Chapter 306 : Blindly penetrate the pericardium!
After seeing several directors, Chen Cang hurried over: "Director, you are here."
Li Baoshan nodded and said with a serious expression: "How is it now?"
Chen Cang swallowed: "It's quite stable. Now I'm going to do the relevant examination and I'm coming back soon."
Li Baoshan said oh.
At this time, Director Tao Mi of the Department of Cardiology and Xu Tianfu of the Department of Cardiology came over.
Tao Mi frowned and asked, "Xiao Chen? What's the patient's condition?"
Chen Cang explained: "The patient's examination results have not yet come out. I guess it may be the pericardial tamponade caused by traumatic blood pericardis!"
As soon as the pericardium was filled with a few words, the faces of several directors changed!
Pericardial tamponade, this is a fatal disease!
You can’t do it casually, at least someone has to stare at it!
Thinking of this, Li Baoshan asked quickly: "What kind of inspection have you done?"
At this time, Chang Lina, who took the patient to do the examination, pushed the car and walked over with the doctor on duty in the radiology department.
The radiologist took out the magnetic film in his hand: "Director, look, this is a chest radiograph, this is a magnetic film."
After hearing this, Tao Mi's face changed: "Why do I do nuclear magnetic field?"
This sentence made everyone stupid!
The radiologist was stunned for a moment: "To clarify the hemorrhage in the pericardial cavity..."
This question made the doctor in the radiology department a little confused. Did I...I did something wrong?
But seeing the three directors staring at him with a serious face, the doctor in the radiology department suddenly shrank his head. Am I really wrong?
Li Baoshan hurriedly asked, "Is the patient's condition stable now?"
Chang Lina, who was sent to the examination, nodded: "Stable! Blood pressure is 90/70, heart rate is 70 times per minute... The patient's vital signs are stable."
As soon as these words were said, the directors around him breathed a sigh of relief!
Xu Tianfu said slowly: "It's not that you won't let you do MRI, but that you can do it if the patient's condition is stable, otherwise the pericardial tampon is likely to be fatal!"
indeed!
Xu Tianfu is not a joke.
Every year, there are no fewer heart disease patients who die in the CT room.
Therefore, many hospitals in China now do not recommend MOD and CT for patients with possible myocardial infarction, heart failure, etc., and wait until it stabilizes before doing it.
The radiologist smiled awkwardly: "Director, it was already stable when it was delivered."
The three of them were stunned!
Pericardial tamponade caused by blood pericardium...How can it be stabilized without treatment?
At this time, Xu Tianfu, who was holding the magnetic film, was suddenly stunned: "No... Why is there no blood accumulation?"
Even Tao Mi was stunned. After carefully comparing it... she looked at the echocardiogram and was immediately curious.
"No, look, the second rib and the third rib on the left... have obvious blunt injuries."
"But the ultrasonic liquid plane..."
At this time, Lao Liu hurriedly ran in: "Doctor Chen, I have taken the blood you asked me to get just now."
At this time, everyone looked up at Chen Cang.
Li Baoshan suddenly widened his eyes: "What kind of blood is this?"
Chen Cang said: "After the driver Lao Liu and I arrived at the scene, the patient's condition was very poor. Pericardial tampon was very serious, with blood pressure only 60/30mmhg, and the pericardial tampon was very obvious. This was the first time I saw a patient with triple syndrome at the same time. The patient's heartbeat was very weak. I was worried that there would be problems on the way to the hospital, so I immediately chose outdoor pericardial puncture."
As soon as this is said!
Suddenly, the three directors' expressions changed again.
They all know the serious consequences of pericardial tamponade.
But, how do you do pericardial puncture outdoors?
There is no b-hyperposition, and no monitoring
Pericardial puncture can only be done blindly.
Doing it blindly... If you are not careful, there will be problems.
After all, the pericardium is not a chest cavity, and it has a very large operable space, so its operable space is very small.
Tao Mi thought of this, hesitated and asked: "You... are you "blindly wearing"?"
Chen Cang nodded: "It was a last resort. The situation was special at that time, and the patient was very urgent and it was imminent. If you don't do it, I'll do it."
The three of them looked at each other and couldn't help swallowing... they could even think of the danger.
But the more this happens, the more scared the three of them are.
Maybe the patients can't come to the hospital.
Li Baoshan sighed: "You are too risky."
Tao Mi shook her head: "It's a last resort!"
Speaking of this, the three of them looked at Chen Cang and their eyes changed.
After all, there are dozens of people in the Department of Cardiology and Cardiology of the Second Provincial Hospital, and there may not be many people who can blindly penetrate the pericardium...
Even Tao Mi and the others were not sure whether they dared it!
Maybe... in that case, you will do it yourself, right?
Tao Mi thought in her heart, but... it is really possible to succeed.
Thinking of this, Tao Mi's eyes looked at Chen Cang were really full of appreciation.
Be brave and resourceful!
Being able to decisively judge the pericardial tampon and perform on-site puncture resolutely is really an ability.
Sometimes people really have to accept old age.
Seeing generations of outstanding young people gradually growing up, several directors were also grateful and regretful.
Fortunately, there is a successor.
Unfortunately, I am old...
However, after learning that the patient had undergone pericardial puncture, everyone breathed a sigh of relief. In addition, there was indeed some blood in the pericardial cavity of the patient at this time.
However, there is no large-scale bleeding, so it should not be a damage to the large blood vessels.
It's not a sharp rupture of the heart.
The only thing to consider now is the damage to the pericardial blood vessels caused by pericardial blood vessels.
At this time, various test results came back.
The indicators are basically normal, the hemoglobin is low but not as indicators of blood transfusion. It is normal for the white blood cells to be slightly higher.
After reading various examination reports, Tao Mi said: "Now, it is necessary to open the chest to check to clarify whether there is any damage to the heart or blood vessels. The source of bleeding should be detected and symptomatic treatment should be done in time."
"And...you can watch the film, there are pericardial blood accumulation and blood clots here, so you should cut the pericardial blood accumulation to clarify the pericardial blood accumulation, and to find out the source of bleeding while repairing the damage to the heart blood vessels!"
Xu Tianfu also nodded: "Fortunately, the heart is not punctured, otherwise it would not be that simple. Look at the broken ribs, it should have damaged the blood vessels of the pericardial tissue and did not cause damage to the heart. I guess this should be the main reason for blood pericardial and pericardial tamponade!"
I have to say that Sun Sheng is lucky. The fractured ribs did not cause damage to the heart, otherwise... it would not be the case now.
Chapter completed!