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1433 Shock Storm (Leader Blue Autumn Road 3)

Zheng Ren rushed into the operating room with great strides.

Song Mo's erectile dysfunction was fine for one second, but the next second, he developed symptoms of allergic shock.

The manifestations of skin and mucous membranes are the earliest and most common signs of allergic shock. Copper-shaped maculopapular rashes appear directly, quickly giving people a strange feeling.

But this time, it was not local symptoms, but flushed all over the body.

Song Mo's skin flushed, followed by widespread rash and angioedema, and even vague symptoms of systemic edema in just 1 second.

Upper respiratory tract edema and spasm due to airway laryngeal edema and spasms, coupled with tracheal kata secretion.

Song Moqi showed that the airway pressure increased and the airway resistance increased.

At the same time, her lower respiratory tract edema and increased secretions in the lungs, resulting in insufficient gas exchange, insufficient oxygen supply, and decreased blood oxygen saturation.

Even Song Mo's erectile dysfunction appeared in an instant.

Edema occurred at the same time as the upper and lower respiratory tracts, and the condition deteriorated rapidly. If it weren't for the ventilator assisting breathing, Song Moqian would probably not be able to save him this time.

Due to capillary penetration, the blood vessels dilate to absolute or relatively insufficient blood volume, and the blood volume of the heart decreases. Song Mo's blood pressure suddenly drops to 80/50mmHg.

This is just the beginning, and her arterial pressure is still falling wildly.

The heart rate soared to more than 120 beats per minute, the pulse was thin and rapid, the limbs were cyanotic, and chills.

All of these were expected by Zheng Ren.

He rushed into the operating room and shouted: "Suck sputum and keep the respiratory tract open!"

The anesthesiologist didn't react. He was just calm and sang and danced to the point of peace. Why did all the instruments start to scream wildly in just one moment?

Is it a machine failure?

There will be no machine failure at the same time. These are the most advanced instruments in the world and are very well maintained.

"Sucking phlegm!" Zheng Ren kicked the anesthesiologist's thigh.

No effort was used, just to awaken the anesthesiologist with violence.

"Oh." The anesthesiologist staggered for a moment and immediately realized what he should do now.

After all, he is a top anesthesiologist and well-trained.

In the shortest time, I picked up the suction tube and went in through the tracheal tube.

A hissing sound rang out, and a large amount of respiratory secretions were sucked out.

Seeing that the anesthesiologist moved, Zheng Ren ignored him and continued to shout: "Su Yun, raise his head 15° and raise his lower limbs 15°."

Su Yun was so proud.

Although he was prepared, he did not expect that the allergic shock would be so rapid.

Elevation of the head and lower limbs is a point that is easily overlooked during the rescue of allergic shock.

Doing this will help venous return to the brain and lower limbs to increase pressure difference and prevent the sudden increase in carotid sinus pressure, which will cause a reflex to cause a drop in blood pressure.

This is a detail, which is rarely paid attention to, but it is extremely important!

"Erepinephrine 0.5mg intravenously!"

"Hydrocortisone 200mg intravenously!"

"Adrenaline 0.5mg is given again intravenously!"

The anesthesiologist looked at the ECG monitoring and subconsciously reminded him: "Doctor Zheng, ECG monitoring sine wave type, consider ventilatory flutter. Give amiodarone."

He spoke carefully and did not dare to provoke Zheng Ren easily. Even in emergency rescue, he wanted to respect Zheng Ren's opinions.

Dr. Huo was slapped onto the wall, and he was still sitting there in a confused state with his head in his arms.

"It's not a ventricular flutter." Zheng Ren said with certainty, "pulling a limb electrocardiogram."

It is more advanced than the nursing hospital, and the leads are all in the chest area.

Zheng Ren said that the electrocardiogram of the limb is an electrocardiogram in which the limbs also participate in the lead.

The anesthesiologist was stunned.

In the emergency department, ventricular flutter occurs, shouldn’t it be treated as soon as possible? How could you think it is not?

Continuous and regular, leniency, and deformed QRS waves look so "ugly".

This is one of the waveforms that circulatory doctors fear the most, meaning that it is difficult for patients to be rescued.

The time limit of QRS wave is above 0.12s. The QRS wave has an upward and downward wave amplitude and is difficult to distinguish from the T wave.

All of this proves that Master Song has had a ventricular flutter!

Although the QRS wave frequency did not reach 180 times per minute, the P wave did not disappear. But the wide QRS waveform told the anesthesiologist that this is the ventricular flutter!

Rescue must be rescued.

He really wanted to inject amiodarone into Mr. Song immediately, but Dr. Zheng slapped him just now...

It's better to do an electrocardiogram of the limb.

Even if Master Song had an accident, he would fulfill his obligations.

It is unclear to know people, this is Master Song’s problem. But this arrogant and domineering Doctor Zheng toughly rejected his reminder, and everything that happened had nothing to do with him.

The anesthesiologist quickly connected the ECG to the limb, but the electrocardiogram appeared and he was stunned.

It is not a ventricular flutter at all. P-QRS-T is clearly visible. The sine wave type should be caused by mutual interference between the instruments.

this……

The anesthesiologist looked at the clear P-QRS-T waveform and was extremely puzzled.

In this case, who gave him the courage to make a judgment on machine interference?!

"Be careful about suctioning sputum!"

"Asaima 100mg intravenous drip, pay attention to low speed."

"5% glucose 1000mL, m-hydroxylamine, dopamine..."

"Fast infusion of mannitol 250ml!"

"100,000 units of Ustaldin injection, intravenous infusion!"

Zheng Ren's medical advice was continuous.

In the entire operating room, everyone was beaten by the invisible whip formed by the doctor's instructions and moved wildly.

Zheng Ren stood not far away, his vision just covered the entire rescue scene. No matter who makes a mistake, he will be ruthlessly scolded.

In the whole audience, Su Yun was the only one who ran around like a flying game, without any mistake at all.

Gradually, the alarm sound in the operating room began to weaken.

One machine after another returned to normal, Song Moqian's vital signs began to stabilize, his blood pressure slowly rose, and his whole body gradually improved.

It took half an hour to completely quiet the operating room.

Looking at the smooth and normal electrocardiogram monitor and the values ​​on various instruments, all the doctors and nurses in the hospital felt like they had a dream.

Nightmare.

But under the command of this young public hospital doctor, the ending was perfect.

The violent allergic shock caused the medical staff present to sweat in a cold sweat.

The obstetrician and gynecologist wanted to say sorry, but when she saw Zheng Ren, her heart trembled.

Fortunately, she didn't rush up and provoke Dr. Zheng, otherwise... she believed that when she faced such a major rescue, and the rescue target was Master Song, Dr. Zheng would not worry about the gender differences between herself and him.

I'm afraid I'll be slapped on the wall.

"Boss, you said I was instructing me." Su Yun was very dissatisfied and stood beside Zheng Ren and muttered.

"Some things are too cumbersome, I'm still a little worried." Zheng Ren said.

"Have you stopped working?" Su Yun asked, glanced at Dr. Huo, who was crying with his head in the next room.

The sound is not loud or small, just like Dr. Huo's voice just now, and it will definitely be heard.

"If you accept it, if you don't accept it, it's him who should be rescued." Zheng Ren said calmly: "Removal of the management and send the patient back to the ward."

After saying that, he turned around and said, "Let's go, Su Yun."

...

...

Yesterday I missed Boss Zheng, but I didn’t expect everyone to give so many rewards. I’m really sorry, it’s just a small matter. For half a year, there have always been emotional fluctuations, so I’m sorry. I’ll go back to the imperial capital tomorrow to continue the surgery to mourn the cardiothoracic surgery that is already on the verge of apoptosis and the ex vivo circulation that is about to disappear.

By the way, the star of tomorrow in cardiothoracic surgery, now thinking about it, it is very unfair to Comrade Su Yun. There is no tomorrow in cardiothoracic surgery...

Everything is minimally invasive, but thoracoscopy does not seem to be enough for aortic arch replacement.
Chapter completed!
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