Chapter 1076 A Pain that Is Ineffective for Painkillers! (Please Subscribe)

Known as the "Painkiller Family," the Sackler family isn't for nothing.

They wanted to make opioids the first drug in the world and make pain the standard of care.

As a result, pain has been paid more and more attention, and the pain index and score have also developed rapidly.

The pain of aortic dissection is definitely the top fourth degree pain in the classification, that is, the fifth degree pain (level five standard)!

This level of pain is a pain that Chen Cang has never felt, but according to the guidelines, the pain is continuous and severe, and it will be accompanied by changes in vital signs such as blood pressure, which is difficult for most people to tolerate.

Maybe this description is not intuitive enough. For example, according to the 12-level pain classification, level 1: mosquito bite, level 5: slap with a slap to leave red palm prints, level 6: pay attention to diet and cause stomach pains Grade: Black and purple marks are left by sticking.

Grade 8: Area bleeding trauma caused by various methods Grade 9: Pain in labor, of course, it is natural labor.

Level 10: Physical disability, injured in battle and blowing up fingers, Level 11: Pain in internal organs, Level 12... It may be the top ten torture levels in the Qing Dynasty.

There is no specific classification for acute aortic dissection episodic pain, because the situation is analyzed in detail, but it is definitely not under childbirth.

After all, this is a pathological pain.

This pain can give people a sense of near-death, a feeling that death can come at any moment.

Do you think this is the cruelest?

of course not!

Looking at Tian Zhengkai's pale complexion, the sweat dripping down from the big beans, the severe pain is unbearable for this little giant who is more than two meters tall. Tian Zhengkai, who is an athlete himself, is still very strong, and the teammates and coaches around him are all Worry not.

In the past, Tian Zhengkai has always been the big brother of the team, a very humble person who takes good care of newcomers and often teaches some skills.

So everyone respects him!

Therefore, looking at him like this, these teammates feel very uncomfortable!

"Doctor, can I take painkillers?"

"Yes, that morphine!"

Chen Cang sighed and shook his head: "It's not that the shot is not allowed, but it's useless. For the pain of aortic dissection, morphine doesn't work at all. Moreover, the effect of morphine will also affect the already unstable blood pressure."

After figuring it out, Chen Cang said to the old horse, "Get in the car first and take it to the hospital."

Several athletes said quickly: "Let's come, it's too heavy!"

Chen Cang and Lao Ma smiled, their amount of exercise was not much at all.

The two looked at each other, lifted the stretcher and walked outside.

Seeing this, the assistant coach said, "You guys stay and continue the game, I'll go to the hospital with me!"

After he finished speaking, he followed Chen Cang and the two of them involuntarily.

I have to say, this guy is really heavy, and because he is so tall, the stretcher can't be placed completely.

Chen Cang was worried that the length of the ambulance would be enough...

Fortunately, the ambulance is long enough to not worry about this problem.

The assistant coach is young. He is Tian Zhengkai's predecessor. He retired and became the assistant coach of the Beijing team. Tian Zhengkai came here partly because of his original intention.

Seeing him like this, the assistant coach was also worried.

He quickly asked, "Zhengkai, what's your phone number?"

Tian Zhengkai's mobile phone is still in the locker room. In such a serious situation, it is definitely necessary to contact the family.

Tian Zhengkai was a little exhausted at this time, the pain consumed too much of his physical strength, and slowly said his phone again.

Here, Chen Cang and Xiao Ke quickly did an electrocardiogram.

On the old horse's side, he contacted the hospital, made relevant preparations, and completed relevant inspections as soon as possible.

What is the most dangerous thing about aortic dissection?

Ruptured aorta!

Once it breaks, basically the probability of death is very high.

Chen Cang's mind was spinning very fast, and Ma Yuehui also helped him with a monitor to monitor his blood pressure regularly.

Because of the current situation, once the patient's blood pressure is too high, the originally damaged aorta is likely to rupture suddenly due to excessive tension.

It's like water is flowing in the leather tube, and suddenly the endothelium ruptures in the leather tube, and then the water fills it instantly, bulging the leather tube and becoming thinner!

At this time, because of the formation of a false aneurysm, which hinders the running of the water, the huge pressure may continue to expand here, until... with a "bang"... it ruptures!

The electrocardiogram results came out, no characteristic manifestations, almost normal!

Chen Cang glanced at the old horse: "Leader Ma, the electrocardiogram is normal!"

This looks like good news because myocardial infarction was ruled out.

However, after diagnosing this kind of thing and excluding one kind of murderer, another kind of murderer often appears.

The presentation of aortic dissection and myocardial infarction is strikingly similar, the electrocardiogram can be identified, and myocardial infarction with pain medication can be effective, aortic dissection is not.

The patient has now been diagnosed with an aortic dissection.

At this time, after Tian Zhengkai's wife answered the phone, the assistant coach quickly explained the matter.

This sudden news shocked her!

Don't care about going to work, go out and take a taxi.

The old horse kept his eyes on the blood pressure, for fear of rising.

Blood pressure has now become a life-threatening fatal factor for patients.

"Xiao Ke, add 100 mg of sodium nitroprusside to 500 ml of 5% glucose, and instill it at a rate of 20 μg/min!" Chen Cang said after a moment of pondering.

"Add 0.5 mg of propranolol!"

Chen Cang made a decision on the spot.

Now the patient's blood pressure is 100-110, which is enough to maintain the blood supply of important organs such as the heart, brain, and kidney, and the excess is very dangerous.

And it is necessary to reduce the contractility of the heart, so as to stabilize the blood vessels, do not break it!

Sometimes, when medical explanation doesn't make sense, only metaphysics can be used!

For example, at this time, the assistant coach was nervous and could only pray.

Does prayer work?

Of course the assistant coach doesn't know, but... he doesn't know what he can do!

Not only him, but Chen Cang and Lao Ma were also uneasy. Chen Cang had already put his hand on the equipment box. If his blood pressure plummeted, he would definitely have surgery as soon as possible.

Time passed by slowly in anxiety.

Finally, 20 minutes later, the car was fine at the door of the emergency center!

Chen Cang ran down first, followed by the old horse, and with the help of four or five people, the car was pushed down steadily.

"Do an echocardiogram first!"

"Contact Cardiology Consultation and prepare for aortic angiography as soon as possible!"

"Draw blood as soon as possible, complete the diagnosis, notify the blood matching room, and prepare for blood supply!"

If the aortic dissection is really broken, the amount of bleeding will not be a little bit, and you must prepare in advance!

What is the most important thing in medicine?

Be prepared!

All possibilities are considered.

After all, any little carelessness could cost a life!