"What are you thinking at home?" Su Yun squatted and fiddled with the patient's chest tube.

He cleared the fresh blood drained out of the chest tube, and while counting, he bent a section of the chest tube to observe the speed of the drainage.

The chest tube is unobstructed and there is not much drainage, which can be confirmed.

What Su Yun did seemed unnecessary, but Zheng Ren knew that he was eliminating some small details that might arise.

Many seemingly serious diseases actually stem from a little accumulation of problems.

"Old Zhao, where is the second line?" Su Yun asked while fiddling with the chest tube in his hand.

"Professor Zhang..." Zhao Yunlong said.

Su Yun was also helpless.

It’s not like Professor Zhang. Everyone has different levels, their ability to bear risks and their ideas are also different.

Some are more radical, while others are more conservative.

Each has its own advantages and disadvantages.

As for Professor Zhang, if he goes to school, he will be a good teacher. But in such extremely complicated situations, he may not be a good candidate for emergency treatment.

"Where are people?" Zheng Ren asked.

"It will arrive soon." Zhao Yunlong said: "Zheng...Boss, please help me stare at me, and I will urge the patient's family."

"Go." Zheng Ren said: "Are you ready to do Iabp in the catheter room?"

"You're ready, Director Zhang Lin is coming from home." Zhao Yunlong said.

Zheng Ren nodded, did not continue speaking, but turned on the computer and began to look at the patient's medical records.

Zhao Yunlong's narrative is too brief, and he only talks about the most important points, and there is no time to talk about the rest in detail.

Regarding the patient's situation, Zheng Ren still wants to take a closer look at it.

The patient is 52 years old and has a history of familial hypertension. His father died of cerebral hemorrhage. He had no symptoms before. As Zhao Yunlong said, he came to the hospital for treatment two days ago due to chest tightness and shortness of breath.

In the medical records, the patient reported that he had no history of vertigo.

Zheng Ren expressed doubts about this. If there is dizziness, it is the most reasonable to be accompanied by concealment.

This is how a patient narrates his medical history, which does not represent everything, but can only be used as a reference, especially for patients with complex situations in front of him.

After admission, I had abnormal head CT and I had a day after I had a head MRI.

Zheng Ren could feel that the patient's family members did not sign and agree to IABP, and there may be signs that family and economic factors were possible early in the morning.

Test form, various inspection reports, Zheng Ren looks the same.

He quickly gained a certain understanding and understanding of the patient's condition. Su Yun looked around him at the medical records and looked back at the patient's condition, and his neck was almost broken.

"Boss, the smoke disease shown on the nuclear magnetic field is quite serious." Su Yun commented when Zheng Ren inserted the nuclear magnetic field into the video viewer.

"Well, I'll consider..." Zheng Rengang said this, and the sound of the monitor alarm sounded loudly.

The sound of the sound echoed throughout the room.

Zheng Ren and Su Yun stood up suddenly, and the chair Zheng Ren was sitting on turned to the ground and made a "bang".

"Prepare for iabp!" Zheng Ren roared in a low voice.

Su Yun was stunned for a moment, and he subconsciously wanted to refuse. Without the signature of the patient's family, he just did IABP. Is he trying to die?

But he heard from Zheng Ren's voice that he could not refuse.

Don't worry! Su Yunxin made up his mind, anyway, the sky fell and the boss was holding on. It's amazing to resign. Going to work at Massachusetts General Hospital seems to be a good choice.

“The iabp machine and machine are ready with helium!”

“Iabp catheter, puncture pack is ready!”

"0.9% nal500ml + heparin 5000u, ready!"

"Pressure bag, keep the pressure at 300mmhg?"

Su Yun asked.

"Yes." Zheng Ren lifted the quilt on the patient's body, then opened the IABP puncture bag, and prepared the iodine ovulator.

"Lidocaine." Zheng Ren said in a deep voice while wearing gloves.

Su Yun had already turned on the machine, pushed it to the edge of the bed, and directly unscrewed a plastic bottle of lidocaine, and shot the syringe into a sterile bag.

Zheng Ren picked up the syringe, penetrated the tip of the needle into the opening of the plastic bottle, and pulled out the lidocaine.

It was not diluted either. I grabbed a handful of iodine in my right hand and disinfected the patient's femoral artery, followed by local anesthesia.

The puncture was successful and the balloon catheter was sent into the patient's femoral artery. Zheng Ren was very fast. Su Yun had just put the electrode plate on the patient's chest, and the two sets of electrocardiogram monitoring systems were running at the same time.

At this time, Zheng Ren had finished the operation and sent the Iabp tube to the descending aorta.

Turning on the counter-pulse pump, Zheng Ren handed the sensor that monitors the aortic pressure to Su Yun.

Su Yun connects the sensor to the host.

The flushing system is connected to the sensor, and the central cavity is connected to the pressure conduit.

The work Zheng Ren needs to do has basically been completed, and Su Yun’s side has been busy flying.

Su Yun looked at the helium pipeline several times to confirm that the working pressure of the helium meets the requirements.

"Sew it." Su Yun said surely.

Zheng Ren nodded and began to fix the helium pipeline.

Suyun debugs various parameters on the host.

This is more professional than himself, and Zheng Ren knows. Letting him do it is the most worry-free way.

There is no need to participate in it.

As the IABP system started working, Zheng Ren breathed a sigh of relief, and the patient would be fine for a short period of time.

The machine feeds the patient's electrocardiogram or blood pressure signals into the counter-pulse control device, so that the balloon pump moves in reverse synchronously with the patient's heart beat.

The moment before the heart contracts, that is, when the aorta is opened, the balloon deflates, reduces the end-diastolic pressure in the aorta, reduces work in the left ventricle, reduces afterload, and reduces myocardial oxygen consumption.

The moment before the heart is diastolic, the balloon is inflated, increasing the pressure of coronary perfusion during the diastolic period and increasing myocardial oxygen supply.

This can reduce the anterior and afterload of the left ventricle and reduce the heart load. The balloon quickly completes exhaustion immediately before the heart contracts and the aortic valve opens, causing instantaneous decompression in the aorta, lowers the resistance to ejaculation of the left ventricle at the same time, and increases the blood volume of the heart.

IABP has unparalleled significance for perioperative support and stable hemodynamic status.

With the launch of IABP, the screaming ECG monitoring began to gradually calm down.

"Boss, the patient's family has not signed it." Su Yun debugged the various parameters of the machine, and saw Zheng Ren packing up the IABP things, he said helplessly.

"There is no time." Zheng Ren said, "When the patient's family signs, everyone is dead."

"Why haven't Lao Zhao come back yet?" Su Yun was nagging, but his eyes were staring at the monitor.

This emergency emergency was successful, but the indicators were still not ideal. The patient is still in a dying state. As for when it doesn't work, it depends on his life.

"Boss..." Su Yun frowned. "I don't think it's right. The patient's condition is too serious, even worse than I thought."
Chapter completed!