monitor is connected...
"I lean!"
"There really is a waveform!!"
"This waveform is still healthy!!"
I saw that on the ECG monitor, a healthy ECG waveform was moving...
Blood pressure is a little low...
Blood oxygen saturation is only 78%...
With the ventilation of the ventilator, the blood oxygen saturation began to rise continuously, and the blood pressure began to rise...
Everyone, stunned.
"Back from the dead?"
"Fate?"
"What's going on?"
Everyone looked at Lin Feng at this moment.
Perhaps only Lin Feng can answer their answers...
Lin Feng pondered for a moment,
Reacted quickly.
Found the ultimate answer!
"I think it should be Lazarus syndrome!!"
To be honest, Lin Feng also thought of it after realizing it.
"Lazarus syndrome?"
When everyone listened,
Qi Qi was stunned for a moment.
"What came from?"
"Haven't heard..."
Lin Feng smiled and took advantage of this rare opportunity to do a popular science.
Lazarus is from the Gospel of John of the Bible, and it is said that Jesus, in order to prove His miracles, prophesied the resurrection of the dead Lazarus. Four days after his death, Lazarus came out of the cave where he was buried. Lazarus thus became associated with the concept of resurrection from the dead. "
And the name "Lazarus" naturally means "resurrection from the dead". "
This phenomenon rarely occurs, and it is rare in the whole world.
As for the mechanism of its occurrence?
Excuse me
At present, the world does not know, and the only speculation may be that a combination of factors may be the result.
thereinto
There are three speculations:
Speculation 1: Due to excessive itching, the patient's intraalveolar pressure and chest pressure increase, which compresses the pulmonary circulation vascular bed, large blood vessels and heart to a certain extent. This leads to obstruction of venous return and even cardiac arrest. After stopping CPR, this accumulated pressure is gradually released to restore the autologous circulation and the heart to beat again.
Speculation 2: Because the patient's venous return is blocked, it may take some time for rescue drugs such as epinephrine to reach the target organ with blood circulation after peripheral intravenous injection. When venous return is restored, the drug begins to take effect and the person is rescued.
Speculation 3: Researchers have found that some patients with Lazarus phenomenon also suffer from hyperkalemia, and high potassium in intracellular fluid can reduce myocardial contractility and self-discipline, which in turn causes cardiac arrest. When hyperkalemia is released, the heart begins to recover...
After Lin Feng explained it,
All the doctors and nurses, suddenly realized...
"So that's it..."
"Learned!"
"Doctor Lin, really knowledgeable..."
Lin Feng said at this time: "Take a blood from the patient, send it for testing, and see the level of potassium in the blood... In addition, wait for the patient to leave urine for testing..."
"Yes..."
Lin Feng didn't say a word,
After cardiac arrest, the patient underwent 25 minutes of cardiac compressions, which could ensure that the itch was supplied to the whole body, but then after Lin Feng announced that he gave up, there were about 3 minutes without cardiac compressions.
I don't know if these 3 minutes will cause brain death...
"I hope not..."
I looked at the ECG monitor,
Vital signs are very stable and have returned to the normal range.
Life, saved.
......
At this point,
Outside the operating room,
The patient's wife and parents did not yet know what was happening in the operating room.
Anxiously waiting,
Just then...
Lin Feng, they pushed the hospital bed and walked out of the operating room door.
The parents and wife stood up in surprise and ran over.
"Doctor Lin, how is the situation?"
"Congratulations, rescued, next seven days of hospitalization for observation..."
This message,
Undoubtedly, the two old people and their wives were full of joy and crying happily.
The family was undoubtedly lucky, and the operation was successful.
It can be said that this is a gambling decision, they bet right, spent 300,000 yuan, and bought the lives of their families.
Not everyone is lucky, though.
In the hospital, there are many family members of patients, in the face of high treatment costs, can only endure grief and sign "give up all treatment" ...
......
The next day,
Lin Feng's rescue operation spread throughout the hospital.
Shocked many doctors, nurses!
"Lying groove, and this 'resurrection' situation?"
"Fantastic!"
"I have heard of this disease for a long time, but I didn't expect it to really appear."
"Meet the legend!"
But
This incident also caused a storm in Harmony Hospital.
The turmoil is: when a doctor determines that a patient is dead, there will be a confusion: is the patient dead or not? What to do in case of "Salar syndrome"?
What is the judgment of the hospital: the patient is dead?
Forensic science textbooks divide death into three periods: near-death, clinical death, and biological death.
Modern medicine generally does this: patients have confirmed that there are no heart sounds, pulses, pupil responses to light, and corneal reflexes.
Then the judgment is: death!
But most reported cases of Salar syndrome occur after death is confirmed.
So
"Salar syndrome" can cause confusion among doctors...
And Harmony Hospital, now this confusion has appeared!
Then, there was a lively discussion within Harmony Hospital, and many doctors had different opinions.
Even the turmoil has spread to other hospitals in the surrounding area, such as Shuitan Hospital and Ditan Hospital...
Lin Feng was also a little confused,
I didn't expect that one of my own operations would trigger such a fierce and large-scale discussion.
......
On this day,
The patient's blood potassium test also came out on time.
Result: Hyperkalemia!
Like many cases of "Salar Syndrome"!
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ps: the update is over...
To explain the meaning of "XX disease", it generally refers to: in the blood, the content of XX is small, or the content is large.
For example, "hyperkalemia" means that the potassium ions in the blood are higher than the normal range value!
。