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Published at 7th of November 2021 08:36:08 AM


Chapter 504: 504

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Wang Xiangjun is worthy of being a veteran of the emergency department. He can see at a glance that this is a pericardial tamponade and stop the cardiopulmonary resuscitation in time!

In the case of pericardial tamponade, even if cardiac arrest occurs, extracardiac compression cannot be used, because not only will the resuscitation be successful, but it will worsen the development of the condition!

Wang Xiangjun quickly organized a rescue operation.

"Color Doppler positioning!"

"Preparing the operating room!"

Wang Xiangjun issued an orderly method!

At this time, we can see an efficient collaboration ability of the emergency department, and all the examinations are in place.

Chen Cang's hassle-free pericardial puncture was more accurate than Meng Xi's, and Meng Xi took the initiative to help pump fluids.

Under ultra-precise positioning, Chen Cang penetrated directly, and Meng Xi began to draw blood!

After the blood was drawn out, the whole process took less than a minute before Chen Cang said to Wang Xiangjun: "Director Wang, no, it is estimated that the amount of bleeding is still very large, and there may be aortic damage. Prepare to open the chest Come on! "

Wang Xiangjun heard this sentence and quickly changed his face:

"Preparing for emergency room surgery!"

As soon as this sentence came out, the three nurses rushed to prepare the equipment.

Just then, a sudden sorrow wailed suddenly across the bed.

"Oh, it hurts me! It hurts!"

Wang Xiangjun hurried over. At this time, the pain was a good thing, indicating that there was no shock yet.

And Chen Cang has no ambition, and is ready to open his chest!

Even if the surrounding is noisy, the rescue work cannot be delayed for one minute!

Chen Cang opened her chest skillfully, and Meng Xi helped.

Just opened their chests, and their faces suddenly changed!

A lot of blood.

How much blood is this!

And not only that, a burst of arterial blood spurted out, and the little nurse's face was covered with blood directly!

It was just that the little nurse calmly took the sleeves and touched them. His face was suddenly covered with blood, but he didn't have the slightest nervousness and anxiety, and handed Chen Cang equipment calmly.

At this time, between the electric light and the fire, Chen Cang's face changed, and a red name suddenly appeared in his eyes.

Suddenly the blood stopped instantly.

Everyone sighed for a moment, how good he was to stop bleeding with his bare hands, how to find the bleeding point!

And at this time, Meng Xi started to cut the bag with this kung fu, and the doctor on the side started holding the syringe to start washing liquid.

no way!

This is the rescue room, not the operating room. There is no washer!

Not to mention extracorporeal circulation machines.

At this point the patient's heart is arrested!

For them, every minute is extremely rare!

The pericardial decompression must be completed within a few minutes, followed by compression of the heart!

Otherwise, the compression at this time will only aggravate the fragile wound.

It's too late to get to the operating room. A few minutes of preparation is enough to take the patient's life.

Now for each of them, they are racing against time.

There is not much time left for patients ...

Anxiety and anxiety were written on everyone's face.

The little nurse on the side couldn't even care about it, and the busy sweat was left along the blood on his face.

Meng Xi's skillful cut-and-happy bag, the blood immediately flowed out!

Chen Cang looked so happy!

To the emergency doctor on the side, "CPR!"

This kind of cardiopulmonary resuscitation after open chest is, in the eyes of everyone, simply a different kind of wonderful.

Chen Cang is holding the blood vessels with both hands, be careful!

The doctor started CPR without any hesitation.

fear?

nonexistent!

No time to fear.

If you want to be afraid, you must wait until the patient is dead before you are afraid.

There is no time now.

After only two sets of CPR, the patient's heart recovered.

The main reason for the sudden arrest at first was that the huge pericardial tampon gave too much pressure.

After the pericardial incision, the resistance of the heart disappeared, and with the help of CPR, the heart gradually began to beat.

However, due to a large amount of ischemia, blood pressure is still low.

At this time, after the blood transfusion department completed the blood type comparison, the blood was finally sent.

Now, the patient needs to be sent to the operating room!

The doctor on duty of the cardiac surgery came down quickly and cooperated with Chen Cang, the three were going towards the operating room!

At this time, there was a sudden vomiting sound in the rescue room. Chen Cang suddenly changed his face and said to Meng Xi, "Mr. Meng, go to the surgery, I will see what else is going on!"

Meng Xi nodded and did not quit!

Three patients were delivered, and any one was critical.

At this time, it was early morning, and many doctors could not arrive in time.

The vitality of emergency department is limited after all.

For the repair of large blood vessels outside the heart, Meng Xi and Ge Huai are enough!

And unknown dangers, unknown diseases, and unknown tests are waiting for every doctor in this emergency department!

At this time, the optimal allocation of resources is the important choice.

Chen Cang didn't even think about it, turned around and walked over.

"Shocked!"

At this time Wang Xiangjun was really anxious.

Doctor Chao looked at the film and was shocked: "Director! Liver rupture, accompanied by abdominal bleeding, prepare for surgery in time!"

Wang Xiangjun nodded quickly: "Preparing the operating room!"

At this time, Wang Xiangjun suddenly felt a little tired. The liver rupture repair operation was a major operation. Looking at the agitated doctor of hepatobiliary surgery, he couldn't help asking: "When is Dean Qian coming!"

Doctor of Hepatobiliary Surgery: "It's almost seventy or eight minutes!"

After hearing this, Wang Xiangjun couldn't help but be anxious: "Preparing for surgery, blood transfusion department, preparing blood for matching!"

Chen Cang said quickly: "Director, I can do liver rupture surgery!"

Hearing this sentence, everyone around looked sideways.

Because this is the person just now, I am ready to lead everyone to complete the pre-rescue work of the patient in the bed.

And now, he will even do liver rupture repair surgery!

Liver repair surgery is a difficult operation and a four-level operation!

What Chen Cang learned was just a torn version!

But at this time, let alone the incomplete version, you have to take out the ineffective version!

When Wang Xiangjun heard Chen Cang's words, he looked up as if he heard the gospel of God.

This young man doesn't seem to be helping himself for the first time.

Wang Xiangjun was pleasantly surprised. Not only did he feel that the emergency department of the Second Provincial Hospital was so powerful?

However, this is not the time to think about it!

Wang Xiangjun looked at Chen Cang and looked happy, and even said three times: "Good! Good! Good!"

After speaking, the doctor who looked at the emergency doctor and hepatobiliary surgery said, "You cooperate with Doctor Chen to do the rescue work!"

They immediately nodded!

Now is not the time for ink.

Liver rupture is extremely fatal!

Because the liver receives dual blood supply, the blood supply is very rich, and the liver also has the function of producing and draining bile. Once the liver is damaged, the consequences are very serious!

Bleeding volume can directly cause hemorrhagic shock ~ www.novelhall.com ~ and bile leakage can cause severe biliary peritonitis.

Bleeding + infection + unknown combined injury = what?

Obvious!

Either one can endanger the life of the patient.

Therefore, when they looked at Chen Cang at this time, they could only see the same expectations as the savior.

I hope Xiao Chen can wait until Qian Liang comes back!

...

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: Keke, three for the time being, there will be noon tomorrow.

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