2752 Overnight referral
"Director, I feel pain..." The patient was lying on the hospital bed, his face pale. The reason for his whiteness was because of blood loss and because of fear.
On the operating table, the director looked calm and said nothing, and the nurses who were talking and laughing before were silent. More and more instruments were pushed, and he also used some treatment methods that he didn't know.
Just thinking about it is scary.
"Where is the pain?" Director Lang asked. His face didn't look much better than the patient, and he was as pale as the patient.
"Chest, the place where you acupuncture was hurt just now." The patient took a deep breath and said.
The puncture point hurts, it should be fine, it should... Director Lang prayed silently in his heart. Although the pericardial puncture is a word for surgery, many statistics say it is not considered surgery, but just an operation.
Just like the closed chest drainage surgery, it is just an operation. The most excessive thing is a disposable catheterization. Some hospitals are considered as an operation, which increases the total number of surgeries in the hospital.
But both are operational, and pericardial puncture is much more difficult. Director Lang is worried about the side injury, but he was a little relieved after listening to the patient's narration, and it should be just a pain in his skin.
What should I do? He watched the patient's blood pressure continue to fall, and he ordered the doctor to increase the amount of norepinephrine to stabilize the patient's blood pressure.
If not, go to iabp. Through physical effects, it can increase in the intraoral diastolic pressure, increase coronary blood supply and improve myocardial function.
Director Lang made up his mind and asked someone to prepare the IABP equipment.
He carefully took care of the patient, and did not even leave the operating room, ready to rescue him at any time.
IABP was removed from the left femoral artery. After 1:1 anti-Blooding, the patient's circulation has not improved, and the blood pressure monitoring is still showing a downward trend.
This is so fucking, Director Lang suddenly lost his mind.
It was already early in the morning, what should I do at this time? The director never did an interventional surgery, he was just the simplest internal medicine doctor. Now the best thing for circulating interventional surgery in the hospital is himself, and there is not even a person asking.
Director Lang hesitated for a while and decided to observe. However, after the blood transfusion, the patient's blood pressure still showed no signs of improvement, and the difficulty of breathing and chest pain were gradually aggravating.
He had no choice but to pick up his cell phone and call his relatives and friends' hotline.
Director Riro Nanshan City has the best skills. Not to mention the interventional surgery, IABP just says it, which is not something that ordinary people can do.
If he wanted to ask for help, he could only find a doctor in the imperial capital. After hesitating for a moment, he chose Director Zhang Lin from 912 on two phone calls.
Director Zhang has a better temper and calls him in the middle of the night, hoping that she will not be angry. Don’t go to menopause... Director Lang muttered in his heart, for fear that he would be scolded, so he would not accept this emergency room with an accident.
It turns out that he was thinking too much. Director Zhang Lin's voice was almost unlimited sleepy when he answered the phone, but when she heard the operation caused pericardial tamponade, she woke up instantly.
Moreover, Director Zhang Lin was also very enthusiastic. She knew that Director Lang could not handle this matter, so she responded directly.
It was agreed to send the patient to 912 for hospitalization, and Director Lang finally got better. But with so many instruments and the road was bumpy, he still called the director from home to see him, and got into an ambulance and escorted the patient to the higher hospital.
In order to save time, Director Lang uploaded all the patient's information to Director Zhang Lin, including the final colored heart ultrasound.
Director Zhang Lin was completely sleepy and was tossed out of the middle of the night for not once or twice. Although he couldn't adapt in his whole life, this is what a circulatory doctor must do.
When I was young, I was on duty. As long as the nurse called someone and had any problems, she ran to the ward without even having time to wear her shoes.
Now there are at least about 4 hours left to watch the movie. If the 120 ambulance fails to catch the morning rush hour in the early morning of God.
Because there is a contagious image data, the content is relatively large and cannot be transmitted through mobile phones. Nanshan City called and said it was an email.
She tiptoed out of the bedroom and turned on the computer.
The imaging looks OK, but according to Director Lang, he had a pericardial puncture, and the amount of fluid derived can only be said to be medium.
His blood pressure has not risen and is still falling. Even if he goes to IABP, Director Zhang Lin has his own judgment.
After reading the angiography information, she checked the echo heartbeat and was stunned for a moment.
Looking at the ultrasound... something seemed wrong.
But she only knows about ultrasound, but has not conducted in-depth research. After all, the degree of junior college in Grade A hospitals is getting higher and higher, so it is already very good to be able to understand it simply.
If you have a problem with echo heartbeat, who should you come to see? Director Zhang Lin’s first idea was Boss Zheng.
Yes, it’s not about looking for a professor in the echocardiac room, nor is it about Director Qi, but about Boss Zheng.
The patient's condition is quite clear. Coronary hemorrhage is estimated to be a small branch that has closed itself as the pressure increases. However, the patient's condition is extremely poor and may die at any time.
Opening the chest to detect is a high probability follow-up operation.
Director Zhang Lin has a good relationship with the Department of Cardiac and Thoracic Surgery, after all, both relevant departments have their own interests and needs.
The cardiothoracic surgery department also wants to retain some coronary artery bypass surgery. The stent is not omnipotent, and it needs the circulatory department to send it to the patient. In this regard, the circulatory department is an upstream department and has its advantages.
But once this happens, cardiothoracic surgery will be required to solve the subsequent problems.
But the doctor who is smart is better than Boss Zheng? Not to mention Boss Zheng, even Su Yun’s level is quite high, and he can kill him in seconds.
I thought about it, Director Zhang Lin still took a look at the time with a very reasonable attitude.
In the second half of the night, the patient was sent out from Nanshan City, and then it took 3-4 hours to 912. It should not be up to the morning rush hour and the road will be smooth.
It’s not too late to look at the patient before talking about it, and then look for Boss Zheng again.
Director Zhang Lin didn't think it would be a big problem for him to bother Boss Zheng. She felt that she knew this young doctor very well. When she met a patient who needed rescue, he was willing to break up in order to treat him. Professor Zhang, who was in a scrupulous state, seemed to have physical contact.
After making up her mind, Director Zhang Lin changed her clothes first and went to the hospital office for a sleep until the patient was sent to her and was called.
At this time, it was already dark, and the patient's face seemed to be covered with white paper, looking scary. Director Lang, who was pushing the flat cart in, also turned pale, and Zhang Lin wondered if he had any problems.
The patient's blood pressure was 62/45mmhg, and he also brought 4u red blood cell suspension. Director Lang bowed repeatedly and said the patient's condition and words of thanks along the way. Director Zhang Lin called Boss Zheng without hesitation and asked him to see the situation.
Chapter completed!