bookpower Chapter 358
Chapter 358
"Quick, adrenaline 1mg!!"
Lin Feng saw that the situation was not good, and quickly shouted to the nurse.
The nurse's hands and feet were very numb, because it was guessed that there was a heart problem, so the adrenaline was prepared early.
Epinephrine, the main role is to enhance cardiac contractility, increase cardiac oxygen consumption, increase heart rate, expand blood vessels, relieve bronchospasm.
Push still!
Epinephrine 1mg!
It is directly infused into a deep vein, directly to the heart.
1 minute...
2 minutes...
3 minutes...
"Come again, 1mg!!"
Lin Feng pressed profusely with sweat and shouted at the same time.
"In addition, increase potassium chloride, open two more channels, press in!"
"Yes!"
Continue to inject 1 mg into it.
Then the nurse opens other channels, then presses the potassium chloride liquid bag, and forcefully presses the liquid into the vein...
4 minutes...
5 minutes...
6 minutes...
The patient was still motionless, lying on the bed...
By this time, the patient's wife had broken into tears and was sitting on the ground.
"Woo~~~ You don't want to die..."
"You're dead, what can I do!"
The husband and wife have only been married for less than half a year, and it is when the love is the sweetest, and she can't accept the bad news that her husband died suddenly.
8 minutes...
10 minutes...
And the adrenaline did not stop, every 3 minutes, it was pushed quietly.
Lin Feng is also strong in physical strength, strong in strength, and fine in control, so he can last so long.
At this point,
What happened here attracted the bored doctors and nurses who worked the night shift.
They all ran over.
"What happened?"
"It seems to be low potassium, which causes muscle weakness and cardiac arrest... Now it's being rescued..."
"Dr. Lin has been pressing for 10 minutes..."
"The adrenaline hit 4mg..."
"It seems that the patient has just got married, and his wife is crying so badly..."
"Hope it's okay..."
Just when everyone was staring at the ECG monitor, nervously expecting,
suddenly
The waveform of the ECG monitor, which was originally the waveform of compression, suddenly changed sharply.
A regular QRS complex, st-segment and t-wave, is constantly elongating...
"It's out!"
"It seems to come out!"
"It's the waveform of an autonomous heartbeat!"
One by one, the doctors and nurses suddenly shouted with joy.
"Hahaha~~~~"
"Awesome!!"
The wife, who was crying, raised her head when she heard the news, looked at the electrocardiogram, although she couldn't understand it, but listening to the reaction of the doctors around her, she knew that her husband was rescued, and suddenly cried with excitement.
Lin Feng gradually released CPR,
Then let the patient beat his heart on his own and slowly recover...
Soon after,
The waveform is starting to get healthy.
Blood pressure stabilized 110/75mmHg...
Heart rate stabilized to 98 beats per minute...
Blood oxygen saturation raised to 96%...
"Phew~~~~~~"
At this moment, Lin Feng and the other doctors and nurses breathed a complete sigh of relief.
Show a happy smile.
Now, it's definitely saved!
In fact, as long as potassium is replenished, and then the patient's heartbeat is restored, then everything will be fine.
And Lin Feng's CPR operation at the beginning is absolutely timely enough, and the oxygen is absolutely delivered to the patient's brain, which will not cause hypoxia necrosis of brain tissue.
......
Lin Feng left the rescue room in the tearful thanks of the patient's wife...
A look at the watch,
The time has reached 22:30...
Back to the consultation room,
Boring...
Then, a group of people couldn't help but start telling jokes and gossip...
Once I was sick with an infusion, sitting and playing with my mobile phone, time flew by.
Xiao Ai told a very funny story.
Day before yesterday
The infusion room of the emergency department, dozens of patients are instilled.
A northeastern uncle was too fascinated by his mobile phone, and when he woke up, he looked up and saw that the infusion in the bag was empty, and subconsciously, he shouted: "Girl, fill it for me!" "
Boy
Feelings, this Northeast uncle used this as a restaurant...
At that time, the entire infusion hall exploded with laughter.
When Xiao Ai told this story, it was vivid,
Lin Fenghao and the other doctors also laughed.
"Bell Bell ~~~"
At this moment,
The phone at the nurse's station rang.
"This is the emergency department of Harmony Hospital... Got a hematemesis? 3 minutes to? Good...... We'll get ready right away..."
This time,
All the medical staff who had just joked became solemn.
Lin Feng waved his hand: "Go and prepare..."
Then I counted what needed to be prepared, and the nurse listened and went to prepare ...
Hematemesis, a very common symptom, often means a critical condition.
Some patients who hematemesis have just been sent to the hospital and vomit blood wildly, and the blood transfusion is too late, and then they die of hemorrhagic shock.
......
3 minutes later...
The ambulance rushed to the hospital,
An old man in his 60s pushed off the car, then changed the bed and quickly pushed into the rescue room.
The patient's family came to their son, holding Lin Feng's hand and pleading:
"Doctor Lin, please..."
"You're waiting outside the rescue room... I'll ask you to sign something..."
"Okay, okay..."
The glass door of the rescue room is closed.
The patient's surname is Liu,
Lao Liu, 63 years old,
Lin Feng observed him, at this time, he was still in spirit, not tired, just a little pale...
Old Liu's front clothes were stained with some blood, apparently caused by vomiting blood.
Nurse Mari connected to the ECG monitor.
Blood pressure: 100/70...
Heart rate: 106...
Blood oxygen saturation: 100%......
Waveform graph, without any problems...
Lin Feng: "Do you have high blood pressure?" "
Old Liu's spirit is not bad: "Yes, more than ten years ..."
Lin Feng nodded.
Blood pressure: 100/70, for the average patient, it is actually a normal level.
But if it is a hypertensive patient, the current blood pressure is actually low blood pressure, which should be caused by blood loss.
However, this patient is relatively gentle compared to those who are at risk of vomiting blood.
"How long to cough up blood?"
"Doctor, I'm not coughing up blood, I'm vomiting blood..."
The patient Lao Liu corrected.
Lin Feng was happy and asked with a smile: "Do you still know the difference between coughing up blood and vomiting blood?" "
Lao Liu estimated that he usually loves to show off: "Of course I know, on the way just now, the doctor who accompanied me told me." Hematemesis comes out of the stomach, coughing up blood comes out of the lungs..."
Lin Feng nodded.
So, it looks like it.
To be precise:
Coughing up blood: is the airway, respiratory system.
Hematemesis: is the digestive tract, 99% is the upper digestive tract (esophagus, stomach, duodenum), digestive system.
Many patients are easy to confuse, but doctors will generally ask clearly and will not misdiagnose.
"You said you were vomiting blood, how long did you vomit?"
"2 hours..."
"Is the amount big?"
"It's not very big, it's probably like taking a sip of liquor..."
“.................."
Lin Feng was sure that this patient should be an alcoholic...
If, according to the patient, it is vomiting blood, it is the upper digestive tract.
Lin Feng's considerations are:
Esophageal cancer...
Fish bones, foreign bodies piercing arteries...
Ulcers in various parts of the upper gastrointestinal tract...
Bleeding from esophageal and gastric varices caused by cirrhosis...
(ps: Patients with cirrhosis, venous blood flowing into the liver, will become difficult, and then lead to blood stasis, become varicose veins, easy to eat hard objects lead to venous bleeding...) ）
Middle gastrointestinal and lower gastrointestinal bleeding is not excluded, but the probability is very small...
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